Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors

Po-Ching Huang; Chung-Ying Lin; Ru-Yi Huang; Jung-Sheng Chen; Marc N. Potenza; Carol Strong; Hsiao-Wen Wang; Mark D. Griffiths; Chiung-Yu Chen; Nai-Ying Ko; Shyh-Jou Shieh

doi:10.12659/MSM.944932

24 June 2024 : Clinical Research

Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors

Po-Ching Huang

^1ACDEF, Chung-Ying Lin

^2345ABCDEFG*, Ru-Yi Huang^67ABDEG, Jung-Sheng Chen^8ADE, Marc N. Potenza^{91011121314ADE}, Carol Strong^15ABE, Hsiao-Wen Wang^16ABE, Mark D. Griffiths^17ADE, Chiung-Yu Chen^1819ABE, Nai-Ying Ko^20ADE, Shyh-Jou Shieh^2122ABDE

DOI: 10.12659/MSM.944932

Med Sci Monit 2024; 30:e944932

Authors information Article notes Copyright and License information

¹School of Physical Therapy, Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan
²Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
³Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan
⁴ Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia
⁵Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
⁶Division of Family Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, and School of Medicine, Tzu Chi University, Hualien, Taiwan
⁷Data Science Degree Program, National Taiwan University and Academia Sinica, Taipei, Taiwan
⁸Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
⁹Child Study Center, Yale School of Medicine, New Haven, USA
¹⁰Wu Tsai Institute, Yale University, New Haven, USA
¹¹Department of Neuroscience, Yale University, New Haven, USA
¹² Connecticut Council on Problem Gambling, Wethersfield, USA
¹³ Connecticut Mental Health Center, New Haven, USA
¹⁴Department of Psychiatry, Yale School of Medicine, New Haven, USA
¹⁵Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan
¹⁶Department of Hydraulic and Ocean Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan
¹⁷International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom
¹⁸Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
¹⁹Department of Internal Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan
²⁰Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan
²¹Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan
²²Department of Surgery, College of Medicine, National Cheng Kung University, Tainan, Taiwan

^*Corresponding Author: Chung-Ying Lin, e-mail: moc.liamg@33963nilyc
^*Corresponding Author: Ru-Yi Huang, e-mail: [email protected]

^AStudy design/planning
^BData collection/entry
^CData analysis/statistics
^DData interpretation
^EPreparation of manuscript
^FLiterature analysis/search
^GFunds collection

Introduction Material and Methods Results Discussion Conclusions References

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Table 2 Factor loadings for each item embedded in respective constructs with item contents.

Construct (scoring methods)Item content	Factor loading

Online learning has made learning a burden	0.702
Online learning is difficult to understand	0.763
Online learning lacks teaching materials	0.838

How much do you worry about your clinical learning?	0.759
How much do you worry that you may fail the Professional and Technical Personnel Examinations?	0.757
How much do you worry about your future clinical competence?	0.911
How much do you worry that your clinical learning may become online learning?	0.681
How much do you worry that you may not have hands-on practice with patients?	0.686

I found it hard to wind down	0.698
I was aware of dryness of my mouth	0.506
I couldn’t seem to experience any positive feeling at all	0.704
I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)	0.632
I found it difficult to work up the initiative to do things	0.691
I tended to over-react to situations	0.690
I experienced trembling (eg, in the hands)	0.494
I felt that I was using a lot of nervous energy	0.746
I was worried about situations in which I might panic and make a fool of myself	0.798
I felt that I had nothing to look forward to	0.759
I found myself getting agitated	0.808
I found it difficult to relax	0.768
I felt down-hearted and blue	0.776
I was intolerant of anything that kept me from getting on with what I was doing	0.689
I felt I was close to panic	0.697
I was unable to become enthusiastic about anything	0.726
I felt I wasn’t worth much as a person	0.556
I felt that I was rather touchy	0.714
I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)	0.627
I felt scared without any good reason	0.700
I felt that life was meaningless	0.588

Difficulty falling asleep	0.731
Difficulty staying asleep	0.788
Problems waking up too early	0.658
How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?	0.729
How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?	0.746
How WORRIED/DISTRESSED are you about your current sleep problem?	0.634
To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g., daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) CURRENTLY?	0.852

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Impact of COVID-19-Induced Academic Stress on Insomnia and Suicidal Ideation among Taiwanese Health Trainees and Junior Doctors

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