Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms

Purpose: This research aims to develop a Nomogram for exact anxiety symptoms prediction in postgraduate medical students so that they may be identified as high-risk individuals early and get focused care. Methods: Using a convenient sampling method, for case-control matching, 126 participants with a...

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Main Authors: Zewen Huang, Lejun Zhang, Junyu Wang, Tingting Wang, Lu Xu, Xialing Yang, Heli Lu
Format: Article
Language:English
Published: Elsevier 2022-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844022020916
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author Zewen Huang
Lejun Zhang
Junyu Wang
Tingting Wang
Lu Xu
Xialing Yang
Heli Lu
author_facet Zewen Huang
Lejun Zhang
Junyu Wang
Tingting Wang
Lu Xu
Xialing Yang
Heli Lu
author_sort Zewen Huang
collection DOAJ
description Purpose: This research aims to develop a Nomogram for exact anxiety symptoms prediction in postgraduate medical students so that they may be identified as high-risk individuals early and get focused care. Methods: Using a convenient sampling method, for case-control matching, 126 participants with anxiety symptoms and 774 participants of the same age and gender but without anxiety symptoms were designated as the case group and control group, respectively. Multivariable logistic regression analysis was utilized to identify influencing factors for anxiety symptoms, then used to design and verify a Nomogram of anxiety symptoms. Results: Multivariate logistic regression analysis showed that lack of social support (OR = 0.95, 95%CI: 0.91–0.99), low life satisfaction (OR = 0.91, 95%CI: 0.86–0.95), low subjective well-being (OR = 0.58, 95%CI: 0.41–0.83) and frequent tobacco and alcohol use (OR = 1.75, 95%CI: 1.10–2.80) were independent predictors of anxiety symptoms in postgraduate medical students (P < 0.05). The Nomogram risk prediction model based on the above four independent prediction factors was established, and the verified C-index (Concordance index) is 0.787 (95%CI: 0.744–0.803, P < 0.001). Conclusions: Anxiety symptoms in postgraduate medical students are influenced by various variables. The Nomogram prediction model has high accuracy, validity, and reliability, which can provide reference for predicting anxiety symptoms in postgraduate medical students.
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spelling doaj.art-720b4c0d57f8400f8c84e7f60a9946f22022-12-22T04:33:08ZengElsevierHeliyon2405-84402022-10-01810e10803Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptomsZewen Huang0Lejun Zhang1Junyu Wang2Tingting Wang3Lu Xu4Xialing Yang5Heli Lu6Department of Psychosomatic Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China; Faculty of Medicine, Macau University of Science and Technology, Macao, ChinaSchool of Psychology, South China Normal University, Guangzhou, Guangdong, ChinaSchool of Cyberspace, Hangzhou Dianzi University, Hangzhou, Zhejiang, ChinaFaculty of Medicine, Macau University of Science and Technology, Macao, ChinaSchool of Psychology and Cognitive Science, East China Normal University, Shanghai, ChinaGraduate Department, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, ChinaDepartment of Psychosomatic Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China; Corresponding author.Purpose: This research aims to develop a Nomogram for exact anxiety symptoms prediction in postgraduate medical students so that they may be identified as high-risk individuals early and get focused care. Methods: Using a convenient sampling method, for case-control matching, 126 participants with anxiety symptoms and 774 participants of the same age and gender but without anxiety symptoms were designated as the case group and control group, respectively. Multivariable logistic regression analysis was utilized to identify influencing factors for anxiety symptoms, then used to design and verify a Nomogram of anxiety symptoms. Results: Multivariate logistic regression analysis showed that lack of social support (OR = 0.95, 95%CI: 0.91–0.99), low life satisfaction (OR = 0.91, 95%CI: 0.86–0.95), low subjective well-being (OR = 0.58, 95%CI: 0.41–0.83) and frequent tobacco and alcohol use (OR = 1.75, 95%CI: 1.10–2.80) were independent predictors of anxiety symptoms in postgraduate medical students (P < 0.05). The Nomogram risk prediction model based on the above four independent prediction factors was established, and the verified C-index (Concordance index) is 0.787 (95%CI: 0.744–0.803, P < 0.001). Conclusions: Anxiety symptoms in postgraduate medical students are influenced by various variables. The Nomogram prediction model has high accuracy, validity, and reliability, which can provide reference for predicting anxiety symptoms in postgraduate medical students.http://www.sciencedirect.com/science/article/pii/S2405844022020916Anxiety symptomsMedical studentsNomogramCase-control study
spellingShingle Zewen Huang
Lejun Zhang
Junyu Wang
Tingting Wang
Lu Xu
Xialing Yang
Heli Lu
Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
Heliyon
Anxiety symptoms
Medical students
Nomogram
Case-control study
title Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
title_full Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
title_fullStr Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
title_full_unstemmed Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
title_short Nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
title_sort nomogram reliability for predicting potential risk in postgraduate medical students with anxiety symptoms
topic Anxiety symptoms
Medical students
Nomogram
Case-control study
url http://www.sciencedirect.com/science/article/pii/S2405844022020916
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