scholarly journals Prevalence and Predictors for Depression among Medical Students during Coronavirus Disease-19 Pandemic: A Cross-sectional Study

2021 ◽  
Vol 9 (E) ◽  
pp. 1454-1460
Author(s):  
Shereen Esmat ◽  
Abeer Attia ◽  
Eman Elhabashi

BACKGROUND: Since the declaration of the World Health Organization of the coronavirus (SARS-COV-2) as a pandemic, several countries have locked down and quarantined their residents with restrictive procedures to control spread of the disease. Due to pandemic related stressors, concerns and worries have developed regarding negative psychological impact on the mental well-being of the general population, particularly those known to have higher levels of psychological impairment with high vulnerability to mental health diseases such as medical students. AIM: The objectives of the study were to assess the prevalence of self-reported depression and to explore its predictors during the period of Coronavirus Disease 2019 first lock down among medical students. METHODS: This was a cross-sectional study design. The study was conducted at Kasr Alainy Medical School, Faculty of Medicine, Cairo University, Egypt, in June 2020. A simple random sample was picked of one subgroup of 4th year medical students (No. = 300) at faculty of medicine during the academic year 2019–2020. Self-administered questionnaires including Beck’s Depression Inventory scoring were distributed using Google form through communication social media such as WhatsApp. RESULTS: Out of the 300 participants, 238 responses were received with response rate 79.3%. Results indicated that 38.2% of the respondents were experiencing depression with different degrees with Beck’s Depression Inventory mean scores was 19.4 ± 11.6. Multiple logistic regression analysis point out that gender (odds ratio [OR] = 2.4 and p = 0.022) and “Good” grade level of academic performance (OR = 7.2 and p = 0.045) are significant predictors for developing depression among the participating medical students. CONCLUSION: A significantly high prevalence of depression is detected among medical students during the first wave of the SARS-COV-2 pandemic. The prevalence of depression is more among females than males and more with medical students achieving “Good” grade level.

2020 ◽  
Author(s):  
Lina Zhao ◽  
Kristin Sznajder ◽  
Dan Cheng ◽  
Shimeng Wang ◽  
Can Cui ◽  
...  

BACKGROUND Due to the strict nationwide COVID-19 comprehensive protective measures, which included home quarantine, all Chinese medical students began taking online classes beginning in the spring semester of 2020. Home quarantine, online classes, and the stress surrounding the COVID-19 pandemic may have triggered increased mental health problems of medical students. Although there has been an increasing literature on depression among medical students, studies focusing on positive psychological resources such as resilience during the COVID-19 pandemic still need to be expanded. OBJECTIVE The present study aims at assessing depression of medical students taking online classes during the COVID-19 pandemic and investigating the role of coping styles as a mediator between resilience and depression. METHODS A cross-sectional study of 666 medical students with stratified sampling in Shenyang, Liaoning Province in China was completed between March 20th, 2020 and April 10th, 2020. The participants responded to a self-administered smartphone-based questionnaire which included Patient Health Questionnaire (PHQ-9), Simplified Coping Style Questionnaire (SCSQ), and Ego-Resilience scale (ER-89). Hierarchical linear regression and structural equation modeling (SEM) were used in this study. RESULTS The prevalence of depression in the participants was 9.6% in this study. Regression analysis revealed that grade (the year in which the medical student was in their training), how well they adapted to online classes, their levels of resilience, and their coping styles were independent predictors for depression. Resilience and positive coping style were negatively related to depression and negative coping style was positively related to depression. SEM showed that the effect of resilience on depression was partially mediated by coping styles. CONCLUSIONS It was found in the present study the prevalence of depression was slightly low and coping styles mediated the association between resilience and depression among medical students during COVID-19, which was of significant implications for further study. Future studies and interventions are supposed to be aimed at improving resilience and promoting positive coping style.


2020 ◽  
Vol 11 (4) ◽  
pp. 6216-6220
Author(s):  
Rakshana S ◽  
Anantha Eashwar V M ◽  
Ruma Dutta ◽  
Nisha B ◽  
Gomathy Parasuraman ◽  
...  

As defined by the World Health Organisation (WHO), physical activity is any bodily movement produced by skeletal muscles that require energy expenditure. Physical activity is split into exercise and non-exercise physical activity. Physical inactivity is associated with many chronic and non-communicable diseases such as hypertension, type II diabetes mellitus, carcinoma and mental health problems. According to the global statistical report of WHO, around 1.6 million deaths occur annually, and these deaths can be attributed to insufficient physical activity­­. This study would aim to assess the practice of physical activity among medical students and to study the factors associated with physical activity. A cross-sectional study was conducted in a private medical college between January 2020 and March 2020, 444 undergraduate students were included in the study, among which 401 responses were considered valid. A standard international physical activity questionnaire (IPAQ) was used. The data were entered in Microsoft Excel and analysed using Pearson’s chi-square test. The students belonged to 1st year 125(31.2%), 2nd year 128(31.9%), 3rd year 133(33.2%) and 4th year 15(3.7%). Majority of these students 233(58.1%) had an average Body Mass Index (BMI) and 184(45.9%) practised low level of physical activity. In comparison with the level of physical activity, batches(1st year, 2nd year,3rd year, 4th year) and gender(males, females) were significant at p<0.05, but BMI was not significant at p<0.05. Comparing the level of physical activity with the BMI of the students, it can be concluded that the level of physical activity is not associated with BMI.


2019 ◽  
Vol 48 (1) ◽  
pp. 89-99
Author(s):  
Alaa Abdelwahed Shams-Eldin ◽  
Haytham Hassan ◽  
Soliman Amer ◽  
Khaled Kasim

2021 ◽  
Vol 28 (12) ◽  
pp. 1723-1731
Author(s):  
Waseem Sajjad ◽  
Anwisha Samreen ◽  
Syed Asfand Yar Shah ◽  
Afifa Batool ◽  
Muhammad Umair ◽  
...  

Objectives: To determine the prevalence of depression among medical students and its association with various sociodemographic characteristics. Study Design: Cross-Sectional Study. Setting: Nishtar Medical University, Multan. Period: August 2019 to September 2020. Material & Methods: A sample of 315 medical students were chosen by stratified random sampling technique. Patient Health Questionnaire 9 (PHQ-9) was used for screening and assessing the severity of depression. A special questionnaire was designed containing sociodemographic and educational characteristics. Data were collected via online forms and were analyzed using SPSS V26. Results: Out of 315 students, who participated in the study, 134 (42.5%) were female students, and 181 (57.5%) were male students. 63 (20%) students were taken from each academic year from 1st year through 5th year (final year). 64% of the students were suffering from depression. The proportion of students suffering from mild, moderate, moderately severe, and severe depression was 27%, 18%, 11%, and 8% respectively. Depression was more prevalent among female students (73.1%) as compared to male students (58.0%) with a p-value <0.05. Conclusion: Depression is a serious problem for medical students. It was significant among female, preclinical students, living in the home with a family history of depression in financial pressure. It should be sorted out early to make early interventions.


2019 ◽  
Author(s):  
Nishan Babu Pokhrel ◽  
Ramesh Khadayat ◽  
Pratikchya Tulachan

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.


Author(s):  
Sweta Sinha ◽  
Manjula S. Patil ◽  
R. G. Viveki ◽  
Sunanda Halki

Background: World Health Organization (WHO) recognizes depressive disorders as priority mental health disorder of adolescence due to its high prevalence, recurrence, ability to cause significant complications and impairment. Emotional instability resulted in adolescent period make them vulnerable to depression. Depression is one of the under recognized health problem among adolescents. The aim of the study was to explore the prevalence of depression among school going adolescents.Methods: A cross sectional study was conducted among the school going adolescents of urban area of Belgaum, Karnataka. The self-administered questionnaire of Beck's Depression Inventory (BDI) II was used to assess the prevalence of depression. Data was analysed using MS-Excel 2007, SPSS software version 22.0, proportion and chi-square test were applied.Results: The overall prevalence of depression in this study was 62.60%. Association between sex, type of family and socio-economic status was not statistically significant. Mild depression was more prevalent among the adolescents in the present study.Conclusions: We recommend that teachers and parents be made aware of this problem with help of school counsellors so that the depressed adolescent can be identified and helped rather than suffer silently.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027709 ◽  
Author(s):  
Tsi Njim ◽  
Clarence Mvalo Mbanga ◽  
Maxime Tindong ◽  
Steve Fonkou ◽  
Haman Makebe ◽  
...  

ObjectiveBurnout syndrome has been shown to mediate the pathway between job stress and depression. This study aims to assess the relationship between the various components of burnout syndrome and depression; and to determine the contribution of other sociodemographic variables to depression among medical students in Cameroon.DesignA cross-sectional study.SettingThree of the five medical schools in Cameroon with students in both preclinical and clinical levels of studies.ParticipantsThe study included 413 consenting medical students.Primary outcome measureData were collected via a printed self-administered questionnaire. The primary outcome—depression was assessed using the Patient Health Questionnaire–9 (PHQ-9). Burnout was assessed using the Oldenburg Burnout Inventory. Multivariable linear regression was used to identify independent correlates of depression.ResultsThe overall prevalence of depression (PHQ-9 >4) and major depressive disorder (PHQ-9 >9) in these students was 66.34% and 23.00%, respectively. After multivariable linear regression analysis, four variables—total OLBI (beta=0.32; 95% CI 0.22 to 0.42; p<0.001); number of children (beta=−2.26; 95% CI −3.70 to –0.81; p=0.002); occurrence of a life-changing crises (beta=1.29; 95% CI 0.13 to 2.45; p=0.029) and presence of a chronic illness (beta=3.19; 95% CI 0.96 to 5.42; p=0.005) significantly predicted depression in these students and explained 32.4% of the variance (R2=32.4, F[14, 204]=6.98, p<0.001). The emotional exhaustion component (R2=17.4, F[1, 411]=86.39, p<0.001) explained more of the variance in depression than the disengagement component (R2=6.1, F[1, 411]=26.76, p<0.001) of burnout syndrome.ConclusionThe prevalence of depression among medical students in Cameroon is high. It is important that correlates of depression are identified early in medical students to limit progress to depression.


Author(s):  
Farzana Hamid ◽  
Syed Ahmad Moosa ◽  
Syed Moosa M.A. Quaium ◽  
A. K. Fazlul Haque

Background: Depression is not uncommon among medical students all over the world. Few studies have been conducted so far in Bangladesh to depict its actual prevalence and severity. So, the aim of this study was to assess the severity of depression and the level of difficulty faced by medical students in different academic years.Methods: This cross-sectional study was conducted in North East medical college of Bangladesh from January 2018 to June 2018 involving 443 students from 1st year to 5th year. Students were instructed to fill up the patient health questionnaire (PHQ-9) which incorporates diagnostic and statistical manual of mental disorders (DSM-IV) depression diagnostic criteria categorized as no, mild, moderate, moderately severe, and severe depression and also evaluates their level of function.Results: The prevalence of depression was quite high (79.68%). 196 (44.24%) and 157 (35.44%) students had mild and major depression respectively, while 90 (20.32%) showed no depression. Students with major depression were scored as moderate depression 24.38%, moderately severe depression 8.35%, and severe depression 2.71%. Moderate depression was significantly higher in year 1 and year 2 students in comparison to year 3, 4 and 5. Students from year 1 to year 5 with mild, moderate, moderately severe and severe depression experienced varying degree of difficulty in their daily activities. Almost all the students in all years with severe depression found themselves very difficult or extremely difficult to cope.Conclusions: High prevalence of depression among medical students is really alarming and underlying factors need to be addressed.


2020 ◽  
Author(s):  
Edmund Ndudi Ossai ◽  
Irene Ifeyinwa Eze ◽  
Rejoice Chinecherem Onyenakazi ◽  
Elias Ifeyinwa Ugebe ◽  
Basil C Eze ◽  
...  

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.


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