Stress, anxiety, and depression among medical students in a multiethnic setting
Stress, anxiety, and depression among medical students in a multiethnic setting
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DOI：
10.2147/ndt.s83577
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发表时间：
2015-01-01
影响因子：
3.2
通讯作者：
Afsar, Nasir Ali
中科院分区：
文献类型：
--
作者：
Kulsoom, Bibi;Afsar, Nasir Ali
背景：当代文献表明，医学教育可能会对学生的心理健康产生不利影响。沙特阿拉伯利雅得的Alfaisal大学是一所发展中的机构;因此，学生的心理健康一直受到关注。目的：本研究的目的是评估学生的抑郁，焦虑和压力的特点与潜在的潜在cause.Methods：所有575名医学生在5年的研究参加了填写抑郁，焦虑和压力量表-21（DASS-21）问卷匿名两次。第一，在主要考试前2-3周（预考试），第二，在正常上课期间（考试后）。相关性进行了调查，性别，奖学金的一年，出席预科大学预科课程（UPP），住房和吸烟。结果：76.8%和74.9%的学生分别参加了考试前和考试后两组。大多数是沙特阿拉伯外籍工人的子女，包括阿拉伯人，南亚人和北美人。抑郁、焦虑和紧张的患病率较高（分别为43%、63%和41%），考试后有所下降（分别为30%、47%和30%）。沙特人和那些参加过UPP的人有更高的DASS-21分数。吸烟和女性预示着更高水平的“基线”抑郁，焦虑或压力。学生认为的课程和时间表是他们的高DASS-21 scores.Conclusion的主要原因：学生有高的“基线”的抑郁，焦虑和压力的特点，这些都较高，如果考试是近，特别是沙特和那些谁参加了UPP。吸烟和女性预示着更高水平的“基线”抑郁，焦虑或压力。学生认为学习负担和忙碌的日程安排是他们DASS-21得分高的主要原因。
Background: Contemporary literature suggests that medical education might adversely affect students' mental health. Alfaisal University in Riyadh, Saudi Arabia is a developing institution; hence, there has been a concern regarding the mental well-being of the students. Objectives: This study was designed to assess the traits of depression, anxiety, and stress among students in relation to potential underlying reasons.Methods: All 575 medical students across the 5 years of study participated by filling out the Depression, Anxiety, and Stress Scale-21 (DASS-21) questionnaire anonymously twice. Firstly, 2-3 weeks before a major examination (pre-examination), and secondly, during regular classes (post-examination). Correlation was sought regarding sex, year of scholarship, attendance of a premedical university preparatory program (UPP), housing, and smoking. Subjective comments from students were also obtained.Results: A total of 76.8% and 74.9% of students participated in pre- and post-examination groups, respectively. The majority were the children of expatriate workers in Saudi Arabia, and included Arabs, South Asians, and North Americans. Prevalence of depression, anxiety, and stress was high (43%, 63%, and 41%, respectively) which reduced (to 30%, 47%, and 30%, respectively) to some extent after examinations. Saudis and those who had attended UPP had higher DASS-21 scores. Smoking and female sex predicted higher levels of "baseline" depression, anxiety, or stress. The students perceived the curriculum and schedule to be the primary causes of their high DASS-21 scores.Conclusion: The students had high "baseline" traits of depression, anxiety, and stress, and these were higher if an examination was near, especially among Saudis and those who had attended UPP. Smoking and female sex predicted higher levels of "baseline" depression, anxiety, or stress. Students suggested that study burden and a busy schedule were the major reasons for their high DASS-21 scores.