Prevalence of Depression Among Post-Graduate Medical Trainees: A Multi-Centre Survey

Zaman, Shahana; Ma, Rong; Khan, A. R. M. Sakhawat Hossain; Habib, SH; Rahman, Mostafizur; Ahsan,; Afroz, Farhana; Afroze, SR; Haque, HF; Jahid, Ahmed; Ahmed, Akm Shaheen; Hossain, Md. Amzad; Rahman, Md. Sadique; Musa, Akm; Kn, Uddin

doi:10.3329/birdem.v4i1.18548

Cited by 7 publications

(10 citation statements)

References 8 publications

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“…8 The response rates were 90% among the 1st-year residents, 71% in 2nd-year residents, and 62% in 3rd-year residents in a study conducted by Shanafelt TD et al 12 Eman I et al got a 94% response rate in the study of perceived depression, anxiety and stress among Saudi postgraduate orthodontic students. 13 A lower response rate of 53% was found in the trainees in a study on prevalence of depression among post-graduate medical trainees by Zaman S et al 9 The overall depression reported by our study by using PHQ-9 depression screening tool was 49.4% of which 30.86% had mild,11.11% had moderate,4.93% had moderately severe and 2.46%% had severe depression. In another study in Iran by Sadeghi MD et al among 2251 resident doctors who worked in the hospitals of 3 medical universities located in Tehran (Iran) using Beck Depression Inventory scale found that 31.2% of the total study population had symptoms of depression (26% of the males and 39% of the females).…”

Section: Discussionmentioning

confidence: 52%

“…14 Factors like age, sex, marital status and intended medical speciality among postgraduate students, studied in our study were not significantly associated with level of depression (P >0.05). Similarly no significant gender association was found with depression in the study by Yousuf A et al 8 Women were found to have a significantly higher rate of probable major depression compared with men for both students and residents (P < 0.001) in a multi institutional study by Goebert D et al 7 Depression was more common among married, male trainees in a study on prevalence of depression among post-graduate medical trainees by Zaman S et al 9 To conclude, prevalence of depression (mild, moderate, moderately severe and severe) among postgraduate medical students was almost 50%. Therefore postgraduate medical students were facing psychological distress.…”

Section: Discussionmentioning

confidence: 92%

“…8,6 In a multi-centre study to find out the prevalence of depression among post-graduate medical trainees, two-fifth of post-graduate medical trainees were found to be suffering from mild to moderate depression. 9 However, there is minimal information in the literature documenting the prevalence of depression among post graduate medical students in India especially Maharashtra state. Studies of such nature will be a useful tool to take appropriate steps like counseling for the depressed post graduate medical students.…”

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confidence: 99%

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Screening of Depression Among Post Graduate Medical Students of a Teaching Institute in Maharashtra

Jain¹,

Domple²,

Doibale³

et al. 2014

jemds

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BACKGROUND: According to World Health Organization, depressive disorders are the fourth leading health problem in the world. Medical school is recognized as a stressful environment that often exerts a negative effect on the academic performance, physical health and psychological well-being of the student One-fourth to one-third of the post graduate medical trainees and residents develop clinical depression at some point in their training period. As minimal literature is there documenting prevalence of depression among post graduate medical students, this study was undertaken with the objective of screening of depression among post graduate medical students of a teaching institute of Maharashtra. SETTING AND DESIGN: Cross-sectional study conducted in a tertiary care hospital of a teaching institute in a district of Maharashtra from July 2013 till September 2013 targeting all post graduates students of the institute. METHODS AND MATERIALS: A pretested structured questionnaire with details regarding socio demographic characteristics and factors influencing mental health status was used to collect the information from post graduate medical students. Patient Health Questionnaire (PHQ-9), based on PRIME MD Today (Primary Care Evaluation of Mental Disorders), was used to provisionally diagnose depression. STATISTICAL ANALYSIS: Statistical software Open Epi Version 2.3 for proportions and chi square test. RESULTS: Out of 81 respondents, 40 had depressive symptoms based on the PHQ-9 scores of 5 or more than 5, giving a prevalence of 49.4% among postgraduate students in this study. Prevalence of mild, moderate, moderately severe and severe depression was 25(30.9%), 9(11.1%), 4(4.9%) and 2(2.5%) respectively. CONCLUSION: Depression among post-graduate medical students is common. It is unrecognized, under-estimated and not properly addressed. This issue should be properly addressed because of its possible impact on quality of health care services in teaching hospitals and on training outcome.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 92%

mentioning

confidence: 99%

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Screening of Depression Among Post Graduate Medical Students of a Teaching Institute in Maharashtra

Jain¹,

Domple²,

Doibale³

et al. 2014

jemds

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“…86 (52) 50 (30) 22 (13) 8( 5 (56) 9 (26) 3 (9) 3 (9) 130 (51) 83 (33) 29 (11) 13(5) 152 (52) 112 (39) 25 (9) 59 (48) 48 (39) 16 (13) 93 (56) 64 (39) (41) 16 (47) 4 (12) 138 (54) 96 (38) 21(8) 58 (20) 13 (5) 53 (18) 141 (49) 1(0) 1(0)…”

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Depression, Anxiety and Stress Among International Postgraduate Students in a Uk University: A Cross-Sectional Study

Ejim

Livanou²,

Khan

et al. 2021

Preprint

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Background: Little is known about the prevalence of DAS among postgraduate international students in the UK. The study aimed to determine in these students the prevalence, associated individual characteristics, life and academic challenges related to DAS and suicidal thoughts, and management strategies used by the affected students.Methods: This cross-sectional study was conducted at a large English university. Self-selected postgraduate international students, aged 20-50 years, participated through online and paper questionnaires. The World Health Organisation’s Self-Reporting Questionnaire (SRQ-20) was used to indicate the presence of DAS. Additional open questions explored social and academic challenges, and coping strategies. Results: Amongst the 289 participants, 43% (n=123) presented with DAS and 12% (n=34) experienced suicidal thoughts. In the multivariate analysis, significant independent predictors (p≤0.05) were length of stay in the UK (>3 years) and studying in a certain faculty. Significant challenges associated with DAS included relationship issues, inadequate finances, homesickness, difficulty carrying out domestic chores, problem finding a community with shared cultural/religious values, change of climate, and perceived insufficient support from university staff. Coping strategies included talking to academic advisors/tutors, friends/family in the UK or their home country. Of all students with DAS and suicidal thoughts, 25% and 21%, respectively sought medical help, and 17% and 32% were on medication.Conclusion: International postgraduates had higher rates of DAS and suicidal thoughts than the UK population. A low percentage sought medical help, which has implications for service planning. A model of influencing factors is presented, requiring future studies.

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“…9 Among the individual factors, gender and home characteristics play an important mediator role. [10][11][12][13][14] While the factors related to the well-being, mental state, and burnout of health care professionals is well studied, there is a gap in understanding the effect of sleep on the daily emotions of health care workers.…”

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confidence: 99%

Impact of Sleep on Medical Residents’ Emotions: A Cross-Sectional Study Using a Wearable Device

Baba

Antoun

Mladenovic

et al. 2021

Fam Med

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Background and Objectives: Controlling negative emotions and getting sufficient sleep are key factors in reducing medical errors and optimizing quality of care. The objective of this study was to measure the relationship between the emotions of medical residents and sleep as measured by a wearable device. Methods: We conducted a cross-sectional study addressing all residents of all postgraduation years and specialties at an Accreditation for Graduate Medical Educations-I accredited institution over 6 months. Sleep quantity and quality were measured by Fitbit Charge 2 device, and daily emotions by the Positive and Negative Affect Schedule questionnaire. Results: We included a total of 45 participants with a total of 1,112 observations (response rate=19.3%). The mean duration of total daily sleep was 5.9±1.6 hours, with a deep sleep time of 1.1±0.4 hours. We found a negative association between negative emotions and total sleep (rrm=-0.14, P<.0001) and deep sleep (rrm=-0.11, P=.0005) using repetitive measures correlation. A linear regression model to predict the negative emotions of the residents revealed additional determinants beyond deep sleep. Conclusions: Our findings provide a further understanding of the importance of sleep quality on emotions by emphasizing deep sleep as a predictor of the second-day affect. Residency programs should strive to provide an ideal sleep environment to their residents and deliver workshops to deal with negative emotions.

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Prevalence of Depression Among Post-Graduate Medical Trainees: A Multi-Centre Survey

Cited by 7 publications

References 8 publications

Screening of Depression Among Post Graduate Medical Students of a Teaching Institute in Maharashtra

Screening of Depression Among Post Graduate Medical Students of a Teaching Institute in Maharashtra

Depression, Anxiety and Stress Among International Postgraduate Students in a Uk University: A Cross-Sectional Study

Impact of Sleep on Medical Residents’ Emotions: A Cross-Sectional Study Using a Wearable Device

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