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 5 Mediation effects in the proposed model.

Independent variable	Mediator(s)	Outcome variables	Stand. coeff.	95% BootstrapConfidence interval
Independent variable	Mediator(s)	Outcome variables	Stand. coeff.	Lower limit	Upper limit
Academic stress	Clinical confidence	Insomnia	0.152	0.093	0.229
	Psychological distress		−0.248	−0.340	−0.166
	Clinical confidence followed by psychological distress		0.098	0.059	0.153

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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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