Medical student depression, anxiety and distress outside North America: a systematic review

Hope, Valerie M.; Henderson, M. Todd

doi:10.1111/medu.12512

Cited by 368 publications

(333 citation statements)

References 41 publications

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“…This finding is in line of some studies, confirming medical studies as very stressful, from 20.9-90.0% of medical students experience stress, 7.7-65.5% anxiety, 6.0-66.5% depression [22][23][24].…”

Section: Discussionsupporting

confidence: 79%

Poor Sleep, Anxiety And Depression Among The Maritime And Health Sciences Higher School Students

2016

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Aim of the study was to evaluate the associations among poor sleep, anxiety and depression in relation to age and year of studying among the students. Methods. The study sample consisted of 400 Klaipeda State University of Applied Sciences students (96.8% female) and 393 The Lithuanian Maritime Academy students (78.9% male), from 18 to 46 years of age. Pittsburgh Sleep Quality Index (PSQI) was used for subjective sleep quality evaluation. Hospital Anxiety and Depression (HAD) scale was used to identify depression and anxiety. PSQI score ≤ 5 was evaluated as good sleep quality; > 5 – poor sleep. HAD score from 0 to 7 was evaluated as no depression or anxiety, score >7 indicated depression and/or anxiety. Additional questions about respondents’ age, gender, study programme and year of the studying were used. The Chi-square test or Fisher exact tests were used to estimate association between categorical variables. Student’s t test was used to compare means and z criteria was used to test the difference in two population proportions. Binary logistic regression analysis was performed to evaluate the factors influencing poor sleep. Results. Health sciences students, as compared to maritime students, had higher prevalence of poor sleep (69.8% vs 45.0%) and anxiety (55.5% vs 41.7%). Depression score was higher among the students with poor sleep, as compared to good sleep, respectively 4.38 vs 3.20 (20 yrs), 5.16 vs 3.29 (21 yrs), 5.38 vs 3.22 (≥ 22 yrs). Anxiety score was higher among the students with poor sleep, as compared to good sleep, respectively 7.89 vs 6.11 (18-19 yrs), 8.73 vs 6.12 (20 yrs), 10.40 vs 6.51 (21 yrs), 10.58 vs 6.40 (≥ 22 yrs). The risk of poor sleep was significantly decreased by the studying marine sciences (OR=0.365) and increased by anxiety (OR=1.172), p<0.001. Conclusions. Poor sleep and anxiety were more prevalent among the students of Health Sciences, as compared to students of Lithuanian Maritime Academy. Anxiety and depression mean scores were significantly higher among the students who had poor sleep, as compared to the ones who had good sleep in all age groups, during the first, second and third year of studies. Risk of poor sleep was increased by anxiety, however maritime studies had positive effect on sleep quality.

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Section: Discussionsupporting

confidence: 79%

Poor Sleep, Anxiety And Depression Among The Maritime And Health Sciences Higher School Students

2016

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“…(17) Previous studies have assessed the reliability and validity of Persian form of the GHQ-28 and were of acceptable ranges from 0.73 to 0.89. (18)(19)(20) Through factor analysis, the GHQ-28 has been divided into four subscales, which are somatic symptoms (items 1-7); anxiety/insomnia (items [8][9][10][11][12][13][14]; social dysfunction (items [15][16][17][18][19][20][21], and depression (items 22-28).…”

Section: Methodsmentioning

confidence: 99%

“…A systematic review on the prevalence of depression, anxiety and distress among medical students outside North America suggested that the rates of theses mental morbidities are remarkable. (13) A study in Vanderbilt University showed that anxiety and depression were more prevalent among medical students in comparison to other students of nonmedical disciplines and there were significantly higher rates of possibility of alcohol abuse and eating disorders. (14) Similar study in Iran reported that close to 50 percent of the medical students had ill mental health based on General Health Questionnaire (GHQ) score and there were significantly different scores due to age, gender and level of education.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Mental Health among Iranian Medical Students : A Cross-Sectional Study

Farahangiz¹,

Mohebpour²,

Salehi³

2016

IJHS

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Abstract:Objectives: More mental morbidities were reported in medical students than their nonmedical peers, which may negatively influence their lives and future career. The aim of this study was to assess the mental health status among medical students of Shiraz University of Medical Sciences. Method:Two hundred and eight 1 st to 4 th year Medical students took part in this cross-sectional study. General Health Questionnaire with 28 items (GHQ-28) was used for data collection. We performed descriptive statistics, Mann Whitney U test, one way ANOVA and Tukey's post hoc and Kruskal Wallis H and Chi square test for statistical analysis. Results:The mean age of participants was 20.70 ± 1.14 (mean ± SD) years. More than half of them (54.4%) had total GHQ score above the cut-off point considered as probably abnormal mental health status. Years of education, positive family history and low satisfaction of the medicine discipline affected their mental health. Third and fourth year students had significantly higher mean scores of total GHQ (p-value = 0.009) and anxiety, somatic and social subscales (p-value = 0.001, 0.004 and 0.026). Students with positive family history of mental illness and low satisfaction of field of the study significantly had higher GHQ scores (p-value = 0.012 and < 0.001 respectively). Conclusion:Poor mental health prevalence is high among medical students in Shiraz. Proper changes in educational programs and other effective interventions to raise the students' satisfaction may reduce the effect of other stress reasons and improve their mental health status.

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“…Personal Problems (4,8,10) 73 (43.7%) of all students had experienced stressful life events and displayed troubles adjusting to them (Table 3). Latvian students adjusted worse to previous stressful life events than international students.…”

Section: Groupmentioning

confidence: 99%

“…Increased mental symptoms are often connected with increased somatic symptoms [1,2,3]. No consistent value for mental distress among medical students are present [4]. A previous research among the group of tested medical students suggests clinically relevant depressive symptoms among 23.5% [5].…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study among medical students in Latvia: Differences of mental symptoms and somatic symptoms among Latvian and international students

Rueckert

Ancane

2018

PoA

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Introduction. This research aims to determine the prevalence of mental symptoms (depressive symptoms, anxiety and adjustment disorders) and somatic symptoms among medical students at Riga Stradins University in Latvia, as well as to display the differences between local and international medical students.Methods. A cross-sectional study was conducted by means of onlinebased questionnaires among medical students in their 1 st , 4 th and 6 th years studying in Riga, Latvia, during March 2017. The mental and somatic symptoms were screened with the PHQ-D Option C (PHQ-15, PHQ-9, GAD-7). Symptoms of adjustment disorder were obtained by the ADNM-6. Medical students were divided into three groups according to their answers of the PHQ-D: Group A: no symptom, group B: a single symptom, group C: multiple symptoms. A general questionnaire and a questionnaire regarding stressful life events over the past half-year were distributed additionally.Results. 67 (40.1%) participants were Latvian students; 100 (59.9%) were international students. 23 (34.3%) Latvian students were in group A, 20 (29.9%) in group B, 24 (35.8%) in group C. 51 (51%) international students were in group A, 34 (34%) in group B, 14 (14%) in group C. Latvians displayed statisti cally significantly more health-related symptoms (0.003). 11 (11%) international students who reported a stressful life event over the last half-year were in group C. 21 (31.3%) of Latvian students who reported a stressful life event over the last half-year were in group C. 73 (43.7%) of all students had experienced stressful life events and displayed troubles adjusting to them. 65 (63.1%) students of the two groups with a stressful life found the event to have a great burden on them, 63 (61.2%) were wondering whether it could happen again, and 73 (70.9%) tried to suppress their feelings.Conclusion. Medical students in Latvia have a high prevalence of healthrelated symptoms. Latvian medical students display more health-related

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Medical student depression, anxiety and distress outside North America: a systematic review

Cited by 368 publications

References 41 publications

Poor Sleep, Anxiety And Depression Among The Maritime And Health Sciences Higher School Students

Poor Sleep, Anxiety And Depression Among The Maritime And Health Sciences Higher School Students

Assessment of Mental Health among Iranian Medical Students : A Cross-Sectional Study

Cross-sectional study among medical students in Latvia: Differences of mental symptoms and somatic symptoms among Latvian and international students

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