The impact of perfectionist personality on the mental health of medical graduate freshmen

The impact of perfectionist personality on the mental health of medical graduate freshmen | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The impact of perfectionist personality on the mental health of medical graduate freshmen Yifeng Li, wangqin tang, menglu zhang, xiaoyi ye, rui luo, xiaoli wu This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-8411686/v1 This work is licensed under a CC BY 4.0 License Status: Under Review Version 1 posted 12 You are reading this latest preprint version Abstract Objective : To investigate the mental health status of medical graduate freshmen and explore the impact of perfectionistic personality traits on mental health, providing scientific basis for improving the mental health and promoting the all-round development of students’ moral, intellectual, physical, artistic and labor. Methods : A cross-sectional survey was conducted among 549 newly admitted clinical medicine graduate students at a medical university in Anhui Province using the Symptom Checklist-90 (SCL-90) and the Frost Multidimensional Perfectionism Scale. Data were analyzed using descriptive statistics, correlation analysis, and multiple linear regression. Results : The average SCL-90 score was 1.49±0.41, significantly higher than the national norm ( P <0.05). Dimensions such as anxiety, depression, phobia, and psychosis scored higher than the norm, while interpersonal relationships and hostility scored lower ( P <0.05). Perfectionism dimensions, including concern over mistakes, parental expectations, personal standards, and doubts about actions, were positively correlated with SCL-90 scores ( P <0.05). Multiple regression analysis indicated that being female, living in rural areas, and having perfectionist traits such as concern over mistakes and doubts about actions were significant predictors of higher SCL-90 scores ( P <0.05). Conclusion : Medical graduate freshmen have certain psychological health problems, and students with gender as females, family residence in rural areas, and perfectionist personality traits such as concern over mistakes and doubts about actions should be the focus of psychological health intervention. Perfectionism Mental health Medicine Graduate student Introduction Medical graduate education holds a significant position within higher education, with clinical medical graduate students being cultivated as advanced, research-oriented, and applied talents capable of engaging in clinical scientific research and practice. These students confront intricate medical knowledge, clinical practice, and research demands, all while shouldering substantial academic pressures and challenges. Amidst this fiercely competitive academic milieu, the mental well-being of clinical medical graduate students has garnered widespread concern. This study delves into the mental health status of clinical medical graduate freshmen, with a specific emphasis on how perfectionism impacts their psychological state. Given that clinical medical graduate students frequently strive for flawless academic achievements and clinical skills, they are more susceptible to the influence of perfectionism, which can trigger a cascade of mental health issues. Focusing on the Clinical Medical College of a medical university in Anhui, this research examines and analyzes the mental health conditions of 549 newly enrolled master's and doctoral students in 2021. By exploring the mental health status and its influencing factors among medical graduate students, the study aims to offer a scientific foundation for enhancing their mental well-being and fostering comprehensive development. Materials and Methods Subjects Cluster sampling was used to select 588 clinical medicine postgraduate students enrolled in a medical university in Anhui Province in 2021 as the study subjects. A questionnaire survey was conducted from September to October 2021, yielding 549 valid responses with a 93.4% effective rate. The sample comprised 235 males (42.8%) and 314 females (57.2%), including 122 doctoral students (22.2%) and 427 master's students (77.8%), with a mean age of 24.32 ± 3.07 years. 1.2 Methods 1.2.1 Mental Health Status The mental health status was assessed using Derrogis' Self-Rating Symptom Scale (SCL-90) [5] , which includes 90 items across 10 dimensions: somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoia, psychosis, and others (reflecting eating and sleep status). The scale uses a 5-point scoring system: 1 for "none," 2 for "mild," 3 for "moderate," 4 for "severe," and 5 for "very severe." Higher scores indicate more severe psychological issues. In this study, the scale showed a high Cronbach's alpha coefficient of 0.954, demonstrating strong internal consistency and reliability. 1.2.2 Perfectionism Personality The Frost Multidimensional Perfectionism Scale [6] , revised by Zi Fei et al, was employed in this study. This 27 items scale assesses five dimensions: concern about mistakes, personal standards, orderliness, parental expectations, and doubts about actions. The scale uses a 5-point scoring method, from 1 to 5 representing completely disagree to completely agree. The higher the score, the higher the corresponding perfectionism tendency. In this study, the Cronbach's alpha coefficient of this scale was 0.741. 1.2.3 General Information Survey A self-edited questionnaire was administered to gather data on gender, age, height, weight, training type, family residence, whether respondents are only children, the marriage status, etc. Quality Control The research was supervised by a teacher specializing in Epidemiology and Health Statistics. The investigation team consisted of graduate student counselors from various grades. The survey used a self-management approach, with on-site distribution of questionnaires. Respondents provided informed consent, and completed questionnaires were checked on-site for any obvious omissions. Statistical Analysis Database establishment and data entry were performed using EpiData 3.1. Data analysis was conducted with the SPSS 21.0 software package. Descriptive analysis was performed on the perfectionism dimensions scores. The T-test was used to compare the SCL-90 scores with the norm, and Pearson correlation analysis was performed between the perfectionism personality dimensions and the SCL-90 dimensions. Multivariate regression analysis was used for factor analysis, with a significance level of α=0.05. Results 2.1 Comparison of Psychological Status among Clinical Medical Graduate Students and Norms The average score of the Symptom Checklist-90 (SCL-90) for 549 clinical medicine graduate students was 1.49 ± 0.41, which is significantly higher than the normative average score of 1.44 ± 0.43. Dimensions such as depression, anxiety, phobia, and psychosis scored significantly higher than the norm, while the dimensions of interpersonal relationships and hostility scored significantly lower than the norm, also with statistical significance. Table 1 Comparison of Mental Health among Clinical Medical Graduate Students and Norms SCL-90 dimensions Clinical Medical Graduate Students( n =549) Norms(n =1388) t p Total equalization 1.49±0.41 1.44±0.43 2.336 ＜0.05 Somatization 1.41±0.37 1.37±0.48 1.757 0.079 Compulsion 1.67±0.58 1.62±0.58 1.709 0.087 Interpersonal sensitivity 1.52±0.47 1.65±0.51 5.160 ＜0.05 Depression 1.58±0.56 1.50±0.59 2.728 ＜0.05 Anxiety 1.45±0.41 1.09±0.43 16.823 ＜0.05 Hostility 1.42±0.44 1.48±0.56 2.250 ＜0.05 Phobia 1.45±0.46 1.23±0.41 10.273 ＜0.05 Paranoia 1.41±0.46 1.43±0.57 0.733 0.464 Psychosis 1.38±0.43 1.29± 0.42 4.221 ＜0.05 2.2 Analysis of the correlation between Perfectionism Personality and Mental Health The overall perfectionism score was 72.81±16.22. Among its dimensions, Orderliness had the highest score at 23.14±4.59, while Doubts about Actions had the lowest score at 11.01±3.60. Scores for the other dimensions are presented in Table 2. Pearson correlation analysis was performed to explore the relationship between the dimensions of perfectionism and the total score and subscale scores of SCL-90. The results showed that, with the exception of the Orderliness, the dimensions of Concern over Mistakes, Parental Expectations, Personal Standards, and Doubts about Actions were positively correlated with the total score of SCL-90 (all P <0.05). Detailed findings are presented in Table 3 Table 2 Scores for various dimensions of perfectionism Dimensions Minimum Value Maximum Value Score (x±s) Concern over Mistakes 6.00 30.00 11.12±5.113 Orderliness 6.00 30.00 23.14±4.589 Parental Expectations 5.00 25.00 12.56±4.651 Personal Standards 6.00 30.00 14.98±5.052 Doubts about Actions 4.00 20.00 11.01±3.597 Total 27.00 135.00 72.81±16.225 Table 3 Correlation analysis between perfectionism and various dimensions of mental health Dimensions M±SD Concern over Mistakes Orderliness Parental Expectations Personal Standards Doubts about Actions Somatization 17.03±4.488 0.331** -0.047 0.168** 0.215** 0.329** Compulsion 16.72±5.795 0.335** 0.033 0.198** 0.230** 0.485** Interpersonal sensitivity 13.68±4.236 0.366** -0.005 0.209** 0.236** 0.442** Depression 20.59±7.269 0.362** -0.031 0.194** 0.221** 0.415** Anxiety 14.49±4.103 0.362** -0.037 0.162** 0.226** 0.413** Hostility 8.52±2.662 0.354** -0.034 0.170** 0.220** 0.350** Phobia 10.18±3.196 0.317** -0.026 0.154** 0.186** 0.376** Paranoia 8.5±2.746 0.347** -0.039 0.191** 0.234** 0.341** Psychosis 17.03±4.488 0.340** -0.087* 0.161** 0.206** 0.379** Others 10.59±3.379 0.340** 0.015 0.177** 0.240** 0.366** Concern over Mistakes 11.12±5.113 1 -0.071 0.477** 0.651** 0.597** Orderliness 23.14±4.589 -0.071 1 0.138** 0.240** 0.119** Parental Expectations 12.56±4.651 0.477** 0.138** 1 0.569** 0.436** Personal Standards 14.98±5.052 0.651** 0.240** 0.569** 1 0.515** Doubts about Actions 11.01±3.597 0.597** 0.119** 0.436** 0.515** 1 2.3 Multiple Regression Analysis of Perfectionism and Mental Health The general information of medical graduate students, such as gender, age, training type, whether they are the only child, family residence, body mass index, and marital status, as well as the dimensions of perfectionism, were included as independent variables, and the total score of SCL-90 was treated as the dependent variable in a multiple linear regression analysis. Collinearity diagnosis was also performed, and the VIF value was 1.885, indicating that there was no multicollinearity in the multiple linear regression. The analysis results showed that the regression coefficients of age, training type, being the only child, body mass index, marital status, and the dimensions of Orderliness, Parental Expectations, and Personal Standards in perfectionism were not statistically significant. However, being female, living in rural and township areas, the dimensions of Concern over Mistakes and Doubts about Actions in perfectionism had significant positive predictive effects on the total score of SCL-90 (all P <0.05). The specific results are shown in Tables 4 and 5. Table 4 Multiple regression analysis independent variable assignment methods Variables Assignment Methods Gender Male=1, Female=2 Age ≤22.9=1 , 23-25.9=2 , ≥26=3 Training Type Doctoral=1, Master's=2 Family Residence Rural=1, Township=2, County=3, Urban=4 Only Child Yes=1, No=2 Body Mass Index ＜18.5=1；18.5-23.9=2；24-27.9=3；＞28=4 Marital Status Unmarried=1, Married=2 Perfectionism and its Dimensions Mean scores of the items were directly used. Table 5 Regression analysis of perfectionist personality and mental health Variables B SE B t 值 P 值 Constant 70.811 17.304 — 4.092 0.001 Gender 11.541 3.146 0.153 3.669 0.001 Age -0.811 2.493 -0.015 -0.325 0.745 Training Type 0.645 4.176 0.007 0.155 0.877 Family Residence -2.569 1.163 -0.087 -2.208 0.028 Only Child 1.708 3.069 0.022 0.556 0.578 Body Mass Index 1.456 2.164 0.027 0.673 0.501 Marital Status 1.197 5.222 0.01 0.229 0.819 Concern over Mistakes 1.728 0.42 0.237 4.118 0.001 Orderliness -0.431 0.334 -0.053 -1.289 0.198 Parental Expectations -0.02 0.375 -0.002 -0.053 0.957 Personal Standards -0.294 0.422 -0.04 -0.696 0.487 Doubts about Actions 3.634 0.504 0.351 7.203 0.001 Discussion The research results indicate that the overall score of the Symptom Checklist-90 (SCL-90) for medical graduate freshmen is significantly higher than that of the general population, with dimensions such as anxiety, depression, phobia, and psychosis scoring higher than the national adult norm. The mental health issues among graduate students are concerning, which is consistent with the research results of Luo Jinyan [7] , but inconsistent with the research results of Zhang Min [8] and Yao Bin [9] . Psychologist Lazarus [10] believes that when the stimulation from the individual's internal and external environment exceeds their coping ability and resources, stress will occur, which can easily lead to reactions such as depression and anxiety. Graduate freshmen face a new learning, living, and working environment with higher academic goals and career planning, which can easily lead to cumulative stress, resulting in a imbalance between body and mind, and a series of emotional, behavioral, cognitive, and physiological manifestations. Currently, especially for professional degree graduate students, they enter a 33-month clinical rotation upon enrollment, which can easily lead to anxiety and fear, especially in recent years with the continuous emergence of residents' suicide incidents, it is essential for society and schools to pay more attention and to strengthen mental health education among graduate students. The urgency of enhancing mental health education for graduate students cannot be overstated. The perfectionism personality trait is an important factor affecting the mental health of medical graduate students [4] . This study conducted a correlation analysis between each dimension of perfectionism and various dimensions of mental health. The results showed that, with the exception of the organization dimension, worries about mistakes, parental expectations, personal standards, and doubts about actions were positively correlated with the SCL-90 mental health scores. Students with perfectionist personality traits are more likely to have mental health problems, which might be related to their tendency to experience negative emotions and underestimate their abilities and achievements. Graduate students with high perfectionism tendencies are more likely to experience psychological symptoms than those with low perfectionism tendencies. The study discovered that factors affecting the mental health of medical graduate students include gender, family residence in rural town areas, and the perfectionistic personality traits of concern over mistakes and doubts about actions. Most graduate students are between the ages of 24-26 when they begin their studies. Due to the conflict between women's self-pursuit and society's positioning of women, they need to find a balance between their education, family, and social relationships, facing more mental stress [11] ; this may also be related to women's genetic and biological susceptibility [12] . The general place of family residence can reflect the students' origin and family economic conditions, and they may face specific expectations and pressures from their families and society, such as early marriage and family responsibilities. These expectations and pressures may conflict with their personal development and career aspirations, increasing the risk of mental health issues. Additionally, perfectionists are prone to excessive concern about their mistakes and failures, and whether their actions meet the required standards. This worry and doubt can lead to persistent anxiety and stress. They may set excessively high standards for themselves, being overly sensitive to any shortcomings or errors, which can result in continuous self-pressure and negatively impact their mental health. Conclusion The mental health issues among the medical graduate freshmen in the School of Medicine at Anhui Medical University are of concern. Research findings suggest a need to pay attention to the mental health of new graduate students in clinical medicine, and to formulate corresponding intervention measures targeting factors such as gender, students from rural and township areas, and those with a perfectionist personality, in order to improve the mental health level of clinical medicine graduate students and promote their comprehensive development. However, there are limitations to this study, such as the limited sample to one medical college which may not be representative, and the cross-sectional design which cannot determine causality. Future research should focus on conducting cohort studies and experimental research to further explore perfectionism and other potential mental health influencing factors, to track and observe the changes in mental health of graduate students during their studies, and to evaluate the effectiveness of intervention measures. Declarations This study was carried out in strict accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Ethics Committee of The First Affiliated Hospital of Anhui Medical University. Written informed consent was obtained from all individual participants prior to their involvement in the study. Funding ： This research was funded by the Anhui Medical University School Research Fund Project (2020xkj118) and Anhui Medical University Postgraduate Party Building and Ideological & Political Innovation Project (2025yjsdjcxxm04). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Conflicts of interest/Competing interests ： The authors declare that they have no conflict of interest. Ethics approval ： This cross-sectional study was approved by the Ethics Committee of the First Affiliated Hospital of Anhui Medical University, and all procedures complied with the Declaration of Helsinki. Clinical trial number: Not applicable. Consent to participate ： Informed consent was obtained from all participants included in the study. Consent for publication ： Informed consent was obtained from all participants for the publication of this study. Availability of data and materials ： The datasets generated and analyzed during the current study are available from the first author, corresponding author or Scientific Data Bank. The link to the data for this study: https://www.scidb.cn/s/AzUF7n#p2 Code availability: Custom code for data analysis is available from the first author and corresponding author. Authors' contributions: Li Yifeng, Tang Wangqin and Zhang Menglu, contributed equally to this work. They were involved in the conception and design of the study, data collection, and manuscript writing. Wu Xiaoli contributed to the study design, data analysis, and critical revision of the manuscript. Other co-authors participated in data collection and preliminary analysis. All authors read and approved the final manuscript. Open Practices Statement The datasets generated and analyzed during the current study are available from he first author and corresponding author. Informed consent was obtained from all participants included in the study.Materials and analysis code are available at https://www.scidb.cn/s/AzUF7n#p2. None of the reported studies were preregistered. Acknowledgments and Funding Information We would like to express our sincere gratitude to all the participants for their valuable contributions to this study. We also extend our thanks to the staff of the Graduate Work Department of the First Affiliated Hospital of Anhui Medical University for their support in conducting this research. Special thanks are due to the research assistants who contributed to data collection and preliminary analysis.This research was funded by the Anhui Medical University School Research Fund Project (Grant Number: 2020xkj118) and Anhui Medical University Postgraduate Party Building and Ideological & Political Innovation Project (2025yjsdjcxxm04). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The corresponding author had full access to all the data in the study and had final responsibility for the decision to submit for publication. References WU S Q. Exploration and research on interdisciplinary training mode for medical graduate students [J]. Basic Med Educ. 2023;25(09):777–84. LIU J X. DONG M Z.A qualitative study on anxiety status and coping strategies of clinical medicine graduate students [J]. Basic Med Clin. 2024;44(03):412–7. YE R, LI Y F, ZHAO JY. Analysis and coping strategies for mental health issues among master's degree students in clinical medicine[J]. China Rural Health Manage. 2018;38(01):10–2. QIN J.A study. on the relationship between perfectionism and mental health among medical college students [D]. 2019. TONG H J.A Study on the SCL-90. Scale and Its Norm Changes over 20 Years [J]. Psychol Sci. 2010;33(04):928–30. ZIi F. ZHOU X.Reliability and validity testing of the Chinese Frost Multidimensional Perfectionism Questionnaire [J].Chinese. J Clin Psychol, 2006, (06): 560–3. LUO JY, CHEN C. A survey on the mental health status of new master's students and intervention strategies [J]. J Wenzhou Vocat Tech Coll. 2022;22(04):92–6. ZHANG M, NIU Z Y, LI Y Q. etc.A survey and analysis of the psychological health of graduate students in a certain medical college [J]. J Shanxi Med Univ. 2019;50(06):813–6. XUE Z L YAOB, LI H Y. etc.The relationship between psychological stress, stress perception, and mental health among graduate freshmen[J]. J Xi'an Jiaotong Univ (Medical Edition). 2023;44(02):164–70. LI GH. LI F L.A study on the impact of types of mentorship relationships and mentor guidance behavior on the perception of stress among graduate students[J]. Graduate Educ Res, 2023, (05): 64–71. ZHANG Y, LI X, LI, Y J. etc.A study on the psychological vulnerability status and influencing factors of medical master's students [J]. Chin J Social Med. 2023;40(04):395–8. GUO J, WANG Y, SOGN Y P. etc.Preliminary revision of the Chinese version of the psychological vulnerability questionnaire and analysis of its reliability and validity in community residents [J]. China Public Health. 2019;35(02):129–33. 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These students confront intricate medical knowledge, clinical practice, and research demands, all while shouldering substantial academic pressures and challenges. Amidst this fiercely competitive academic milieu, the mental well-being of clinical medical graduate students has garnered widespread concern. This study delves into the mental health status of clinical medical graduate freshmen, with a specific emphasis on how perfectionism impacts their psychological state. Given that clinical medical graduate students frequently strive for flawless academic achievements and clinical skills, they are more susceptible to the influence of perfectionism, which can trigger a cascade of mental health issues. Focusing on the Clinical Medical College of a medical university in Anhui, this research examines and analyzes the mental health conditions of 549 newly enrolled master\u0026apos;s and doctoral students in 2021. By exploring the mental health status and its influencing factors among medical graduate students, the study aims to offer a scientific foundation for enhancing their mental well-being and fostering comprehensive development.\u003c/p\u003e"},{"header":"Materials and Methods","content":"\u003cp\u003e\u003cstrong\u003eSubjects\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eCluster sampling was used to select 588 clinical medicine postgraduate students enrolled in a medical university in Anhui Province in 2021 as the study subjects. A questionnaire survey was conducted from September to October 2021, yielding 549 valid responses with a 93.4% effective rate. The sample comprised 235 males (42.8%) and 314 females (57.2%), including 122 doctoral students (22.2%) and 427 master\u0026apos;s students (77.8%), with a mean age of 24.32 \u0026plusmn; 3.07 years.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e1.2 Methods\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e1.2.1 Mental Health Status\u003c/strong\u003e\u003c/p\u003e\n\u003cp skip=\"true\"\u003eThe mental health status was assessed using Derrogis\u0026apos; Self-Rating Symptom Scale (SCL-90) \u003csup\u003e[5]\u003c/sup\u003e, which includes 90 items across 10 dimensions: somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobia, paranoia, psychosis, and others (reflecting eating and sleep status). The scale uses a 5-point scoring system: 1 for \u0026quot;none,\u0026quot; 2 for \u0026quot;mild,\u0026quot; 3 for \u0026quot;moderate,\u0026quot; 4 for \u0026quot;severe,\u0026quot; and 5 for \u0026quot;very severe.\u0026quot; Higher scores indicate more severe psychological issues. In this study, the scale showed a high Cronbach\u0026apos;s alpha coefficient of 0.954, demonstrating strong internal consistency and reliability.\u003c/p\u003e\n\u003cp skip=\"true\"\u003e\u003cstrong\u003e1.2.2 Perfectionism Personality\u003c/strong\u003e\u003c/p\u003e\n\u003cp skip=\"true\"\u003eThe Frost Multidimensional Perfectionism Scale\u003csup\u003e[6]\u003c/sup\u003e, revised by Zi Fei et al, was employed in this study. This 27 items scale assesses five dimensions: concern about mistakes, personal standards, orderliness, parental expectations, and doubts about actions. The scale uses a 5-point scoring method, from 1 to 5 representing completely disagree to completely agree. The higher the score, the higher the corresponding perfectionism tendency. In this study, the Cronbach\u0026apos;s alpha coefficient of this scale was 0.741.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e1.2.3 General Information Survey\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA self-edited questionnaire was administered to gather data on gender, age, height, weight, training type, family residence, whether respondents are only children, the marriage status, etc.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003cstrong\u003eQuality Control\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe research was supervised by a teacher specializing in Epidemiology and Health Statistics. The investigation team consisted of graduate student counselors from various grades. The survey used a self-management approach, with on-site distribution of questionnaires. Respondents provided informed consent, and completed questionnaires were checked on-site for any obvious omissions.\u003c/p\u003e\n\u003cp\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003cstrong\u003eStatistical Analysis\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eDatabase establishment and data entry were performed using EpiData 3.1. Data analysis was conducted with the SPSS 21.0 software package. Descriptive analysis was performed on the perfectionism dimensions scores. The T-test was used to compare the SCL-90 scores with the norm, and Pearson correlation analysis was performed between the perfectionism personality dimensions and the SCL-90 dimensions. Multivariate regression analysis was used for factor analysis, with a significance level of \u0026alpha;=0.05.\u003c/p\u003e"},{"header":"Results","content":"\u003cp\u003e\u003cstrong\u003e2.1 Comparison of\u0026nbsp;\u003c/strong\u003e\u003cstrong\u003ePsychological Status\u003c/strong\u003e\u003cstrong\u003e\u0026nbsp;among Clinical Medical Graduate Students and Norms\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe average score of the Symptom Checklist-90 (SCL-90) for 549 clinical medicine graduate students was 1.49 \u0026plusmn; 0.41, which is significantly higher than the normative average score of 1.44 \u0026plusmn; 0.43. Dimensions such as depression, anxiety, phobia, and psychosis scored significantly higher than the norm, while the dimensions of interpersonal relationships and hostility scored significantly lower than the norm, also with statistical significance.\u003c/p\u003e\n\u003cp\u003eTable 1 \u003cstrong\u003eComparison of Mental Health among Clinical Medical Graduate Students and Norms\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cdiv\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"642\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eSCL-90 dimensions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003eClinical Medical Graduate Students( n =549)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003eNorms(n =1388)\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e\u003cem\u003et\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e\u003cem\u003ep\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eTotal equalization\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.49\u0026plusmn;0.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.44\u0026plusmn;0.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e2.336\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eSomatization\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.41\u0026plusmn;0.37\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.37\u0026plusmn;0.48\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e1.757\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e0.079\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eCompulsion\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.67\u0026plusmn;0.58\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.62\u0026plusmn;0.58\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e1.709\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e0.087\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eInterpersonal sensitivity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.52\u0026plusmn;0.47\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.65\u0026plusmn;0.51\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e5.160\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eDepression\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.58\u0026plusmn;0.56\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.50\u0026plusmn;0.59\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e2.728\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eAnxiety\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.45\u0026plusmn;0.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.09\u0026plusmn;0.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e16.823\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eHostility\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.42\u0026plusmn;0.44\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.48\u0026plusmn;0.56\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e2.250\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003ePhobia\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.45\u0026plusmn;0.46\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.23\u0026plusmn;0.41\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e10.273\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003eParanoia\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.41\u0026plusmn;0.46\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.43\u0026plusmn;0.57\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e0.733\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e0.464\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 22.1184%;\"\u003e\n \u003cp\u003ePsychosis\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 29.1277%;\"\u003e\n \u003cp\u003e1.38\u0026plusmn;0.43\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.5607%;\"\u003e\n \u003cp\u003e1.29\u0026plusmn; 0.42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.1745%;\"\u003e\n \u003cp\u003e4.221\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.0187%;\"\u003e\n \u003cp\u003e＜0.05\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cstrong\u003e2.2 Analysis of the correlation between Perfectionism Personality and Mental Health\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe overall perfectionism score was 72.81\u0026plusmn;16.22. Among its dimensions, Orderliness had the highest score at 23.14\u0026plusmn;4.59, while Doubts about Actions had the lowest score at 11.01\u0026plusmn;3.60. Scores for the other dimensions are presented in Table 2.\u003c/p\u003e\n\u003cp\u003ePearson correlation analysis was performed to explore the relationship between the dimensions of perfectionism and the total score and subscale scores of SCL-90. The results showed that, with the exception of the Orderliness, the dimensions of Concern over Mistakes, Parental Expectations, Personal Standards, and Doubts about Actions were positively correlated with the total score of SCL-90 (all \u003cem\u003eP\u003c/em\u003e\u0026lt;0.05). Detailed findings are presented in Table 3\u003c/p\u003e\n\u003cp\u003eTable 2 \u0026nbsp;Scores for various dimensions of perfectionism\u003c/p\u003e\n\u003cdiv\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"548\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eDimensions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 20.2186%;\"\u003e\n \u003cp\u003eMinimum Value\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 21.8579%;\"\u003e\n \u003cp\u003eMaximum Value\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd valign=\"top\" style=\"width: 24.408%;\"\u003e\n \u003cp\u003eScore (x\u0026plusmn;s)\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eConcern over Mistakes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e6.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e30.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e11.12\u0026plusmn;5.113\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eOrderliness\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e6.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e30.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e23.14\u0026plusmn;4.589\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eParental Expectations\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e5.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e25.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e12.56\u0026plusmn;4.651\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003ePersonal Standards\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e6.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e30.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e14.98\u0026plusmn;5.052\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eDoubts about Actions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e4.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e20.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e11.01\u0026plusmn;3.597\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 33.5155%;\"\u003e\n \u003cp\u003eTotal\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 20.2186%;\"\u003e\n \u003cp\u003e27.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 21.8579%;\"\u003e\n \u003cp\u003e135.00\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 24.408%;\"\u003e\n \u003cp\u003e72.81\u0026plusmn;16.225\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003eTable 3 \u0026nbsp;Correlation analysis between perfectionism and various dimensions of mental health\u003c/p\u003e\n\u003cdiv\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"718\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eDimensions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003eM\u0026plusmn;SD\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003eConcern over Mistakes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003eOrderliness\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003eParental Expectations\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003ePersonal Standards\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003eDoubts about Actions\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eSomatization\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e17.03\u0026plusmn;4.488\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.331**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.047\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.168**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.215**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.329**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eCompulsion\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e16.72\u0026plusmn;5.795\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.335**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e0.033\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.198**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.230**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.485**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eInterpersonal sensitivity\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e13.68\u0026plusmn;4.236\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.366**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.005\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.209**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.236**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.442**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eDepression\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e20.59\u0026plusmn;7.269\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.362**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.031\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.194**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.221**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.415**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eAnxiety\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e14.49\u0026plusmn;4.103\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.362**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.037\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.162**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.226**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.413**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eHostility\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e8.52\u0026plusmn;2.662\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.354**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.034\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.170**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.220**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.350**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003ePhobia\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e10.18\u0026plusmn;3.196\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.317**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.026\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.154**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.186**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.376**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eParanoia\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e8.5\u0026plusmn;2.746\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.347**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.039\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.191**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.234**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.341**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003ePsychosis\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e17.03\u0026plusmn;4.488\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.340**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.087*\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.161**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.206**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.379**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eOthers\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e10.59\u0026plusmn;3.379\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.340**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e0.015\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.177**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.240**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.366**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eConcern over Mistakes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e11.12\u0026plusmn;5.113\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e-0.071\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.477**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.651**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.597**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eOrderliness\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e23.14\u0026plusmn;4.589\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e-0.071\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.138**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.240**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.119**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eParental Expectations\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e12.56\u0026plusmn;4.651\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.477**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e0.138**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.569**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.436**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003ePersonal Standards\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e14.98\u0026plusmn;5.052\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.651**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e0.240**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.569**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e0.515**\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 18.663%;\"\u003e\n \u003cp\u003eDoubts about Actions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.9025%;\"\u003e\n \u003cp\u003e11.01\u0026plusmn;3.597\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.624%;\"\u003e\n \u003cp\u003e0.597**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 9.7493%;\"\u003e\n \u003cp\u003e0.119**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 14.4847%;\"\u003e\n \u003cp\u003e0.436**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 11.8384%;\"\u003e\n \u003cp\u003e0.515**\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 15.7382%;\"\u003e\n \u003cp\u003e1\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cstrong\u003e2.3 Multiple Regression Analysis of Perfectionism and Mental Health\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe general information of medical graduate students, such as gender, age, training type, whether they are the only child, family residence, body mass index, and marital status, as well as the dimensions of perfectionism, were included as independent variables, and the total score of SCL-90 was treated as the dependent variable in a multiple linear regression analysis. Collinearity diagnosis was also performed, and the VIF value was 1.885, indicating that there was no multicollinearity in the multiple linear regression.\u003c/p\u003e\n\u003cp\u003eThe analysis results showed that the regression coefficients of age, training type, being the only child, body mass index, marital status, and the dimensions of Orderliness, Parental Expectations, and Personal Standards in perfectionism were not statistically significant. However, being female, living in rural and township areas, the dimensions of Concern over Mistakes and Doubts about Actions in perfectionism had significant positive predictive effects on the total score of SCL-90 (all \u003cem\u003eP\u003c/em\u003e\u0026lt;0.05). The specific results are shown in Tables 4 and 5.\u003c/p\u003e\n\u003cp\u003eTable 4 \u0026nbsp;Multiple regression analysis independent variable assignment methods\u003c/p\u003e\n\u003cdiv\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"571\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eVariables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eAssignment Methods\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eGender\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eMale=1, Female=2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003e\u0026le;22.9=1 , 23-25.9=2 , \u0026ge;26=3\u0026nbsp;\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eTraining Type\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eDoctoral=1, Master\u0026apos;s=2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eFamily Residence\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eRural=1, Township=2, County=3, Urban=4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eOnly Child\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eYes=1, No=2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eBody Mass Index\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003e＜18.5=1；18.5-23.9=2；24-27.9=3；＞28=4\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003eMarital Status\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eUnmarried=1, Married=2\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 38.704%;\"\u003e\n \u003cp\u003ePerfectionism and its Dimensions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 61.296%;\"\u003e\n \u003cp\u003eMean scores of the items were directly used.\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003eTable 5 \u0026nbsp; Regression analysis of perfectionist personality and mental health\u003c/p\u003e\n\u003cdiv align=\"center\"\u003e\n \u003ctable border=\"0\" cellspacing=\"0\" cellpadding=\"0\" width=\"648\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eVariables\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003eB\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003eSE\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e\u003cem\u003eB\u003c/em\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e\u003cem\u003et\u003c/em\u003e值\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e\u003cem\u003eP\u003c/em\u003e值\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eConstant\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e70.811\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e17.304\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e\u0026mdash;\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e4.092\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eGender\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e11.541\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e3.146\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.153\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e3.669\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eAge\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e-0.811\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e2.493\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e-0.015\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e-0.325\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.745\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eTraining Type\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e0.645\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e4.176\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.007\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e0.155\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.877\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eFamily Residence\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e-2.569\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e1.163\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e-0.087\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e-2.208\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.028\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eOnly Child\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e1.708\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e3.069\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.022\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e0.556\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.578\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eBody Mass Index\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e1.456\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e2.164\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.027\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e0.673\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.501\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 148px;\"\u003e\n \u003cp\u003eMarital Status\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e1.197\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e5.222\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.01\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e0.229\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.819\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 148px;\"\u003e\n \u003cp\u003eConcern over Mistakes\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e1.728\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e0.42\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.237\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e4.118\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 148px;\"\u003e\n \u003cp\u003eOrderliness\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e-0.431\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e0.334\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e-0.053\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e-1.289\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.198\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 148px;\"\u003e\n \u003cp\u003eParental Expectations\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e-0.02\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e0.375\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e-0.002\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e-0.053\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.957\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 148px;\"\u003e\n \u003cp\u003ePersonal Standards\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e-0.294\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e0.422\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e-0.04\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e-0.696\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.487\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd valign=\"top\" style=\"width: 148px;\"\u003e\n \u003cp\u003eDoubts about Actions\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 91px;\"\u003e\n \u003cp\u003e3.634\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 107px;\"\u003e\n \u003cp\u003e0.504\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 96px;\"\u003e\n \u003cp\u003e0.351\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 95px;\"\u003e\n \u003cp\u003e7.203\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 110px;\"\u003e\n \u003cp\u003e0.001\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThe research results indicate that the overall score of the Symptom Checklist-90 (SCL-90) for medical graduate freshmen is significantly higher than that of the general population, with dimensions such as anxiety, depression, phobia, and psychosis scoring higher than the national adult norm.\u0026nbsp;The mental health issues among graduate students are concerning, which is consistent with the research results of Luo Jinyan\u003csup\u003e[7]\u003c/sup\u003e, but inconsistent with the research results of Zhang Min\u003csup\u003e[8]\u003c/sup\u003e and Yao Bin\u003csup\u003e[9]\u003c/sup\u003e. Psychologist Lazarus\u003csup\u003e[10]\u003c/sup\u003e believes that when the stimulation from the individual\u0026apos;s internal and external environment exceeds their coping ability and resources, stress will occur, which can easily lead to reactions such as depression and anxiety. Graduate freshmen face a new learning, living, and working environment with higher academic goals and career planning, which can easily lead to cumulative stress, resulting in a imbalance between body and mind, and a series of emotional, behavioral, cognitive, and physiological manifestations. Currently, especially for professional degree graduate students, they enter a 33-month clinical rotation upon enrollment, which can easily lead to anxiety and fear, especially in recent years with the continuous emergence of residents\u0026apos; suicide incidents, it is essential for society and schools to pay more attention and to strengthen mental health education among graduate students. The urgency of enhancing mental health education for graduate students cannot be overstated.\u003c/p\u003e\n\u003cp\u003eThe perfectionism personality trait is an important factor affecting the mental health of medical graduate students\u003csup\u003e[4]\u003c/sup\u003e. This study conducted a correlation analysis between each dimension of perfectionism and various dimensions of mental health. The results showed that, with the exception of the organization dimension, worries about mistakes, parental expectations, personal standards, and doubts about actions were positively correlated with the SCL-90 mental health scores. Students with perfectionist personality traits are more likely to have mental health problems, which might be related to their tendency to experience negative emotions and underestimate their abilities and achievements. Graduate students with high perfectionism tendencies are more likely to experience psychological symptoms than those with low perfectionism tendencies.\u003c/p\u003e\n\u003cp\u003eThe study discovered that factors affecting the mental health of medical graduate students include gender, family residence in rural town areas, and the perfectionistic personality traits of concern over mistakes and doubts about actions. Most graduate students are between the ages of 24-26 when they begin their studies. Due to the conflict between women\u0026apos;s self-pursuit and society\u0026apos;s positioning of women, they need to find a balance between their education, family, and social relationships, facing more mental stress \u003csup\u003e[11]\u003c/sup\u003e; this may also be related to women\u0026apos;s genetic and biological susceptibility\u003csup\u003e[12]\u003c/sup\u003e. The general place of family residence can reflect the students\u0026apos; origin and family economic conditions, and they may face specific expectations and pressures from their families and society, such as early marriage and family responsibilities. These expectations and pressures may conflict with their personal development and career aspirations, increasing the risk of mental health issues. Additionally, perfectionists are prone to excessive concern about their mistakes and failures, and whether their actions meet the required standards. This worry and doubt can lead to persistent anxiety and stress. They may set excessively high standards for themselves, being overly sensitive to any shortcomings or errors, which can result in continuous self-pressure and negatively impact their mental health.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eThe mental health issues among the medical graduate freshmen in the School of Medicine at Anhui Medical University are of concern. Research findings suggest a need to pay attention to the mental health of new graduate students in clinical medicine, and to formulate corresponding intervention measures targeting factors such as gender, students from rural and township areas, and those with a perfectionist personality, in order to improve the mental health level of clinical medicine graduate students and promote their comprehensive development. However, there are limitations to this study, such as the limited sample to one medical college which may not be representative, and the cross-sectional design which cannot determine causality. Future research should focus on conducting cohort studies and experimental research to further explore perfectionism and other potential mental health influencing factors, to track and observe the changes in mental health of graduate students during their studies, and to evaluate the effectiveness of intervention measures.\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003eThis study was carried out in strict accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Ethics Committee of The First Affiliated Hospital of Anhui Medical University. Written informed consent was obtained from all individual participants prior to their involvement in the study.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eThis research was funded by the Anhui Medical University School Research Fund Project (2020xkj118) and Anhui Medical University Postgraduate Party Building and Ideological \u0026amp; Political Innovation Project (2025yjsdjcxxm04). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConflicts of interest/Competing interests\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eThe authors declare that they have no conflict of interest.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eEthics approval\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eThis cross-sectional study was approved by the Ethics Committee of the First Affiliated Hospital of Anhui Medical University, and all procedures complied with the Declaration of Helsinki.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eClinical trial number:\u003c/strong\u003e Not applicable.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent to participate\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eInformed consent was obtained from all participants included in the study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eInformed consent was obtained from all participants for the publication of this study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003cstrong\u003e：\u003c/strong\u003eThe datasets generated and analyzed during the current study are available from the first author, corresponding author or Scientific Data Bank.\u003c/p\u003e\n\u003cp\u003eThe link to the data for this study: https://www.scidb.cn/s/AzUF7n#p2\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCode availability:\u0026nbsp;\u003c/strong\u003eCustom code for data analysis is available from the first author and corresponding author.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026apos; contributions:\u0026nbsp;\u003c/strong\u003eLi Yifeng, Tang Wangqin and Zhang Menglu, \u0026nbsp;contributed equally to this work. They were involved in the conception and design of the study, data collection, and manuscript writing. Wu Xiaoli contributed to the study design, data analysis, and critical revision of the manuscript. Other co-authors participated in data collection and preliminary analysis. All authors read and approved the final manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eOpen Practices Statement\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe datasets generated and analyzed during the current study are available from he first author and corresponding author. Informed consent was obtained from all participants included in the study.Materials and analysis code are available at https://www.scidb.cn/s/AzUF7n#p2. None of the reported studies were preregistered.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments and Funding Information\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to express our sincere gratitude to all the participants for their valuable contributions to this study. We also extend our thanks to the staff of the Graduate Work Department of the First Affiliated Hospital of Anhui Medical University for their support in conducting this research. Special thanks are due to the research assistants who contributed to data collection and preliminary analysis.This research was funded by the Anhui Medical University School Research Fund Project (Grant Number: 2020xkj118) and Anhui Medical University Postgraduate Party Building and Ideological \u0026amp; Political Innovation Project (2025yjsdjcxxm04). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The corresponding author had full access to all the data in the study and had final responsibility for the decision to submit for publication.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eWU S Q. Exploration and research on interdisciplinary training mode for medical graduate students [J]. Basic Med Educ. 2023;25(09):777\u0026ndash;84.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLIU J X. DONG M Z.A qualitative study on anxiety status and coping strategies of clinical medicine graduate students [J]. Basic Med Clin. 2024;44(03):412\u0026ndash;7.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eYE R, LI Y F, ZHAO JY. Analysis and coping strategies for mental health issues among master's degree students in clinical medicine[J]. China Rural Health Manage. 2018;38(01):10\u0026ndash;2.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eQIN J.A study. on the relationship between perfectionism and mental health among medical college students [D]. 2019.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eTONG H J.A Study on the SCL-90. Scale and Its Norm Changes over 20 Years [J]. Psychol Sci. 2010;33(04):928\u0026ndash;30.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZIi F. ZHOU X.Reliability and validity testing of the Chinese Frost Multidimensional Perfectionism Questionnaire [J].Chinese. J Clin Psychol, 2006, (06): 560\u0026ndash;3.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLUO JY, CHEN C. A survey on the mental health status of new master's students and intervention strategies [J]. J Wenzhou Vocat Tech Coll. 2022;22(04):92\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZHANG M, NIU Z Y, LI Y Q. etc.A survey and analysis of the psychological health of graduate students in a certain medical college [J]. J Shanxi Med Univ. 2019;50(06):813\u0026ndash;6.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eXUE Z L YAOB, LI H Y. etc.The relationship between psychological stress, stress perception, and mental health among graduate freshmen[J]. J Xi'an Jiaotong Univ (Medical Edition). 2023;44(02):164\u0026ndash;70.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eLI GH. LI F L.A study on the impact of types of mentorship relationships and mentor guidance behavior on the perception of stress among graduate students[J]. Graduate Educ Res, 2023, (05): 64\u0026ndash;71.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eZHANG Y, LI X, LI, Y J. etc.A study on the psychological vulnerability status and influencing factors of medical master's students [J]. Chin J Social Med. 2023;40(04):395\u0026ndash;8.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGUO J, WANG Y, SOGN Y P. etc.Preliminary revision of the Chinese version of the psychological vulnerability questionnaire and analysis of its reliability and validity in community residents [J]. China Public Health. 2019;35(02):129\u0026ndash;33.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"discover-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"discpsy","sideBox":"Learn more about [Discover Psychology](https://www.springer.com/44202)","snPcode":"","submissionUrl":"","title":"Discover Psychology","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Perfectionism, Mental health, Medicine, Graduate student","lastPublishedDoi":"10.21203/rs.3.rs-8411686/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-8411686/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eObjective\u003c/strong\u003e : To investigate the mental health status of medical graduate freshmen and explore the impact of perfectionistic personality traits on mental health, providing scientific basis for improving the mental health and promoting the all-round development of students’ moral, intellectual, physical, artistic and labor.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e: A cross-sectional survey was conducted among 549 newly admitted clinical medicine graduate students at a medical university in Anhui Province using the Symptom Checklist-90 (SCL-90) and the Frost Multidimensional Perfectionism Scale. Data were analyzed using descriptive statistics, correlation analysis, and multiple linear regression.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: The average SCL-90 score was 1.49±0.41, significantly higher than the national norm (\u003cem\u003eP\u003c/em\u003e\u0026lt;0.05). Dimensions such as anxiety, depression, phobia, and psychosis scored higher than the norm, while interpersonal relationships and hostility scored lower (\u003cem\u003eP\u003c/em\u003e\u0026lt;0.05). Perfectionism dimensions, including concern over mistakes, parental expectations, personal standards, and doubts about actions, were positively correlated with SCL-90 scores (\u003cem\u003eP\u003c/em\u003e\u0026lt;0.05). Multiple regression analysis indicated that being female, living in rural areas, and having perfectionist traits such as concern over mistakes and doubts about actions were significant predictors of higher SCL-90 scores (\u003cem\u003eP\u003c/em\u003e\u0026lt;0.05).\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: Medical graduate freshmen have certain psychological health problems, and students with gender as females, family residence in rural areas, and perfectionist personality traits such as concern over mistakes and doubts about actions should be the focus of psychological health intervention.\u003c/p\u003e","manuscriptTitle":"The impact of perfectionist personality on the mental health of medical graduate freshmen","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2026-01-09 18:25:07","doi":"10.21203/rs.3.rs-8411686/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2026-02-10T06:31:40+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-02-03T21:01:46+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-01-29T13:44:59+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"131164483632933906981237574528932434533","date":"2026-01-24T18:25:51+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2026-01-23T10:00:43+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"143967873449486208046390789434117849602","date":"2026-01-23T03:21:23+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"123270622316521748452834565688087000842","date":"2026-01-22T18:50:59+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2026-01-22T18:08:09+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2026-01-07T06:27:31+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2026-01-02T13:36:55+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-12-27T09:26:30+00:00","index":"","fulltext":""},{"type":"submitted","content":"Discover Psychology","date":"2025-12-27T09:19:58+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"discover-psychology","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"discpsy","sideBox":"Learn more about [Discover Psychology](https://www.springer.com/44202)","snPcode":"","submissionUrl":"","title":"Discover Psychology","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Discover Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"4b15a360-eebc-4947-be2c-d2f5ae8d746d","owner":[],"postedDate":"January 9th, 2026","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"under-review","subjectAreas":[],"tags":[],"updatedAt":"2026-02-20T19:23:31+00:00","versionOfRecord":[],"versionCreatedAt":"2026-01-09 18:25:07","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-8411686","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-8411686","identity":"rs-8411686","version":["v1"]},"buildId":"XKTyCvWXoU3ODBz1xrDgd","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}