scholarly journals Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

2020 ◽  
Author(s):  
Nishan Babu Pokhrel ◽  
Ramesh Khadayat ◽  
Pratikchya Tulachan
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Medical School ◽  
Teaching And Learning ◽  
Past History ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background: Medical students and residents were found to have suffered from depression, anxiety, and burnout in various studies. However, these entities have not been adequately explored in the context of Nepal. We proposed to determine the prevalence of depression, anxiety, burnout, their associated factors, and identify their predictors in a sample of medical students and residents in a Nepalese medical school.Methods: It was a cross-sectional study with 651 medical students and residents chosen at random between December 2018 and February 2019. The validated Nepali version of Hospital Anxiety and Depression Scale, the Copenhagen Burnout Inventory, and Medical Students' Stressor Questionnaire were used to assess depression, anxiety, burnout, and stressors respectively. We used univariate and multivariable logistic regression analyses to identify the correlation of predictor variables with depression, anxiety, and burnout.Results: The overall prevalence of burnout (48.8%; 95% CI 44.9-52.7) and anxiety (45.3%; 95% CI 41.4-49.2) was more than that of depression (31%; 95% CI 27.5-34.7). Burnout and depression were more prevalent in residents than in medical students (burnout: 64.5% vs 37.6%, P-value < 0.0001; depression: 33.7% vs 29.1%, P-value 0.21). Whereas, medical students were found more anxious than residents (46.3% versus 43.96%, P-value 0.55). Academic related stressors caused high-grade stress to participants. Multivariable model for depression significantly showed anxiety, personal burnout, and work-related burnout as risk enhancing correlates; satisfaction with academic performance as a protective correlate. Similarly, the multivariate model for anxiety significantly identified female gender, depression, personal burnout, teaching and learning related stressors, and past history of mental illness as risk enhancing correlates; being satisfied with academic performance, getting adequate sleep, and being a second-year resident as protective correlates. The logistic model for burnout significantly showed being a first-year resident, depression, anxiety, and drive and desire related stressors as positive predictors. None of the variables were identified as significant negative predictors of burnout. Conclusions: A high prevalence of depression, anxiety, and burnout was seen among medical students and residents. Most of them were stressed with academic-related factors. A strong correlation between teaching and learning-related stressors with depression and anxiety may be a call for an efficient and more student-friendly curriculum.

scholarly journals Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

2019 ◽  
Author(s):  
Nishan Babu Pokhrel ◽  
Ramesh Khadayat ◽  
Pratikchya Tulachan
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Extracurricular Activities ◽  
Teaching And Learning ◽  
Past History ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background Medical students and residents were found to have suffered from depression, anxiety, and burnout in various studies. However, these entities have not been adequately explored in the context of Nepal. We proposed to determine the prevalence of depression, anxiety, burnout, their associated factors, and identify their predictors in a sample of medical students and residents in a Nepalese medical school.Methods It was a cross-sectional study with 651 medical students and residents chosen at random between December 2018 and February 2019. The validated Nepali version of Hospital Anxiety and Depression Scale, the Copenhagen Burnout Inventory, and Medical Students' Stressor Questionnaire were used to assess depression, anxiety, burnout, and stressors respectively. We used univariate and multivariable logistic regression analyses to identify the correlation of predictor variables with depression, anxiety, and burnout.Results The overall prevalence of burnout (48.8%; 95% CI 44.9-52.7) and anxiety (45.3%; 95% CI 41.4-49.2) was more than that of depression (31%; 95% CI 27.5-34.7). Burnout and depression were more prevalent in residents than in medical students (64.5% and 33.7% versus 37.6% and 29.1% respectively). Whereas, medical students were found more anxious than residents (46.3% versus 43.96%). Academic related stressors caused high-grade stress to participants. Multivariable model for depression significantly showed anxiety and personal burnout as risk enhancing correlates; satisfaction with academic performance as a protective correlate. Similarly, the multivariate model for anxiety significantly identified female gender, depression, personal burnout, patient-related burnout, teaching and learning related stressors, and past history of mental illness as risk enhancing correlates; being satisfied with academic performance, getting adequate sleep, being an intern or a resident and less frequent involvement in extracurricular activities as protective correlates. The logistic model for burnout significantly showed depression, anxiety, being a first-year resident, drive and desire related stressors and a rare/never involvement in extracurricular activities as positive predictors.Conclusions A high prevalence of depression, anxiety, and burnout was seen among medical students and residents. Most of them were stressed with academic-related factors. A strong correlation between teaching and learning-related stressors with anxiety may be a call for an efficient and more student-friendly curriculum.

scholarly journals How Large is The Burden of Depression in A Medical School? A Cross-Sectional Study Among Medical Students in Nigeria

2020 ◽  
Author(s):  
Edmund Ndudi Ossai ◽  
Irene Ifeyinwa Eze ◽  
Rejoice Chinecherem Onyenakazi ◽  
Elias Ifeyinwa Ugebe ◽  
Basil C Eze ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical School ◽  
Medical Curriculum ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Depression

Abstract Background: Mental health of students deteriorate when they begin studies in a medical school and remains poor throughout the period of training. Notwithstanding that medical students of today are the physicians of tomorrow who need to have stable mental health for effective performance, mental status of this group have not been adequately explored in the Nigeria context. The study aimed to determine the prevalence of depression and associated factors among medical students in Nigeria. Methods: A cross-sectional study was carried out on all matriculated medical students of Ebonyi state University Abakaliki, Nigeria. Information was obtained from 522 medical students that were eligible to participate in the study using self-administered structured questionnaire. Becks Depression Inventory was used to determine the prevalence of depression. Chi square test was used in the analysis to ascertain association between variables. Level of statistical significance was determined by a p value of <0.05.Results: Mean age of the students was 23.2±3.3 years and majority, 60.2% were males. Prevalence of depression was 17.4%. Third-year class (major examination class) had the highest proportion of students who were depressed, 24.2% while final year class had the least, 8.8%. Coping mechanisms for low moods included sleeping, 50.4% and having interactions with colleagues, 46.9%. Factors associated with depression included being <25 years, (p=0.008), being in clinical school, (p=0.023) and being afraid some students may not graduate from medical school, (p=0.030).Conclusions: Burden of depression was high among the students and most pronounced among third year students. There is need for proper orientation of newly admitted medical students on the medical curriculum by authorities of the university. Medical students preparing for major examinations should be well supported and encouraged by their colleagues and efforts should be made to decrease undue anxiety among the students. Adequate measures should be put in place for early detection and prompt management of cases of depression among the students.

scholarly journals The four-domain structure model of a depression scale for medical students: A cross-sectional study in Haiphong, Vietnam

PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0194550 ◽  
Author(s):  
Thao Thi Thu Nguyen ◽  
Ngoc Thi Minh Nguyen ◽  
Manh Van Pham ◽  
Han Van Pham ◽  
Hiroyuki Nakamura
Keyword(s):  
Medical Students ◽  
Domain Structure ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Structure Model ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Depression Among Undergraduate Medical Students

2013 ◽  
Vol 10 (3) ◽  
pp. 56-59 ◽  
Author(s):  
Bibhusan Basnet ◽  
M Jaiswal ◽  
B Adhikari ◽  
PM Shyangwa
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Medical School ◽  
Depression Scale ◽  
Academic Stress ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Inducing Factors ◽  
Major Factors

Background  Psychological stress is common in medical school and associated with depression. Medical education is grooming in Nepal, but only few studies are done concerning mental health of medical students. Objective  To assess the prevalence of depression among medical students at different levels of education and find about their stressors. Methods  A cross sectional, questionnaire-based survey was carried out among the undergraduate medical students of B.P.Koirala Institute of Health Sciences, Nepal. 50 students each from Bachelor of Medicine and Bachelor of Surgery (MBBS) first and third year were enrolled in the study conducted between November 2008 to January2009. The depression levels were assessed using Zung depression scale. Students were asked to complete the questionnaire and then the depression levels calculated .The stress inducing factors during their course of medical education were also assessed. Results  The overall prevalence of depression among the students was 29.78 percent. The prevalence of depression in first and third year was 36.74and 22.22 percent respectively. The prevalence of depression was 32.43 percent among female students versus 28.07 percent in male students. Both first and third year students gave high ratings to academic stress and hectic lifestyle as the main stress inducing factors. Conclusion  The prevalence of depression is seen especially in the first year medical students. So, attempts should be made to alleviate the stressors right from the time they join medical school. Since academic stress proved to be one of the major factors, measures to make the academic curriculum more student-friendly are suggested. Kathmandu University Medical Journal | VOL.10 | NO. 3 | ISSUE 39 | JUL- SEP 2012 | Page 56-59 DOI: http://dx.doi.org/10.3126/kumj.v10i3.8021

The Effects of Internet Addiction on the Academic Performance of Medical Students at Omdurman Islamic University: An Online Cross-sectional Study

2021 ◽  
Author(s):  
Salih Boushra Hamza ◽  
Yassin A. Abdalla ◽  
Tibyan Hassan Mustafa Alkabashi ◽  
Ahmed A. M. Mustafa ◽  
Khadija Ala Abdelmaqsud Muhmmed ◽  
...  
Keyword(s):  
Social Networks ◽  
Academic Performance ◽  
Medical Students ◽  
Internet Addiction ◽  
Cross Sectional Study ◽  
Moderate Level ◽  
The Internet ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background:In general, the emergence of new technologies such as the internet, social networks and providing opportunities to facilitate and improve global communications quality have created some threats, as Internet Addiction Disorder (IAD), which is an emerging psychological problem across the globe. Young defined it as “an individual’s inability to control his or her use of the internet, which eventually causes psychological, social, school, and/or work difficulties in a person’s life”. Students are among the most critical internet and social networks, particularly during the coronavirus recent pandemic. The prevalence of internet addiction and its association with academic performance among Sudanese medical students has not been discussed yet. Therefore, this study aimed to assess the effects of internet addiction on medical students’ academic performance. Methods:This study was an observational descriptive cross-sectional study conducted on medical students at Omdurman Islamic University in Sudan from 321 sample size by stratified random technique. Data were collected using a questionnaire that contains four sections; the last one is the Internet Addiction Test (IAT), a 20-item scale that measures the presence and severity of internet addiction, developed by Young. Data were analyzed using the statistical package for social science (SPSS) version 24. A P-value < 0.05 was considered statistically significant.Results:Out of 321 medical students, 186 (57.9%) were females, and 135 (42.1%) were males, with no general differences regarding the addiction score. Social media was the leading platform for internet use purposes (88%), mean internet addiction score was 47.7; most of the respondents (55.8%) fit into the moderate-level addiction. There is an association between the duration of internet time consumption and the IAT score, with 5-6 hour/day scoring the highest (mean 50.1 ± 14.3) (P-value 0.001). There is a significant association between platforms that consume most of the participant time and IAT score, with games scoring the highest (IAT mean 56.4 ± 15) (P-value 0.001). There is an insignificant negative correlation between Internet Addiction Test (IAT) grade and CGPA (p-value 0.07).Conclusion:The mean internet addiction score is 47.7, and most of the respondents (55.8%) show moderate-level addiction. The Internet Addiction Test’s application to medical students’ sample concerning the academic performance found no significant association between Internet Addiction Test score and CGPA score.

scholarly journals Prevalence of Eating Disorders Among Medical Students in a Lebanese Medical School: A Cross-Sectional Study

2020 ◽  
Vol Volume 16 ◽  
pp. 1879-1887
Author(s):  
Maya Bizri ◽  
Luna Geagea ◽  
Firas Kobeissy ◽  
Farid Talih
Keyword(s):  
Eating Disorders ◽  
Medical Students ◽  
Medical School ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals The relationship between sleep and wake habits and academic performance in medical students: a cross-sectional study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Ahmed S BaHammam ◽  
Abdulrahman M Alaseem ◽  
Abdulmajeed A Alzakri ◽  
Aljohara S Almeneessier ◽  
Munir M Sharif
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship

scholarly journals Evaluation of sleep pattern due to stress in undergraduate medical students and its impact on health and academic performance: A cross-sectional study from tertiary health center of Central India

2021 ◽  
Author(s):  
Kusum Gandhi ◽  
Yashvardhan Godaria ◽  
Revadi G
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Academic Stress ◽  
Sleep Pattern ◽  
Stress Factors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Second Year

Background: Good quality sleep is essential for good health and well-being. Medical students are at no exception to this and are prone to greater risk for sleep deprivation. The major reason being challenges to maintain a high level of academic achievement and constant thirst to acquire new learning skills and knowledge. However, in this process they are circumstanced to various levels of stress that might cause potential damage to their cognitive functioning and mental exhaustion to a certain extent. Objectives: Thus, our study objectives were to evaluate the sleep pattern in first- and second-year medical students. To understand how the stress levels and academic performance are related to sleep pattern and to explore the copying strategies of stress in our study participants. Methodology: This cross sectional study was conducted using a self-reported, web-based, questionnaire that included questions on sleep quality and deprivation through Pittsburgh sleep quality index. All the eligible students of first and second year who were part of a premiere teaching hospital during February and March 2021 were included. Data was analysed using IBM SPSS version 24. Results: Out of 180 participants, 91(50.55%) had their initiation of sleeping time from 12-2 am and also, majority of students 112 (62.22%) had a sleep duration of six to eight hours. However, 119 (66.1%) students had self-reported change in sleeping pattern which was found to be significantly associated with relatively greater number of academic factors as compared to social factors. Most of the students scored between 50-60% score in their four assessments amongst which their first assessment was significantly associated with change in sleep pattern (P 0.040). Also, these individual assessment score was found to significantly affect their duration of sleep. The common coping strategies adopted by students under study were talking to family members/ friends, music/ book reading (hobby). Conclusion: Majority of students in our study had reported change in sleeping pattern. Also, association between stress factors and change in sleeping pattern were observed with academic stress factors proving to be more significantly associated than social stress factors. The academic performance of students was also found to be associated with change in sleeping pattern and duration of sleep. Keywords: sleep pattern, medical students, academic stress factors, coping strategies

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