Factors associated to depression and anxiety in medical students: a multicenter study

Abstract: Introduction: Although mental health is an essential condition for the human development, the scientific literature shows a high frequency of depression and anxiety in university students, mainly among medical students. To contribute to a better understanding concerning medical students’ mental health, this study had the following objectives: (a) to estimate the prevalence of indicative scores for anxiety, depression, and for simultaneous anxiety and depression, and (b) to analyze factors associated with these conditions in medical students at a federal university in Brazil. Methods: This is a cross-sectional study including students from a federal medical school in the state of Rio de Janeiro. Participants were enrolled during the first semester of 2015. Mental disorders were assessed with Hospital Anxiety and Depression Scale (HADS). The magnitude of mental disorders and its associated factors were analyzed calculating prevalence rates and unadjusted and adjusted prevalence ratios (PR) and 95% confidence intervals (95% CI). Results: We analyzed 355 students. Anxiety was the most common condition (41.4%), followed by depression (8.2%), and both anxiety and depression simultaneously (7.0%). After adjustment of multivariate models and considering both gender and age as confounding variables, our results showed a differentiated risk pattern in relation to three outcomes analyzed. Anxiety risk increased with ‘feeling alone’ (adjusted PR: 1.59; 95% CI: 1.123; 2.259), ‘having a history of psychological and/or psychiatric treatment before entering university’ (adjusted PR: 1.63; 95% CI: 1.052; 2.542), and ‘feeling morally harmed at college’ (adjusted PR: 1.66; (95% CI: 1.168; 2.364). Depression risk increased with ‘feeling alone’ (adjusted PR: 6.84; 95% CI: 2.047; 22.894) and ‘having a history of psychological and/or psychiatric treatment before entering university’ (adjusted PR: 4.74; 95% CI: 1.790; 12.579). Simultaneous anxiety and depression were associated with ‘feeling alone’ (adjusted PR: 8.90; 95%CI: 2.075; 38.208) and ‘having a history of psychological and/or psychiatric treatment during the medical course (adjusted PR: 3.16; 95% CI: 1.061; 9.439) and before (adjusted PR: 6.01; 95% CI: 2.000; 18.098) entering university’. Conclusion: Anxiety and depression are common conditions in medical students. The main associated factors were therapies for mental health before entering in university, loneliness and lack of respect in interpersonal relationships during the medical course. Therefore, initiatives aiming at better welcoming students and reducing conflicting situations can help minimizing these mental problems during university career, once they have a large impact not only in their quality of life, but also in the way they will deal with their patients in the future.

Download Full-text

Multicenter study to investigate factors associated with change in rectal temperature during anesthesia in dogs

Journal of the American Veterinary Medical Association ◽

10.2460/javma.258.1.64 ◽

2021 ◽

Vol 258 (1) ◽

pp. 64-71

Author(s):

Stuart C. Clark-Price ◽

Berit L. Fischer ◽

Kevin L. Kirwin ◽

Stephanie C. J. Keating ◽

Adam Auckburally ◽

...

Keyword(s):

Rectal Temperature ◽

Multicenter Study ◽

Factors Associated

Download Full-text

Psychosocial Factors Associated With Poor Performance in Medical Students of the UNAM School of Medicine

Case Medical Research ◽

10.31525/ct1-nct04105049 ◽

2019 ◽

Author(s):

Keyword(s):

Medical Students ◽

Psychosocial Factors ◽

Poor Performance ◽

Factors Associated ◽

School Of Medicine

Download Full-text

Prevalence of Depression and Anxiety Among Medical Students and House Staff During the COVID-19 Health-Care Crisis

Academic Psychiatry ◽

10.1007/s40596-021-01454-7 ◽

2021 ◽

Author(s):

Pratishtha Gupta ◽

Anupama B K ◽

Kartik Ramakrishna

Keyword(s):

Health Care ◽

Medical Students ◽

House Staff ◽

Depression And Anxiety ◽

Prevalence Of Depression ◽

Health Care Crisis

Download Full-text

Vaccination status and acceptance of medical students. Results of a multicenter study

European Journal of Public Health ◽

10.1093/eurpub/ckw166.052 ◽

2016 ◽

Vol 26 (suppl_1) ◽

Author(s):

K Voigt ◽

H Riemenschneider ◽

E Balogh ◽

J Schübel ◽

J Schelling ◽

...

Keyword(s):

Medical Students ◽

Multicenter Study ◽

Vaccination Status

Download Full-text

Simulation-based Training for Pelvic and Breast Physical Examination: Effect on the Anxiety and Self-confidence of Medical Students

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1718433 ◽

2020 ◽

Vol 42 (11) ◽

pp. 739-745

Author(s):

Talles Dias Orsi ◽

Ana Lucia Ribeiro Valadares ◽

Paula Miranda Esteves Orsi ◽

Isabella Miranda Esteves Orsi ◽

Alexandre Sampaio Moura

Keyword(s):

Medical Students ◽

Self Report ◽

Student Anxiety ◽

Factors Associated ◽

Confidence Levels ◽

Learning Satisfaction ◽

Self Confidence ◽

Breast Examination ◽

Simulation Based ◽

Before And After

Abstract Objective To evaluate factors associated with anxiety and the effect of simulation-based training (SBT) on student anxiety, self-confidence and learning satisfaction in relation to pelvic and breast examination. Methods A longitudinal study was conducted with 4th year medical students at the Universidade José do Rosário Vellano. A 12-item, self-report questionnaire on student anxiety at performing gynecological examinations was applied before and after SBT, with answers being given on a Likert-type scale. After training, the self-confidence levels and satisfaction of the students related to the learning process were also evaluated. Results Eighty students with a mean age of 24.1 ± 4.2 years were included in the study. Of these, 62.5% were women. Pre-SBT evaluation showed that students were more anxious at performing a pelvic examination than a breast examination (2.4 ± 1.0 versus 1.7 ± 0.8, respectively; p < 0.001). The primary reason for anxiety regarding both pelvic and breast examination was fear of hurting the patient. SBT significantly reduced student anxiety (2.0 ± 0.8 versus 1.5 ± 0.5, respectively; p < 0.001). The satisfaction and self-confidence of the students were found to be high (6.8 ± 0.3 and 6.0 ± 0.9, respectively), with no difference between genders. Conclusion The use of SBT in teaching students to perform pelvic and breast examinations resulted in reduced anxiety and increased self-confidence in a group of medical students of both genders, with high levels of satisfaction in relation to the training.

Download Full-text

Factors Associated with Low Body Mass Index in Huntington's Disease: A Spanish Multicenter Study of the European Huntington's Disease Registry

Movement Disorders Clinical Practice ◽

10.1002/mdc3.12304 ◽

2016 ◽

Vol 3 (5) ◽

pp. 452-459

Author(s):

Esther Cubo ◽

Jessica Rivadeneyra ◽

Natividad Mariscal ◽

Asunción Martinez ◽

Diana Armesto ◽

...

Keyword(s):

Body Mass Index ◽

Huntington's Disease ◽

Huntington’S Disease ◽

Body Mass ◽

Multicenter Study ◽

Disease Registry ◽

Factors Associated ◽

Low Body Mass Index

Download Full-text

COVID-19 pandemic related long-term chronic stress on the prevalence of depression and anxiety in the general population

BMC Psychiatry ◽

10.1186/s12888-021-03385-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tian Qi ◽

Ting Hu ◽

Qi-Qi Ge ◽

Xiao-Na Zhou ◽

Jia-Mei Li ◽

...

Keyword(s):

Mental Health ◽

General Population ◽

Chronic Stress ◽

Protective Factor ◽

Mental Health Problems ◽

Anxiety Symptoms ◽

Binary Logistic Regression Analysis ◽

Depression And Anxiety ◽

Factors Associated

Abstract Background The COVID-19 pandemic has lasted for more than 1 year, causing far-reaching and unprecedented changes in almost all aspects of society. This study aimed to evaluate the long-term consequences of the COVID-19 pandemic on depression and anxiety, and explore the factors associated with it. Methods A cross-sectional study using an online survey was conducted to assess mental health problems from February 2 to February 9, 2021 by using patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder-7 (GAD-7). The insomnia severity index (ISI), demographic data and COVID-19 related variables were measured by a self-designed questionnaire. The factors associated with depressive and anxiety symptoms were identified by Pearson chi-square test and binary logistic regression analysis. Results In the study that 1171 participants enrolled, the overall prevalence of depressive and anxiety symptoms among general people was 22.6 and 21.4% respectively in the present study. Living alone was a potential risk factor for depressive symptoms, while regular exercises was a potential protective factor. The prevalence of depressive and anxiety symptoms was significantly associated with the severity of insomnia symptoms and the negative feelings about pandemic. Conclusion COVID-19 pandemic- related chronic stress has brought about profound impacts on long-term mental health in the general population. The level of insomnia and a negative attitude towards the pandemic are significantly correlated with unfavorable mental health. However, we failed to found a significant association of age and gender with the mental health symptoms, although they were recognized as well-established risk factors during the outbreak by some other studies. This discrepancy may be because the acute and chronic effects of the pandemic are influenced by different factors, which reminds that more attention should be paid to the intrinsic psychological factors and physical reactions towards COVID-19.

Download Full-text