Association Between General self-efficacy and Perceived Stress, Life Satisfaction: A Cross-sectional Study Among Chinese Medical Students (Preprint)
BACKGROUND The level of stress and life satisfaction of medical students plays a pronounced role in their mental development. Unfortunately, some of them may face huge psychological pressure. To better understand how to alleviate and improve their psychological problems has become an urgent problem. OBJECTIVE This study aimed to evaluate whether and to what extent general self-efficacy was related to medical students' stress state and life satisfaction level. METHODS This is a cross-sectional, observational study conducted among medical students in grades one to four from a medical college in Shenyang. All of the information was collected by questionnaire, which included sociodemographic data, life satisfaction index B (LSIB), General Self-Efficacy Scale (GSES), and Stress Response questionnaire (SRQ). Also, the questionnaires are demonstrated adequate reliability and validity. Linear regression models were used to calculate β and 95% confidence intervals (CIs) after adjusting for potential factors. RESULTS A total of 1543 medical students completed the survey, including 441 boys (28.58%) and 1102 girls (71.42%). General self-efficacy was significantly associated with emotional response (β, -1.37; 95% CI, -2.24, -0.49), physical response (β, -0.60; 95% CI, -1.13, -0.07), behavior response (β, -0.78; 95% CI, -1.20, -0.36) and the total stress response score (β , -2.60; 95% CI, -4.39, -0.80) adjusting for confounding factors. A positive belief about life satisfaction was associated with general self-efficacy (β, 1.01; 95% CI, 0.70, 1.31). The association between general self-efficacy, stress, and life satisfaction were also found in the stratified analyses. Moreover, the current research also revealed the interesting interactions between general self-efficacy and confounding factors. CONCLUSIONS We observed the negative associations between general self-efficacy and stress, while the positive associations between self-efficacy and life satisfaction. Moreover, regular psychological counseling should be provided to medical students. However, it is also necessary to confirm our findings and clarify the potential specific mechanisms in future studies.