Assessment of depression, anxiety and stress among first year MBBS students of a public medical college, Bangladesh

Medical students confront significant academic, psychosocial and existential stressors for coping with new college and schedule,. So assessment of the symptoms of depression, anxiety and stress among medical students are essential to take necessary steps to treat or prevent any psychiatric morbidity. The objective of the study was to assess depression, anxiety and stress among the first year MBBS students. This was a cross sectional and descriptive study conducted in Khulna Medical College, Bangladesh from December 2009 to July 2010. For this purpose, 105 students fulfilling inclusion and exclusion criteria were taken as sample. They filled up personal data and the short-form Bangla version of DASS (DASS-21 BV) scale. The results showed that, the mean age of students was 18.8 years with male predominance (54.3%). Symptoms of depression, anxiety and stress were found among 54.3%, 64.8% and 59.0% of students respectively. Eighty five (81%) students either had depression, anxiety or stress alone or in combination. Combination of depression, anxiety and stress was highest (36.2%). No significant association was found between gender difference and depression, anxiety or stress. Age was positively correlated with depression (p=0.004) and stress (p=0.001). Percentage of 1st year MBBS students suffering from depression, anxiety and stress were very high. Adequate psychiatric services should be provided to manage these symptoms among medical students.Bang J Psychiatry June 2015; 29(1): 23-29

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Translation of DASS 21 into Bangla and validation among medical students

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v28i2.32740 ◽

2017 ◽

Vol 28 (2) ◽

pp. 67-70 ◽

Cited By ~ 16

Author(s):

SM Abu Hena Mostafa Alim ◽

Syed Mahbub E Kibria ◽

Md Jahurul Lslam ◽

Md Zahir Uddin ◽

Meherun Nessa ◽

...

Keyword(s):

Medical Students ◽

Psychiatric Morbidity ◽

Sampling Technique ◽

Cross Sectional Study ◽

Short Version ◽

Cross Sectional ◽

Medical College ◽

Symptoms Of Depression ◽

Standard Scale ◽

Depression Subscale

Standard scale to assess the symptoms of depression, anxiety and stress among MBBS students are essential to take necessary steps to treat or prevent any psychiatric morbidity. But there was no such convenient tool in Bangla to measure the stated symptoms. With an objective to obtain a convenient scale to measure severity of above symptoms, short version of Depression Anxiety Stress Scales (DASS 21) was translated into Bangla and the study was carried out to validate this Bangla version with permission from the author of the original instrument. Two translations and back translations were carried out. A harmonized version was produced after meetings by persons involved in translation process in meetings. After pretesting on ten students and reviewing by panel of experts, finalized Bangla version of DASS 21 (DASS 21 -BV) was obtained. A cross sectional study was carried out among MBBS students of Pabna Medical College, Pabna using purposive sampling technique to validate this scale. They were given both Bangla and English version of the scale 3 to 7 days apart. Analysis was done on 15 samples. Correlation for depression subscale was 0.976, anxiety subscale was 0.917 and stress subscale was 0.931. Correlation was significant at the 0.01 level (2-tailed). Cronbachs Alpha for Depression, Anxiety and Stress subscales were 0.987, 0.957, 0.964 respectively. This Validated Bangla version of DASS 21 can be used to measure severity of depression among medical students and persons having similar academic background treatable.Bang J Psychiatry Dec 2014; 28(2): 67-70

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Perception of Peer learning, as an innovative learning strategy among first year medical students lacking senior guidance.

The Professional Medical Journal ◽

10.29309/tpmj/2020.27.09.4294 ◽

2020 ◽

Vol 27 (09) ◽

pp. 1895-1901

Author(s):

Ahmed Murtaz Khalid ◽

Noman Sadiq ◽

Aiman Farogh Anjum ◽

Iffat Naiyar Hashmi ◽

Misbah Aslam ◽

...

Keyword(s):

Medical Students ◽

Learning Strategy ◽

Peer Learning ◽

Cross Sectional Study ◽

First Year ◽

Cross Sectional ◽

Self Reflection ◽

Medical College ◽

Innovative Learning ◽

First Year Medical Students

Objectives: To know the perception of peer-learning among first batch of 1st year medical students in CMH Kharian Medical College. Study Design: Cross-Sectional study. Setting: CMH Kharian Medical College. Period: June 2018 and September 2018. Material & Methods: Questionnaire was distributed among hundred first year medical students on self-reflection and feedback after 15 min power point presentation given by their fellow students based on different pathophysiological scenarios. Results: Out of 100 students, 85 filled out questionnaire form completely. 60% of students were of the opinion that peer-learning facilitated them to perform better in the exam, and can be continued for future batches. 50% of students agreed that this innovative learning modality was conducted in a systematic manner, helped them to improve their understanding of the subject and learning was fostered based on the principles of self-reflection and feedback. Problem solving ability was improved by peer learning format according to 49% of students, while 47% of students reported that this innovative learning strategy provided them with a tool to improve their learning through interaction, while research capabilities of 37% students were improved. Conclusion: Majority of first year medical students lacking senior guidance learned better in a comfortable environment from their peers, and improved understanding of the core subject by realizing the implication of the concept of self-reflection and feedback.

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Smoking Pattern in Students of a Selected Medical College in Bangladesh

Journal of Enam Medical College ◽

10.3329/jemc.v6i3.29682 ◽

2016 ◽

Vol 6 (3) ◽

pp. 152-156

Author(s):

Rukhsana Parvin ◽

Noortaj Begum ◽

Md Aminul Haque Khan

Keyword(s):

Medical Students ◽

Cross Sectional Study ◽

First Year ◽

Health Consequences ◽

Cross Sectional ◽

Medical College ◽

Stop Smoking ◽

Smoking Pattern ◽

Quitting Smoking ◽

Continue Smoking

Background: Smoking is a recognized harmful factor for general health. The prevalence of smoking is gradually increasing among the young people. Medical students are also vulnerable in this arena. Worldwide studies revealed that students start and continue smoking during their school and college periods.Objectives: To determine the current tobacco use among medical college students and to find out the risk factors associated with smoking and also to assess the knowledge of students regarding smoking.Materials and Methods: This cross-sectional study was conducted among medical students of different educational levels (first year to fifth year) in Enam Medical College, Savar, Dhaka during the period January to March 2012. An anonymous, pretested, selfadministered study questionnaire was distributed among the subjects. Data collected included smoking habits, demographic factors such as age, gender, parents occupation and monthly income. Study subjects were categorized as smokers, non-smokers and ex-smokers. Smoking-related knowledge was assessed and opinion regarding cessation of smoking was documented. The data were entered into the computer and statistical analyses were done using GraphPad Prism version 6.01.Results: Among the study subjects 290 were male and 202 were female. There were 79 (27.24%) smokers, 199 (68.62%) non-smokers and 12 (4.13%) ex-smokers among male and 197 (97.52%) non-smokers, 4 (1.98%) smokers and 1 (0.49%) ex-smoker in female. Regarding age, 196 (39.83%) students were below 20 years of age and 296 (60.16%) were more than 20 years of age. Most of the smokers (43.37%) are from affluent families. Influence of friends (44.57%) is the major reason of smoking followed by depression (27.71%). About 37.34% smokers have family members who are currently smoking. Regarding quitting smoking, 66% intended to stop smoking. The reasons for no intention to stop smoking include lack of incentive followed by addiction. There are significant differences among study subjects regarding smoking related knowledge.Conclusion: Even medical students are not fully aware of health consequences due to smoking and this lack of knowledge may lead to increase the number of smokers among students. Appropriate anti-smoking measures should be taken to create awareness about smoking and its health consequences and to reduce the incidence of smoking among the students.J Enam Med Col 2016; 6(3): 152-156

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Knowledge of antimicrobial resistance among undergraduate medical students in a medical college of Gujarat: institution based cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180263 ◽

2018 ◽

Vol 5 (2) ◽

pp. 754

Author(s):

Krutarth R. Brahmbhatt ◽

Amul B. Patel

Keyword(s):

Medical Students ◽

Antimicrobial Resistance ◽

Knowledge Score ◽

Cross Sectional Study ◽

Sectional Study ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

Medical College ◽

Adequate Knowledge ◽

The Mean

Background: Antimicrobial-resistant organisms are spreading worldwide, and the pipeline for new antimicrobials remains meager. The next generation of doctors must be better prepared to use antimicrobials more sparingly and appropriately.Methods: A cross-sectional study was conducted among undergraduate medical students of GMERS Medical College Junagadh from January to May 2017. Self-administered structured close ended questionnaire in English was used. Pearson’s correlation co-efficient, t test and ANOVA were used as tests of significance.Results: Total 130 students participated in the study. Participation of females (48.5%) and males (51.5%) was almost equal. Almost 60% participants had adequate knowledge about antimicrobial resistance. The mean antimicrobial resistance knowledge score of participants was 22.7 (SD: ±5.27, min: 8, max: 37).Conclusions:Important finding of the study was that just one forth of the participants agreed that information they have received so far in medical course regarding antimicrobial resistance is adequate. The budding doctors should receive correct, adequate information regarding antimicrobial resistance.

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Assessment of factor affecting performance of undergraduate medical students at GMERS medical college, Dharpur-Patan, North Gujarat, India: a cross sectional and descriptive study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192142 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2363

Author(s):

Jatinkumar Amaliyar ◽

Krunal Modi

Keyword(s):

Medical Students ◽

Multiple Stressors ◽

Early Stage ◽

Psychiatric Morbidity ◽

Descriptive Study ◽

Lecture Hall ◽

Undergraduate Medical Students ◽

Chi Square ◽

Cross Sectional ◽

Medical College

Background: Undergraduate medical education in India and many developing nations is facing new challenges today. Multiple stressors including academic burden, parental pressure and even psychological ailments affect medical students. Depression, burnout and stress are commonly seen in medical students. This increases psychiatric morbidity and affects performance. This study was conducted to extract the factors which are important factors for the effective learning of students and influences their performance during curriculum.Methods: This cross sectional and descriptive study was carried out among 100 MBBS student of 2015 of GMERS medical college, Dharpur-Patan during March to April 2018. Students were administered pre-designed and structured questionnaire after obtaining their informed consent while seated in the lecture hall. Responses of questionnaires were analyzed with Epi Info 7.0 and MS Excel. Frequencies and percentages were calculated and Chi-square test was applied to find out significance.Results: Most important factors which were affecting students’ performance in our study were language problems, competent teachers, social media and campus environment. 70% students have no issue with financial status. Majority students prefer self study.Conclusions: Identification of hidden factors affecting academic performance is very important in very early stage so they can perform better in their study in future. Language, hostel environment, teachers’ attitude towards students etc are also certain important factors which help students to perform better in curriculum.

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A study on awareness of health effects of tobacco consumption among medical students and impact of modular training

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183598 ◽

2018 ◽

Vol 5 (9) ◽

pp. 4077

Author(s):

Sajjan Madappady ◽

Hemant Kumar ◽

S. Jayaram ◽

Krutarth Brahmbhatt ◽

Manjula Anil ◽

...

Keyword(s):

Medical Students ◽

Tobacco Consumption ◽

Cross Sectional Study ◽

First Year ◽

Cross Sectional ◽

First Year Students ◽

Medical College ◽

Specific Effects ◽

Quit Smoking ◽

Second Year

Background: Tobacco kills more than seven million people each year. In India tobacco kills nearly one million people each year and many of these deaths occur among people who are very young. Studies indicate that approximately 70% of all tobacco users would like to quit smoking and tobacco use.Methods: A non-randomized, cross sectional study was conducted in a Medical College in Mangaluru (Karnataka) which included medical students from first year to third year. A module developed by “Quit Tobacco International” was used for the purpose of training and counselling the selected medical students, focusing on the specific effects of tobacco, depicting simulated case scenarios.Results: A total of 404 medical students were included in the study. It was observed that 15.9% males and 5.3% females among first year students, 21.0% males and 5.3% females among second year students and 24.6% males and 9.2% females among third year students had smoked at some point in their life while the among current users, the prevalence of smoking was found to be much higher i.e. 8.7% and 2.6% among first year students, 9.9% and 3.5% among second year students; while it as highest among third year students i.e. 14% and 4.6%; among boys and girls respectively.Conclusions: The study brings out the need for inclusion of structured teaching and training of our medical students on harmful effects of tobacco use and its cessation techniques.

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Empathy variation of undergraduate medical students after early clinical contact: a cross-sectional study in China

BMJ Open ◽

10.1136/bmjopen-2019-035690 ◽

2020 ◽

Vol 10 (7) ◽

pp. e035690

Author(s):

Xiong Ye ◽

Haiying Guo ◽

Zhou Xu ◽

Hui Xiao

Keyword(s):

Medical Students ◽

Early Stage ◽

Teaching Hospitals ◽

Secondary Outcome ◽

First Year ◽

Long Term Effects ◽

Undergraduate Medical Students ◽

Cross Sectional ◽

The Mean ◽

Second Year

ObjectivesEmpathy education is very important for medical students. There is little research on the influence of early clinical practice on the development of empathy and other aspects of professionalism in medical students. The aim of this study was to compare the self-reported empathy levels of first-year and second-year undergraduate medical students before and after their early clinical contact curriculum.SettingThe study was conducted at the Shanghai University of Medicine & Health Sciences, Shanghai, China.ParticipantsA total of 257 undergraduate medical students participated in the study. The 154 first-year students were studying in 10 community-based teaching hospitals, and the 103 second-year students were studying in 3 university-affiliated hospitals.Primary and secondary outcome measuresPrimary measures: the Jefferson Scale of Empathy—Student version (JSE-S) was compared between students of different sexes and in different academic years before their early clinical contact course. Secondary measures: comparisons were made after they finished the curriculum 3 weeks later.ResultsA total of 219 of 257 students responded (85.21% response rate), and 214 answers could be analysed (135 first-year and 79 second-year students; 120 female and 94 male individuals). No significant differences in the empathy scores before early clinical contact were observed between students of different sexes and in different academic years. After early clinical contact, the mean JSE-S score of the participants was significantly higher than the mean score at the beginning of the curriculum.ConclusionsEmpathy-focused training during early clinical contact can improve the empathetic capacity of undergraduate medical students. Fostering empathetic attitudes among undergraduate medical students is necessary for the early stage of their medical education. Further research is needed on the long-term effects of empathy-focused education in entry-level medical students.

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Experience of Medical Students on Appearing in First Sub Stage of Anatomy

10.53350/pjmhs211581914 ◽

2021 ◽

Vol 15 (8) ◽

pp. 1914-1917

Author(s):

Kanwal Saeed ◽

Muhammad Qasim Muneer ◽

Samar Ashraf ◽

Shamsa Ijaz ◽

Mujtaba Ashal Pal ◽

...

Keyword(s):

College Students ◽

Medical Students ◽

Cognitive Learning ◽

Sampling Technique ◽

First Year ◽

Cross Sectional ◽

Public And Private ◽

Medical College ◽

Significant Difference ◽

Medical Colleges

Background: Higher level of stress experienced by medical students has been found to have a negative effect on their cognitive learning. The first year MBBS student have to face the challenge of higher standards of course work and examination as compared to his previous school and college coursework. Moreover, student from rural background and living in hostel has to face additional challenges of coping with homesickness, hostel related and many financial problems. Aim: To determine the experience and feelings amongst First year MBBS students to the first sub stage in anatomy in different public and private medical colleges of Punjab. Method: A descriptive cross-sectional study was conducted at Allama Iqbal Medical College, Lahore. A sample of 275 students of First year MBBS class were selected from both public and private sector of medical colleges in various cities of Punjab through convenience sampling technique. A self-administered structured questionnaire was prepared for data collection and distributed amongst First Year MBBS students. Data was entered and analyzed using SPSS 21. Results: The result of the study showed that 53.8% of First Year MBBS students were nervous before the first substage. Results of the study also showed that hostelites and females students were more nervous and these findings were statistically significant. Also our study showed that government medical college students were better prepared for their substage as compared to private college students and there is statistically significant difference between them (p < 0.00). Conclusion: Majority of First year MBBS students (58%) are facing increase level of stress during their first substage. Statistically significant higher stress levels are observed among females, hostellites. Keywords: First Year MBBS, Experience, Stress, First substage

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Assessment of the relationship between self-esteem and academic score of undergraduate medical students of Azad Kashmir, Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.01549 ◽

2021 ◽

Vol 71 (11) ◽

pp. 2641-2644

Author(s):

Arslaan Javaeed ◽

Farah Khan ◽

Nadia Sajjad ◽

Sadia Azam Khan ◽

Sanniya Khan Ghauri

Keyword(s):

Academic Performance ◽

Medical Students ◽

Self Esteem ◽

Undergraduate Medical Students ◽

Questionnaire Response ◽

Cross Sectional ◽

Medical College ◽

The Mean ◽

Azad Kashmir ◽

The Relationship

Objective: To assess the relationship between self-esteem and the academic score of undergraduate medical students of Azad Kashmir, Pakistan. Methods: This cross-sectional observational study was performed from June 2018 to June 2019. The study area was Poonch Medical College, Azad Kashmir. The data collection tool was well-verified and widely used Rosenberg self-esteem scale. The study questionnaire was electronically distributed to all Bachelor of Medicine and Surgery students on the Poonch Medical College. The total student was 500 and out of the 253 completed and submitted the questionnaire (response rate of 50.6%). Results: The mean academic score of all students was 66.61 ± 5.42 and the mean RSE score was 28.66 ± 3.98. A statistically significant correlation was not found between age, academic score, and RSE score. Female students had slightly higher academic performance scores and RSE scores compared to the male students, but this difference was not statistically significant. Conclusion: This study did not reveal any significant relationship between academic score and self-esteem of undergraduate medical students. However, both academic scores and self-esteem can be further improved. Future studies are invited to find out the other factors responsible for better academic performance. Keywords: RSE scale, academic performance, medical student, Pakistan Continuous...

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Assessment of awareness about cardiovascular diseases risk factors amongst first year medical students

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20185053 ◽

2018 ◽

Vol 6 (1) ◽

pp. 105

Author(s):

Udaykiran Bhalge ◽

Bhaskar Gaikwad ◽

Pramod Kulkarni ◽

Anant A. Takalkar ◽

Mukund D. Bhise

Keyword(s):

Risk Factors ◽

Medical Students ◽

Cardiovascular Diseases ◽

Salt Intake ◽

Positive Family History ◽

Cross Sectional Study ◽

First Year ◽

Cross Sectional ◽

Medical College ◽

First Year Medical Students

Background: There are several risk factors contributing to cardiovascular diseases, such as age, gender and ethnicity. Positive family history being overweight and obese is also additional risk factors. Other, life style factor that contribute to hyper tension are smoking, stress cell phone use and physical inactivity, consumption of alcohol, increase salt intake reduce potassium intake. The objective of the study was to assess the awareness about cardiovascular diseases risk factors amongst first-year medical students.Methods: A cross-sectional study was carried out amongst 136 first-year medical students of MIMSR Medical College, Latur, Maharashtra during the period of December 2017 to May 2018. A self-administered, pre-tested structured questionnaire was used to obtain information about awareness of cardiovascular diseases risk factors including diet, physical activity, smoking, and alcohol habits from the study subjects.Results: The study subjects were 136 first-year medical students belonging to 18–23 years age group. There was good awareness about high fat food, high sugar intake, smoking and alcohol consumption as cardiovascular diseases risk factors.Conclusions: There is good awareness about cardiovascular diseases risk factors among first-year medical students.

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