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Depression, Anxiety And Stress Status Among Medical Students And Associated Factors

Year 2013, , 1 - 10, 01.06.2013
https://doi.org/10.1501/Kriz_0000000333

Abstract

Objective: In this study, commonness of depression, anxiety, stress and psychological support among medical students were searched. These variables were compared with sociodemographic variables and the relation between the risk factors and these variables was measured. Method: Total 348 students chosen by stratified sampling included the study between October 2012 and May 2013. All participants filled a sociodemographic survey and the Depression Anxiety and Stress Scale (DASS-42). The relationship between depression, anxiety, stress and psychological support status and possible risk factors and sociodemographic variables were searched. Results: In our sample, 169 (48,6%) and 179 (51,4%) of participants are male and female, respectively. Also, 41%, 45% and 40,4% of the participants were found having signs of depression, anxiety and stress, respectively. There is no significant difference between scores of males and females. Students being dissatisfied with friendships, worry about physical appearance or having economical distress have higher depression, anxiety and stress scores and whose relatives diagnosed psychiatrical have higher depression scores. Anxiety scores of who preferred medical career for vocational fulfillment and depression scores of who are in an emotional relationship are low. Females were found more eager to psychological support than males. Conclusion: Symptoms of depression, anxiety and stress among medical students are common. The risk for these diseases seems increased including students having social and economic problems, being chosen medical career with outer effects and worrying about physical appearance. Although DASS-42 scores of males and females are similar, males are reluctant to psychological support. Subsequent follow-up and qualitative studies will give comprehensive information

References

  • Aktekin M, Karaman T, Senol YY ve ark. (2001) Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ, Jan;35(1):12-7.
  • American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association.
  • Arslan G, Ayranci U, Unsal A ve ark. (2009) Prevalence of depression, its correlates among students, and its effect on health- related quality of life in a Turkish university. Ups J Med Sci, 114(3):170-7.
  • Bilgel N, Bayram N (2010) Depresyon Anksiyete Stres Ölçeğinin (DASS-42) Türkçeye Uyarlanmış Şeklinin Psikometrik Özellikleri. Nöropsikiyatri Arşivi, 47: 118-26.
  • Bíró E, Balajti I, Adány R ve ark. (2010) Determinants of mental well-being in medical students. Soc Psychiatry Psychiatr Epidemiol, Feb;45(2):253-8.
  • Dahlin M, Joneborg N, Runeson B (2005) Stress and depression among medical students: a cross-sectional study. Med Educ, Jun;39(6):594-604.
  • Dyrbye LN, Thomas MR, Shanafelt TD (2006) Systematic Review of Depression, Anxiety, and Other Indicators of Psychological Distress Among U.S. and Canadian Medical Students. Acad Med, Apr;81(4):354-73.
  • Ghodasara SL, Davidson MA, Reich MS ve ark. (2011) Assessing Student Mental Health at the Vanderbilt University School of Medicine. Acad Med, Jan;86(1):116-21.
  • Goebert D, Thompson D, Takeshita J ve ark. (2009) Depressive Symptoms in Medical Students and Residents: A Multischool Study. Acad Med, Feb;84(2):236-41.
  • Güleç M, Bakir B, Ozer M ve ark. (2005) Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res, Apr 30;134(3):281-6.
  • Haglund ME, aan het Rot M, Cooper NS ve ark. (2009) Resilience in the Third Year of Medical School: A Prospective Study of the Associations Between Stressful Events Occurring During Clinical Rotations and Student Well-Being. Acad Med, Feb;84(2):258- 68.
  • Kahl KG, Alte C, Sipos V ve ark. A randomized study of iterative hypothesis testing in undergraduate psychiatric education. Acta Psychiatr Scand, 2010 Oct;122(4):334-8.
  • Karaoglu N, Seker M (2010) Anxiety and Depression in Medical Students Related to Desire for and Expectations from a Medical Career. West Indian Med J, Mar;59(2):196- 202.
  • Lovibond SH, Lovibond PF (1995) The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with Beck Depression and Anxiety Inventories. Behav Res Ther, Mar;33(3):335-43.
  • Melo-Carrillo A, Van Oudenhove L, Lopez-Avila A (2012) Depressive symptoms among Mexican medical students: High prevalence and the effect of a group psychoeducation intervention. J Affect Disord, Feb;136(3):1098-103.
  • Moutier C, Norcross W, Jong P ve ark. (2012) The Suicide Prevention and Depression Awareness Program at the University of California, San Diego School of Medicine. Acad Med, Mar;87(3):320-6.
  • Peng L, Zhang J, Li M ve ark. (2012) Negative life events and mental health of Chinese medical students: The effect of resilience, personality and social support. Psychiatry Res, Mar 30;196(1):138-41.
  • Sarikaya O, Civaner M, Kalaca S (2006) The anxieties of medical students related to clinical training. Int J Clin Pract, Nov; 60(11):1414-8.
  • Shauna L, Shapiro MA, Daniel E ve ark. (2000) Stress Management in Medical Education: A Review of the Literature. Acad Med, 75:748–759.
  • Thompson D, Goebert D, Takeshita J (2010) A Program for Reducing Depressive Symptoms and Suicidal Ideation in Medical Students. Acad Med, Oct;85(10):1635-9.
  • Zaki N, Ibrahim J (2011) Psychiatric morbidity among third year medical students at the Ain Shams University, Cairo, Egypt. MECPsych, Jan;18:51–6.

Tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres düzeyleri ve ilişkili etmenler

Year 2013, , 1 - 10, 01.06.2013
https://doi.org/10.1501/Kriz_0000000333

Abstract

Amaç: Bu çalışmada, tıp öğrencilerinde
depresyon, anksiyete ve stres düzeylerinin
yaygınlığı araştırılmış, bu değişkenler çeşitli
sosyodemografik değişkenlerle karşılaştırılmış ve
risk etmenleri ile ilişkisi araştırılmıştır. Yöntem:
Ankara Üniversite Tıp Fakültesi (AÜTF)
öğrencilerinden Ekim 2012 – Mayıs 2013
tarihlerinde tabakalı örneklemeyle seçilen 348 kişi
alınmıştır. Katılımcılara sosyodemografik anket ve
Depresyon Anksiyete ve Stres Ölçeği (DASS-42)
uygulanmıştır. Depresyon, anksiyete, stres ve
psikiyatrik destek alma durumlarıyla
sosyodemografik değişkenler ve muhtemel risk
etmenleriyle ilişkisi araştırılmıştır. Bulgular:
Katılımcıların 169’u (%48,6) erkek, 179’u (%51,4)
kadındır. DASS-42 puanlarına göre %41’inde
depresyon, %45’inde anksiyete ve %40,4’ünde ise
stres belirtileri saptanmış, kadın ve erkekler
arasında fark saptanmamıştır. Arkadaşlıklarından
memnun olmayanlar, dış görünümünden endişeliler
veya ekonomik sıkıntı içindeki öğrencilerde
depresyon, anksiyete ve stres puanları;
akrabalarında psikiyatrik hastalığı olanlarda
depresyon puanları yüksektir. Mesleki tatmin için tıp
fakültesini tercih edenlerin depresyon ve anksiyete
puanları, duygusal ilişkisi olanların depresyon
puanları düşüktür. Kadınların psikolojik desteğe
erkeklerden gönüllü olduğu saptanmıştır. Sonuç ve
tartışma: Tıp Fakültesi öğrencilerinde depresyon,
anksiyete ve stres belirtileri yaygındır; sosyal ve
ekonomik sorunları olanlar, dış etkilerle tıbbı tercih
edenler ve dış görünümünden endişe edenlerde risk
fazladır. DASS-42 puanları iki cinsiyette benzer
olduğu halde erkekler psikolojik destek almakta
gönülsüzdür. Gelecekteki niteliksel çalışmalar ve
izlem çalışmaları daha kapsamlı bilgi verecektir.

References

  • Aktekin M, Karaman T, Senol YY ve ark. (2001) Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ, Jan;35(1):12-7.
  • American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association.
  • Arslan G, Ayranci U, Unsal A ve ark. (2009) Prevalence of depression, its correlates among students, and its effect on health- related quality of life in a Turkish university. Ups J Med Sci, 114(3):170-7.
  • Bilgel N, Bayram N (2010) Depresyon Anksiyete Stres Ölçeğinin (DASS-42) Türkçeye Uyarlanmış Şeklinin Psikometrik Özellikleri. Nöropsikiyatri Arşivi, 47: 118-26.
  • Bíró E, Balajti I, Adány R ve ark. (2010) Determinants of mental well-being in medical students. Soc Psychiatry Psychiatr Epidemiol, Feb;45(2):253-8.
  • Dahlin M, Joneborg N, Runeson B (2005) Stress and depression among medical students: a cross-sectional study. Med Educ, Jun;39(6):594-604.
  • Dyrbye LN, Thomas MR, Shanafelt TD (2006) Systematic Review of Depression, Anxiety, and Other Indicators of Psychological Distress Among U.S. and Canadian Medical Students. Acad Med, Apr;81(4):354-73.
  • Ghodasara SL, Davidson MA, Reich MS ve ark. (2011) Assessing Student Mental Health at the Vanderbilt University School of Medicine. Acad Med, Jan;86(1):116-21.
  • Goebert D, Thompson D, Takeshita J ve ark. (2009) Depressive Symptoms in Medical Students and Residents: A Multischool Study. Acad Med, Feb;84(2):236-41.
  • Güleç M, Bakir B, Ozer M ve ark. (2005) Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res, Apr 30;134(3):281-6.
  • Haglund ME, aan het Rot M, Cooper NS ve ark. (2009) Resilience in the Third Year of Medical School: A Prospective Study of the Associations Between Stressful Events Occurring During Clinical Rotations and Student Well-Being. Acad Med, Feb;84(2):258- 68.
  • Kahl KG, Alte C, Sipos V ve ark. A randomized study of iterative hypothesis testing in undergraduate psychiatric education. Acta Psychiatr Scand, 2010 Oct;122(4):334-8.
  • Karaoglu N, Seker M (2010) Anxiety and Depression in Medical Students Related to Desire for and Expectations from a Medical Career. West Indian Med J, Mar;59(2):196- 202.
  • Lovibond SH, Lovibond PF (1995) The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with Beck Depression and Anxiety Inventories. Behav Res Ther, Mar;33(3):335-43.
  • Melo-Carrillo A, Van Oudenhove L, Lopez-Avila A (2012) Depressive symptoms among Mexican medical students: High prevalence and the effect of a group psychoeducation intervention. J Affect Disord, Feb;136(3):1098-103.
  • Moutier C, Norcross W, Jong P ve ark. (2012) The Suicide Prevention and Depression Awareness Program at the University of California, San Diego School of Medicine. Acad Med, Mar;87(3):320-6.
  • Peng L, Zhang J, Li M ve ark. (2012) Negative life events and mental health of Chinese medical students: The effect of resilience, personality and social support. Psychiatry Res, Mar 30;196(1):138-41.
  • Sarikaya O, Civaner M, Kalaca S (2006) The anxieties of medical students related to clinical training. Int J Clin Pract, Nov; 60(11):1414-8.
  • Shauna L, Shapiro MA, Daniel E ve ark. (2000) Stress Management in Medical Education: A Review of the Literature. Acad Med, 75:748–759.
  • Thompson D, Goebert D, Takeshita J (2010) A Program for Reducing Depressive Symptoms and Suicidal Ideation in Medical Students. Acad Med, Oct;85(10):1635-9.
  • Zaki N, Ibrahim J (2011) Psychiatric morbidity among third year medical students at the Ain Shams University, Cairo, Egypt. MECPsych, Jan;18:51–6.
There are 21 citations in total.

Details

Other ID JA89BM67KK
Journal Section Research Article
Authors

Bedriye Öncü This is me

Turgut Şahin This is me

Sinem Özdemir This is me

Can Şahin This is me

Kaan Çakır This is me

Ezgi Öcal This is me

Publication Date June 1, 2013
Submission Date June 1, 2013
Published in Issue Year 2013

Cite

APA Öncü, B., Şahin, T., Özdemir, S., Şahin, C., et al. (2013). Tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres düzeyleri ve ilişkili etmenler. Kriz Dergisi, 21(1), 1-10. https://doi.org/10.1501/Kriz_0000000333