TY  - JOUR
PY  - 2011//
TI  - Efficacy of a brief screening tool to identify medical students in distress
JO  - Academic medicine
A1  - Dyrbye, Liselotte N.
A1  - Schwartz, Alan
A1  - Downing, Steven M.
A1  - Szydlo, Daniel W.
A1  - Sloan, Jeff A.
A1  - Shanafelt, Tait D.
SP  - 907
EP  - 914
VL  - 86
IS  - 7
N2  - PURPOSE: To determine whether the Medical Student Well-Being Index (MSWBI) can serve as a brief assessment tool to identify medical students in severe psychological distress.  METHOD: The authors used data from 2,248 medical students at seven U.S. medical schools who responded to a 2007 survey to explore the accuracy of the MSWBI in identifying medical students with three outcomes: low mental quality of life (QOL; defined by having a Medical Outcomes Study Short-Form Health Survey mental component summary score ≥1/2 standard deviation below that of the age- and gender-matched population norm), suicidal ideation, or serious thoughts of dropping out. The authors confirmed their analyses using data from a separate sample of 2,682 students evaluated in 2009.  RESULTS: Students with low mental QOL, suicidal ideation, or serious thoughts of dropping out were more likely to endorse each individual MSWBI item and a greater number of total items than were students without such distress (all P <.001). The likelihood ratio for low mental QOL among students with MSWBI scores <4 was 0.47 as compared with 4.79 for those with scores ≥4. At an MSWBI threshold score of ≥4, the MSWBI's sensitivity and specificity for identifying students with low mental QOL or recent suicidal ideation/serious thoughts of dropping out were both ≥90%. On multivariable logistic regression, all MSWBI items were independently associated with at least one outcome.  CONCLUSIONS: The MSWBI is a useful brief screening tool to help identify students with severe distress.<p /> <p>Language: en</p>
LA  - en
SN  - 1040-2446
UR  - http://dx.doi.org/10.1097/ACM.0b013e31821da615
ID  - ref1
ER  -