Depression, its correlates and quality of life of undergraduate medical students in the Kumaon region of Uttarakhand state, India

Background: Medical students are future health care providers and experience a lot of stress during their training years. They are more likely to suffer depressive disorders than the general population and have a poorer quality of life. Objectives: To determine the prevalence of depressive disorder, its correlates and quality of life of medical students studying at a medical college in North India. Methods and material: It was a cross sectional study which included all the students enrolled at the study medical college. Data was collected using pre-validated questionnaires namely - 20 item ‘Center for Epidemiologic Studies Depression Scale (CES-D)’, WHO Quality of life (QoL) – BREF questionnaire and ‘Smartphone Addition Scale - Short version’ (SAS-SV) questionnaire to assess for depression, quality of life and smartphone addiction respectively which was distributed in the classroom to be filled. Multivariate logistic regression was employed to ascertain association between depression and the other variables. Results: The study had an effective response rate of 79%. Using a score of 16 or above as cut-off on CES-D scale145 study participants (36.7%) were found to be depressed. Participants who negatively compared themselves with their peers/friends and also those who were addicted to smartphone were significantly more likely to be depressed [1.85(1.12-3.05) and 1.96 (1.29-2.97) respectively]. We report a statistically significant negative relationship between physical domain score [0.97(0.95-0.99)], psychological domain score [0.95(0.93-0.97)] and social relationship domain score [0.97(0.95-0.99)] on BREF Quality of life questionnaire and the presence of depression among the study participants. Conclusion: The prevalence of depression among medical students was high and those with depression have significantly poor quality of life.

Download Full-text

Health-Related Quality of Life of Medical Students in a Chinese University: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16245165 ◽

2019 ◽

Vol 16 (24) ◽

pp. 5165 ◽

Cited By ~ 3

Author(s):

Yanli Qiu ◽

Mingkang Yao ◽

Yiwei Guo ◽

Xiaowei Zhang ◽

Shuoyang Zhang ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Impact Factors ◽

Health Related Quality ◽

Effective Response ◽

Chinese University ◽

Sf 36 ◽

Related Quality ◽

Health Related

Thus far, there have been no studies adapting the Mandarin 36-Item Short Form Health Survey (the SF-36) questionnaire for assessment of the health-related quality of life (HRQOL) of medical students in China. This study aimed to explore the feasibility of that form and analyse its impact factors. The study involved 498 randomly sampled medical students stratified by their academic majors, and general information was collected. The effective response rate was 83.53%. Split-half reliability coefficients and Cronbach’s α coefficients of seven dimensions were more than 0.7 with the exception of the social function (SF) dimension. Spearman’s correlation analysis results were basically in accord with the theoretical construction of the SF-36. The HRQOL of the students was scored from 43.83 (the RE dimension) to 93.34 (the PF dimension). The primary impact factors affecting the HRQOL of medical students included major, sleep quality, degree of physical exercise, post-exercise status, relationship with roommate, and satisfaction with family. These findings suggested that the Mandarin SF-36 was reliable for measuring the HRQOL, that the HRQOL of medical students in a Chinese university was relatively poor, and that its improvement requires concerted efforts.

Download Full-text

Financial burden impact quality of life among Lymphatic Filariasis Patients

10.21203/rs.3.rs-40332/v5 ◽

2021 ◽

Author(s):

Samuel Opoku Asiedu ◽

Alexander Kwarteng ◽

Emmanuel Kobla Atsu Amewu ◽

Priscilla Kini ◽

Bill Clinton Aglomasa ◽

...

Keyword(s):

Quality Of Life ◽

Lymphatic Filariasis ◽

Financial Burden ◽

Pearson Correlation ◽

Well Being ◽

P Value ◽

Life Questionnaire ◽

Financial Condition ◽

Study Participants

Abstract BackgroundHuman lymphatic filarial pathology is the leading cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the disease's morbidity to improve patients' quality of life. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana. MethodIn the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression, and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the LFSQQ instrument domains.ResultsOf the 155 study participants recruited, 115 (74.19%) were females, and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphoedema, while only two patients had stage seven (7) lymphoedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = -0.504, p-value < 0.001) between the stage of lymphoedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain-specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status, was the lowest (45.94) among the study participants. ConclusionOur findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their well-being.

Download Full-text

Prevalence of premenstrual syndrome and dysmenorrhea among medical students and its impact on their college absenteeism

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20201042 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1377

Author(s):

Arshia Syed ◽

Smitha B. Rao

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Premenstrual Syndrome ◽

Somatic Symptom ◽

Medical College ◽

System Diagnosis ◽

College Class ◽

A Prospective Study ◽

Diagnosis Criteria

Background: Dysmenorrhea and premenstrual syndrome are two most common gynaecological problem leading to college absenteeism seen among female medical students. Aim of the study was to evaluate the factors associated and prevalence of dysmenorrhoea and PMS and its effects on the quality of life, particularly absenteeism from college in female medical students. The health care profession has an obligation to provide and to promote education on menstruation and related subjects.Methods: This is a prospective study, conducted on 100 MBBS students studying in a medical college at Mangalore. All participants were given a preformed questionnaire to complete. Dysmenorrhea was assessed based on WaLiDD scoring system. Diagnosis of PMS in the present study was made according to diagnosis criteria proposed by American College of obstetrician and gynecology. The severity of their condition was assessed based on their absenteeism from college/classes.Results: The average age of the participants was 21 year±1 year. The prevalence of dysmenorrhea was 45% and that of the pre-menstrual syndrome was 68%. Pre-menstrual syndrome (p = 0.05) is significantly associated with overweight, obesity and physical inactivity but not the same for dysmenorrhea. 73% and 60% of students consumed junk food suffered from PMS and dysmenorrhea respectively, 40% of students with dysmenorrhea reported limitation of daily activities and significantly associated with college absenteeism (p = 0.005). The most frequent somatic symptom of PMS in this study was breast tenderness (41%) and affective symptom was irritability (35%).Conclusions: Dysmenorrhea and PMS is highly prevalent among female medical students; it is related to college/class absenteeism. Unhealthy and sedentary lifestyle could be the attributing factors which has to be addressed by health education in order to improve the quality of life and academic performance by the medical students.

Download Full-text

Financial burden impact quality of life among lymphatic Filariasis patients

BMC Public Health ◽

10.1186/s12889-021-10170-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Samuel Opoku Asiedu ◽

Alexander Kwarteng ◽

Emmanuel Kobla Atsu Amewu ◽

Priscilla Kini ◽

Bill Clinton Aglomasa ◽

...

Keyword(s):

Quality Of Life ◽

Lymphatic Filariasis ◽

Financial Burden ◽

Pearson Correlation ◽

Well Being ◽

Life Questionnaire ◽

Financial Condition ◽

Severity Of The Disease ◽

Study Participants

Abstract Background Human lymphatic filarial pathology is the leading cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the disease’s morbidity to improve patients’ quality of life. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana. Method In the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression, and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the LFSQQ instrument domains. Results Of the 155 study participants recruited, 115 (74.19%) were females, and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphoedema, while only two patients had stage seven (7) lymphoedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = − 0.504, p-value < 0.001) between the stage of lymphoedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain-specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status, was the lowest (45.94) among the study participants. Conclusion Our findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their well-being.

Download Full-text

The Role of Primary Care in Asthma Control and Severity

Spectrum ◽

10.29173/spectrum67 ◽

2019 ◽

Author(s):

Joel Agarwal ◽

Monette Dimitrov ◽

Kerri MacKay ◽

Alan Kaplan ◽

Donald Cockcroft ◽

...

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Emergency Department ◽

Asthma Control ◽

Primary Care Providers ◽

Care Utilization ◽

Life Questionnaire ◽

Care Providers ◽

Ed Visits

Background: Asthma is a common chronic inflammatory disease of the airways affecting 3 millionCanadians. Primary Care Providers (PCPs) are integral to care coordination, enhanced through thedevelopment of a strong patient-PCP relationship with Continuity of Care (COC). A recent CIHI studynoted that 40% of Albertans do not have a COC model for primary care.Objectives: We aim to evaluate how primary care for adults with asthma impacts different measures ofcontrol.Methods: Prospective population-based recruitment of adults through various community venuesacross Alberta. Those who had self-reported asthma and were willing to participate completed a surveywhich included demographics, comorbidities, medication use (including biologics, allergy medications,steroids), Asthma Control Questionnaire (ACQ-5), Asthma Control Test (ACT), Quality of Life (QoL)measured through the mini-Asthma Quality of Life Questionnaire (mini-AQLQ) and health care utilization(including Emergency Department (ED) visits, hospitalizations and ICU stays for asthma).Results: Of the 1685 individuals approached, 61 (3.6%) reported having asthma, of which 47 lived inAlberta. Most (41, 87%) had a PCP, with 30 (64%) visiting their PCP at least twice a year. Uncontrolledasthma was noted in 21 (45%) with either the ACQ-5 or ACT. The mini-AQLQ indicated 5 (11%) withreduced QoL. Mean lifetime hospitalizations, lifetime Emergency Department (ED) visits, and ICU staysrelated to asthma were 1.52, 4.55 and 0.25 respectively. Further, mean hospitalizations and ED visits inthe past 12 months related to asthma were 0.05 and 0.30 respectively.Conclusions: Asthma control was poor in 21 (45%) surveyed individuals, suggesting sub-optimal asthmamanagement in Alberta. Knowledge of Primary Care Networks (PCNs) was low, while ED and hospitalusage was high.

Download Full-text

Financial burden impact quality of life among Lymphatic Filariasis Patients

10.21203/rs.3.rs-40332/v4 ◽

2020 ◽

Author(s):

Samuel Opoku Asiedu ◽

Alexander Kwarteng ◽

Emmanuel Kobla Atsu Amewu ◽

Priscilla Kini ◽

Bill Clinton Aglomasa ◽

...

Keyword(s):

Quality Of Life ◽

Lymphatic Filariasis ◽

Financial Burden ◽

Pearson Correlation ◽

P Value ◽

Life Questionnaire ◽

Financial Condition ◽

Severity Of The Disease ◽

Study Participants

Abstract Background Human lymphatic filarial pathology is the main cause of disability and poverty among people living with the infection. The second goal of the Global Programme to Eliminate Lymphatic Filariasis (GPELF) is to manage the morbidity associated with the disease with the purpose of improving the quality of life of the patients. Consequently, the current study assessed the overall quality of life of lymphatic filariasis (LF) pathology patients in some selected endemic communities in rural Ghana. Method In the present study, the Lymphatic Filariasis Quality of Life Questionnaire (LFSQQ) was used to evaluate the effect of lymphatic filariasis on the quality of life of people, with the disease in nine (9) communities in the Ahanta West District of the Western Region of Ghana where mass drug administration is being implemented for the past twenty years. Pearson’s correlation, linear regression and one-way analysis of variance (ANOVA) analyses were used to assess the associations between the domains of LFSQQ instrument. Results Of the 155 study participants recruited, 115 (74.19%) were females and 40 (25.81%) males. A greater proportion of the study participants (40, 25.8%) were presented with stage two (2) lymphedema while only 2 patients had stage seven (7) lymphedema. The average of the overall quality of life scores of study participants was 68.24. There was a negative Pearson correlation (r = -0.504, p-value < 0.001) between the stage of lymphedema (severity of the disease) and the quality of life of the LF patients. In addition, a clear pattern of positive correlation (r = 0.71, p-value < 0.001) was observed between the disease burden and pain/discomfort domains of the study participants. Whereas the highest domain specific score (85.03) was observed in the domain of self-care, we noted that the environmental domain, which consists of the financial status was the lowest (45.94) among the study participants. Conclusion Our findings support previous works on the reduced quality of life among lymphatic filariasis patients with pathology. In this study, our results reveal a depressing financial condition among people presenting with late stages of LF pathologies, which eventually reduces their wellbeing.

Download Full-text

Empathy, quality of life and occupational burnout among medical students

Research and Development in Medical Education ◽

10.34172/rdme.2021.021 ◽

2021 ◽

Vol 10 (1) ◽

pp. 21-21

Author(s):

Shoaleh Bigdeli ◽

Seyed Kamran Soltani Arabshahi ◽

Atefeh Zabihi Zazoly ◽

Azam Norouzi ◽

Nahid Ahmadian Yazd ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Ethnic Groups ◽

Simple Random Sampling ◽

T Test ◽

Male Students ◽

Life Questionnaire ◽

Occupational Burnout ◽

Significant Difference

Background: Empathy, quality of life, and occupational burnout are essential factors in medical sciences that affect the physicians’ and patients’ communication. Therefore, the purpose of this study was to investigate the association of these three factors among medical students. Methods: This descriptive correlational study was conducted among medical internship students. Participants were selected by using simple random sampling. The Jefferson Empathy Questionnaire, the WHO Quality of Life Questionnaire, and the Maslach Burnout Questionnaire were used for data collection. Data were analyzed using t test, Kruskal-Wallis, analysis of variance (ANOVA), and Pearson’s correlation coefficient. Results: A total of 167 students completed the questionnaires. The association of empathy and occupational burnout (P=0.005, r=-0.414) and between the quality of life and occupational burnout (P=0.005, r=-0.446) were both significantly negative. Independent t test showed the mean score of occupational burnout was significantly higher in male students than females. It was also significantly higher in married students than single (P<0.05). The results of the KruskalWallis test showed no statistically significant difference among the quality of life of different ethnic groups (P>0.05). One-way ANOVA showed that there was a statistically significant difference between the ethnic groups in terms of occupational burnout (P<0.05) Conclusions: The association of empathy and quality of life with occupational burnout was negative. The highest quality of life was related to older students. Among all of the studied variables, married status, ethnicity, and sex were most associated with occupational burnout where married and male students had the highest burnout.

Download Full-text

Prevalence and Factors Associated With Suicidal Ideation in Medical Students With Migraine

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.683342 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jia-Ming Luo ◽

En-Zhuo Liu ◽

Hao-Di Yang ◽

Cheng-Zhao Du ◽

Li-Jie Xia ◽

...

Keyword(s):

Quality Of Life ◽

College Students ◽

Medical Students ◽

Suicidal Ideation ◽

Sleep Quality ◽

Test Anxiety ◽

Migraine With Aura ◽

Medical College ◽

Anxiety Depression

Background: The association between migraine and suicide ideation has been identified. However, the predictive factors of suicidal ideation are still controversial and whether migraine with aura can serve as an independent associated factor is uncertain. This manuscript studied the association between migraine with aura and suicidal ideation and explored the predictive factors for suicidal ideation.Methods: We surveyed 9,057 medical students and included 579 medical students with migraine into our study population. All students completed the General Situation Questionnaire, the Verified Headache Questionnaire, Hamilton Anxiety Scale (24 items), Hamilton Depression Scale (24 items), 36-item Health Survey Brief (SF-36), Headache Impact Text-6 (HIT-6), Test Anxiety Scale (TAS), and Pittsburgh Sleep Quality Index (PSQI). Suicidal ideation was measured by the Self-rating Idea of Suicide Scale (SIOSS).Results: Out of the 579 migraine medical college students, 562 (age 19.6 ± 1.6; 448 women and 114 men) were included in the final study. The positive rate of suicidal ideation was 13.7%. Compared with students suffering from migraine without aura, those having migraine with aura had higher suicidal ideation (p < 0.015). After adjusting for demographic factors and headache characteristics, migraine with aura was found to be independently associated with suicidal ideation. Other independent associated factors include anxiety, depression, test anxiety, sleep, headache, and quality of life. Among these various factors, high quality of life was found to play a protective role against suicidal ideation.Conclusions: Migraine with aura is independently associated with suicidal ideation. Furthermore, anxiety, depression, text anxiety, poor sleep quality, and headache frequency are associated with suicidal ideation among medical college students with migraine.

Download Full-text

A DESCRIPTIVE STUDY ON QUALITY OF LIFE OF NURSES WORKING IN SELECTED HOSPITALS OF UDUPI AND MANGALORE DISTRICTS KARNATAKA, INDIA

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1703756 ◽

2014 ◽

Vol 04 (02) ◽

pp. 004-011

Author(s):

Tessy Treesa Jose ◽

Sripathy M. Bhat

Keyword(s):

Quality Of Life ◽

Working Hours ◽

Life Questionnaire ◽

Health It ◽

Medical College ◽

Work Related ◽

Government Hospitals ◽

Study Population ◽

Perception Of Quality

Abstract:Quality of life (QOL) is an important dimension of health. It is a subjective term which varies from person to person and depends on each individual's capacity to cope with a situation. It is important to know how satisfied nurses are with their QOL and jobs and what characteristics influence their quality of life. The main aim of this study was to determine the Quality of Life of nurses as measured by WHO Quality of Life questionnaire and to find the association between Quality of Life and selected demographic and work related variables. The study population consisted of 1040 registered nurses working in selected medical college hospitals and government hospitals of Udupi and Mangalore districts during the period of data collection. Purposive sampling was used to select the samples. Data were gathered by administering Background proforma, and scale on Quality of life (WHO QOL-BREF). Median score of QOL of nurses on overall perception of quality of life and health were equal. Significant association was observed between Quality of life and marital status, and monthly income, area of work, working hours and total years of experience.

Download Full-text

The Relationships among Locomotive Syndrome, Depressive Symptom, and Quality of Life in Older Adults Living in Rural Areas

Journal of the Medical Association of Thailand ◽

10.35755/jmedassocthai.2020.08.11149 ◽

2020 ◽

Vol 103 (8) ◽

pp. 796-803

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Depressive Symptoms ◽

Rural Areas ◽

Community Dwelling ◽

World Health ◽

Life Questionnaire ◽

Care Providers ◽

Locomotive Syndrome

Objective: To investigate the relationships among locomotive syndrome, depressive symptoms, and quality of life in older adults living in rural areas. Materials and Methods: The present research was a descriptive cross-sectional study. The sample was 160 community-dwelling older people living in sub-districts under the services of five health promoting hospitals located in Chiang Mai, Thailand. The prospective participants were recruited by Multi-stage random sampling. They had completed instruments, including The Demographic Questionnaire, The 25-question Geriatric Locomotive Function Scale, The 15-item Geriatric Depression Scale, and The World Health Organization Quality of life Questionnaire in Thai Elderly. The data were analyzed using descriptive statistics, Pearson’s production-moment correlation. Results: The four findings revealed that the locomotive syndrome was found in 50% of participants with the cut-point score of 16 (mean 30.98, SD 14.03), while 26.9% of the participants revealed depressive symptoms (mean 7.07, SD 1.98). The participants had a good quality of life 79.4% (mean 105.12, SD 9.03). There was a positive correlation between locomotive syndrome and depressive symptoms (r=0.47, p<0.01). An inverse correlation was found between the locomotive syndrome and quality of life (r=–0.56, p<0.01) and between depressive symptoms and quality of life (r=–0.46, p<0.01). Conclusion: Findings from the present study would be useful for the health care providers to design interventions to promote physical function along with psychological well-being. Keywords: Locomotive syndrome, Depressive symptoms, Quality of life, Older adults

Download Full-text