The Prevalence of Depression, Anxiety, Stress and Its Association with Sleep Quality among Medical Students

Yıl 2019, , 550 - 558, 30.09.2019

İlkay Doğan , Nurhan Doğan

https://doi.org/10.17098/amj.624517

Cited By: 6

Öz

Objectives: Currently,
depression, anxiety, and stress among medical
students are an important health issue at global level.  The aim of
study was to assess the prevalence of depression, anxiety, stress among medical
students, and its association with socio-demographic characteristics and sleep
quality.

Materials and Methods: DASS-42
Scale and Richard Campbell Sleep Questionnaire were used to assess information
on depression, anxiety, stress, and sleep quality. A total of 610 students (44.10%
males and 55.90% females) with mean age of 20.90±2.10 years participated in the
present study.

Results: The
overall prevalence of depression, anxiety, and stress were 60%, 66%, and 63%
among all participated medical students, respectively. Depression level
was high among students with poor economic level. Anxiety level was high among
pre-clinical students with poor economic level, females and the ones whose
choice of the medical faculties was not voluntarily. Stress level was higher in
females. The correlation between sleep quality and depression, anxiety, stress
was found statistically significant, negative, and low level. High depression,
anxiety, and stress levels decreased students' sleep quality.

Conclusion: An important
proportion of medical students had high levels of depression, anxiety, and
stress. Providing individual guidance and psychological counseling services for
medical students could be beneficial.

Anahtar Kelimeler

Depression, anxiety, stress, sleep quality, medical students

Tıp Fakültesi Öğrencilerinde Depresyon, Anksiyete, Stress Prevalansı ve Uyku Kalitesi ile İlişkisi

Öz

Amaç: Günümüzde tıp öğrencileri arasında
depresyon, anksiyete ve stres küresel seviyede önemli bir sağlık sorunudur. Bu
çalışma ile tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres prevalansının
araştırılması ve bunların uyku kalitesi ve demografik özellikler ile ilişkisini
değerlendirmek amaçlanmıştır.

Materyal
ve Metot: Depresyon,
anksiyete, stres ve uyku kalitesi hakkındaki bilgileri değerlendirmek için
DASS-42 ve Richard Campbell Uyku Ölçeği
kullanılmıştır. Çalışmaya yaş ortalaması 20,90±2,10 olan toplam 610 tıp
fakültesi öğrencisi (44,10% erkek ve 55,90% kız) katılmıştır.

Bulgular: Çalışmaya katılan tıp öğrencilerinde depresyon, anksiyete ve stres
prevalansı sırasıyla 60%, 66%, ve 63% olarak belirlenmiştir. Depresyon düzeyi,
ekonomik düzeyi öğrencilerin yüksektir. Anksiyete düzeyi, klinik öncesi
öğrencilerde, kızlarda ve tıp fakültesini kendi isteği ile tercih etmeyen
öğrencilerde yüksektir. Stres düzeyi ise kızlarda yüksektir. Uyku kalitesi ile
depresyon, anksiyete ve stres arasındaki ilişki istatistiksel olarak anlamlı,
negatif yönde ve düşük seviyede bulunmuştur. Yüksek depresyon, anksiyete ve
stres düzeyi öğrencilerin uyku kalitesini azaltmaktadır.

Sonuç: Tıp öğrencilerinin önemli bir kısmında yüksek düzeyde depresyon,
anksiyete ve stres belirlenmiştir. Tıp öğrencileri için bireysel rehberlik ve
psikolojik danışma hizmetleri verilmesinin yararlı olabileceği düşünülmektedir.

Anahtar Kelimeler

Depresyon, anksiyete, stres, uyku kalitesi, tıp öğrencileri

Kaynakça

• Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr Dis Treat 2015;11:1713-22.
• Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ 2001;35(1):12-7.
• Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res 2015;141(3):354-7.
• 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):173-80.
• Karaoğlu N, Şeker M. Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Med J 2010;59(2):196-202.
• Almojali AI, Almalki SA, Alothman AS, Masuadi EM, Alaqeel MK. The prevalence and association of stress with sleep quality among medical students. J Epidemiol Glob Health 2017;7(3):169-74.
• Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: A cross‐sectional study. Med Educ 2005;39(6):594-604.
• Özdel L, Bostancı M, Özdel O, Oğuzhanoğlu NK. Üniversite öğrencilerinde depresif belirtiler ve sosyodemografik özelliklerle ilişkisi. Anadolu Psikiyatri Dergisi 2002;3(3):155-61.
• Sherer M. Depression and suicidal ideation in college students. Psychol Rep 1985;57:1061-2.
• Najafi Kalyani M, Jamshidi N, Salami J, Pourjam E. Investigation of the Relationship between Psychological Variables and Sleep Quality in Students of Medical Sciences. Depress Res Treat 2017; 2017:7143547.
• Haldorsen H, Bak NH, Dissing A, Petersson B. Stress and symptoms of depression among medical students at the University of Copenhagen. Scand J Public Health 2014;42(1):89-95.
• Fuad MD, Al-Zurfi BM, Abdelqader MA, Bakar MF, Elnajeh M, Abdullah MR. Prevalence and risk factors of stress, anxiety and depression among medical students of a private medical university in Malaysia. Edu Med J 2016;16(3):87-92.
• Dafaalla M, Farah A, Bashir S, et al. Depression, Anxiety, and Stress in Sudanese Medical Students: A Cross Sectional Study on Role of Quality of Life and Social Support. American Journal of Educational Research 2016;4(13):937-42.
• Ergin A, Uzun SU, Bozkurt Aİ. Tıp Fakültesi Öğrencilerinin Depresyon-Anksiyete-Stres Düzeyleri ve Stresle Başa Çıkma Yöntemleri. 18. National Public Health Conference, 5-9 Sep 2015, Konya-Turkey.
• Deniz ME, Sümer AS. The Evaluation of Depression, Anxiety and Stress in University Students with Different Self-Compassion Levels. Education and Sciences 2010;35(158):115-27.
• Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 2008;43(8):667-72.
• Öncü B, Şahin T, Özdemir S, Şahin C, Çakır K, Öcal E. Tıp fakültesi öğrencilerinde depresyon, anksiyete ve stres düzeyleri ve ilişkili etmenler. Kriz Dergisi 2013;21:1-10.
• Üstün A, Bayar A. Üniversite öğrencilerinin depresyon, anksiyete ve stres düzeylerinin çeşitli değişkenlere göre incelenmesi. Eğitim ve Öğretim Araştırmaları Dergisi 2015;4(1):384-90.
• Odacı H, Çikrıkci Ö. Differences in Problematic Internet Use based on Depression, Anxiety, and Stress Levels. Addicta: The Turkish Journal on Addictions 2017;4:41-61.
• 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(1);1283829.
• 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.
• Akin A, Çetin B. The Depression Anxiety and Stress Scale (DASS): The study of Validity and Reliability. Educ Sci Theory Pract 2007;7(1):260-8.
• Işık Ö, Özarslan A, Bekler F. Üniversite öğrencilerinde fiziksel aktivite uyku kalitesi ve depresyon ilişkisi. Niğde University Journal of Physical Education and Sport Sciences 2015;9:65-73.
• 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):216-23.
• Ibrahim MB, Abdelreheem MH. Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University. Alexandria Journal of Medicine 2015; 51(2):167-73.
• Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res 2017;255:186-94.
• Kunwar D, Risal A, Koirala S. Study of depression, anxiety and stress among the medical students in two medical colleges of Nepal. Kathmandu Univ Med J 2016;53(1):22-6.
• Beiter R, Nash R, McCrady M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord 2015;173:90-6.
• Bassols AM, Okabayashi LS, Silva ABD, et al. First-and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Revista Brazilian Journal of Psychiatry 2014;36(3):233-40.