scholarly journals Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
pp. 238212052199115 ◽  
Author(s):  
Scott J Halperin ◽  
Matthew N Henderson ◽  
Sofia Prenner ◽  
Jonathan N Grauer

Purpose: The Covid-19 pandemic is a public health emergency with both physical and mental health risks. Medical students have baseline elevated rates of anxiety, depression and burnout. As such, they may be especially susceptible to the psychological stresses of Covid-19. The current study aimed to evaluate the prevalence of anxiety and depression among United States medical students during the Covid-19 pandemic. Methods: A cross-sectional, survey-based study collected demographic data as well as the 7-item Generalized Anxiety Disorder (GAD-7) and the 9-item Patient Health Questionnaire (PHQ-9) to assess anxiety and depression symptoms, respectively. The survey was administered from April 13, 2020 to April 28, 2020 amidst the height of the Covid-19 pandemic. Results: A total of 1,428 students from 40 US medical schools completed the survey. From those surveyed, 30.6% and 24.3% of respondents screened positive for anxiety and depression, respectively. Median GAD-7 scores were higher among females (7.0 vs 5.0, P < .00001), pre-clinical students (7.0 vs 6.0, P < .00004), and those with a friend or relative diagnosed with Covid-19 (7.0 vs 6.0, P=.001). Median PHQ-9 scores were higher among females (6.0 vs 4.0, P < .00001) and pre-clinical students (6.0 vs 4.0, P < .00001). Conclusion: When compared to previous medical student studies, these results are 61% higher for anxiety and 70% higher for depression during the Covid-19 era. The current study suggests that there should be a heightened awareness of and sensitivity to student’s mental health during the Covid-19 pandemic with certain cohorts at greater potential risk.

2020 ◽  
Author(s):  
Alona Emodi-Perlman ◽  
Ilana Eli ◽  
Nir Uziel ◽  
Joanna Smardz ◽  
Anahat Khehra ◽  
...  

BACKGROUND In late December 2019, a new pandemic caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection, began to spread around the world. The new situation gave rise to severe health threats, economic uncertainty, and social isolation, causing potential deleterious effects on the physical and mental health of the people. OBJECTIVE This study aimed to evaluate worries, anxiety and depression in the public during the initial Coronavirus Disease 2019 (COVID-19; Coronavirus) pandemic lockdown in three culturally different communities: Middle Eastern (Israel), European (Poland) and North American (Canada). METHODS A cross-sectional online anonymous survey was conducted simultaneously in Israel, Poland and Canada during the lockdown periods in these countries. The survey included a demographic questionnaire, a questionnaire on original personal concerns regarding the Coronavirus pandemic and the Patient Health Questionnaire-4 (PHQ-4) which is a brief screening tool used for assessing anxiety and depression. A total of 2207 people successfully completed the survey. The data obtained from the survey were statistically analysed. RESULTS The results of the survey showed that Poles were the most concerned about being infected by the virus, with higher scores found among women and elders. Canadians worried the most about their finances, relations with relatives and friends and both physical and mental health, while Poles, despite being the most concerned about virus contamination, worried the least about their physical health and Israeli worried the least about their mental health and relations with relatives and friends. Canadians obtained the highest total score in PHQ-4, as well as in both the anxiety and depression subscales of the questionnaire, while the scores of Israelis were the lowest. All the findings were statistically significant. CONCLUSIONS The study showed that various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of response strategies to mitigate the adverse effects of stress, social isolation and uncertainty on the well-being and mental health of culturally different societies.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 779-786
Author(s):  
Nihmath Nisha S ◽  
Yuvaraj Maria Francis ◽  
Balaji K ◽  
Gunapriya Raghunath ◽  
Kumaresan M

The COVID-19 pandemic is being a global Heath crisis. The rate of transmission of the disease is very high. At this time there is no specific vaccine or treatment. This widespread outbreak is also associated with psychological distress like depression and anxiety. The effect of COVID 19 on medical students is considerable. The medical students are in a transitory period which could be one of the most stressful times in a person’s life. The aim of this study is to assess the mental health of South Indian medical students during the COVID-19 pandemic and to see if there is any influence of gender on mental health. A cross sectional study was conducted using convenient sampling method. A total of 359 responses were analysed. Anxiety and depression symptoms were assessed based on four point Likert scale. GAD-7 (General Anxiety Disorder-7) scale and CES-D (Center for Epidemiology Studies for Depression) scale is used to assess anxiety and depression symptoms with a small modification respectively. Data analysis was performed using IBM SPSS statistics version 25. Out of 359 participants 50.4% of participants were male and 49.6% of them were females; majority of them (95.3%) were between the age group of 18-21. In total 75.5% and 74.6% of participants showed varying levels of anxiety and depression symptoms respectively. Anxiety and depression symptoms are found to have a mild association with gender. Symptoms are slightly higher among females than males.


Author(s):  
Hasan Saeed Alamri ◽  
Wesam F. Mousa ◽  
Abdullah Algarni ◽  
Shehata F. Megahid ◽  
Ali Al Bshabshe ◽  
...  

Background: This study aims to investigate the mental health of COVID-19 patients in Saudi Arabia. Method: A cross-sectional study was carried out targeting confirmed cases of COVID-19 in Saudi Arabia. Due to travel and time constraints as well as the accessibility of patients, cases were included from East Jeddah Hospital, King Abdulaziz Hospital, and the Oncology Center in Jeddah. The data were collected using a predesigned self-administered questionnaire. The questionnaire addressed COVID-19 cases, personal data, medical history, smoking, traveling abroad, and work-related conditions. Additionally, data regarding contact level with COVID-19 cases were considered. The mental health statuses of the patients were assessed using a validated Arabic version of the Hospital Anxiety and Depression (HAD) scale. The study included 261 COVID-19 patients whose ages ranged from 18 to 65 years. Results: The survey findings revealed that 13% of COVID-19 patients had a borderline level of anxiety, 26.8% were considered anxiety cases, while 60.2% were normal. The findings also revealed that 29.9% had a borderline level of depression, 18.4% were considered depression cases, while 51.7% were normal. Conclusions: This study concluded that COVID-19 patients experience anxiety and depression, and as the COVID-19 epidemic continues to spread, the results of the study are particularly useful in developing a strategy to psychologically support COVID-19 patients.


2021 ◽  
Vol 10 (8) ◽  
pp. 1577
Author(s):  
Alona Emodi-Perlman ◽  
Ilana Eli ◽  
Nir Uziel ◽  
Joanna Smardz ◽  
Anahat Khehra ◽  
...  

(1) Background: this study aimed to evaluate the worries, anxiety, and depression in the public during the initial coronavirus disease 2019 (COVID-19) pandemic lockdown in three culturally different groups of internet survey respondents: Middle Eastern (Israel), European (Poland), and North American (Canada). (2) Methods: a cross-sectional online survey was conducted in the mentioned countries during the lockdown periods. The survey included a demographic questionnaire, a questionnaire on personal concerns, and the Patient Health Questionnaire-4 (PHQ-4). A total of 2207 people successfully completed the survey. (3) Results: Polish respondents were the most concerned about being infected. Canadian respondents worried the most about their finances, relations with relatives and friends, and both physical and mental health. Polish respondents worried the least about their physical health, and Israeli respondents worried the least about their mental health and relations with relatives and friends. Canadian respondents obtained the highest score in the PHQ-4, while the scores of Israeli respondents were the lowest. (4) Conclusions: various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of strategies to mitigate the adverse effects of stress, social isolation, and uncertainty on the well-being and mental health of culturally different societies.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Annika McGivern ◽  
Stephen Shannon ◽  
Gavin Breslin

Purpose This paper aims to conduct the first cross-sectional survey on depression, Resilience, well-being, depression symptoms and concussion levels in equestrian athletes and to assess whether past concussion rates were associated with depression, resilience and well-being. Design/methodology/approach In total, 511 participants from Canada, Republic of Ireland, UK, Australia and USA took part in an international cross-sectional, online survey evaluating concussion history, depression symptoms, resilience and well-being. Findings In total, 27.1% of athletes met clinically relevant symptoms of major depressive disorder. Significant differences were shown in the well-being and resilience scores between countries. Significant relationships were observed between reported history of concussion and both high depression scores and low well-being scores. Practical implications Findings highlight the need for mental health promotion and support in equestrian sport. Social implications Results support previous research suggesting a need for enhanced mental health support for equestrians. There is reason to believe that mental illness could still be present in riders with normal levels of resilience and well-being. Originality/value This study examined an understudied athlete group: equestrian athletes and presents important findings with implications for the physical and mental health of this population.


2020 ◽  
Author(s):  
Yoshito Nishimura ◽  
Kanako Ochi ◽  
Kazuki Tokumasu ◽  
Mikako Obika ◽  
Hideharu Hagiya ◽  
...  

BACKGROUND The COVID-19 pandemic has negatively affected medical education. However, little data are available about medical students’ distress during the pandemic. OBJECTIVE This study aimed to provide details on how medical students have been affected by the pandemic. METHODS A cross-sectional study was conducted. A total of 717 medical students participated in the web-based survey. The survey included questions about how the participants’ mental status had changed from before to after the Japanese nationwide state of emergency (SOE). RESULTS Out of 717 medical students, 473 (66.0%) participated in the study. In total, 29.8% (141/473) of the students reported concerns about the shift toward online education, mostly because they thought online education would be ineffective compared with in-person learning. The participants’ subjective mental health status significantly worsened after the SOE was lifted (<i>P</i>&lt;.001). Those who had concerns about a shift toward online education had higher odds of having generalized anxiety and being depressed (odds ratio [OR] 1.97, 95% CI 1.19-3.28) as did those who said they would request food aid (OR 1.99, 95% CI 1.16-3.44) and mental health care resources (OR 3.56, 95% CI 2.07-6.15). CONCLUSIONS Given our findings, the sudden shift to online education might have overwhelmed medical students. Thus, we recommend that educators inform learners that online learning is not inferior to in-person learning, which could attenuate potential depression and anxiety.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1006-1006
Author(s):  
Erta Cenko ◽  
Christopher Kaufmann ◽  
Todd Manini

Abstract At the beginning of the COVID-19 pandemic, consuming media was critical to identify precautionary behaviors to reduce the spread of the virus, particularly for older adults. Media consumption leads to heightened awareness, but may also negatively affect mental health. We examined whether non-social and social media consumption impacted anxiety and depression relative to pre-COVID-19 symptoms. We conducted an anonymous, cross-sectional survey in May and June 2020. Participants (n=1,168, 73.2 years, 56.8% women, 94.9% White), were asked to estimate their amount of time spent consuming pandemic-related media each day, and to report on anxiety and depressive symptoms both before and after the pandemic onset. We characterized change in anxiety and depression by subtracting scores on current anxiety and depressive symptoms from their recalled symptoms prior to the pandemic. Respondents with high pandemic-related media consumption (&gt;3hrs) were more likely to have increased anxiety, compared to those with low (&lt;1hr) media consumption (OR:1.57, 95%CI:1.09-2.23). Similarly, respondents with increased social media consumption during the pandemic were 64% more likely to have depression, compared to those who did not use social media. This association was bi-directional— those who reduced their social media use were 45% less likely to have depression and 26% less likely to have anxiety, compared to those who never used social media. Older adults consuming more pandemic-related media had increased anxiety. Increased social media consumption was associated with elevated depression symptoms. The potential benefits of media consumption about the COVID-19 pandemic may have unintended negative consequences on mental health.


Author(s):  
Carlos Izaias Sartorão Filho ◽  
Wilson Conte de Las Villas Rodrigues ◽  
Ricardo Beauchamp de Castro ◽  
Arlete Aparecida Marçal ◽  
Shirlene Pavelqueires ◽  
...  

AbstractAimto evaluate anxiety and depression disorders among medical students during COVID-19 pandemic.Methodscross-sectional study of medical students conducted in May 2020 with questionnaires regarding social and demographic status and GAD-7 for anxiety and PHQ-9 for depression questionnaires.Resultsparticipated 340 (97.98%) students. Average GAD-7 score was 9.18 (M = 9.18; SD = 4.75); average PHQ-9 score was 12.72 (M = 12.72; SD = 6.62). Results indicate a positive significant relationship between GAD-7 and females, and social distancing affecting finances. Using cut-off score of 10 for GAD-7, 157 (46.17%) students were identified with moderated or severe symptoms of anxiety. For PHQ-9 score, using cut-off of 10, 219 (64.41%) students were identified with moderate or severe symptoms of depression; results indicate a positive significant relationship between PHQ-9 and females and between social distancing affecting finances.Conclusionanalysis demonstrated a higher prevalence of moderated and severe anxiety and depression symptoms among medical students during COVID-19 pandemic, significantly among women and on medical students relating financial impairment related to COVID-19 epidemic.The project was approved by the Research Ethics Committee of Institution under report number CAAE: 30718220.5.0000.8547


Author(s):  
Amjed Hamid Obaid Al-Jaeed ◽  
Yosif Mohammed Hasan Jawad Al-Rammahi ◽  
Mohammed Albaqer Abbas Baqer Mawash ◽  
Hameed Kareem Shaalan Al-Hadrawy ◽  
Basima Shamkhi Jabbar Al Ghazali

Abstract Objective: To explore Kufa medical students’ preferences of carrier specialization and to investigate the factors that influence their choice of specialty. Methods: By using a non-probability convenience sampling technique, a cross-sectional study was performed on (566) medical students from the second-to-sixth-year in University of Kufa, from the 27th of January to the 21st of February 2019 to study the factors that affect the choice of specialties in undergraduate medical students. An anonymous, structured, self-administered questionnaire was handed out to the students and consisted of three sections covering demographic data, the preferred specialty, and the cause behind selecting the specialty.  Data analysis was performed using the statistical package for social sciences (SPSS) version 25 for windows. Results: Cardiology was the most chosen specialty 55 (9.7%) followed by Pediatrics 46 (8.1%) and Dermatology 45 (8.0%). Additionally, 40 (7.1%) students haven’t decided their specialties yet. The most chosen factors in a descending fashion were "My Passion" which was chosen by 427 (75.4%) students, followed by "income" 67 (11.8%), "less on-call duties" 51 (9.0%), "mentor inspiration" 46 (8.1%), "family member inspiration" 34 (6.0%), "reputation" 22 (3.8%), "less competition" 15 (2.6%), and "number of residency years" 8 (1.4%). Conclusion: Being passionate about or having a keen interest in the selected speciality were the major influencing factors for students to select their future speciality. However, male students' choices based mainly on the “income” and “reputation” of the field, while females opted to choose “less on call duties” more than males. Continuous...  


2020 ◽  
Author(s):  
Carlos Izaias Filho

UNSTRUCTURED Aim: to evaluate anxiety and depression disorders among medical students during COVID-19 pandemic. Methods: cross-sectional study of medical students conducted in May 2020 with questionnaires regarding social and demographic status and GAD-7 for anxiety and PHQ-9 for depression questionnaires. Results: participated 340 (97.98%) students. Average GAD-7 score was 9.18 (M = 9.18; SD = 4.75); average PHQ-9 score was 12.72 (M = 12.72; SD = 6.62). Results indicate a positive significant relationship between GAD-7 and females, and social distancing affecting finances. Using cut-off score of 10 for GAD-7, 157 (46.17%) students were identified with moderated or severe symptoms of anxiety. For PHQ-9 score, using cut-off of 10, 219 (64.41%) students were identified with moderate or severe symptoms of depression; results indicate a positive significant relationship between PHQ-9 and females and between social distancing affecting finances. Conclusion: analysis demonstrated a higher prevalence of moderated and severe anxiety and depression symptoms among medical students during COVID-19 pandemic, significantly among women and on medical students relating financial impairment related to COVID-19 pandemic. INTERNATIONAL REGISTERED REPORT RR2-10.1101/2020.06.24.20138925


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