High Prevalence of Mental Disorder Symptoms Among Medical and Other Health Specialty Residents During the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Nayane Miranda Silva ◽  
Rebeca da Nobrega Lucena Pinho ◽  
Thais Ferreira Costa ◽  
Adriana Ferreira Barros Areal ◽  
André De Mattos Salles ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
Symptoms Of Depression ◽  
High Prevalence ◽  
Patient Health ◽  
Psychological Pressure ◽  
Coping Scale ◽  
Potential Stressor

BACKGROUND The coronavirus (SARS-CoV-2) epidemic was first identified in Wuhan, China, at the end of 2019, and spread across the world in a fast and disordered manner. Because of the pandemic, health professionals, including residents in medicine and other health specialties, began working under intense physical and psychological pressure daily and were exposed to a greater risk of developing mental disorders and psychological distress. OBJECTIVE This study evaluated the prevalence of symptoms indicative of mental disorders such as depression, anxiety and stress among postgraduate students who were residents in medicine and other health specialties during the COVID-19 pandemic in Brazil and identified possible associated predisposing factors. METHODS This was a cross-sectional study that included postgraduate students in medical and other health residency programmes in Brazil. The recruitment period was from July 29 to September 5, 2020. Epidemiological and clinical data, including evaluations of psychological and affective aspects, following a predefined protocol, were collected after the participants filled out an electronic form via the Microsoft Forms platform. RESULTS In total, 1,313 medical and other health residents participated in the study. The Depression, Anxiety and Stress Scale-21 (DASS-21) identified depression, anxiety and stress in 51.3%, 53.4% and 52.6% of the participants, respectively. Based on the Brief Resilient Coping Scale (BRCS), 61.9% of the participants had low resilience. A total of 60.9% of the residents had high scores on the Patient Health Questionnaire 9‐item depression module (PHQ-9). CONCLUSIONS We found a high prevalence of symptoms of depression, anxiety and stress among medical and non-medical residents during the COVID-19 pandemic in Brazil. Mental disorders are complex in nature, and the particular academic environment of residency, altered by the need to care for patients with COVID-19, can be a potential stressor and be associated with the high prevalence of these symptoms among residents. INTERNATIONAL REGISTERED REPORT RR2-10.2196/24298

scholarly journals The Prevalence of Depression and Anxiety Disorders Among Postgraduate Students in an Arabic Sample: A Cross-sectional Study

2021 ◽  
Author(s):  
Asem A. Alageel ◽  
Rayyan A. Alyahya ◽  
Raed A Alghamdi ◽  
Ban A. Alzaid ◽  
Aryaf. S Alsubaie ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
Patient Health

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide. Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Limitations: Due to the nature of cross-sectional studies, causal relationships cannot be identified.Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary.

scholarly journals The Prevalence of Depression and Anxiety Disorders Among Postgraduate Students in an Arabic Sample: a Cross-sectional Study

2021 ◽  
Author(s):  
Asem Alageel ◽  
Rayyan Abdullah Alyahya ◽  
Raed A. Alghamdi ◽  
Ban A. Alzaid ◽  
Aryaf S Alsubaie ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorders ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Postgraduate Students ◽  
High Prevalence ◽  
Prevalence Of Depression ◽  
Patient Health

Abstract Background: Depression and anxiety are indicators of mental health and quality of life. Studies found a high prevalence of depression and anxiety disorders among specific populations, such as medical students, residents and fellows. However, postgraduate students unarguably suffer from many private and career life stressors. Unfortunately, research about the prevalence of depression and anxiety among postgraduate students are greatly lacking.Methods: A cross-sectional online survey; a self-questionnaire divided into five sections. Socio-demographic characteristics, the Patient Health Questionnaire for Depression (PHQ9), Generalized Anxiety Disorder 7 item (GAD7), insomnia and suicide.Results: The number of participants was 1,005, The prevalence of depression and GAD that warrant treatments are 27.4% and 23.6%, respectively. Most of the participants who screened positive for depression and GAD were not aware of having these disorders. Females were at a higher risk of depression (OR: 1.5, 95% CL: 1.10 to 2.15) and GAD (OR:1.49, 95% CL 1.07 to 2.07). Insomnia is associated significantly with depression (P<0.001) and GAD (P<0.001). Depression increases the risk for active suicide thoughts (OR= 7.453) (P<0.001). Conclusion: We have identified a higher prevalence of depression and GAD among postgraduate students compared with the general population. However, they appear to be underrepresented in mental health literature, so further research is necessary. The limitations of this study were centered on the nature of cross-sectional studies, causal relationships cannot be identified.

Psychometric Properties of the Dutch Version of the Signs of Depression Scale

2016 ◽  
Vol 27 (5) ◽  
pp. 617-637 ◽  
Author(s):  
Mariska J. van Dijk ◽  
Janneke M. de Man-van Ginkel ◽  
Thóra B. Hafsteinsdóttir ◽  
Marieke J. Schuurmans
Keyword(s):  
Psychometric Properties ◽  
Intraclass Correlation ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cutoff Score ◽  
Stroke Patients ◽  
Dutch Version ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Patient Health

The early detection of depression after stroke is essential for the optimization of recovery in aphasic stroke patients. The purpose of this study was to evaluate the psychometric properties of the Signs of Depression Scale (SODS), a non-language-based screening instrument. We conducted a cross-sectional study in a sample of 58 stroke patients in a rehabilitation center. The internal consistency and interrater reliability were good (α = .71 and intraclass correlation coefficient [ICC] = .79). The pre-defined hypotheses confirmed the construct validity, and the correlation between the SODS and the Patient Health Questionnaire–9 (PHQ-9) was moderate ( rb = .32). At a cutoff score of ≥1, the sensitivity was 0.80, and the specificity was 0.39. These findings indicate that the SODS is appropriate to screen for depressive symptoms and can be used by nurses to identify symptoms of depression in patients with aphasia who require further assessment.

Symptoms of Depression and Anxiety, and Screening for Mental Disorders in Migrainous Patients

Cephalalgia ◽  
2003 ◽  
Vol 23 (2) ◽  
pp. 79-89 ◽  
Author(s):  
F Kowacs ◽  
MP Socal ◽  
SC Ziomkowski ◽  
VF Borges-Neto ◽  
DP Toniolo ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Mental Disorders ◽  
Healthy Subjects ◽  
Univariate Analysis ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Sectional Study ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Gender Education

The purpose of this clinic-based study was the assessment of symptoms of depression, anxiety, and non-specific psychiatric disorders amongst patients with migraine, compared with healthy subjects and with individuals with a non-neurological chronic disease. A cross-sectional study was carried out in which 178 individuals (migraine 51; psoriasis 35; healthy 92) were submitted to three scales: MADRS (depression), STAI-T (anxiety) and SRQ (screening for mental disorders). The subjects with migraine and psoriasis were from the Out-patient Clinics of Headache and of Dermatology, and the healthy volunteers were persons who were accompanying out-patients in the same hospital. Scores were analysed by MANOVA and by association analysis and logistic regression. Scores of all instruments were higher in the migrainous group, but the univariate analysis of association (using cut-offs) showed significance only for suspicion of mental disorders (SRQ). By logistic regression, variables with strongest association to migraine were gender, education, and SRQ in decreasing order.

scholarly journals The prevalence of psychiatric symptoms of pregnant and non-pregnant women during the COVID-19 epidemic

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yongjie Zhou ◽  
Hui Shi ◽  
Zhengkui Liu ◽  
Songxu Peng ◽  
Ruoxi Wang ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Psychiatric Symptoms ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Post Traumatic Stress ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Patient Health ◽  
Post Traumatic

Abstract Coronavirus disease 2019 (COVID-19) is rapidly spreading worldwide, with a staggering number of cases and deaths. However, available data on the psychological impacts of COVID-19 on pregnant women are limited. The purposes of this study were to assess the prevalence of psychiatric symptoms among pregnant women, and to compare them with non-pregnant women. From February 28 to March 12, 2020, a cross-sectional study of pregnant and non-pregnant women was performed in China. The online questionnaire was used to collect information of participants. The mental health status was assessed by patient health questionnaire, generalized anxiety disorder scale, insomnia severity index, somatization subscale of the symptom checklist 90, and post-traumatic stress disorder (PTSD) checklist-5. Totally, 859 respondents were enrolled, including 544 pregnant women and 315 non-pregnant women. In this study, 5.3%, 6.8%, 2.4%, 2.6%, and 0.9% of pregnant women were identified to have symptoms of depression, anxiety, physical discomfort, insomnia, and PTSD, respectively. However, the corresponding prevalence rates among non-pregnant women were 17.5%, 17.5%, 2.5%, 5.4%, 5.7%, respectively. After adjusting for other covariates, we observed that pregnancy was associated a reduced risk of symptoms of depression (OR = 0.23; 95% CI: 0.12–0.45), anxiety (OR = 0.26; 95% CI: 0.16–0.42), insomnia (OR = 0.19; 95% CI: 0.06–0.58), and PTSD (OR = 0.15; 95% CI: 0.04–0.53) during the COVID-19 epidemic. Our results indicate that during the COVID-19 epidemic in China, pregnant women have an advantage of facing mental problems caused by COVID-19, showing fewer depression, anxiety, insomnia, and PTSD symptoms than non-pregnant women.

scholarly journals Minor mental disorders among undergraduate students: Prevalence and associated factors

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Ferreira Júnior ◽  
E de Sousa Gomes ◽  
M Pereira Lima ◽  
L Maura Mascarini
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Lgbt Students ◽  
High Prevalence ◽  
Mental Health Centers ◽  
And Gender

Abstract Although it is recognized that mental disorders are more likely to occur in adulthood, especially in university period, and result in damage to health and incapacity for work, researches with university population are scarce in Brazil. We aimed to evaluate the prevalence of Minor Mental Disorders (MMD) among undergraduate students of a public university of São Paulo state, and investigate its association with social and economic conditions, sexuality and gender. This is a cross-sectional study conducted in 2018 with 376 undergraduate students who were halfway through the course. Data were collected from an anonymously and self-administered questionnaire, and MMD was evaluated from Self Report Questionnaire (SRQ-20). Associations were estimated through logistic regression, and odds ration calculated. We found prevalence of 53.9% of MMD among the students, and associated with gender (OR, 3.66; 95% CI, 2.37-5.67), being LGBT + (e.g Bisexuals OR, 2.92; 95% CI, 1.56-5.50), not receiving necessary family support (OR, 5.6; 95% CI, 2.00 - 15.68), not being satisfied with the course (OR, 23.69 95% CI, 2.95 - 190,03) and not practicing physical activities regularly (OR, 2.05; 95% IC, 1.33 - 3.17). Minor mental disorders prevalence found was high, reaching more than 70% in some courses (e.g 77.8% among Biomedicine students), mainly associated with gender, sexual orientation and emotional support. Our study draws attention to the urgency of monitoring the mental health status of undergraduate students, and implementing mental health centers at universities, as well as facilitating access and improve existing centers. Key messages The high prevalence of minor mental disorders found among undergraduate students indicates the urgent need for interventions in this populations. Women and LGBT+ students are groups at higher risk for the development of minor mental disorders at university. Strategies must be created to reduce the higher prevalence in this populations.

scholarly journals Smartphone addiction and its association with common mental disorders among students attending the university of Dschang, West region, Cameroon

2020 ◽  
Author(s):  
Martial Pianta Sonkoue ◽  
Benjamin Momo Kadia ◽  
Miranda Baame Esong ◽  
Cyrielle Djouda Douanla ◽  
Jerome Ateudjieu
Keyword(s):  
Mental Disorders ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
Smartphone Addiction ◽  
Short Version ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Patient Health ◽  
Smartphone Use ◽  
The University

AbstractBackgroundSmartphones are an integral part of modern communication but addiction to these devices could predispose to common mental disorders.ObjectivesTo determine the prevalence of smartphone addiction and common mental disorders as well as the association between smartphone addiction and these mental disorders in Dschang university students who use smartphones.MethodsA cross-sectional study was conducted. Randomly selected students completed a survey comprising Patient Health Questionnaires seven and nine (PHQ-9 and PHQ-7) to screen for depression and anxiety respectively, and the Smartphone Addiction Scale-Short Version (SAS-SV) to grade smartphone use. The association between smartphone use and common mental disorders was assessed using logistic regression modelling.ResultsWe recruited 634 participants. The prevalence of smartphone addiction was 20.98% [C.I:17.99%-24.32%]. The prevalence of depression and anxiety were 34.86% [95% CI: 31.25-38.65] and 19.27% [95% CI: 16.81-22.99] respectively. The odds of depression in students with addiction was 5 times the odds of depression in students without addiction [OR: 4.96, 95% CI: 3.30-7.45, p<0.001]. The odds of anxiety in students with addiction was 2 times the odds of anxiety in students without addiction [OR: 2.44, 95% CI: 1.58-3.77, p<0.001]. After adjusting for age, sex, faculty, cycle of study, marital status, religion, chronic diseases, sexual abuse and suicidal ideation, there remained a statistically-significant association between smartphone addiction and both depression [OR: 4.46, 95%CI; 2.92-6.84, p<0.001] and anxiety [OR: 2.08, 95% CI; 1.31-3.30, p=0.002].ConclusionIn this setting, it is crucial to foster strategies of prevention and promotion in mental health especially among problematic smartphone users.

scholarly journals Depressive and Anxiety Symptoms Among People Under Quarantine During the COVID-19 Epidemic in China: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Tong Yan ◽  
Wang Zhizhong ◽  
Zheng Jianzhong ◽  
Ying Yubo ◽  
Liu Jie ◽  
...  
Keyword(s):  
High Risk ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Middle School Education ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Patient Health ◽  
Effective Public Health

Background: During the coronavirus disease 2019 (COVID-19) pandemic, quarantine as an effective public health measure has been widely used in China and elsewhere to slow down the spread, while high-risk psychological response populations remain under-reported.Objective: The aim of the study is to investigate the depressive and anxiety symptoms among the high-risk individuals quarantined during the COVID-19 pandemic in China.Methods: An online survey was conducted from February 29 to April 10, 2020, among individuals quarantined for at least 2 weeks due to the high-risk exposure. Chinese versions of the nine-item Patient Health Questionnaire (PHQ-9) with a seven-item Generalized Anxiety Disorder (GAD-7) were applied to assess depressive and anxiety symptoms, respectively. Compliance with quarantine and knowledge of COVID-19 was also assessed. An unconditional logistic regression model was performed to identify the correlators.Results: Of the 1,260 participants completing the full survey, 14.0% (95% CI: 12.2–16.1%), 7.1% (95% CI: 5.9–8.7%), and 6.3% (95% CI: 5.1–7.8%) had at least moderate symptoms of depression, anxiety, and a combination of depression and anxiety (CDA), respectively; 14.8% (95% CI: 13.0–16.9%) had at least one condition. Multivariate analysis showed that participants with an undergraduate or above degree were more likely to report depressive (OR = 2.98, 95% CI: 1.56–5.72) and anxiety symptoms (OR = 2.95, 95% CI: 1.14–7.63) than those with middle school education. Those who were unemployed (OR = 0.37, 95% CI: 0.21–0.65 for depression; OR = 0.31, 95% CI: 0.14–0.73 for anxiety), students (OR = 0.14, 95% CI: 0.04–0.48 for depression; OR = 0.11, 95% CI: 0.01–0.85 for anxiety), and more knowledgeable of COVID-19 (OR = 0.84, 95% CI: 0.73–0.96 for depression, OR = 0.82, 95% CI: 0.68–0.98 for anxiety) were less likely to report depressive and anxiety symptoms. Higher quarantine compliance correlated with lower risks of depressive (OR = 0.94, 95% CI: 0.91–0.96) and anxiety symptoms (OR = 0.95, 95% CI: 0.91–0.98).Conclusion: Individuals under quarantine during the COVID-19 pandemic suffered prevalent depressive and anxiety symptoms. Consequently, comprehensive interventional measures, including knowledge dissemination, timely virus tests, and strengthened communication, may minimize quarantine's adverse effects.

scholarly journals Factors associated to suicide risk in stricto sensu postgraduate students: a cross-sectional study

2021 ◽  
Vol 29 ◽  
Author(s):  
Evelyn Kelly das Neves Abreu ◽  
Samira Reschetti Marcon ◽  
Mariano Martínez Espinosa ◽  
Moisés Kogien ◽  
Marília Duarte Valim ◽  
...  
Keyword(s):  
Suicide Risk ◽  
Family Relationship ◽  
Cross Sectional Study ◽  
Academic Variables ◽  
Cross Sectional ◽  
Significance Level ◽  
Postgraduate Students ◽  
Factors Associated ◽  
High Prevalence ◽  
Validated Instrument

Objective: to analyze factors associated to suicide risk in postgraduate students. Method: a cross-sectional analytical study, developed with 565 stricto sensu postgraduate students from August to September 2019. Data collection took place using a validated instrument containing demographic, socioeconomic, health and academic variables; as well as variables of Module C of the Mini International Neuropsychiatric Interview (MINI), version 5.0; of the CAGE (Cut down, Annoyed by criticism, Guilty and Eye-opener) questionnaire; and the Depression, Anxiety and Stress Scale (DASS-21). Descriptive and multiple statistical analysis was performed using the Poisson regression model, with a significance level of 5%. Results: 40.8% prevalence of current suicide risk. The following variables were associated to current suicide risk: age > 30 years old (p=0.029), absence of faith (p=0.015), depression (p<0.001) and anxiety (p=0.018) symptoms, use of psychotropic drugs during the course (p<0.001), not having a meaningful and inspiring academic work (p=0.013), not having a good relationship with colleagues from the postgraduate school (p=0.033), having family relationship impaired by the demands of the postgraduate school (p=0.036) and concern about the financial situation (p=0.048). Conclusion: a high prevalence of current suicide risk was identified among postgraduate students, as well as a significant association of this risk with demographic, socioeconomic, academic and health variables.

scholarly journals Factors associated with suicide ideation of healthcare university students

2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Girliani Silva de Sousa ◽  
Barbara Moreira Duarte Ramos ◽  
Luis Antônio Batista Tonaco ◽  
Amanda Márcia dos Santos Reinaldo ◽  
Maria Odete Pereira ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Service Management ◽  
Suicide Ideation ◽  
Education Institution ◽  
Cross Sectional Study ◽  
Language Therapy ◽  
Cross Sectional ◽  
Factors Associated ◽  
Symptoms Of Depression ◽  
High Prevalence

ABSTRACT Objectives: to analyze the factors associated with suicidal ideation in students from healthcare graduation courses. Methods: quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire. Results: the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times. Conclusion: the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.

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