ORIGINAL RESEARCH article
Front. Med.
Sec. Healthcare Professions Education
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1629789
An investigation on psychological status and influencing factors of residents in standardized training
Provisionally accepted
Zhenhua Liu1
Haoyuan Zhang2Yufei Zhang3Lifang Zhou1Yixuan Wu1Zihan Lang1Leyuan Zhang1Haoyu Zhang1
Qianqian Yu1*- 1Shandong Second Medical University, Weifang, China
- 2Shandong University, Jinan, China
- 3Shandong Provincial Third Hospital, Jinan, China
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Physician mental health has become an increasingly urgent concern worldwide, yet little attention has been paid to the psychological well-being of resident physicians in China. This study aims to assess the mental health status of Chinese resident physicians and identify key demographic and professional factors associated with psychiatric symptoms.A cross-sectional survey was conducted among 276 resident physicians from Qilu Hospital of Shandong University. Participants completed a structured questionnaire including demographic information and the Symptom Checklist-90 (SCL-90) to evaluate psychological distress. Residents were classified as screening positive for psychiatric symptoms if they met any of the following criteria: total score ≥160, more than 43 items rated ≥1 (mild), or at least one item rated ≥3 (moderate).Statistical analysis included independent-sample t-tests, chi-square tests, and binary logistic regression to explore influencing factors.Among 276 respondents, 20.1% screened positive for psychiatric symptoms.Compared with the Chinese general population, residents showed significantly elevated scores in obsessive symptoms (p < 0.001), depression (p = 0.029), anxiety (p < 0.001), hostility (p < 0.001), phobic anxiety (p < 0.001), and paranoia (p = 0.007).Logistic regression analysis revealed that longer training years (OR = 2.24, p = 0.011)
Keywords: Mental Health, standardized residency training, Symptom checklist-90, Occupational stressors, Influencing factors
Received: 20 May 2025; Accepted: 28 Jul 2025.
Copyright: © 2025 Liu, Zhang, Zhang, Zhou, Wu, Lang, Zhang, Zhang and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Qianqian Yu, Shandong Second Medical University, Weifang, China
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