The effect of homesickness on the psychological wellbeing of medical and non-medical students

Authors

  • Brynn Charlesworth

DOI:

https://doi.org/10.33178/SMJ.2021.1.4

Keywords:

homesickness, medical students, psychological wellbeing

Abstract

Introduction
Homesickness commonly affects students moving to college for the first time, causing physical, psychological, and emotional disturbances. Medical students are particularly vulnerable to distressing feelings due to the already high prevalence of mental illness and burnout within this population.

Aims & Objectives
This review aims to critically evaluate the current literature on homesickness and wellbeing of postsecondary students, assessing the impact of psychological distress and investigating the relationships between mental illness, medical student burnout, and their implications in medical school.

Methods
Searches of PubMed, PsychINFO, and Psychology and Behavioural Sciences Collection databases were conducted to analyse literature on homesickness, student wellbeing, and burnout. These were screened according to pre-defined criteria and articles were assessed for appropriateness.

Results
12 articles successfully met the eligibility criteria. Homesickness was found to affect the majority of freshman students, associated with both a significant decrease in college adjustment and an increase in depression. Within the postsecondary population, psychological distress varied, with medical students having poorer mental health than their peers. The risk for burnout was found to be predictive of mental illness and was associated with unprofessional behaviour.

Discussion
During the transition to college, students are under an enormous amount
of pressure – academically and psychologically. Evidence suggests that homesickness is common, with associations found between homesickness
and depression. A high prevalence of psychological distress among the post- secondary population and a positive correlation between mental illness and burnout was also found. As such, medical student homesickness and burnout should be investigated to decrease potentially devastating consequences.

References

Yu B, Chen X, Li S, Liu Y, Jacques-Tiura AJ, Yan H. Acculturative Stress and Influential Factors among International Students in China: A Structural Dynamic Perspective. PLoS ONE. 2014;9(4).

Thurber CA, Walton EA. Homesickness and Adjustment in University Students. Journal of American College Health. 2012;60(5):415-9.

Dunn DS. Homesickness and First-Year College Students: Psychology Today [Internet]. 2018. Available from: https://www.psycholo- gytoday.com/us/blog/head-the-class/201808/ homesickness-and-first-year-college-students.

Wilde A. Homesickness in Adults: Mt Lawley Counselling [Internet]. 2019. Available from: http://www.mtlawleycounselling.com.au/ homesickness_in_adults.html.

Warwick Uo. Homesickness - Settling in to University: University of Warwick [Internet]. 2019. Available from: https://warwick.ac.uk/ services/wss/topics/homesickness/.

Biasi V, Mallia L, Russo P, Menozzi F, Cerut- ti R, Violani C. Homesickness Experience, Distress and Sleep Quality of First-Year University Students Dealing with Academic Environment. Journal of Educational and Social Research. 2018;8:9-17.

Fisher S, Murray K, Frazer NA. Homesickness, health and efficiency in first year students. Journal of Environmental Psychology. 1985;5(2):181-95.

Roser M, Ortiz-Ospina E. Tertiary Education: Our World In Data [Internet]. 2020. Available from: https://ourworldindata.org/tertiary-education.

Unesco. UIS Statistics: Unesco [Internet]. 2020. Available from: http://data.uis.unesco. org/.

Aydin Sünbül Z, Çekici F. Homesickness in the first year college students: The role of personality and attachment styles. International Journal of Social Sciences and Education Research. 2008; 4(3):412-20.

Flett G, Endler N, Besser A. Separation Anxiety, Perceived Controllability, and Homesickness. 2009;39(2):265-82.

Nijhof KS, Engels RC. Parenting styles, coping strategies, and the expression of homesickness. J Adolesc. 2007;30(5):709-20.

The Lancet. Physician burnout: a global crisis. Elsevier Inc. 2019;394(10193):93.

Association BM. Serious mental health crisis among doctors and medical students revealed in BMA report: BMA [Internet]. 2019. Available from: https://www.bma.org.uk/news/ media-centre/press-releases/2019/may/serious-mental-health-crisis-among-doctors-and- medical-students-revealed-in-bma-report.

English T, Davis J, Wei M, Gross JJ. Homesickness and adjustment across the first year of college: A longitudinal study. Emotion. 2017;17(1):1-5.

Watt SE, Badger AJ. Effects of Social Belonging on Homesickness: An application of the Belongingness Hypothesis Personality and Social Psychology Bulletin. 2009;35(4).

Liu Y, Chen X, Li S, Yu B, Wang Y, Yan H. Path Analysis of Acculturative Stress Components and Their Relationship with Depression Among International Students in China. Stress & Health: Journal of the International Society for the Investigation of Stress. 2016;32(5):524- 32.

Schwenk TL, Davis L, Wimsatt LA. Depression, Stigma, and Suicidal Ideation in Medical Students. JAMA. 2010;304(11):1181.

Voltmer E, Kötter T, Spahn C. Perceived medical school stress and the development of behavior and experience patterns in German medical students. Med Teach. 2012;34(10):840-7.

Farrell SM, Kar A, Valsraj K, Mukherjee S, Kunheri B, Molodynski A, et al. Wellbeing and burnout in medical students in India; a large scale survey. International Review of Psychiatry. 2019;31(7-8):555-62.

Masri R, Kadhum M, Farrell SM, Khamees AA, Al-Taiar H, Molodynski A. Wellbeing and mental health amongst medical students in Jordan: a descriptive study. International Review of Psychiatry. 2019;31(7-8):619-25.

Mazurkiewicz R, Korenstein D, Fallar R, Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychology, Health & Medicine. 2012;17(2):188-95.

Boni R, Paiva CE, de Oliveira MA, Lucchetti G, Fregnani J, Paiva BSR. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PLoS One. 2018;13(3):e0191746.

Dyrbye LN, Massie FS, Eacker A, Harper W, Power D, Durning SJ, et al. Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students. JAMA. 2010;304(11):1173-80.

Burr J, Beck Dallaghan GL. The relationship of emotions and burnout to medical students’ academic performance. Teaching and Learning in Medicine. 2019;31(5):479-86.

Panagioti M, Geraghty K, Johnson J, Zhou A, Panagopoulou E, Chew-Graham C, et al. Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis. JAMA Intern Med. 2018;178(10):1317–31.

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Published

2024-10-10

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How to Cite

The effect of homesickness on the psychological wellbeing of medical and non-medical students. (2024). UCC Student Medical Journal, 2, 39-48. https://doi.org/10.33178/SMJ.2021.1.4