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

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

Keywords

• Depression, anxiety, psychological stress, medical students, psychological support

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

Öz

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.

Anahtar Kelimeler

• Depresyon, Anksiyete, Stres, Tıp Öğrencileri, Psikolojik Destek

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