Mental problems and risk factors for depression among medical students during the COVID-19 pandemic: A cross-sectional study

Pattanaseri, Keerati; Atsariyasing, Wanlop; Pornnoppadol, Chanvit; Sanguanpanich, Naratip; Srifuengfung, Maytinee

doi:10.1097/md.0000000000030629

Cited by 9 publications

(7 citation statements)

References 37 publications

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“…PATTANASERI et al (2022) revealed that 35.7% of 224 medical students surveyed during the pandemic (2020) reported experiencing depression [37], which aligns with our findings. In another study conducted with 415 basic and clinical medical students (2020), AL-HUSBAN et al (2021) indicated that mental health was affected in more than two-thirds of students, and the majority became more anxious or depressed [38].…”

Section: Discussionsupporting

confidence: 92%

Quantitative and qualitative analysis of medical students’ symptoms and feelings during a catastrophic event

Felix,

Costa,

Andrade

et al. 2024

Preprint

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Background: Due to the COVID-19 pandemic, traditional face-to-face teaching has been disrupted. Social restrictions and isolation during this period may have contributed to various physical and emotional disorders. We aimed to assess the perceptions of medical students regarding their emotions, anxiety and depression symptoms, and daily experiences during the pandemic. Methods: We conducted a prospective mixed methods study involving students in their 1st to 4th years of medicine at a university in São Paulo, Brazil,in 2020 and 2021. Participants completed online questionnaires, including the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Oxford Happiness Questionnaire (OHQ), and Medical Student Quality-of-Life Questionnaire (VERAS-Q) and participated in an online focus group. Results:313 students finished the questionnaires, and 200 were involved in the focus group. Women exhibited higher scores for anxiety (p=0.002) and depression (p=0.007); men demonstrated better quality of life (p=0.042). The students aged 18 to 24 years (p=0.048) presented better quality of life and lower trait anxiety (p=0.001). Both trait and state anxiety were strongly associated with depression (p<0.01) and inversely related to quality of life, showing a moderate association with happiness (p<0.01). Depression was strongly linked to both trait and state anxiety (p<0.01) and moderately negatively correlated with happiness and quality of life (p<0.01). The focus groups revealed recurring negative feelings, such as anxiety, depression, tiredness, loneliness, difficulty managing time and others, resulting in reduced mental and physical health during the pandemic. Coping strategies were discussed, including the adoption of new healthy habits, religious practices, and reconnection with family. Conclusion: Depression and anxiety symptoms were more prevalent among females, while quality of life improved for younger and male students. The qualitative analysis enhanced our understanding of the determinants and consequences of students' recurring negative feelings and revealed positive aspects such as greater proximity to family and religiosity.

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Section: Discussionsupporting

confidence: 92%

Quantitative and qualitative analysis of medical students’ symptoms and feelings during a catastrophic event

Felix,

Costa,

Andrade

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…PATTANASERI et al (2022) revealed that 35.7% of 224 preclinical and clinical medical students surveyed during the pandemic (2020) reported experiencing depression, which aligns with our ndings [42]. Similar to our study, VARMA et al ( 2021) did not nd a relationship between depression and age in a study conducted in China during the pandemic with 687 health care professionals (including doctors) [43].…”

Section: Discussionsupporting

confidence: 90%

“…Spielberger's State-Trait Anxiety Inventory [20] is a self-administered questionnaire composed of two scales with 20 items of up to 4 points each, where one scale evaluates the state and the other evaluates the trait of anxiety; the higher the score is, the worse the level of anxiety [21,22]. Some authors classi ed the level of anxiety as low (< 33), medium (33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49) or high (> 49), which is the classi cation that we used in this study [23,24].…”

Section: Anxiety Assessment -Spielberger State-trait Anxiety Inventor...mentioning

confidence: 99%

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Quantitative and qualitative analysis of medical students’ symptoms and feelings during COVID-19 pandemic

Felix,

Costa,

Andrade

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Due to the COVID-19 pandemic, traditional face-to-face teaching was disrupted, leading to a transition to online activities. Social restrictions and isolation during this period may have contributed to various physical and emotional disorders, such as anxiety, depression, reduced perception of happiness, and a decline in overall quality of life. The objective of our study was to assess the perceptions of medical students regarding their emotions, anxiety and depression symptoms, and daily experiences during the pandemic. Methods We conducted a prospective study with both quantitative and qualitative components involving students in their 1st to 4th year of medicine at a private university in São Paulo, Brazil in 2020 and 2021. Participants completed online questionnaires, including the State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Oxford Happiness Questionnaire (OHQ), and Medical Student Quality-of-Life Questionnaire (VERAS-Q). Additionally, they engaged in online focus group discussions. Results A total of 313 students completed the questionnaires, and 200 participated in the focus group. Women exhibited higher scores for anxiety (p = 0.002) and depression (p = 0.007), while men demonstrated better quality of life (p = 0.042). The students aged 18 to 24 years (p = 0.048) presented better quality of life and lower trait anxiety (p = 0.001). Both trait and state anxiety were strongly associated with depression (p < 0.01) and inversely related to quality of life, showing a moderate association with happiness (p < 0.01). Depression was strongly linked to both trait and state anxiety (p < 0.01) and moderately negatively correlated with happiness and quality of life (p < 0.01). The focus groups revealed recurring negative feelings among students, such as anxiety, depression, tiredness, discouragement, loneliness, difficulty managing time, poor sleep quality, exacerbation of harmful habits, and challenges in relationships, resulting in reduced mental and physical health during the pandemic. Coping strategies were discussed, including the adoption of new healthy habits, religious practices, and reconnection with family. Conclusion Depression and anxiety symptoms were more prevalent among females, while quality of life improved for younger and male students. The qualitative analysis enhanced our understanding of the determinants and consequences of students' recurring negative feelings, and also showed positive aspects like greater proximity to family and religiosity.

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“…In addition, men had better quality of life than women did, which was also associated with younger age (Grande et al, 2021). PATTANASERI et al (2022) revealed that 35.7% of 224 medical students surveyed during the pandemic (2020) reported experiencing depression (Pattanaseri et al, 2022), which aligns with our findings. In another study conducted with 415 basic and clinical medical students (2020), AL-HUSBAN et al (2021) indicated that mental health was affected in more than two-thirds of students, and the majority became more anxious or depressed (AL-Husban et al, 2021).…”

Section: Discussionsupporting

confidence: 88%

Mixed methods analysis of medical students' symptoms and feelings during a catastrophic period

Felix,

Costa,

Andrade

et al. 2024

Preprint

View full text Add to dashboard Cite

Background: Social restrictions and isolation during pandemic may have contributed to various physical and emotional disorders. We aimed to assess the perceptions of medical students regarding their emotions, anxiety and depression symptoms, and daily experiences during the pandemic. Methods: a prospective mixed methods study involving students in their 1st to 4th years of medicine at a university in São Paulo, Brazil(2020-2021). Participants completed standardized questionnaires online about anxiety, depression, happiness, and quality of life, and participated in an online focus group. Results: A total of 313 students completed the questionnaires, 200 were involved in the focus group. Women exhibited higher scores for anxiety (p=0.002) and depression (p=0.007); men demonstrated better quality of life (p=0.042). Younger students presented better quality of life (p=0.048) and lower anxiety (p=0.001). The focus groups revealed recurring negative feelings: anxiety, depression, tiredness, loneliness, difficulty managing time and others, resulting in reduced mental and physical health during the pandemic. Coping strategies were discussed, including the adoption of new healthy habits, religious practices, and reconnection with family. Limitations:while there are moderate correlations, the instruments utilized do not provide diagnoses and do not suggest a causal link. Nonparametric processes can cause bias in a correlational study like this one. Conclusion: Depression and anxiety symptoms were more prevalent among females, while quality of life improved for younger and male students. The qualitative analysis enhanced our understanding of the determinants and consequences of students' recurring negative feelings and revealed positive aspects such asgreater proximity to family and religiosity.

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Mental problems and risk factors for depression among medical students during the COVID-19 pandemic: A cross-sectional study

Cited by 9 publications

References 37 publications

Quantitative and qualitative analysis of medical students’ symptoms and feelings during a catastrophic event

Quantitative and qualitative analysis of medical students’ symptoms and feelings during a catastrophic event

Quantitative and qualitative analysis of medical students’ symptoms and feelings during COVID-19 pandemic

Mixed methods analysis of medical students' symptoms and feelings during a catastrophic period

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