Social anxiety and eating disorders in medical students

2021 ◽  
Vol LIII (3) ◽  
pp. 11-18
Author(s):  
Sergey O. Afanasyev ◽  
Oleg Y. Shiriaev ◽  
Irina S. Makhortova

Aim. Assessment of social anxiety and eating disorders prevalence in students of Voronezh State Medical University after N.N. Burdenko. Methods. The study was conducted in 20202021 among students of Voronezh State Medical University on the basis of the Voronezh Regional Psychoneurological Dispensary and the Lion-Med clinic. Were used printed and online versions of the Liebowitz Social Anxiety Scale and the Dutch Eating Disorders Questionnaire (DEBQ). It was carried out correlation analysis of data between the general statistical indicators of the sample (gender, age, year of education) and the data of the questionnaires for each question separately. The correlation coefficient for nonparametric scale types (Pearson correlation coefficient) was used in the analysis. Results. Overall, significant level of anxiety was in diagnosed 525 (45.09%) people. The average duration of anxiety symptoms was 1.5 years. High level of social anxiety was estimated in 14.57% (169 people), marked level was revealed in 5.28% (61 people), moderate level was diagnosed in 14.08% (163 people), low social anxiety level was diagnosed in 11.09% (132 people), 54.98% didnt have any features of social anxiety (641 people). Restrictive and emotional types of eating disorders correlate with the female gender and the older year of education (p 0.01). There were no significant correlations between the gender of the respondents and the year of education in relation to the external type of eating disorder. Conclusion. Attention is drawn, firstly, to the relatively high percentage of social anxiety among medical students, and secondly, to the presence of eating behaviors predisposing to eating disorders. Features of restrictive and emotional eating behavior correlate with the year of education (the older the course, the more often these types of eating patterns are revealed).

Author(s):  
Katarzyna Szczurek ◽  
Natalia Furgał ◽  
Dawid Szczepanek ◽  
Rashid Zaman ◽  
Krzysztof Krysta ◽  
...  

The description of Medical Student Syndrome is based on the assumption that inexperienced medical students are prone to develop a pathological fear of medical conditions they are taught about. The aim of this study is to examine the sample of students (medical and non-medical) in order to assess and compare their level of hypochondriacal attitudes and health-related anxiety. We also examined other factors which might have had an influence on hypochondria and nosophobia attitudes among students. Methods: The study was conducted in two groups of students: 313 medical students at the Medical University of Silesia and 293 students at non-medical universities in Katowice, Poland. The study used the medical student syndrome self-explanatory questionnaire constructed for the study, taking into account the specificity of the group and the research problem. The research questionnaire was completed in an online survey by 606 students. Results: The results of the study showed that medical students obtained the same scores on a nosophobic scale as the non-medical students (p = 0.5). The analysis of hypochondriacal behavior showed significantly higher results in the non-medical student group (p = 0.02). In the entire study group, females and participants with mental disorders obtained higher scores in relation to nosophobia. Symptoms of depression and anxiety were more common in the group of medical students. Conclusions: Medical studies are not a risk factor for the occurrence of health anxiety and hypochondrial attitudes. Such factors are female gender and having a mental illness.


CNS Spectrums ◽  
2020 ◽  
pp. 1-9
Author(s):  
Barbara Carpita ◽  
Dario Muti ◽  
Ivan Mirko Cremone ◽  
Andrea Fagiolini ◽  
Liliana Dell’Osso

Abstract In the last decades, increasing attention has been provided to socio-cultural and neurobiological factors involved in the psychopathology of feeding and eating disorders (FED), encouraging a multifactorial approach. In this framework, several authors stressed an association between FED and other kinds of psychiatric disorders from both a psychopathological and a neurobiological point of view. In particular, many promising contributions are focusing on the possible link between FED and autism spectrum disorder (ASD). Growing interest about this association rose from the frequently reported evidence of ASD-like traits amongst FED patients and abnormal eating behaviors amongst patients with ASD. This narrative review overview aims to summarize the most relevant findings about the overlap between different kinds of FED and the autism spectrum, taking into account the most recent hypotheses about the psychopathology of both these conditions. While most of the studies focused on anorexia nervosa, both ASD and autistic traits seem to be detectable also in other kinds of FED. In addition, the recently increased interest toward a dimensional approach to psychopathology led to progressively broadening the concept of ASD, focusing on its subthreshold and gender-specific manifestations and on its link with other psychiatric conditions, including FED. Globally the studies summarized here provide further support to theoretical models featuring a neurodevelopmental approach for mental disorders. In particular, FED have been conceptualized as a possible psychopathological trajectory of a neurodevelopmental alteration, toward which female gender would act as one of many predisposing factors.


Author(s):  
Madonna J. D'souza ◽  
Arun Daniel J. ◽  
Muhammed Muntazeem G.

Background: Social anxiety disorder is a common psychiatric illness characterized by fear of being observed and scrutinized by others. It can impair academic performance and can lead to serious withdrawal from society and depression. The objective of the study was to measure the proportion and study the associated factors of Social Anxiety Disorder among students of a tertiary medical college and hospital.Methods: This hospital-based, cross-sectional study was conducted among the 272 medical students of a Tertiary care medical college and hospital at Davangere, Karnataka from October to December 2018. The social phobia inventory (SPIN) questionnaire was used to diagnose SAD among students.Results: Social anxiety disorder (SAD) was present among 30.5% (n=83) of the medical students. The female students (31.1%, n=45) documented a higher proportion of SAD compared to male students (29.9%, n=38). There was a higher incidence among above the 20 years age group and Muslims especially girl students.Conclusions: A higher proportion of medical students had social anxiety disorder which was influenced by increasing age, female gender, Muslim religion and higher academic years of exposure till final year. 


Author(s):  
Сергей Олегович Афанасьев ◽  
Ирина Сергеевна Махортова ◽  
Олег Юрьевич Ширяев

В современной литературе широко обсуждается проблема коморбидности тревожных расстройств и расстройств пищевого поведения. Однако, на сегодняшний день тематика коморбидности социальной тревоги и расстройств пищевого поведения среди студентов, в частности, студентов медицинских ВУЗов, остается малоосвещенной. Целью данного исследования послужил анализ данных литературы последних лет (2011 год и позднее), посвященных проблематике коморбидности пищевых расстройств и социальной тревоги среди обучающихся высшей медицинской школы. Особую значимость представляют работы по выявления предикторов развития и персистирования социальной фобии и пищевых нарушений среди студентов медицинских ВУЗов, поскольку специфика и сложность образовательной программы способствует формированию тревожных расстройств и пищевых нарушений, более того, социальные страхи и фобии приводят к ухудшению академической успеваемости обучающиеся. Помимо этого, студенты медицинского направления сами в будущем должны будут оказывать помощь пациентам, обеспечивая здоровье нации, следовательно, студентам высшей медицинской школы важно иметь как соматическое, так и психическое здоровье The problem of comorbidity of anxiety disorders and eating disorders is widely discussed in the modern literature. However, to date, the topic of comorbidity of social anxiety and eating disorders among medical students remains poorly uncovered. The purpose of this study is to analyze the literature data of recent years (2011 and later) on the problems of comorbidity of eating disorders and social anxiety among students of higher medical school. Of particular importance is the work on identifying predictors of the development and persistence of social phobia and eating disorders among medical students, since the specificity and complexity of the educational program contributes to the formation of anxiety disorders and eating disorders. Moreover, social fears and phobias lead to a deterioration in academic performance of students. In addition, medical students themselves in the future will have to provide assistance to patients, ensuring the health of the nation, therefore, it is important for students of higher medical school to have both somatic and mental health


2021 ◽  
Author(s):  
FARID BENZEROUK ◽  
Monique Guénin ◽  
Fabien Gierski ◽  
Delphine Raucher-Chéné ◽  
Sarah Barrière ◽  
...  

Abstract BackgroundEven if bariatric surgery appears as the most effective therapeutic approach, it is not equally successful across individuals suffering from obesity. Among the factors that influence postsurgical outcomes, eating behaviors are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from obesity.MethodsPatients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (DEBQ), psychiatric comorbid conditions (MINI), mood (BDI-13, STAI), and impulsivity (UPPS-P).ResultsWe found significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety and all dimensions of impulsivity. Significant correlations also occurred between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses showed female gender, trait anxiety, and lack of perseverance as explanatory factors in EmoE, and depression severity score and positive urgency in ExtE.ConclusionsEmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE may result from a mechanism associated with depression. These results may help to improve patients’ outcome by defining specific therapeutic targets in psychological interventions.


2018 ◽  
Vol 25 (3) ◽  
Author(s):  
Tetiana Pavliuk ◽  
Mukola Rozhko ◽  
Oksana Panchak

The aim of the study was to investigate the relationship between the level of anxiety with periodontal tissue lesions in undergraduate students at a medical university. Observations were performed by medical students of the second year of study. There was used H. Ayzenko’s questionnaire to determine the level of personal anxiety. The evaluation of the condition of periodontal tissues was performed using the appropriate indexes: the papillary-marginal-alveolar index, the periodontal index, the Schiller-Pisarev’s  test (Svrakov’s iodine number), and sulcus bleeding index. The results of the study showed a direct dependence of the manifestation of periodontal tissue diseases on the level of psycho-emotional stress. Analyzing the PMA index it was noted that the higher level of anxiety, the higher number of this index and, accordingly, the more distinct signs of inflammation are clear: with low level – 4.63±2.58%, with an average level – 28.42±1.29% and at a high level – 41.6±2.46%. The quantitative significance of the periodontal index also depends on the degree of anxiety in the students: the lowest rate was in the students of group І with a low level of anxiety (0.15±0.08); the indices of groups ІІ and ІІІ are 0.97±0.04 and 1.35±0.07 respectively. The Schiller-Pisarev’s test showed that the higher anxiety level of students has the higher number of this index. Analyzing the data of index of gum’s bleeding, there was observed an increase in it, depending on the degree of anxiety (p<0.001).


2019 ◽  
Vol 98 (3) ◽  
pp. 294-300
Author(s):  
N. I. Prokhorov ◽  
Ekaterina A. Shashina ◽  
L. N. Semenovykh ◽  
V. V. Makarova ◽  
E. E. Kozeeva

Introduction. A high level of tobacco use among medical workers is registered in Russia. The adherence to this bad habit can undermine the medical professionals’ authority and reduce the effectiveness of the preventive work with the population. The goal of this research was to determine the smoking prevalence among medical students, their level of awareness of health risks, and attitudes of smokers to this bad habit. Material and methods. The survey concerning the prevalence and attitudes towards smoking was conducted among the students of the medical faculty of the Sechenov University. Students were asked about biographical data, health status at the time of the survey, attitudes towards healthy lifestyles and smoking, the respondents’ awareness of the detriment of tobacco smoking, attitudes to the anti-smoking campaign. A separate block of questions was addressed to smokers (smoking experience, smoking intensity, reasons for initiation). Results. Of the 531 respondents, 18.0% were smokers at the time of the survey, 9.4% were former smokers, 72.5% never smoked. 59.6% of smokers had low smoking intensity. 3.2% of smokers had high smoking intensity. Smoking experience in both sex groups averaged 4.56 years. The main reasons for students’ initiation to smoking were curiosity (27.8%), the influence of the closest active smoking environment (21.5%), as well as existing problems in the family and the educational process (16.7%). Most of the students were informed about the negative effects of smoking and 82.7% of current smokers planned to give up smoking. 94% of smokers believed they to need professional help to stop smoking. Discussion. The prevalence of smoking among students at Sechenov University is comparable to the data of the Global Survey of Medical Students. Conclusions. Smoking is still common among medical students. The training of future health care workers in knowledge and skills to stop smoking should be carried out within an additional curriculum in a medical university.


2021 ◽  
Vol 6 ◽  
pp. 99-105
Author(s):  
N.V. Tikhonova ◽  
◽  
A.O. Sabanova ◽  
A.V. Shulmin ◽  
A.A. Gerberg ◽  
...  

The aim of the research. To conduct a cluster analysis of the assessment profile of students who participated in work of medical organisations providing care to COVID-19 patients to develop recommendations for its correction. Material and methods. The study was carried out at the premises of Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University (KrasSMU). The study group was constituted by 66 students in 3-6 years of study of the Medical and the Paediatric faculties of the University who took part in activities of medical organisations providing healthcare to patients with COVID-19. The items were presented in the form of binary questions and ranking scales. The analysis of qualitative attributes was carried out in the form of relative values with calculation of the standard error of the proportion. For ranking and nonparametric quantitative characteristics, the mode, median, centiles (Me [P25; P75]) and other nonparametric criteria for comparative statistics and communication statistics were used. For segmentation of respondents according to some criteria, depending on the answers, the method “two-step cluster analysis” and the method of “decision tree” were used. Results. The results of the study indicate a high motivational component related to practical medical activity of medical students during the difficult epidemiological situation since 94.1% of the respondents declared the readiness to support practical healthcare. Almost half of the surveyed 47.0% of students included in cluster 2, in contrast to students of clusters 1 and 3, are characterised by a high opinion on the degree of their contribution to the struggle against the COVID-19 epidemic and a high level of knowledge and skills, rating themselves at about 9.0 points out of 10 possible. In addition, the results of the study indicate an association between the level of students’ self-esteem in regard to their contribution to the fight against COVID-19 with the level of the students’ self-esteem of knowledge and skills and the duration of work in a medical organisation. Conclusion. The analysis performed has made it possible to formulate guidelines for support of medical students’ professional attitudes within the framework of practice-oriented education, including distance learning.


2018 ◽  
Vol 97 (5) ◽  
pp. 456-460
Author(s):  
Natalia D. Bobrisheva-Pushkina ◽  
L. U. Kusnetsova ◽  
O. L. Popova

There was executed the study including the examination of 833 students of 2-6 courses of the medical University concerning their subjective rating of the stress level on exams, its causes and the measures they used to reduce stress. 26.7% of students noted the high level of stress on examination, there was significantly increased the number of students with low-stress levels in students оf 3-4 courses, boys, and students with good and excellent grades note significantly less a high level of examination stress. The most common manifestations of stress are changes in the cardiovascular system (62% of the students) and autonomic nervous systems (48.6%), these manifestations were significantly less noted in students with good and excellent grades. In the course of training, there was discovered the increase in complaints of the frequent urination, loose stools and discomfort or pain in the abdomen. The main causes of stress at exams, according to students, there are a large amount and difficulty of exam material and the insufficient addressing of examination tasks in the classroom. In the dynamics of training, there is a significant reduction in the number of students who believe early acquaintance with the exam questions to be important, the sufficiency of the time devoted to self-education and an increase in the number of students recognizing it is necessary to reduce the waiting time of the call to the exam. Most popular methods of the reducing examination stress on younger courses are the use of rites, superstitions, and drugs, in the senior years. A growing number of individuals using the techniques of autogenic training was discovered. 49.9% of students do not fight with stress. 63.9% of students consider the introduction of elective subjects of “Prevention and correction of examination stress in students” to be necessary.


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