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Graduate training during the COVID‐19 pandemic: North American genetic counseling students’ challenges, intolerance of uncertainty, and psychological well‐being

dc.contributor.authorKahn, Eva
dc.contributor.authorSheldon, Jane P.
dc.contributor.authorCarmichael, Alicia
dc.contributor.authorYashar, Beverly M.
dc.date.accessioned2021-12-02T02:31:28Z
dc.date.available2022-11-01 21:31:27en
dc.date.available2021-12-02T02:31:28Z
dc.date.issued2021-10
dc.identifier.citationKahn, Eva; Sheldon, Jane P.; Carmichael, Alicia; Yashar, Beverly M. (2021). "Graduate training during the COVID‐19 pandemic: North American genetic counseling students’ challenges, intolerance of uncertainty, and psychological well‐being." Journal of Genetic Counseling (5): 1325-1335.
dc.identifier.issn1059-7700
dc.identifier.issn1573-3599
dc.identifier.urihttps://hdl.handle.net/2027.42/171032
dc.description.abstractThe COVID‐19 pandemic has upended genetic counseling (GC) graduate students’ lives, as they have been forced to transition, manage, and acclimate to life during a pandemic. The current study is a first step in understanding their lived experiences during this historic, global event. We investigated academic and personal challenges, intolerance of uncertainty, and psychological well‐being of GC students (n = 248) who trained during the pandemic (GC‐COV cohort) and those who did not (GC‐NoCOV cohort). Participants completed an online survey (July–September 2020) that used validated measures of Intolerance of Uncertainty and Psychological Well‐Being. To assess the academic and personal challenges students experienced during GC graduate training, we developed a 43‐item measure. Principal axis factoring of the items revealed categories of challenges related to the following: Academic & Professional Development, Self‐Regulation & Resilience, Institutional & Program Leadership, and Financial Stability. There was no cohort difference in Psychological Well‐Being. Linear mixed‐effects modeling showed significant cohort differences in challenges. Multiple linear regression analyses revealed that the GC‐COV cohort’s Psychological Well‐Being was statistically significantly predicted by Institutional & Program Leadership challenges (p = .029), Self‐Regulation & Resilience challenges (p = .013), and Intolerance of Uncertainty (p = .010). For the GC‐NoCOV cohort, the statistically significant predictor of Psychological Well‐Being was Self‐Regulation & Resilience challenges (p = .029). Our findings demonstrate that GC students training during the COVID‐19 pandemic have experienced various personal, academic, and psychological disruptions and highlight a need to develop resources and implement interventions supporting students’ academic development and psychological well‐being.
dc.publisherSpringer
dc.publisherWiley Periodicals, Inc.
dc.subject.othereducation
dc.subject.othergenetic counseling
dc.subject.otherintolerance of uncertainty
dc.subject.otherpsychological well‐being
dc.subject.otherCOVID‐19
dc.subject.otherchallenges
dc.titleGraduate training during the COVID‐19 pandemic: North American genetic counseling students’ challenges, intolerance of uncertainty, and psychological well‐being
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHuman Genetics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171032/1/jgc41501.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/171032/2/jgc41501_am.pdf
dc.identifier.doi10.1002/jgc4.1501
dc.identifier.sourceJournal of Genetic Counseling
dc.identifier.citedreferenceSchlesselman, L. S., Cain, J., & DiVall, M. ( 2020 ). The COVID‐19 pandemic across the academy. Improving and restoring the well‐being and resilience of pharmacy students during a pandemic. American Journal of Pharmaceutical Education, 84, 8144. https://doi.org/10.5688/ajpe8144
dc.identifier.citedreferenceLally, J., & Cantillon, P. ( 2014 ). Uncertainty and ambiguity and their association with psychological distress in medical students. Academic Psychiatry, 38, 339 – 344. https://doi.org/10.1007/s40596‐014‐0100‐4
dc.identifier.citedreferenceLasheras, I., Gracia‐García, P., Lipnicki, D., Bueno‐Notivol, J., López‐Antón, R., de la Cámara, C., Lobo, A., & Santabárbara, J. ( 2020 ). Prevalence of anxiety in medical students during the COVID‐19 pandemic: A rapid systematic review with meta‐analysis. International Journal of Environmental Research and Public Health, 17, 6603. https://doi.org/10.3390/ijerph17186603
dc.identifier.citedreferenceLauriola, M., Mosca, O., Trentini, C., Foschi, R., Tambelli, R., & Carleton, R. N. ( 2018 ). The intolerance of uncertainty inventory: Validity and comparison of scoring methods to assess individuals screening positive for anxiety and depression. Frontiers in Psychology, 9, 388. https://doi.org/10.3389/fpsyg.2018.00388
dc.identifier.citedreferenceLuberto, C. M., Goodman, J. H., Halvorson, B., Wang, A., & Haramati, A. ( 2020 ). Stress and coping among health professions students during COVID‐19: A perspective on the benefits of mindfulness. Global Advances in Health and Medicine, 9, 1 – 5. https://doi.org/10.1177/216956120977827
dc.identifier.citedreferenceLyons, K. M., Christopoulos, A., & Brock, T. P. ( 2020 ). Sustainable pharmacy education in the time of COVID‐19. American Journal of Pharmaceutical Education, 84 ( 6 ), ajpe8088. https://doi.org/10.5688/ajpe8088
dc.identifier.citedreferenceLyons, Z., Wilcox, H., Leung, L., & Dearsley, O. ( 2020 ). COVID‐19 and the mental well‐being of Australian medical students: Impact, concerns and coping strategies used. Australasian Psychiatry, 28 ( 6 ), 649 – 652. https://doi.org/10.1177/1039856220947945
dc.identifier.citedreferenceO’Byrne, L., Gavin, B., Adamis, D., Lim, Y. X., & McNicholas, F. ( 2021 ). Levels of stress in medical students due to COVID‐19. Journal of Medical Ethics, 47, 383 – 388. https://doi.org/10.1136/medethics‐2020‐107155
dc.identifier.citedreferenceRegier, D. S., Smith, W. E., & Byers, H. ( 2020 ). Medical genetics education in the midst of the COVID‐19 pandemic: Shared resources. American Journal of Medical Genetics, 182, 1302 – 1308. https://doi.org/10.1002/ajmg.a.61595
dc.identifier.citedreferenceRettie, H., & Daniels, J. ( 2020 ). Coping and intolerance of uncertainty: Predictors and mediators of mental health during the COVID‐19 pandemic. American Psychologist, 76, 427 – 437. https://doi.org/10.1037/amp0000710
dc.identifier.citedreferenceRyff, C. D., & Keyes, C. L. M. ( 1995 ). The structure of psychological well‐being revisited. Journal of Personality and Social Psychology, 69, 719 – 727. https://doi.org/10.1037/0022‐3514.69.4.719
dc.identifier.citedreferenceSatici, B., Saricali, M., Satici, S. A., & Griffiths, M. D. ( 2020 ). Intolerance of uncertainty and mental wellbeing: Serial mediation by rumination and fear of COVID‐19. International Journal of Mental Health and Addiction. [Epub ahead of print] https://doi.org/10.1007/s11469‐020‐00305‐0
dc.identifier.citedreferenceSchlemper, M. B. ( 2011 ). Challenges and coping in graduate school. The Geographical Bulletin, 52, 67 – 72.
dc.identifier.citedreferenceSchneider, M. B., Greif, T. R., Galsky, A. P., Gomez, D., Anderson, C., Edwards, D. S., Cherry, A. S., & Mehari, K. ( 2020 ). Giving psychology trainees a voice during the COVID‐19 pandemic: Trainee mental health, perceived safety, and support. Training and Education in Professional Psychology, 15, 76 – 85. https://doi.org/10.1037/tep0000343
dc.identifier.citedreferenceSon, C., Hegde, S., Smith, A., Wang, X., & Sasangohar, F. ( 2020 ). Effects of COVID‐19 on college students’ mental health in the United States: Interview survey study. Journal of Medical Internet Research, 22, e21279. https://doi.org/10.2196/21279
dc.identifier.citedreferenceStoddard, A., Veach, P. M., MacFarlane, I. M., LeRoy, B., & Tryon, R. ( 2021 ). Genetic counseling student demographics: An empirical comparison of two cohorts. Journal of Genetic Counseling, 30, 211 – 228. https://doi.org/10.1002/jgc4.1312
dc.identifier.citedreferenceTaha, S., Matheson, K., Cronin, T., & Anisman, H. ( 2014 ). Intolerance of uncertainty, appraisals, coping, and anxiety: The case of the 2009 H1N1 pandemic. British Journal of Health Psychology, 19, 592 – 605. https://doi.org/10.1111/bjhp.12058
dc.identifier.citedreferenceTan, Y., Huang, C., Geng, Y., Cheung, S. P., & Shang, S. ( 2021 ). Psychological well‐being in Chinese college students during the COVID‐19 pandemic: Roles of resilience and environmental stress. Frontiers in Psychology, 12, 671553. https://doi.org/10.3389/psyg.2021.671553
dc.identifier.citedreferenceTasso, A. F., Sahin, N. H., & San Roman, G. J. ( 2021 ). COVID‐19 disruption on college students: Academic and socioemotional implications. Psychological Trauma: Theory, Research, Practice, and Policy, 13, 9 – 15. https://doi.org/10.1037/tra0000996
dc.identifier.citedreferenceThomas, L. J., & Asselin, M. ( 2018 ). Promoting resilience among nursing students in clinical education. Nurse Education in Practice, 28, 231 – 234. https://doi.org/10.1016/j.nepr.2017.10.001
dc.identifier.citedreferenceU.S. Census Bureau ( 2020 ). Census regions and divisions of the United States. https://www2.census.gov/geo/pdfs/maps‐data/maps/reference/us_regdiv.pdf
dc.identifier.citedreferenceWald, H. S., Haramati, A., Bachner, Y. G., & Urkin, J. ( 2016 ). Promoting resiliency for interprofessional faculty and senior medical students: Outcomes of a workshop using mind‐body medicine and interactive reflective writing. Medical Teacher, 38, 525 – 528. https://doi.org/10.3109/0142159X.2016.1150980
dc.identifier.citedreferenceWang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. ( 2020 ). Investigating mental health of US college students during the COVID‐19 pandemic: Cross‐sectional survey study. Journal of Medical Internet Research, 22, e22817. https://doi.org/10.2196/22817
dc.identifier.citedreferenceWatson, J. S. ( 2017 ). Establishing evidence for internal structure using exploratory factor analysis. Measurement and Evaluation in Counseling and Development, 50, 232 – 238. https://doi.org/10.1080/07481756.2017.1336931
dc.identifier.citedreferenceWeiss, P., & Li, S. ( 2020 ). Leading change to address the needs and well‐being of trainees during the COVID‐19 pandemic. Academic Pediatrics, 20, 735 – 741. https://doi.org/10.1016/j.acap.2020.06.001
dc.identifier.citedreferenceYong, A. G., & Pearce, S. ( 2013 ). A beginner’s guide to factor analysis: Focusing on exploratory factor analysis. Tutorials in Quantitative Methods for Psychology, 9, 79 – 94. https://doi.org/10.20982/tqmp.09.2.p079
dc.identifier.citedreferenceAnglim, J., & Horwood, S. ( 2021 ). Effect of the COVID‐19 pandemic and Big Five personality on subjective and psychological well‐being. Social Psychological and Personality Science. [Epub ahead of print] https://doi.org/10.1177/1948550620983047
dc.identifier.citedreferenceAristovnik, A., Keržič, D., Ravšelj, D., Tomaževič, N., & Umek, L. ( 2020 ). Impacts of the COVID‐19 pandemic on life of higher education students: A global perspective. Sustainability, 12, 8438. https://doi.org/10.3390/su12208438
dc.identifier.citedreferenceCampbell‐Sills, L., Cohan, S. L., & Stein, M. B. ( 2006 ). Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behaviour Research and Therapy, 44, 585 – 599. https://doi.org/10.1016/j.brat.2005.05.001
dc.identifier.citedreferenceCantor, A., Hippman, C., Hercher, L., & Austin, J. C. ( 2018 ). Genetic counseling students’ experiences with mental illness during training: An exploratory study. Journal of American College Health, 67, 348 – 356. https://doi.org/10.1080/07448481.2018.1481076
dc.identifier.citedreferenceCarleton, R. N., Norton, M. A. P. J., & Asmundson, G. J. G. ( 2007 ). Fearing the unknown: A short version of the Intolerance of Uncertainty Scale. Journal of Anxiety Disorders, 21, 105 – 117. https://doi.org/10.1016/j.janxdis.2006.03.014
dc.identifier.citedreferenceFoster, V. A., & McAdams, C. R. ( 2009 ). A framework for creating a climate of transparency for professional performance assessment: Fostering student investment in gatekeeping. Counselor Education and Supervision, 48, 271 – 284. https://doi.org/10.1002/j.1556‐6978.2009.tb00080.x
dc.identifier.citedreferenceGueorguieva, R., & Krystal, J. H. ( 2004 ). Move over ANOVA: Progress in analyzing repeated‐measures data and its reflection in papers published in the Archives of General Psychiatry. Archives of General Psychiatry, 61, 310 – 317. https://doi.org/10.1001/archpsyc.61.3.310
dc.identifier.citedreferenceJungbluth, C., MacFarlane, I. M., Veach, P. M., & LeRoy, B. S. ( 2011 ). Why is everyone so anxious?: An exploration of stress and anxiety in genetic counseling graduate students. Journal of Genetic Counseling, 20, 270 – 286. https://doi.org/10.1007/s10897‐010‐9348‐3
dc.identifier.citedreferenceKachra, R., & Brown, A. ( 2020 ). The new normal: Medical education during and beyond the COVID‐19 pandemic. Canadian Medical Education Journal, 11 ( 6 ), e167 – e169. https://doi.org/10.36834/cmej.70317
dc.identifier.citedreferenceKesner, L., & Horácek, J. ( 2020 ). Three challenges that the COVID‐19 pandemic represents for psychiatry. British Journal of Psychiatry, 217, 475 – 476. https://doi.org/10.1192/bjp.2020.106
dc.identifier.citedreferenceKing, B. R. ( 2020 ). “The remainder of your practicum training has been terminated”: A unique challenge faced by trainees during the COVID‐19 pandemic. Counselling Psychology Quarterly. [Epub ahead of print] https://doi.org/10.1080/09515070.2020.1796593
dc.identifier.citedreferenceKoster, E. H., Fang, L., & Marchetti, I. ( 2015 ). Self‐regulation through rumination: Consequences and mechanisms. In G. H. E. Gendolla, M. Tops, & S. L. Koole (Eds.), Handbook of biobehavioral approaches to self‐regulation (pp. 371 – 383 ). Springer.
dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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