scholarly journals Prevalence of Depression and Associated Factors among Medical Students in a Southern Nigerian University

2021 ◽  
Vol 13 (12) ◽  
pp. 12
Author(s):  
Uzoechi Eze Chikezie ◽  
Tamaraemumoemi Emmanuella Okoro

INTRODUCTION: Medical students may be vulnerable to depression and other psychiatric morbidity. This study sought to assess the prevalence of depression and associated factors among medical students in Niger Delta University, Bayelsa State, Nigeria. METHODS: Using a self-administered, author-developed questionnaire with adaptations from the Patient-rated version of Mini-International Neuropsychiatric Interview (MINI-PR) and the Depression Anxiety Stress Scale (DASS), data including socio-demographic characteristics, alcohol use/abuse, cigarette smoking, features of depression and anxiety were collected from 243 medical students in this descriptive cross-sectional study over a period of 4months. RESULTS: Of the 243 participants, 52.7% were male, mostly aged 18 to 24 years (67.1%). The incidence of depression, suicidal ideation, alcohol use, and psychoactive substance use as defined by the MINI questionnaire was 30.5%, 14.8%, 14.8%, and 9.9%, respectively. As defined by DASS 21, almost a third suffered different levels of anxiety (29.6%), and less than one-fifth reported different levels of stress (17.7%). Female gender and year of study showed a significant association with the diagnosis of depression (X2=15.75;p–0.008). Living arrangement (X2=11.43;p–0.022), perception of accommodation condition (X2=16.35;p–0.001), academic performance (X2=18.02;p–0.001), and experience of academic failure (X2=5.13;p–0.023) all had a significant relationship with depression among the study population. CONCLUSION: Prevalence of depression among medical students is high; its diagnosis showed a significant association with female gender, year of study, and perception of social and academic factors. Several comorbid psychiatric conditions may coexist with depression among medical students; therefore, the approach to their mental health should be holistic with attention paid to associated factors and psychiatric comorbidities.

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Seyfe Asrade Atnafie ◽  
Niguse Yigzaw Muluneh ◽  
Kefyalew Ayalew Getahun ◽  
Asegedech Tsegaw Woredekal ◽  
Wubayehu Kahaliw

Individuals with substance use disorder are prone to develop different psychiatric disorders. Substance abuse and associated problems are of current global concern that leads to mental health disorders which contributed about 14% of the global burden of the disease. It has become an epidemic in some parts of the African region with adolescents being the main victims of the ill health and social effects of substance use. This study is aimed at assessing the prevalence of depression, anxiety, and stress and associated factors among khat chewers in the Amhara region, 2019. A community-based cross-sectional study was done from February 14 to April 15, 2019. A purposive sampling technique was used to enroll the subjects. Data was collected using the face-to-face interview technique using the Depression Anxiety Stress Scale 21 (DASS-21) questionnaire. Descriptive statistics and bivariate and multivariate logistic regression were used to summarize the results. p value < 0.05 was considered statistically significant. A total of 478 participants were enrolled in the study with a response rate of 94.1%. The overall prevalence of depression, anxiety, and stress was 27.4%, 40.6%, and 18.8%, respectively. Around 43% of the respondents develop dependency from khat chewing. Working in a private sector, being self-employed, being jobless, spending 90 to 180 minutes and more, chewing 51-100 g and more, and chewing khat more than once per week were positively associated with stress. On the other hand, being a private sector worker, being jobless, completing secondary education, earning 1001-5000 ETB per month, chewing khat more than once per week, being khat dependent, and the presence of chronic illness were positively associated with anxiety. History of chronic illness and being khat dependent were positively associated with depression. The prevalence of depression, anxiety, and stress was high among khat chewers in the Amhara region. Special attention has to be given to khat chewers since khat chewing will double the burden of mental illness. Proper awareness and evaluation activities will reduce the impact of the problem.


Author(s):  
Nusrat Bano ◽  
Muhammad Anwar Khan ◽  
Uzma Asif ◽  
Jennifer de Beer ◽  
Hawazen Rawass ◽  
...  

Abstract Objective: To assess the prevalence of depression, anxiety and stress in medical students, and to analyse effects of demographics and nomophobia on depression, anxiety and stress. Method: The descriptive cross-sectional study was conducted at the College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia, from April 1 to May 23, 2019, and comprised male and female medical students aged 19-25 years. Data was collected using a demographic information form, the 21-item depression, anxiety and stress scale and the 20-item nomophobia questionnaire. Data was analysed using SPSS 20. Results: Of the 230 students, 108(47%) were boys and 122 (53%) were girls. The overall mean age was 21.93+1.80 years. Anxiety, depression and stress was reported in 168 (74.6%), 158 (70.2%) and 127 (55.9%) of the students. Extremely severe anxiety, depression and stress were self-reported by 92 (40.9%), 38 (16.8%) and 16 (7.04%) students. There was a significant difference in the distribution of subjects within different levels of anxiety across gender (p<0.05).  Higher anxiety and stress scores were observed in 78 (33.9%) students with severe nomophobia. Differences in the levels of anxiety and stress with regards to type of residence and nomophobia levels were significant (p<0.05). Conclusion: There was high prevalence of depression, anxiety and stress associated with gender, nomophobia levels and residence type. Key Words: Depression, Anxiety, Stress, Medical, Nomophobia.


2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Abdul Hadi Said ◽  
Muhammad Addin Nur Hakim Azmi ◽  
Haziqah Mohd Hanapiah ◽  
Anis Wardati Abdullah ◽  
Mohd Shaiful Ehsan Shalihin

Introduction: Globally, depression is one of the serious problems reported among medical students. Various studies reported that the prevalence of depression among medical students was high due to multiple risk factors. Therefore, this study aimed to measure the prevalence of depression and its associated factors among medical students in International Islamic University Malaysia (IIUM). Materials and Methods: A cross-sectional study was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire using Depression Anxiety Stress Score 21 was distributed during the second semester of the 2018/2019 session. Descriptive statistics were used to measure the prevalence of depression. Chi-square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to determine the association between risk factors and depression. Result: The prevalence of depression was 39% with 10.5% of them were having severe and extremely severe level of depression. Multiple logistic regression analysis showed regular physical activity (AOR=0.64, 95% CI: 0.42-0.98) and Tahajjud prayer practice (AOR: 0.76, 95% CI 0.66-0.88) are two protective factors against depression among medical students. Conclusion: About two out of every five IIUM medical students had depression. Regular physical activity and Tahajjud prayer practised may reduce the risk of depression and should be encouraged.


2018 ◽  
Vol 14 (1) ◽  
pp. 188-195 ◽  
Author(s):  
Mariana Linhares Barbosa ◽  
Bárbara Lopes Rodrigues Ferreira ◽  
Thaís Nunes Vargas ◽  
George Martins Ney da Silva ◽  
Antonio Egidio Nardi ◽  
...  

Objectives: This study aims to identify the prevalence of burnout and associated factors in Brazilian medical students. Methods: In the largest medical school from Central Brazil, the Maslach Burnout Inventory-Student Survey and a socio-demographic questionnaire were adopted in this cross-sectional study. Correlations among the three dimensions of burnout were verified. Results: The evaluation of 399 students revealed a frequency of 12.0% of burnout. Women had a higher rate of burnout (8.0%) than men (4.0%). The fifth period had the higher frequency of burnout (27.1%), while the seventh grade had the lower frequency (2.1%). The students showed high scores only in emotional exhaustion (63.2%). Between the dimensions “emotional exhaustion” and “disbelief” found a significant correlation. Conclusion: The fifth period of the Medicine course and the female gender are the most affected by burnout syndrome and therefore, the preventive actions to reduce stress among medical students should be directed mainly at these higher risk categories. The low burnout rate found in our study can attest that the PBL methodology and medical schools strategically located to meet regional demand may represent strategies for the prevention of burnout among medical students.


2021 ◽  
Vol 70 (4) ◽  
pp. 311-320
Author(s):  
Bárbara Santos Pereira Neres ◽  
Maria Luiza Andrade Aquino ◽  
Vinicius Sousa Pietra Pedroso

ABSTRACT Objective: Depression and suicidal behavior have been described as major problems among medical students. The aim of this study was to assess the prevalence of depression and suicidal behavior among medical students of an institution and to investigate possible associated variables. Methods: The authors carried out a cross-sectional study through a self-administered questionnaire, including the Beck Depression Inventory (BDI) and the Beck’s Suicide Intent Scale (BSIS) instruments. The diagnosis of depression was based on an instrument adapted according to the DSM-IV and ICD-10 criteria. Logistic regression was performed to search for depression predictor variables. Results: In a total of 381 students, the prevalence of depression was 27.6%. Suicidal ideation of moderate to severe intensity was observed in 10.5% of the sample. About 6% of students had previously attempted suicide. Consumption of licit and illicit drugs was frequent among the participants, reaching 78% and 24% of the sample, respectively. The demand for specialized treatment was lower than expected among students with depression. Logistic regression revealed that female gender, reduced interpersonal contact with friends, reduced physical activity, difficulty in facing new situations and high perception of personal pressure were risk factors for depression. Conclusion: The prevalence of depression and suicidal behavior among medical students is higher than in the general population. There is a need for further studies to enable a better understanding of the risk factors and variables at play, which is fundamental for the development of early intervention strategies and support for students.


2020 ◽  
Vol 20 (3) ◽  
pp. 1416-1425
Author(s):  
Wafaa Ihab Hafez Elsawy ◽  
Aida Aly Reda Sherif ◽  
Medhat Salah El Din Attia ◽  
Nessrin Ahmed El- Nimr

Background: Depression is a common illness worldwide with high rate among medical students. The objectives were to estimate the prevalence of depression among medical students in Alexandria, and identify its correlates. Methods: A cross-sectional study design was used. The study was conducted at the Faculty of Medicine, Alexandria Uni- versity. Using a systematic random sampling technique, 390 students attending 4th, 5th, and 6th academic years were included. Data was collected using the Arabic version of the BDI-II and a predesigned structured self-administered questionnaire, including questions about the students’ personal and social characteristics and academic environment. Results: Moderate and severe depression accounted for 27.9% and 17.2%, respectively. Logistic regression analysis results showed that the independent predictors for moderate and severe depression were female gender, the presence of mental illness, not having someone to talk to when under stress, experiencing stressful life event(s) during the previous 6 months, not being satisfied with the socioeconomic level, reporting that the surrounding environment is not suitable for studying, not specifying a grade to achieve, and extreme dissatisfaction with the student’s result. Conclusion: Prevalence of moderate and severe depression was high among medical students, calling for actions to help those students and to prevent new cases. Keywords: BDI-II; depression; determinants; medical students; prevalence.


2015 ◽  
Vol 39 (3) ◽  
pp. 388-394 ◽  
Author(s):  
Fábio de Oliveira Tabalipa ◽  
Mariana Fuganti de Souza ◽  
Gláucia Pfützenreuter ◽  
Vinícius Carriero Lima ◽  
Eliane Traebert ◽  
...  

ABSTRACT Background Medical students are a vulnerable population to develop depression and anxiety disorders. Objective To estimate the prevalence and associated factors of anxiety and depression among medical students. Methods A cross-sectional study with a random sample (n = 346) of medical students at a Brazilian university was performed. The Beck Depression Anxiety Inventory was used to measure anxiety and depression levels. Crude and adjusted analyses were performed using Poisson regression. Results The prevalence of anxiety was 35.5% and depression was 32.8%. The prevalence of anxiety and depression was 14% higher and 16% higher among women (p = 0.025 and p = 0.006, respectively). Students whose parents were not physicians reported 23% higher prevalence of anxiety (p = 0.006), and those who had physician parents reported 29% higher prevalence of depression (p = 0.034). Those who always or often felt pushed by their parents showed 22% higher prevalence of anxiety (p =.006) and 19% higher depression (p = 0.016). Students who had concerns over the future had 15% higher prevalence of depression (p = 0.017). Conclusion The prevalence of anxiety and depressive symptoms was higher than the average found in the general population.


Author(s):  
A.S.K Kodagoda ◽  
M.K.D.L Meegoda

Introduction: Depression is a common mental disorder which can lead to major problems such as suicidal attempts. It is well known that the demands and pressure on undergraduates in medical faculties create tremendous challenges which result in an extensive range of psychological ailments like depression. The objective of this study was to determine the prevalence of different levels of depression among undergraduates in a selected medical sciences faculty in Sri Lanka. Methods: A descriptive cross-sectional study was conducted using a convenient sampling technique among students in a selected medical faculty. The Depression Anxiety Stress Scale-21 (DASS-21) was used to assess depressive symptoms of the respondents. Descriptive analysis was done using SPSS version 23. Results: Mean age of the sample (n=397) was 24.1±2.5 years. The mean score obtained for depression was 10.5±8.3. Only 38.5% of the respondents had normal level of depressive symptoms while 7.1% and 4.0% of the respondents presented severe and extremely severe symptoms, respectively. Age (p=0.011) and academic year (p=0.001) showed a significant association with depression. Conclusions: The study demonstrates a considerable prevalence in different levels of depressive symptoms among undergraduates who are enrolled in medical and allied health sciences programmes. Therefore, it would be highly beneficial to reduce depressive symptoms by early identification. Studies to identify causes and interventional studies will contribute to implement measures to improve identification, and reduce the prevalence of depression among undergraduates.Keywords: Depression, Undergraduates, Mental disorder


Author(s):  
Marium Aftab ◽  
Alsaleem Mohammed Abadi ◽  
Shamsun Nahar ◽  
Razia Aftab Ahmed ◽  
Syed Esam Mahmood ◽  
...  

Background: With the emergence of the COVID-19 pandemic, people are living within a milieu of stress, anxiety, and fear. Medical students are susceptible to these emotional injuries, but their psychological wellbeing and learning may further be assaulted by future uncertainties and altered teaching and training programs. Our objective was to find the extent of the psychological impact of the pandemic and the learning difficulties they are experiencing; Methodology: This cross-sectional study included 418 undergraduate and postgraduate medical students from all over the world. A questionnaire was uploaded in Google survey form. It included background characteristics, questions for psychiatric impact like PHQ-9, GAD-7, ZF-OCS, and questions for learning difficulties perceived in comparison to the pre-pandemic time. Results: Among participants, 34.9% of students were male and 65.1% female. Around 46.4% belonged to the WHO, Eastern Mediterranean region, 26.8% from South East Asia region, 17.5% from the region of America, 5.5% from the European region,2.2%from the Western Pacific region, and 1.7% from the African region. Symptoms due to psychiatric illness were noticed in 393 (93.1%); depression in 386 (92.3%), anxiety in 158 (37.8%), obsessive compulsion disorder in 225 (53.8%), and post-traumatic stress syndrome in 129 (39.9%). Female gender, geographical region, and history of previous psychiatric illness were significantly related to almost all the psychiatric illnesses. Regarding learning difficulty, 96% of students faced problems: trouble with memorizing in 54.0%, concentration problems in 67.0%, about 55.5% of students made more mistakes, while 44.5% noted an increase in reaction time for solving questions. In addition, 90% experienced greater difficulty in overall learning during the pandemic in comparison to the pre-pandemic time. Conclusion: Assault on psychological wellbeing, struggling to memorize, inattention and difficulty in concentration on studies, along with perceived overall trouble with learning, have emerged as collateral damage from the COVID-19 pandemic with respect to medical students.


2021 ◽  
Vol 8 (1) ◽  
pp. 205510292098844
Author(s):  
Bao-Yen Luong-Thanh ◽  
Lan Hoang Nguyen ◽  
Linda Murray ◽  
Manuel Eisner ◽  
Sara Valdebenito ◽  
...  

To date, little attention has been given to prenatal depression, especially in low and middle-income countries. The aim of this research was to assess the prevalence of depression and its associated factors amongst pregnant women in a central Vietnamese city. This cross-sectional study included 150 pregnant women from 29 to 40 weeks of gestation, from eight wards of Hue city, via quota sampling from February to May 2019. We employed the Patient Health Questionnaire (PHQ-9) to assess depression. Findings suggest the need to provide routine screening of pregnant women in primary care for depressive symptoms and other mental health problems.


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