Prevalence and factors associated to depression and anxiety among medical students in an inland university in Brazil
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2022.196142Keywords:
Health student, Medical school , Mental health , Stress disordersAbstract
Medical schools are known to be stressful environments for students and hence medical students have been believed to experience greater incidences of depression and anxiety than the general population or students from other specialties. The present study investigates the prevalence of anxiety and depressive symptoms together with factors associated with them among medical students in a public federal university in the south of Brazil. A descriptive study was performed using self-administered questionnaires to access socio-demographic, institutional and health variables in association with two scales - Beck’s Depression Inventory (BDI) and State-Trait Anxiety Inventory (STAI) - designed to assess depressive and anxiety symptoms, respectively. The research sample consisted of 152 subjects. The depressive symptoms prevalence was 65.1% (BDI > 9), state-anxiety was 98.6% and trait-anxiety 97.4% (STAI > 33). Among women, 37.8% demonstrated moderate/severe depressive symptoms. High levels of state-anxiety symptoms and trait-anxiety symptoms were found in 44.7% of students under age 20. In the group with the lowest monthly income, it was observed the highest distributions for moderate/severe depressive symptoms, high state and high trait-anxiety symptoms, corresponding to 47.4%, 57.9% and 47.4%, respectively. Students attending the 3rd term of medical school had the highest percentage of moderate/severe depressive symptoms (62.5%) and high state-anxiety symptoms (50%). In addition, students who had both financial aid programs presented the highest percentages at moderate/severe depressive symptoms (46.2%), high state-anxiety symptoms (61.5%) and high trait-anxiety symptoms (46.2%). We also observed a correlation between depression and trait-anxiety symptoms (P = 0.037). In conclusion, it was identified as risk factors for depressive symptoms the previous depression diagnosis, previous search for health service due to psychological symptoms, being in financial aid programs, dissatisfaction with the medical school and inadequate psychological help offered by it. For state-anxiety symptoms and trait-anxiety outcome, there is an increased risk among low-income or students who have financial help from financial aid programs and younger age students.
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References
Organization WH. Depression and Other Common Mental Disorders: Global Health Estimates [Internet]. Geneva; 2017. 24 p.
Hossain S, Anjum A, Hasan MT, Uddin ME, Hossain MS, Sikder MT. Self-perception of physical health conditions and its association with depression and anxiety among Bangladeshi university students. J Affect Disord 2020;263:282–8.
Shete A, Garkal K. A study of stress, anxiety, and depression among postgraduate medical students. CHRISMED J Heal Res 2015;2(2):119–23.
Mayer FB, Souza Santos I, Silveira PSP, Itaqui Lopes MH, De Souza ARND, Campos EP, et al. Factors associated to depression and anxiety in medical students: a multicenter study. BMC Med Educ 2016;16(1):1–9.
Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: A meta-analysis. Med Educ 2016;50(4):456–68.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006;81(4):354–73.
Midtgaard M, Ekeberg Ø, Vaglum P, Tyssen R. Mental health treatment needs for medical students: a national longitudinal study. Eur Psychiatry 2008;23(7):505–11.
Walkiewicz M, Tartas M, Majkowicz M, Budzinski W. Academic achievement, depression and anxiety during medical education predict the styles of success in a medical career: A 10-year longitudinal study. Med Teach 2012;34(9):e611–9.
Conceição L de S, Batista CB, Dâmaso JGB, Pereira BS, Carniele RC, Pereira G dos S. Saúde mental dos estudantes de medicina brasileiros: uma revisão sistemática da literatura. Avaliação Rev da Avaliação da Educ Super 2019;24(3):785–802.
Lima SO, Lima AMS, Barros ES, Varjão RL, Santos VF dos, Varjão LL, et al. Prevalência da Depressão nos Acadêmicos da Área de Saúde. Psicol Ciência e Profissão 2019;39:1–14.
Enns SC, Perotta B, Paro HB, Gannam S, Peleias M, Mayer FB, et al. Medical Students’ Perception of Their Educational Environment and Quality of Life: Is There a Positive Association? Acad Med 2016;91(3):409–17.
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Arch Gen Psychiatry 1961;4(6):561–71.
Gorenstein C, Andrade LHSG de. Beck depression inventory: psychometric properties of the portuguese version. Rev Psiquiatr Clínica (São Paulo) 1998;25(5):245–50.
Spielberg CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State Trait Anxiety Inventory (Form Y). Consult Psychol Press. 1983.
Andrade L, Gorenstein C, Vieira Filho AH, Tung TC, Artes R. Psychometric properties of the Portuguese version of the State-Trait Anxiety Inventory applied to college students: factor analysis and relation to the Beck Depression Inventory. Brazilian J Med Biol Res 2001;34(3):367–74.
Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res [Internet]. 2017;255:186–94.
Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res Suppl 2015;141:354–7.
Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Rev Bras Psiquiatr 2017;39(4):369–78.
Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CSH, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health 2019;16(15).
Shao R, He P, Ling B, Tan L, Xu L, Hou Y, et al. Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychol 2020;8(1):1–19.
Rab F, Mamdou R, Nasir S. Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Heal J 2008;14(1):126–33.
Salam A, Yousuf R, Bakar SMA, Haque M. Stress among medical students in malaysia: A systematic review of literatures. Int Med J 2013;20(6):649–55.
Baldassin S, Alves TCDTF, De Andrade AG, Nogueira Martins LA. The characteristics of depressive symptoms in medical students during medical education and training: A cross-sectional study. BMC Med Educ 2008;8:1–8.
Ribeiro CF, Lemos CMC, Alt NN, Marins RLT, Corbiceiro WCH, Nascimento MI do. Prevalence of and Factors Associated with Depression and Anxiety in Brazilian Medical Students. Rev Bras Educ Med 2020;44:1–8.
Esper LH, Furtado EF. Gender Differences and Association between Psychological Stress and Alcohol Consumption: A Systematic Review. J Alcohol Drug Depend 2013;01(03):1–5.
Bostanci M, Ozdel O, Oguzhanoglu NK, Ozdel L, Ergin A, Ergin N, et al. Depressive symptomatology among university students in Denizli, Turkey: Prevalence and sociodemographic correlates. Croat Med J 2005;46(1):96–100.
Shawahna R, Hattab S, Al-Shafei R, Tab’ouni M. Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students. BMC Psychiatry 2020;20(1):1–13.
Association AP. Manual Diagnóstico e Estatístico de Transtornos Mentais. 5th ed. Porto Alegre: Artmed; 2014. 992 p.
Rezende CHA de, Abrão CB, Coelho EP, Passos LB da S. Prevalência de sintomas depressivos entre estudantes de medicina da Universidade Federal de Uberlândia. Rev Bras Educ Med 2008;32(3):315–23.
Rossetto MÂC, Skawinski L de SR, Coelho ACP, Rossetto Júnior JA, Bolla K. Evaluation of the psychological characteristics of the medicine students by using Rorschach’s. Psikhe 2000;5(2):41–51.
Noronha Júnior MAG, Braga YA, Marques TG, Silva RT, Vieira SD, Coelho VAF, et al. Depression in medical students. Rev Médica Minas Gerais 2015;25(4):562–7.
Wege N, Muth T, Li J, Angerer P. Mental health among currently enrolled medical students in Germany. Public Health 2016;132:92–100.
Coentre R, Faravelli C, Figueira ML. Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ 2016;7:354–63.
Silva V, Costa P, Pereira I, Faria R, Salgueira AP, Costa MJ, et al. Depression in medical students: Insights from a longitudinal study. BMC Med Educ 2017;17(1):1–9.
Costa DS da, Medeiros N de SB, Cordeiro RA, Frutuoso E de S, Lopes JM, Moreira S da NT. Sintomas de Depressão, Ansiedade e Estresse em Estudantes de Medicina e Estratégias Institucionais de Enfrentamento. Rev Bras Educ Med 2020;44(1):1–10.
Pillay N, Ramlall S, Burns JK. Spirituality, depression and quality of life in medical students in KwaZulu-Natal. South African J Psychiatry 2016;22:1–6.
Bassols AM, Okabayashi LS, da Silva AB, Carneiro BB, Feijó F, Guimarães GC, et al. First- and last-year medical students: Is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Rev Bras Psiquiatr 2014;36(3):233–40.
Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general u.s. population. Acad Med 2014;89(3):443–51.
Gorman JM. Comorbid depression and anxiety spectrum disorders. Depress Anxiety 1996;4(4):160–8.
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