The Prevalence of Educational Burnout, Depression, Anxiety, and Stress among medical students of the Islamic Azad University in Tehran, Iran

Abstract

Background: Psychological disorders have negative consequences on students' learning and academic performance. In addition, academic burnout is one of the common challenges that affects students’ motivation and academic eagerness; however, the determinant is not clear. Medical students, meanwhile, demand special attention due to their professional responsibilities. In this regard, this study is conducted to investigate the academic burnout, rate of depression, anxiety and stress as well as related factors among undergraduate medical students at the Tehran Medical Sciences Islamic Azad University.Methods: This cross-sectional and descriptive study was performed on medical students of Islamic Azad University of Tehran in 2017. In phase I, conducted on all stager students, Maslach Burnout questionnaire was used. In phase II, the DASS-42 questionnaire was provided for 123 students, 120 of whom met the inclusion criteria. In addition, another questionnaire including gender, age, lifestyle, marital and financial status, nutrition style, vitamin D deficiency, smoking, study hours per week, work efficiency and distance from the place of residence to the teaching hospital was used. Finally, the data extracted by SPSS version 23 was analyzed at the significance level of 0.05.Results: In phase I of the study, 17 subjects showed academic burnout (16.3%). Out of all, 76.5% of students with academic burnout did not focus on the study and students' academic burnout was associated with a decrease in their focus (P < 0.05). However, the relationship between academic burnout and other factors was not significant (P > 0.05).In phase II, the prevalence of depression, anxiety and stress was 37.5%, 41.1% and 30.3%, respectively. The prevalence of severe and very severe degrees that required psychiatric follow-up were 10.5%, 10.5% and 7% for depression, anxiety and stress, respectively. According to statistical analyzes, there is a significant direct relationship between anxiety and the distance from the place of residence to the teaching hospital (P = 0.040).Conclusion: The present study estimated the prevalence of academic burnout to be between 9.2% and 23.4%, and the level of anxiety was related to the distance from the place of residence to the hospital. This high prevalence indicates that this part of medical education needs more attention.

Sintomas depressivos e ansiosos em estudantes de medicina e seus fatores associados

“…Ser acadêmico de Medicina é o sonho de muitos jovens que se deslocam, ou não, de sua cidade natal para ingressarem na universidade. Este sonho vem acompanhado de longas jornadas diárias de atividades curriculares e extracurriculares, deslocamento entre a moradia e instituições de ensino (Liasi et al 2021), diminuição das horas de sono e lazer (Shao et al 2020), autoexigência e insatisfação com o curso (Kumar et al 2019), que podem culminar em alterações psíquicas, levando ao desenvolvimento de sintomas depressivos e ansiosos (Elsawy et al 2020).…”

“…Neste presente trabalho, conforme já mencionado, foram analisados 20 artigos, dos quais 15 artigos (Bassols et al 2014;Bertani et al 2020;Costa et al 2020;Kumar et al 2019;Leão et al 2018;Liasi et al 2021;Moutinho et al 2017;Ramadianto et al 2022;Sacramento et al 2021;Santiago et al 2021;Serra et al 2015;Shao et al 2020;Shawahna et al 2020;Tabalipa et al 2015;Zafar et al 2017) trouxeram estudos que abrangeram o índice de depressão e ansiedade entre graduandos do curso de medicina, 3 artigos (Elsawy et al 2020;Neres et al 2021;Silva et al 2017) O desenvolvimento das sintomatologias acima abordadas está cercado de fatores predisponentes trazidos por autores de 17 dos artigos selecionados. Conhecer estes fatores de risco pode ser um facilitador na promoção de medidas preventivas quanto ao desenvolvimento de desordens psíquicas.…”

“…Conhecer estes fatores de risco pode ser um facilitador na promoção de medidas preventivas quanto ao desenvolvimento de desordens psíquicas. Alguns dos fatores citados foram: sexo feminino, com maior incidência para ansiedade, mas também presente na depressão (Bassols et al 2014;Capdevila-Gaudens et al 2021;Elsawy et al 2020;Moutinho et al 2017;Neres, et al 2021;Nogueira et al 2021;Ramadianto et al 2022;Serra et al 2015;Tabalipa et al 2015), vivências estressantes nos últimos 6 meses, ambiente de estudo prejudicado, insatisfação acadêmica, nível socioeconômico mais baixo (Elsawy et al 2020), distância entre local de moradia e hospital universitário (Liasi et al 2021), não morar com os pais (Ramadianto et al 2022), idade >20 anos (Shao et al 2020), estresse causado pelos estudos, baixa qualidade de sono, morar sozinho e relacionamento de baixa qualidade com parceiros, colegas e amigos (Shao et al 2020), possuir pais médicos como indicador de risco para a depressão e pais não médicos para a ansiedade (Tabalipa et al 2015), viver de acordo com as expectativas dos familiares, insatisfação quanto a administração do curso (Kumar et al 2019), insônia predispondo à ansiedade moderada a grave (Nogueira et al 2021), relacionamento familiar insatisfatório (Leao et al 2018), consumo de drogas lícitas e ilícitas e proximidade reduzida com os amigos (Neres et al 2021).…”

Academic burnout in nursing students: An explanatory sequential design

“…Reliability and validity of this inventory in different samples have been reported as good (Gumz et al, 2013; Rostami et al, 2011). Also, it has been used in a number of studies in Iran to assess academic burnout (Elyasi et al, 2021; Sharififard et al, 2020). The 15‐item MBISS evaluates academic burnout across three dimensions: exhaustion (five items), cynicism (four items) and low professional efficacy (six items).…”