FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS

Naime MERİÇ KONAR (Kırşehir Ahi Evran Üniversitesi, Tıp Fakültesi, Biyoistatistik ve Tıbbi Bilişim Bölümü, Kırşehir, Türkiye)
Ankara Medical Journal
1 0
Yıl: 2020 Cilt: 20 Sayı: 1 Sayfa Aralığı: 90 - 104 Metin Dili: İngilizce DOI: 10.5505/amj.2020.35761 İndeks Tarihi: 28-11-2020

FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS

Öz:
Objectives: Medical students are observed to feel depressive, anxious and stressful due to intensive medicaleducation program along with other individual factors. This study aims at investigating the prevalence ofdepression, anxiety and stress levels and their potential determinant among medical students on before andafter the exam in newly-established Medical Faculty of Kirsehir Ahi Evran University in Turkey.Materials and Methods: This study was carried out on before and after the first Committee Exam byconducting 42-item Depression, Anxiety and Stress Scale with General Information Form that includesquestions regarding health, academia and socioeconomic-related factors between October and November2018.Results: In total, prevalence of depression, anxiety and stress were found as 34.04%, 48.94%, 32.62% and43.71%, 49.67% and 37.09% on pre and post-exam, respectively. Even though statistically insignificant, PhaseII students had the highest depression (p=0.228 and p=0.512), anxiety (p=0.428 and p=0.083) and stress scores(p=0.125 and p=0.853) on both pre and post exam. Male students were more likely to feel depressed (p=0.044and p=0.018), anxious (p=0.392 and p=0.209) and stressed (p=0.736 and p=0.977) compared to females inoverall in terms of their scores. Depression, anxiety and stress levels were mostly associated with healthrelated factors either pre or post-exam. Socioeconomic determinant was found to be mostly associated withstress levels.Conclusion: High prevalence of anxiety was observed on both before and after the exam. Depression, anxietyand stress prevalence were found to be increasing on post-exam, therefore academic and social supportsystems are suggested to be provided for medical students.
Anahtar Kelime:

TIP FAKÜLTESİ ÖĞRENCİLERİNDE DEPRESYON, ANKSİYETE VE STRES DÜZEYİ İLE İLİŞKİLİ FAKTÖRLER

Öz:
Amaç: Tıp fakültesinde okuyan öğrencilerin yoğun tıp eğitimi ve diğer kişisel faktörler nedeniyle depresif, kaygılı ve stresli olduğu gözlenmektedir. Bu çalışmada Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi öğrencilerinin 1.Kurul Sınavı öncesi ve sonrasında depresyon, anksiyete ve stres prevalansları ve bu düzeylere etki eden faktörlerin belirlenmesi amaçlanmıştır. Materyal ve Metot: Ekim 2018 - Kasım 2018 tarihleri arasında 1.Kurul Sınavı öncesi ve sonrasında gerçekleştirilen bu çalışmada 42 soruluk Depresyon, Anksiyete ve Stres ölçeği ve akademi, sağlık ve sosyoekonomik bilgileri içeren soruların bulunduğu Genel Bilgi Formu kullanılmıştır. Bulgular: Totalde, sınav öncesi depresyon, anksiyete ve stres prevalansları sırasıyla %34,04, %48,94, %32,62; sınav sorası ise %43,71, %49,67 ve %37,09’dur. İstatistiksel olarak anlamlı olmasa da sınav öncesinde ve sonrasında en yüksek depresyon (p=0,228 ve p=0,512), anksiyete (p=0,428 ve p=0,083) ve stres puanları (p=0,125 ve p=0,853) Dönem 2 öğrencilerine aittir. Genel olarak, puanlara göre erkek öğrenciler, kız öğrencilere göre daha depresif (p=0,044 ve p=0,018), kaygılı (p=0,392 ve p=0,209) ve stresli (p=0,736 ve p=0,977) bulunmuştur. Hem sınav öncesi hem de sınav sonrası depresyon, anksiyete ve stres düzeyleri sağlıkla ilgili risk faktörleri ile ilişkili bulunmuş, sosyoekonomik risk faktörlerinin ise çoğunlukla stres düzeyleri ile ilişkili olduğu saptanmıştır. Sonuç: Sınav öncesi ve sınav sonrası kaygı prevalansı yüksek bulunmuştur. Sınav sonrası depresyon, anksiyete ve stres prevalanslarının arttığı belirlenmiş, bu nedenle tıp eğitimi alan öğrenciler için akademik ve sosyal destek sistemlerinin oluşturulması önerilmiştir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. American Psychiatric Pub;2013.
  • 2. Baum A. Stress, Intrusive Imagery, and Chronic Distress, Health Psychol 1990;6:653-75.
  • 3. Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta‐ analysis. Medical Educ 2016; 50(4): 456-68.
  • 4. Mayer FB, Santos IS, Silveira PS et. al. Factors associated to depression and anxiety in medical students: a multicenter study. BMC Med Educ 2016;16(1):282.
  • 5. Al Saadi T, Addeen SZ, Turk T, Abbas F, Alkhatib, M. Psychological distress among medical students in conflicts: a cross-sectional study from Syria. BMC Med Educ 2017;17(1):173.
  • 6. Gazzaz ZJ, Baig M, Al Alhendi BSM et.al Perceived stress, reasons for and sources of stress among medical students at Rabigh Medical College, King Abdulaziz University, Jeddah, Saudi Arabia. BMC Med Educ 2018; 18(1):29.
  • 7. Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res 2015;141(3):354.
  • 8. Fuad MDF, Lye MS, Ibrahim N, Ismail SIFB, Kar PC. Prevalence and determinants of stress, anxiety and depression among preclinical medical students in Universiti Putra Malaysia in 2014. Int J Collab Res Intern Med Public Health 2015;7(1):1.
  • 9. Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr. Dis. Treat 2015;11:1713-22.
  • 10. Abdallah AR, Gabr HM. Depression, anxiety and stress among first year medical students in an Egyptian public university. Int Res J Med Sci 2014;2(1):11-9.
  • 11. Ramya N, Reddy R, Ranganath TS, Subathra VA cross sectional study to assess the psychological morbidity (depression, anxiety, stress) among undergraduate medical students in Bangalore Medical College and Research Institute, Bengaluru. Int J Community Med Public Health 2018;5(9):4103-6.
  • 12. Bilgel N, Bayram N. Turkish version of the Depression Anxiety Stress Scale (DASS-42): psychometric properties. Noro Psikiyatr Ars 2010;47(2):118-27.
  • 13. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther 1995;33(3):335-43.
  • 14. Wahed WYA, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria J. Med 2017;53(1):77-84.
  • 15. Patil SP, Sadhanala S, Srivastav MU, Bansode, Gokhe SS. Study of stressors among undergraduate medical students of a teaching medical institution. Int J Community Med Public Health 2017;4:3151-4
  • 16. Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res 2017;255:186-94.
  • 17. Yusoff MSB, Rahim AFA, Baba AA, Ismail SB, Pa MNM. Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian J Psychiatr 2013;6(2):128-33.
  • 18. Sun L, Sun LN, Sun YH et. al. Correlations between psychological symptoms and social relationships among medical undergraduates in Anhui Province of China. Int J Psychiatry Med 2011;42(1):29-47.
  • 19. Coker AO, Coker OO, Sanni, D. Sociodemographic correlates and symptoms of depression, anxiety and stress among a sample of nigerian medical students. Niger J Basic Clin Sci 2018;15(1):58.
  • 20. Chaudhry MA, Khan IA, Ashraf MZ, Ibrahim MT, Mahmood A, Zeb A. Prevalence of Anxiety and Depression among Medical Students of Private Medical College in Pakistan. Biomedica 2017;33(2):103-6.
  • 21. Ngasa SN, Sama CB, Dzekem BS et.al. Prevalence and factors associated with depression among medical students in Cameroon: a cross-sectional study. BMC Psychiatry 2017;17(1):216.
  • 22. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med 2006;81(4):354-73.
  • 23. Shaikh BT, Kahloon A, Kazmi M et al. Students, stress and coping strategies: a case of Pakistani medical school. Educ Health (Abingdon) 2004;17(3): 346-53.
  • 24. Adhikari A, Dutta A, Sapkota S, Chapagain A, Aryal A, Pradhan A. Prevalence of poor mental health among medical students in Nepal: a cross-sectional study. BMC Med Educ 2017;17(1):232.
APA Konar N (2020). FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. , 90 - 104. 10.5505/amj.2020.35761
Chicago Konar Naime Meric FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. (2020): 90 - 104. 10.5505/amj.2020.35761
MLA Konar Naime Meric FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. , 2020, ss.90 - 104. 10.5505/amj.2020.35761
AMA Konar N FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. . 2020; 90 - 104. 10.5505/amj.2020.35761
Vancouver Konar N FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. . 2020; 90 - 104. 10.5505/amj.2020.35761
IEEE Konar N "FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS." , ss.90 - 104, 2020. 10.5505/amj.2020.35761
ISNAD Konar, Naime Meric. "FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS". (2020), 90-104. https://doi.org/10.5505/amj.2020.35761
APA Konar N (2020). FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. Ankara Medical Journal, 20(1), 90 - 104. 10.5505/amj.2020.35761
Chicago Konar Naime Meric FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. Ankara Medical Journal 20, no.1 (2020): 90 - 104. 10.5505/amj.2020.35761
MLA Konar Naime Meric FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. Ankara Medical Journal, vol.20, no.1, 2020, ss.90 - 104. 10.5505/amj.2020.35761
AMA Konar N FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. Ankara Medical Journal. 2020; 20(1): 90 - 104. 10.5505/amj.2020.35761
Vancouver Konar N FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS. Ankara Medical Journal. 2020; 20(1): 90 - 104. 10.5505/amj.2020.35761
IEEE Konar N "FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS." Ankara Medical Journal, 20, ss.90 - 104, 2020. 10.5505/amj.2020.35761
ISNAD Konar, Naime Meric. "FACTORS ASSOCIATED WITH DEPRESSION, ANXIETY AND STRESS LEVELS AMONG MEDICAL STUDENTS". Ankara Medical Journal 20/1 (2020), 90-104. https://doi.org/10.5505/amj.2020.35761
Sayfa Oluşturulma Tarihi
23-04-2024 15:34

İLETİŞİM

TÜBİTAK ULAKBİM TR Dizin

Yüzüncüyıl, İşçi Blokları Mahallesi

Muhsin Yazıcıoğlu Caddesi No:51/C

06530 Çankaya / ANKARA +90 (312) 298 92 00

trdizin@tubitak.gov.tr

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © Tüm Hakları Saklıdır. Gizlilik Politikası Kullanım Şartları