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Volume 13, Issue 3 (2025)
Health Educ Health Promot 2025, 13(3): 495-501 |
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History
Received: 2025/07/2 | Accepted: 2025/08/19 | Published: 2025/08/25
Received: 2025/07/2 | Accepted: 2025/08/19 | Published: 2025/08/25
How to cite this article
Andarsini M, Hasan H, Andriani F, Joewono H, Tinduh D, Setiawati Y. Influence of Clinical Learning Environment Perception on Depression and Anxiety Symptoms in Pediatric Residency Programs. Health Educ Health Promot 2025; 13 (3) :495-501
URL: http://hehp.modares.ac.ir/article-4-82643-en.html
URL: http://hehp.modares.ac.ir/article-4-82643-en.html
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1- Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
2- Department of Medical Education, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
3- Department of Psychology, Faculty of Psychology, University of Airlangga, Surabaya, Indonesia
4- Department of Physical Medicine and Rehabilitation, Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia
5- Department of Psychiatry, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
2- Department of Medical Education, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
3- Department of Psychology, Faculty of Psychology, University of Airlangga, Surabaya, Indonesia
4- Department of Physical Medicine and Rehabilitation, Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia
5- Department of Psychiatry, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
Abstract (482 Views)
Aims: This study aimed to determine the prevalence of depression and anxiety symptoms in pediatric residents, evaluate their perceptions of the clinical learning environment, and examine the influence of this environment on psychological symptoms.
Instrument & Methods: This cross-sectional study was conducted involving 66 pediatric residents at Dr. Soetomo Academic General Hospital. Depression and anxiety symptoms were evaluated using the validated Indonesian versions of the Beck Depression Inventory-II and Self-Rating Anxiety Scale, respectively. Perceptions of the clinical learning environment were assessed through the Postgraduate Hospital Educational Environment Measure. Data analysis included linear regression and mediation analysis using the Sobel test.
Findings: A total of 6 residents (9.1%) reported symptoms of depression, 8 residents (12.1%) reported symptoms of anxiety, and 4 residents (6.1%) experienced both. Residents’ perceptions of the clinical learning environment were generally positive. The perception of social support within the clinical learning environment significantly influenced depression symptoms (p=0.024). However, the residents’ perception of the clinical learning environment did not significantly affect anxiety symptoms. Additionally, the perception of social support significantly influenced anxiety symptoms indirectly through depression as a mediating factor (p=0.04).
Conclusion: The perception of social support within the clinical learning environment has a significant direct influence on depression symptoms and an indirect influence on anxiety through the mediation of depression symptoms.
Instrument & Methods: This cross-sectional study was conducted involving 66 pediatric residents at Dr. Soetomo Academic General Hospital. Depression and anxiety symptoms were evaluated using the validated Indonesian versions of the Beck Depression Inventory-II and Self-Rating Anxiety Scale, respectively. Perceptions of the clinical learning environment were assessed through the Postgraduate Hospital Educational Environment Measure. Data analysis included linear regression and mediation analysis using the Sobel test.
Findings: A total of 6 residents (9.1%) reported symptoms of depression, 8 residents (12.1%) reported symptoms of anxiety, and 4 residents (6.1%) experienced both. Residents’ perceptions of the clinical learning environment were generally positive. The perception of social support within the clinical learning environment significantly influenced depression symptoms (p=0.024). However, the residents’ perception of the clinical learning environment did not significantly affect anxiety symptoms. Additionally, the perception of social support significantly influenced anxiety symptoms indirectly through depression as a mediating factor (p=0.04).
Conclusion: The perception of social support within the clinical learning environment has a significant direct influence on depression symptoms and an indirect influence on anxiety through the mediation of depression symptoms.
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