Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan.

Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan.
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巴基斯坦卡拉奇医学生抑郁、焦虑的患病率及其相关因素。

DOI:
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发表时间:
2006
期刊:
JPMA. The Journal of the Pakistan Medical Association
影响因子:
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通讯作者:
Y. Jamal
Y. Jamal
中科院分区:
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文献类型:
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作者:
M. S. Khan;S. Mahmood;A. Badshah;S. U. Ali;Y. Jamal

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目的 了解巴基斯坦卡拉奇某公立医学院学生焦虑、抑郁的患病率及其相关危险因素。 方法 一项横断面研究是对一个公共部门的学生进行的,他们在医学院呆了六个月以上,除了焦虑和抑郁之外没有任何身体或精神疾病。研究对象是从学校行政部门随机抽取的学生,他们都是自填式问卷。主要结局为焦虑和抑郁,定义为AKUADS评分≥ 19分。建立多变量模型并进行Logistic回归分析,以确定与原发性相关的独立因素。 结果 学生的平均(SD)年龄为21.3(1.88)岁。大多数学生是女性。在学生中发现了非常高的焦虑和抑郁患病率(70%)。有精神药物滥用史、有抑郁焦虑家族史和近1年内失去亲人的学生患抑郁和焦虑的可能性分别是对照组的2.66、2.35和3.4倍。 结论 这项研究表明,有一定的危险因素以外的学术压力,使医学生的心理疾病,如焦虑和抑郁。
OBJECTIVE To estimate the prevalence of anxiety, depression and their associated risk factors among students of a public medical college in Karachi, Pakistan. METHODS A cross sectional study was done on the students of a public sector, who had spent more than six months in the medical college and had no physical or mental illness other than anxiety and depression. A self administered questionnaire was given out to students who were randomly selected from the list of names obtained from the college administration. Primary outcome was anxiety and depression which was defined as a cut of score 19 or above on AKUADS. Multivariable models were built and logistic regression analysis was performed to determine the factors independently associated with the primary. RESULTS The mean (SD) age of the students was 21.3 (1.88) years. Majority of the students were females. A very high prevalence of anxiety and depression (70%) was found among students. Students using substance abuse, having family history of depression and anxiety and those who had lost a relative in last 1 year were 2.66, 2.35, 3.4 times more likely to be depressed and suffered from anxiety, respectively. CONCLUSION This study suggests that there are certain risk factors other than academic stressors which predispose a medical student to psychological morbidity such as anxiety and depression.