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Comparing Level of Happiness and Depression Between Turkish and International Medical Students

Year 2024, Volume: 6 Issue: 2, 163 - 179, 25.12.2024
https://doi.org/10.52675/jhesp.1478822

Abstract

This cross-sectional study was aimed to compare happiness and depression levels among group Turkish and international medical students in Istanbul, Turkey. Data were collected through an online survey that included demographic inquiries, the Oxford Happiness Scale, and Beck’s Depression Inventory II. Significant contrasts emerged in demographic and lifestyle factors between Turkish and international students. Turkish medical students displayed a higher prevalence of unhappiness, although this difference was not statistically significant (66.3% for Turkish students vs. 59.1% for international students; χ² = 2.472, p = 0.116). Conversely, no marked differences were observed in the severity of depression between the two groups (χ² = 0.028, p = 0.986). Conversely, no marked differences were observed in the severity of depression between the two groups (χ2 = 0.028, p = 0.986). Logistic regression analyses revealed noteworthy associations. Factors such as age, academic phase, family history of psychiatric illness, and prior psychiatry treatment were linked to heightened odds of experiencing unhappiness among students. Similarly, significant predictors of depression included a family history of depression and prior psychiatry treatment. However; gender, age, relationship status, accommodation, alcohol consumption, smoking habits, and repeated academic years did not exhibit significant associations with unhappiness among the sampled medical students. While the models demonstrated modest explanatory power, these findings emphasize the urgent need to address mental health issues among medical students. Tailored interventions targeting specific vulnerable subgroups are crucial and further research is needed to identify additional factors contributing to psychological distress in this demographic.

References

  • Alshahrani, A. M., Al-Shahrani, M. S., Miskeen, E., Alharthi, M. H., Alamri, M. S., Alqahtani, M. A., & Ibrahim, M. E. (2024). Prevalence of depressive symptoms and its correlates among male medical students at the University of Bisha, Saudi Arabia. Healthcare, 12(6), 640.
  • Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety, and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672.
  • Coentre, R., Faravelli, C., & Figueira, M. L. (2016). Assessment of depression and suicidal behavior among medical students in Portugal. International Journal of Medical Education, 7, 354–363.
  • Demirbatir, R. E. (2015). Relationships between psychological well-being, happiness, and educational satisfaction in a group of university music students. Educational Research and Reviews, 10(15), 2198–2206.
  • Deniz, M. E., & Sümer, A. S. (2010). The evaluation of depression, anxiety and stress in university students with different self-compassion levels. Egitim ve Bilim, 35(158), 115.
  • Doğan, T., & Çötok, N. A. (2011). Adaptation of the short form of the Oxford Happiness Questionnaire into Turkish: A validity and reliability study. Turkish Psychological Counseling and Guidance Journal, 4(36), 165–170.
  • Doğan, T., & Sapmaz, F. (2012). Examination of psychometric properties of the Turkish version of the Oxford Happiness Questionnaire in university students. Dusunen Adam Journal of Psychiatry and Neurological Sciences, 25(4), 297–304.
  • Doğan, I., & Doğan, N. (2019). The prevalence of depression, anxiety, stress and its association with sleep quality among medical students. Ankara Medical Journal, 19(3), 550–558.
  • Dhanoa, S., Oluwasina, F., Shalaby, R., Kim, E., Agyapong, B., Hrabok, M., Eboreime, E., Kravtsenyuk, M., Yang, A., Nwachukwu, I., Moreau, C., Abba-Aji, A., Li, D., & Agyapong, V. I. (2022). Prevalence and correlates of likely major depressive disorder among medical students in Alberta, Canada. International Journal of Environmental Research and Public Health, 19(18), 11496.
  • Ghodasara, S. L., Davidson, M. A., Reich, M. S., Savoie, C. V., & Rodgers, S. M. (2011). Assessing student mental health at the Vanderbilt University School of Medicine. Academic Medicine, 86(1), 116–121.
  • Hamasha, A. H., Kareem, Y. M., Alghamdi, M. S., Algarni, M. S., Alahedib, K. S., & Alharbi, F. A. (2019). Risk indicators of depression among medical, dental, nursing, pharmacology, and other medical science students in Saudi Arabia. International Review of Psychiatry, 31(7-8), 646–652.
  • Hankir, A. K., Northall, A., & Zaman, R. (2014). Stigma and mental health challenges in medical students. BMJ Case Reports 2014. https://doi.org/10.1136/bcr-2014-205226
  • Honney, K., Buszewicz, M., Coppola, W., & Griffin, M. (2010). Comparison of levels of depression in medical and non-medical students. The Clinical Teacher, 7(3), 180–184.
  • Kapci, E. G., Uslu, R., Turkcapar, H., & Karaoglan, A. (2008). Beck Depression Inventory II: Evaluation of the psychometric properties and cut-off points in a Turkish adult population. Depression and Anxiety, 25(10), E104–E110.
  • Karaoğlu, N., & Şeker, M. (2010). Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Medical Journal, 59(2), 196–202.
  • Khan, M. S., Mahmood, S., Badshah, A., Ali, S. U., & Jamal, Y. (2006). Prevalence of depression, anxiety, and their associated factors among medical students in Karachi, Pakistan. Journal of the Pakistan Medical Association, 56(12), 583–586.
  • Kamthan, S., Sharma, S., Bansal, R., Pant, B., Saxena, P., Chansoria, S., & Shukla, A. (2019). Happiness among second year MBBS students and its correlates using the Oxford Happiness Questionnaire. Journal of Oral Biology and Craniofacial Research, 9(2), 190–192.
  • Mirza, A. A., Baig, M., Beyari, G. M., Halawani, M. A., & Mirza, A. A. (2021). Depression and anxiety among medical students: A brief overview. Advances in Medical Education and Practice 2021, 12, 393–398.
  • Moghadam, M., Rezaei, F., Ghaderi, E., & Rostamian, N. (2016). Relationship between attachment styles and happiness in medical students. Journal of Family Medicine and Primary Care, 5(3), 593–599.
  • Öncü, B., Şahin, T., Özdemir, S., Şahin, C., Çakır, K., & Öcal, E. (2013). Tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres düzeyleri ve ilişkili etmenler. Kriz Dergisi, 21(1), 1-10.
  • Pelzer, A., Sapalidis, A., Rabkow, N., Pukas, L., Günther, N., & Watzke, S. (2022). Does medical school cause depression or do medical students already begin their studies depressed? A longitudinal study over the first semester about depression and influencing factors. GMS Journal for Medical Education, 39(5), 58.
  • Pesen, A., & Mayda, A. S. (2020). Tıp fakültesi öğrencilerinin depresyon, anksiyete, stres düzeyleri ve ilişkili faktörler. Sakarya Tıp Dergisi, 10(2), 240–252.
  • Puthran, R., Zhang, M. W., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: A meta-analysis. Medical Education, 50(4), 456–468.
  • Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21), 2214–2236.
  • Sümer, S., Poyrazli, S., & Grahame, K. (2008). Predictors of depression and anxiety among international students. Journal of Counseling & Development, 86(4), 429–437.
  • Tjia, J., Givens, J. L., & Shea, J. A. (2005). Factors associated with undertreatment of medical student depression. Journal of American College Health, 53(5), 219–224.
  • Üstün, A., & Bayar, A. (2015). Üniversite öğrencilerinin depresyon, anksiyete ve stres düzeylerinin çeşitli değişkenlere göre incelenmesi. Eğitim ve Öğretim Araştırmaları Dergisi, 4(1), 384–390.
Year 2024, Volume: 6 Issue: 2, 163 - 179, 25.12.2024
https://doi.org/10.52675/jhesp.1478822

Abstract

References

  • Alshahrani, A. M., Al-Shahrani, M. S., Miskeen, E., Alharthi, M. H., Alamri, M. S., Alqahtani, M. A., & Ibrahim, M. E. (2024). Prevalence of depressive symptoms and its correlates among male medical students at the University of Bisha, Saudi Arabia. Healthcare, 12(6), 640.
  • Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety, and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672.
  • Coentre, R., Faravelli, C., & Figueira, M. L. (2016). Assessment of depression and suicidal behavior among medical students in Portugal. International Journal of Medical Education, 7, 354–363.
  • Demirbatir, R. E. (2015). Relationships between psychological well-being, happiness, and educational satisfaction in a group of university music students. Educational Research and Reviews, 10(15), 2198–2206.
  • Deniz, M. E., & Sümer, A. S. (2010). The evaluation of depression, anxiety and stress in university students with different self-compassion levels. Egitim ve Bilim, 35(158), 115.
  • Doğan, T., & Çötok, N. A. (2011). Adaptation of the short form of the Oxford Happiness Questionnaire into Turkish: A validity and reliability study. Turkish Psychological Counseling and Guidance Journal, 4(36), 165–170.
  • Doğan, T., & Sapmaz, F. (2012). Examination of psychometric properties of the Turkish version of the Oxford Happiness Questionnaire in university students. Dusunen Adam Journal of Psychiatry and Neurological Sciences, 25(4), 297–304.
  • Doğan, I., & Doğan, N. (2019). The prevalence of depression, anxiety, stress and its association with sleep quality among medical students. Ankara Medical Journal, 19(3), 550–558.
  • Dhanoa, S., Oluwasina, F., Shalaby, R., Kim, E., Agyapong, B., Hrabok, M., Eboreime, E., Kravtsenyuk, M., Yang, A., Nwachukwu, I., Moreau, C., Abba-Aji, A., Li, D., & Agyapong, V. I. (2022). Prevalence and correlates of likely major depressive disorder among medical students in Alberta, Canada. International Journal of Environmental Research and Public Health, 19(18), 11496.
  • Ghodasara, S. L., Davidson, M. A., Reich, M. S., Savoie, C. V., & Rodgers, S. M. (2011). Assessing student mental health at the Vanderbilt University School of Medicine. Academic Medicine, 86(1), 116–121.
  • Hamasha, A. H., Kareem, Y. M., Alghamdi, M. S., Algarni, M. S., Alahedib, K. S., & Alharbi, F. A. (2019). Risk indicators of depression among medical, dental, nursing, pharmacology, and other medical science students in Saudi Arabia. International Review of Psychiatry, 31(7-8), 646–652.
  • Hankir, A. K., Northall, A., & Zaman, R. (2014). Stigma and mental health challenges in medical students. BMJ Case Reports 2014. https://doi.org/10.1136/bcr-2014-205226
  • Honney, K., Buszewicz, M., Coppola, W., & Griffin, M. (2010). Comparison of levels of depression in medical and non-medical students. The Clinical Teacher, 7(3), 180–184.
  • Kapci, E. G., Uslu, R., Turkcapar, H., & Karaoglan, A. (2008). Beck Depression Inventory II: Evaluation of the psychometric properties and cut-off points in a Turkish adult population. Depression and Anxiety, 25(10), E104–E110.
  • Karaoğlu, N., & Şeker, M. (2010). Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Medical Journal, 59(2), 196–202.
  • Khan, M. S., Mahmood, S., Badshah, A., Ali, S. U., & Jamal, Y. (2006). Prevalence of depression, anxiety, and their associated factors among medical students in Karachi, Pakistan. Journal of the Pakistan Medical Association, 56(12), 583–586.
  • Kamthan, S., Sharma, S., Bansal, R., Pant, B., Saxena, P., Chansoria, S., & Shukla, A. (2019). Happiness among second year MBBS students and its correlates using the Oxford Happiness Questionnaire. Journal of Oral Biology and Craniofacial Research, 9(2), 190–192.
  • Mirza, A. A., Baig, M., Beyari, G. M., Halawani, M. A., & Mirza, A. A. (2021). Depression and anxiety among medical students: A brief overview. Advances in Medical Education and Practice 2021, 12, 393–398.
  • Moghadam, M., Rezaei, F., Ghaderi, E., & Rostamian, N. (2016). Relationship between attachment styles and happiness in medical students. Journal of Family Medicine and Primary Care, 5(3), 593–599.
  • Öncü, B., Şahin, T., Özdemir, S., Şahin, C., Çakır, K., & Öcal, E. (2013). Tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres düzeyleri ve ilişkili etmenler. Kriz Dergisi, 21(1), 1-10.
  • Pelzer, A., Sapalidis, A., Rabkow, N., Pukas, L., Günther, N., & Watzke, S. (2022). Does medical school cause depression or do medical students already begin their studies depressed? A longitudinal study over the first semester about depression and influencing factors. GMS Journal for Medical Education, 39(5), 58.
  • Pesen, A., & Mayda, A. S. (2020). Tıp fakültesi öğrencilerinin depresyon, anksiyete, stres düzeyleri ve ilişkili faktörler. Sakarya Tıp Dergisi, 10(2), 240–252.
  • Puthran, R., Zhang, M. W., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: A meta-analysis. Medical Education, 50(4), 456–468.
  • Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21), 2214–2236.
  • Sümer, S., Poyrazli, S., & Grahame, K. (2008). Predictors of depression and anxiety among international students. Journal of Counseling & Development, 86(4), 429–437.
  • Tjia, J., Givens, J. L., & Shea, J. A. (2005). Factors associated with undertreatment of medical student depression. Journal of American College Health, 53(5), 219–224.
  • Üstün, A., & Bayar, A. (2015). Üniversite öğrencilerinin depresyon, anksiyete ve stres düzeylerinin çeşitli değişkenlere göre incelenmesi. Eğitim ve Öğretim Araştırmaları Dergisi, 4(1), 384–390.
There are 27 citations in total.

Details

Primary Language English
Subjects Health Management
Journal Section Clinical Article
Authors

Aus Abdulhamed 0009-0000-4508-1412

Okan Eren Kuguoglu 0000-0001-7575-5297

Alperen Demirel 0009-0004-1563-0109

Beyza Gürbüz Demirel 0009-0007-2817-4052

Ezgi Doğan 0009-0001-1407-3679

Publication Date December 25, 2024
Submission Date May 6, 2024
Acceptance Date August 5, 2024
Published in Issue Year 2024 Volume: 6 Issue: 2

Cite

APA Abdulhamed, A., Kuguoglu, O. E., Demirel, A., Gürbüz Demirel, B., et al. (2024). Comparing Level of Happiness and Depression Between Turkish and International Medical Students. Journal of Health Systems and Policies, 6(2), 163-179. https://doi.org/10.52675/jhesp.1478822

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Contents of the Journal of Health Systems and Policies (JHESP) is licensed under a Creative Commons Attribution 4.0 International License.