scholarly journals Comparison of Cognitive-Affective Symptoms of Depression Between Cases of Low and High Suicidal Ideation in Medical Students

2019 ◽  
Vol 10 (1) ◽  
pp. 53-57
Author(s):  
Nuzhat Aisha Akram ◽  
Nazia Jameel ◽  
Bushra Iftikhar ◽  
Tahira Assad ◽  
Farhan Muhammad Qureshi

Objective: To compare the severity of cognitive, affective and somatic symptoms of depression between two samples of medical students with high and low suicidal ideation using Beck Depression Inventory Study Design and Setting: This is a cross sectional study conducted in public and private medical colleges in Karachi from September-December 2018. Methodology: A total of 150 normal healthy students with 75 each from public and private medical colleges in Karachi were sampled through purposive sampling technique. Beck depression inventory (BDI) with twenty one items for depressive symptoms was used. Suicidal ideation was assessed using item 9 of BDI and participants were identified as having high and low suicidal ideation. Remaining twenty items of BDI were categorized as affective, cognitive and somatic symptoms of depression. Severity of each symptom was assessed through BDI score on a 4-point scale. Hypothesis testing for difference in BDI scores of depressive symptoms between high and low suicidal ideation cases was performed through independent sample t tests. Result: BDI showed significantly higher suicidal ideation in public medical colleges’ students. Cases with high suicidal ideation showed higher prevalence of five cognitive (past failure, feeling guilty, self-image, feeling of being punished, crying spells), four affective (sadness, irritability, decision making, self-dislike) and one somatic (physical health) symptoms of depression. Conclusion: Significant higher prevalence of affective and cognitive symptoms of depression was found among cases of higher suicidal ideation

2021 ◽  
Vol 11 (1) ◽  
pp. 69-77
Author(s):  
THAÍS CAMPELO BEDÊ VALE ◽  
LÍVIA RODRIGUES DE ARAÚJO ◽  
VITÓRIA NUNES MEDEIROS ◽  
JOSÉ HÍCARO HELLANO GONÇALVES LIMA PAIVA ◽  
TATIANA PASCHOALETTE RODRIGUES BACHUR ◽  
...  

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.


2021 ◽  
Vol 71 (2) ◽  
pp. 512-16
Author(s):  
Muhammad Akram Saeed ◽  
Soufia Farrukh ◽  
Wajahat Hussain ◽  
Samina Badar ◽  
Arif Ahmed Zaidi ◽  
...  

Objective: To determine the frequency of academic misconduct among students of medical colleges affiliated with University of Health sciences in Punjab. Study Design: Cross-sectional analytical study. Place and Duration of Study: Different public and private sector medical colleges in Punjab affiliated with University of Health Sciences, from Jan 2018 to Dec 2018. Methodology: Sample size calculated at 95% level of confidence, 1% required precision and 4.7% 6 anticipated population proportion was 1721. However, to increase the validity of study it was taken as 2000. Multistage stratified random sampling technique was used to select the study subjects. Information was collected on a self-administered questionnaire containing the common trends of academic misconducts. Data was entered and analyzed through SPSS version 22. Results: Total 2000 students were enrolled in the study with equal participation from public and private sector. Mean age of the respondents was 21.82 ± 1.82 years. Overall frequency of academic misconduct was high i.e. 1928 (96.4%). The most frequent academic misconduct was “asking friend to mark the proxy (84.45%)” and the least frequent reported misconduct was “using cell phone for exchange of answers (14.25%).” The difference of academic misconduct among students of public and private sector medical college students was significant (p<0.001). The academic misconduct was also significantly different (p=0.005) among students from rural and urban residential backgrounds. Conclusion: Academic misconduct was found a serious problem among medical students studying in public and private sector medical colleges of Punjab, Pakistan.


2021 ◽  
Vol 15 (8) ◽  
pp. 1914-1917
Author(s):  
Kanwal Saeed ◽  
Muhammad Qasim Muneer ◽  
Samar Ashraf ◽  
Shamsa Ijaz ◽  
Mujtaba Ashal Pal ◽  
...  

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


2022 ◽  
Vol 9 (1) ◽  
pp. 9-14
Author(s):  
Almas Khattak ◽  
Rabia Khattak ◽  
Maria Mufti ◽  
Haseeba Mukhtar

OBJECTIVES: To assess undergraduate medical students’ knowledge of and their attitudes towards primary healthcare and to compare the knowledge and attitudes of students in public and private medical colleges as well as between different demographic groups of students. METHODOLOGY: A descriptive cross-sectional survey was conducted in public and private medical colleges after an ethical approval was granted. Data was collected from 201 undergraduate medical students through a validated (by Chalmers et al. 1997) Primary Health Care Questionnaire (PHCQ) utilizing an online data collection platform of Google Forms. The link to Google Form was distributed via emails and social media links of participating colleges. Data was exported from Google Form into SPSS version 24 and analyzed. RESULTS: The total knowledge score of students ranged from 8 to 17 with the mean knowledge score of 12.62 (SD: 1.398). The total attitude score ranged from 59 to 82 for all the participants with the mean attitude score of 71.12 (SD=4.382). Comparison of knowledge scores showed higher scores in females than males (p=0.004), and significantly higher attitudes scores among private medical students than public (p=0.037). CONCLUSION: Medical students’ gender and setting of their medical studies showed significant influence on their knowledge of and attitudes towards primary healthcare.  


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G Lo Moro ◽  
F Bert ◽  
E Olivero ◽  
P Rossello ◽  
A Corradi ◽  
...  

Abstract Background A high prevalence of mental illnesseshave been detected in medical students (MS) during college. The aim of this study was to evaluate depressive symptoms (DS) and suicidal ideation (SI) in MS and estimate factors that can influence these conditions. Methods In November 2018 a cross-sectional survey was conducted at the School of Medicine of Turin, Italy. The questionnaire consisted of a 30-item sociodemographic part and 3 psychometric tests, including the Beck Depression Inventory II (BDI-II). Overall, 506 surveys were collected. Multivariable logistic regressions were performed mainly. The significance level was p ≤ 0.05. Results Females were 65% and median age was 22 (IQR 19-24). Median BDI-II score was 9 (IQR 4-15). Presence of DS (BDI-II score&gt;13) and of SI was found in 29% and 15% of the sample, respectively. Preliminary results showed that females (OR 2.03, CI: 1.16-3.56), non-heterosexuals (OR 2.69, CI: 1.49-4-84), participants negative about their college choice (OR 4.79, CI: 2.78-8.26) had a higher risk to report DS. MS who consider unsatisfying their friendships with classmates had a higher likelihood of reporting DS and SI (OR 3.10, CI: 1.16-8.30; OR 2.91, CI: 1.10-7.68, respectively). While the opposite was for those with good economic condition (OR 0.39, CI: 0.16-0.91; OR 0.21, CI: 0.09-0.52, respectively) and those practicing sports more than 90 min/week (OR 0.60, CI: 0.37-0.99; OR 0.47, CI: 0.25-0.89, respectively). Choosing Medicine for profit was related to a higher risk of reporting SI (OR 3.36, CI: 1.43-7.92), having a good family bond to a lower risk instead (OR 0.42, CI: 0.20-0.84). Conclusions Since depression is the leading cause of disability worldwide, it has to be a public health priority in Europe. It is essential to consider MS as at risk and set up interventions to improve factors surrounding them and help them to face difficulties in personal and academic life, without forgetting that they will be the future health professionals. Key messages Females, non-heterosexuals, students negative about Medical School choice and students unsatisfied with their friendships with classmates had a higher risk of reporting depressive symptoms. Students unsatisfied with their friendships with classmates and students who chose Medical School for profit had a higher risk of reporting suicidal ideation.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1059
Author(s):  
MD. SHAHJALAL ◽  
Md Nafiul Alam Khan ◽  
Faroque Md Mohsin ◽  
Shahariar Rokon ◽  
Riaz Rahman ◽  
...  

Background: Imposter syndrome (IS), suffering from self-doubt and fear, despite clear accomplishment and competencies, is often detected in medical students and adversely affects the well-being of the student. This study aimed at assessing the prevalence of IS among public and private medical students in Bangladesh. Methods: This study was a cross-sectional design among medical students in Bangladesh. Data were collected between February to July 2020 through snowball sampling technique across medical colleges in Bangladesh. Relative risk ratios (RRRs) with 95% CI were calculated to investigate the magnitude of association between imposter syndrome exposure and explanatory variables. Results: A total of 500 students participated in this study with approximately 47% and 53% of students studying at public and private medical colleges, respectively. Around 32% of medical students were exposed to IS (47% of public and 53% of private medical college students). Medical students were the most significantly associated with IS for third (RR: 1.487, CI: 1.068-2.071) and fourth-year students (RR: 1.493, CI: 1.043-2.136). Overall, we found that respondents aged 22 to 25 were 3.6% (RR:1.036, CI:0.801-1.339) more likely to be suffering from IS than their younger counterparts. Conclusion: Third and fourth-year medical students, in particular, require more care than others; teachers and authorities should provide them with proper guidance and care, encourage them, and thus grow their self-reliance and confidence.


Crisis ◽  
2020 ◽  
pp. 1-6
Author(s):  
Mohammed Madadin ◽  
Ritesh G. Menezes ◽  
Maha A. Alassaf ◽  
Abdulaziz M. Almulhim ◽  
Mahdi S. Abumadini ◽  
...  

Abstract. Background: Medical students are at high risk of suicidal ideation. Aim: We aimed to obtain information on suicidal ideation among medical students in Dammam located in the Eastern Province of Saudi Arabia. Method: This cross-sectional study was conducted at the College of Medicine affiliated with Imam Abdulrahman Bin Faisal University in the Eastern Province of Saudi Arabia. Suicidal ideation in the past 12 months was assessed based on responses to four questions in the depression subscale of the General Health Questionnaire 28 (GHQ-28). In addition, data were collected to examine the association of suicidal ideation with various factors. Results: We found that 1 in 3 medical students in the study had suicidal ideation in the past 12 months, while around 40% had lifetime suicidal ideation. Suicidal ideation was associated with feelings of parental neglect, history of physical abuse, and dissatisfaction with academic performance. Limitations: The cross-sectional nature of this study limits its ability to determine causality regarding suicidal ideation. Conclusion: These rates are considerably high when compared with rates from studies in other countries around the world. This study provides a reference in the field of suicidology for this region of Saudi Arabia.


2019 ◽  
Vol 2 (2) ◽  
pp. 211-220
Author(s):  
Ahmed Waqas ◽  
Aqsa Iftikhar ◽  
Zahra Malik ◽  
Kapil Kiran Aedma ◽  
Hafsa Meraj ◽  
...  

AbstractObjectivesThis study has been designed to elucidate the prevalence of stress, depression and poor sleep among medical students in a Pakistani medical school. There is a paucity of data on social support among medical students in Pakistan; an important predictor of depressive symptoms. Therefore, this study was also aimed to demonstrate the direct and indirect impact of social support in alleviating depressive symptoms in the study sample.MethodsThis observational cross-sectional study was conducted in Lahore, Pakistan, where a total of 400 students at a medical school were approached between 1st January to 31st March 2018 to participate in the study. The study sample comprised of medical and dental students enrolled at a privately financed Pakistani medical and dental school. The participants responded to a self-administered survey comprising of five parts: a) demographics, b) Pittsburgh Sleep Quality Index (PSQI), c) Patient Health Questionnaire-9 (PHQ-9), d) Multidimensional Scale of Perceived Social Support (MSPSS) and e) Perceived Stress Scale-4 (PSS-4). All data were analysed using SPSS v. 20. Linear regression analysis was used to reveal the predictors of depression.ResultsIn total, 353 medical students participated, yielding a response rate of 88.25%. Overall, poor sleep quality was experienced by 205 (58.1%) students. Mild to severe depression was reported by 83% of the respondents: mild depression by 104 (29.5%), moderate depression by 104 (29.5%), moderately severe depression by 54 (15.3%) and severe depression by 31 (8.8%) respondents. Subjective sleep quality, sleep latency, daytime dysfunction and stress levels were significantly associated with depression symptoms. Social support was not significantly associated with depressive symptoms in the regression model (Beta = -0.08, P < 0.09); however, it acted as a significant mediator, reducing the strength of the relationship between depressive symptoms and sleep quality and stress.ConclusionsAccording to our study, a large proportion of healthcare (medical and dental) students were found to be suffering from mild to moderate depression and experienced poor sleep quality. It is concluded that social support is an important variable in predicting depressive symptomatology by ameliorating the effects of poor sleep quality and high stress levels.


Author(s):  
M. Tasdik Hasan ◽  
Sahadat Hossain ◽  
Rajat Das Gupta ◽  
Vivek Podder ◽  
Naima Afroz Mowri ◽  
...  

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