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Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire

Year 2023, , 140 - 148, 31.01.2023
https://doi.org/10.5472/marumj.1244747

Abstract

Objective: In this study, it was aimed to determine the level of knowledge of medical students about coronavirus disease 2019
(COVID-19), to investigate the frequency of depression, anxiety, stress symptoms and related factors.
Materials and Methods: The study is a cross-sectional study conducted with 904 volunteer medical students. Data were collected
with an online questionnaire, including sociodemographic characteristics, knowledge about COVID-19, the Depression, Anxiety, and
Stress Scale.
Results: Mean age was 21.3±2.2 years, and 54% of them (n=488) were female. Fifty five percent (n=497) thought that their level
of knowledge about COVID-19 was sufficient, and 94.6% (n=846) were concerned about the disruption of their education. Their
knowledge level was found to be 15.09±2.43 points out of 23 points. The depression, anxiety and stress symptoms were found in
64.9%, 70.4% and 34.1% of participants, respectively. The risk of anxiety (OR=0.51, 95%CI=0.94, p=0.020) and depression (OR=0.95,
95%CI=1.15, p=0.025) were higher in women. Those with a high fear of transmitting the COVID-19 infection to their relatives had
higher symptoms of depression, anxiety, and stress. (p<0.001).
Conclusion: Medical students have a good knowledge level of COVID-19. However, they experience high levels of anxiety, stress and
depression symptoms; and concerned about the disruption of their education.

References

  • The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. China CDC Weekly 2020;41:113-22. doi: 10.3760/ cma.j.issn.0254-6450.2020.02.003.
  • Organization World Health. Coronavirus disease 2019 (COVID-19): situation report, 82. 2020. Avaliable from: https://www.who.int/docs/default-source/coronaviruse/ situation-reports/20200411-sitrep-82-COVID-19. pdf?sfvrsn=74a5d15_2. Accessed date: 02.03.2021
  • Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020 287:112934;1-5. doi: 10.1016/j.psychres.2020.112934.
  • Thunstrom L, Newbold S, Finnoff D, et al. The benefits and costs of flattening the curve for COVID-19. Available at SSRN 3561934. 2020;1-24. doi: 10.2139/ssrn.3561934
  • 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;33:335-43. doi: 10.1016/0005-7967(94)00075-u.
  • Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018. 7:19−30. doi: 10.5455/ JCBPR.274847
  • Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Arch Iran Med 2020;23:249-54. doi: 10.34172/aim.2020.06
  • Olum R, Kajjimu J, Kanyike AM, et al. Perspective of medical students on the COVID-19 pandemic: survey of nine medical schools in Uganda. JMIR Public Health and Surveill 2020;6:e19847;1-12 doi: 10.2196/19847
  • Yakar B, Öztürk Kaygusuz T, Pirinçci E, et al. Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Fam Pract Palliat Care 2020; 5:36-44. doi: 10.22391/fppc.737469
  • Modi PD, Nair G, Uppe A, et al. COVID-19 awareness among healthcare students and professionals in Mumbai metropolitan region: a questionnaire-based survey. Cureus 2020;12: 1-18 doi: 10.7759/cureus.7514
  • Khan MU, Shah S, Ahmad A, et al. Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia. BMC public health 2014;14:1-7. doi: 10.1186/1471-2458-14-1281
  • World Health Organization. Best practices for the naming of new human infectious diseases 2020. Available from: https:// www.who.int/health-topics/coronavirus#tab=tab_1 Accessed date: 02.06.2021
  • Sartorao Filho CI, Rodrigues WCdLV, de Castro RB, et al. Impact Of COVID-19 pandemic on mental health of medical students: a cross-sectional study using GAD-7 and PHQ-9 questionnaires. MedRxiv preprint 2020; 1-20 doi: 10.1101/2020.06.24.20138925
  • Guo AA, Crum MA, Fowler LA. Assessing the psychological impacts of COVID-19 in undergraduate medical students. Int j Environ Res Public Health 2021;18:2952:1-14. doi: 10.3390/ ijerph18062952
  • Kumar A, Kumar A, Shrama D, et al. The Psychological Impact of the COVID-19 lockdown on medical students of a college in North India. Indian J Public Health Res & Develop 2020;11:82-7 doi: 10.30834/KJP.34.1.2021.262
  • Mousa OY, Dhamoon MS, Lander S, et al. The MD blues: under-recognized depression and anxiety in medical trainees. PloS One 2016;11:e0156554;1-10. doi: 10.1371/journal. pone.0156554
  • Chen L, Wang L, Qiu XH, et al. Depression among Chinese university students: prevalence and socio-demographic correlates. PloS One 2013;8(3):e58379;1-6. doi: 10.1371/ journal.pone.0058379
  • Halperin SJ, Henderson MN, Prenner S, et al. Prevalence of anxiety and depression among medical students during the COVID-19 pandemic: a cross-sectional study. J Med Educ and Curric Dev 2021;8:1-7 doi: 10.1177/238.212.0521991150.
  • Aslan I, Ochnik D, Çınar O. Exploring Perceived Stress among Students in Turkey during the COVID-19 Pandemic. Int J Environ Res Public Health 2020;17:8961:2-17. doi: 10.3390/ ijerph17238961.
  • Shawahna R, Hattab S, Al-Shafei R, et al. Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students. BMC psychiatry 2020;20:1-13. doi: 10.1186/s12888.020.02658-1
  • Ediz B, Ozcakir A, Bilgel N. Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics. Cogent Psychol 2017;4:1283829;1-12. doi: 10.1080/23311.908.2017.1283829
  • AlJaber MI. The prevalence and associated factors of depression among medical students of Saudi Arabia: A systematic review. J Family Med Prim Care 2020;9:2608-14. doi: 10.4103/jfmpc.jfmpc_255_20
  • Safa F, Anjum A, Hossain S, et al. Immediate psychological responses during the initial period of the COVID-19 pandemic among Bangladeshi medical students. Child Youth Serv Rev. 2021;122:105912;1-9. doi: 10.1016/j.childyouth.2020.105912.
  • Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17:1729;1-25. doi: 10.3390/ijerph17051729
  • Lincango-Naranjo E, Espinoza-Suarez N, Solis-Pazmino P, et al. Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students. BMC Medical education 2021;21:1-10. doi: 10.1186/s12909.021.02559-1
Year 2023, , 140 - 148, 31.01.2023
https://doi.org/10.5472/marumj.1244747

Abstract

References

  • The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China. China CDC Weekly 2020;41:113-22. doi: 10.3760/ cma.j.issn.0254-6450.2020.02.003.
  • Organization World Health. Coronavirus disease 2019 (COVID-19): situation report, 82. 2020. Avaliable from: https://www.who.int/docs/default-source/coronaviruse/ situation-reports/20200411-sitrep-82-COVID-19. pdf?sfvrsn=74a5d15_2. Accessed date: 02.03.2021
  • Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020 287:112934;1-5. doi: 10.1016/j.psychres.2020.112934.
  • Thunstrom L, Newbold S, Finnoff D, et al. The benefits and costs of flattening the curve for COVID-19. Available at SSRN 3561934. 2020;1-24. doi: 10.2139/ssrn.3561934
  • 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;33:335-43. doi: 10.1016/0005-7967(94)00075-u.
  • Sarıçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. 2018. 7:19−30. doi: 10.5455/ JCBPR.274847
  • Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Arch Iran Med 2020;23:249-54. doi: 10.34172/aim.2020.06
  • Olum R, Kajjimu J, Kanyike AM, et al. Perspective of medical students on the COVID-19 pandemic: survey of nine medical schools in Uganda. JMIR Public Health and Surveill 2020;6:e19847;1-12 doi: 10.2196/19847
  • Yakar B, Öztürk Kaygusuz T, Pirinçci E, et al. Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Fam Pract Palliat Care 2020; 5:36-44. doi: 10.22391/fppc.737469
  • Modi PD, Nair G, Uppe A, et al. COVID-19 awareness among healthcare students and professionals in Mumbai metropolitan region: a questionnaire-based survey. Cureus 2020;12: 1-18 doi: 10.7759/cureus.7514
  • Khan MU, Shah S, Ahmad A, et al. Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia. BMC public health 2014;14:1-7. doi: 10.1186/1471-2458-14-1281
  • World Health Organization. Best practices for the naming of new human infectious diseases 2020. Available from: https:// www.who.int/health-topics/coronavirus#tab=tab_1 Accessed date: 02.06.2021
  • Sartorao Filho CI, Rodrigues WCdLV, de Castro RB, et al. Impact Of COVID-19 pandemic on mental health of medical students: a cross-sectional study using GAD-7 and PHQ-9 questionnaires. MedRxiv preprint 2020; 1-20 doi: 10.1101/2020.06.24.20138925
  • Guo AA, Crum MA, Fowler LA. Assessing the psychological impacts of COVID-19 in undergraduate medical students. Int j Environ Res Public Health 2021;18:2952:1-14. doi: 10.3390/ ijerph18062952
  • Kumar A, Kumar A, Shrama D, et al. The Psychological Impact of the COVID-19 lockdown on medical students of a college in North India. Indian J Public Health Res & Develop 2020;11:82-7 doi: 10.30834/KJP.34.1.2021.262
  • Mousa OY, Dhamoon MS, Lander S, et al. The MD blues: under-recognized depression and anxiety in medical trainees. PloS One 2016;11:e0156554;1-10. doi: 10.1371/journal. pone.0156554
  • Chen L, Wang L, Qiu XH, et al. Depression among Chinese university students: prevalence and socio-demographic correlates. PloS One 2013;8(3):e58379;1-6. doi: 10.1371/ journal.pone.0058379
  • Halperin SJ, Henderson MN, Prenner S, et al. Prevalence of anxiety and depression among medical students during the COVID-19 pandemic: a cross-sectional study. J Med Educ and Curric Dev 2021;8:1-7 doi: 10.1177/238.212.0521991150.
  • Aslan I, Ochnik D, Çınar O. Exploring Perceived Stress among Students in Turkey during the COVID-19 Pandemic. Int J Environ Res Public Health 2020;17:8961:2-17. doi: 10.3390/ ijerph17238961.
  • Shawahna R, Hattab S, Al-Shafei R, et al. Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students. BMC psychiatry 2020;20:1-13. doi: 10.1186/s12888.020.02658-1
  • Ediz B, Ozcakir A, Bilgel N. Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics. Cogent Psychol 2017;4:1283829;1-12. doi: 10.1080/23311.908.2017.1283829
  • AlJaber MI. The prevalence and associated factors of depression among medical students of Saudi Arabia: A systematic review. J Family Med Prim Care 2020;9:2608-14. doi: 10.4103/jfmpc.jfmpc_255_20
  • Safa F, Anjum A, Hossain S, et al. Immediate psychological responses during the initial period of the COVID-19 pandemic among Bangladeshi medical students. Child Youth Serv Rev. 2021;122:105912;1-9. doi: 10.1016/j.childyouth.2020.105912.
  • Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17:1729;1-25. doi: 10.3390/ijerph17051729
  • Lincango-Naranjo E, Espinoza-Suarez N, Solis-Pazmino P, et al. Paradigms about the COVID-19 pandemic: knowledge, attitudes and practices from medical students. BMC Medical education 2021;21:1-10. doi: 10.1186/s12909.021.02559-1
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Research
Authors

Esra Cınar Tanrıverdı This is me 0000-0001-8857-3986

Mustafa Bayraktar This is me 0000-0001-8486-9915

Suat Sıncan This is me 0000-0003-3170-2753

Kamber Kasalı This is me 0000-0002-2851-5263

Yasemin Cayır This is me 0000-0001-9133-5460

Mine Sahıngoz This is me 0000-0003-4511-9649

Zulal Ozkurt This is me 0000-0001-5554-8768

Publication Date January 31, 2023
Published in Issue Year 2023

Cite

APA Cınar Tanrıverdı, E., Bayraktar, M., Sıncan, S., Kasalı, K., et al. (2023). Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire. Marmara Medical Journal, 36(1), 140-148. https://doi.org/10.5472/marumj.1244747
AMA Cınar Tanrıverdı E, Bayraktar M, Sıncan S, Kasalı K, Cayır Y, Sahıngoz M, Ozkurt Z. Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire. Marmara Med J. January 2023;36(1):140-148. doi:10.5472/marumj.1244747
Chicago Cınar Tanrıverdı, Esra, Mustafa Bayraktar, Suat Sıncan, Kamber Kasalı, Yasemin Cayır, Mine Sahıngoz, and Zulal Ozkurt. “Medical students’ Knowledge of the Disease, Frequency of Depression, Anxiety, Stress Symptoms, and Related Factors in the COVID-19 Pandemic: A Web-Based Questionnaire”. Marmara Medical Journal 36, no. 1 (January 2023): 140-48. https://doi.org/10.5472/marumj.1244747.
EndNote Cınar Tanrıverdı E, Bayraktar M, Sıncan S, Kasalı K, Cayır Y, Sahıngoz M, Ozkurt Z (January 1, 2023) Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire. Marmara Medical Journal 36 1 140–148.
IEEE E. Cınar Tanrıverdı, M. Bayraktar, S. Sıncan, K. Kasalı, Y. Cayır, M. Sahıngoz, and Z. Ozkurt, “Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire”, Marmara Med J, vol. 36, no. 1, pp. 140–148, 2023, doi: 10.5472/marumj.1244747.
ISNAD Cınar Tanrıverdı, Esra et al. “Medical students’ Knowledge of the Disease, Frequency of Depression, Anxiety, Stress Symptoms, and Related Factors in the COVID-19 Pandemic: A Web-Based Questionnaire”. Marmara Medical Journal 36/1 (January 2023), 140-148. https://doi.org/10.5472/marumj.1244747.
JAMA Cınar Tanrıverdı E, Bayraktar M, Sıncan S, Kasalı K, Cayır Y, Sahıngoz M, Ozkurt Z. Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire. Marmara Med J. 2023;36:140–148.
MLA Cınar Tanrıverdı, Esra et al. “Medical students’ Knowledge of the Disease, Frequency of Depression, Anxiety, Stress Symptoms, and Related Factors in the COVID-19 Pandemic: A Web-Based Questionnaire”. Marmara Medical Journal, vol. 36, no. 1, 2023, pp. 140-8, doi:10.5472/marumj.1244747.
Vancouver Cınar Tanrıverdı E, Bayraktar M, Sıncan S, Kasalı K, Cayır Y, Sahıngoz M, Ozkurt Z. Medical students’ knowledge of the disease, frequency of depression, anxiety, stress symptoms, and related factors in the COVID-19 pandemic: A web-based questionnaire. Marmara Med J. 2023;36(1):140-8.