Abstract
Background: Medical Curriculum is highly stressful. Stepping into a new environment, huge course syllabus which has to be mastered in a short period of time besides continuous assessments, examinations and other social and personal issues makes a newly joined medical student prone to develop negative emotional symptoms.
Objective: This study is an attempt to assess the level of depression, anxiety and stress among first year medical students.
Materials and Methods: A cross sectional study was conducted on 97 first year medical students of ASCOMS, Jammu, Jammu & Kashmir, India. Depression, anxiety and stress was assessed by administering a self reporting DASS-42 questionnaire. Statistical analysis- SPSS version 16 was used for statistical analysis and Pearson Chi-square was applied for statistical significance.
Results: There was significant level of depression, anxiety and stress among first year medical students. The mean depression, anxiety and stress score was 1.31±1.38, 1.71±1.3 and 1.08±1.41 respectively. The prevalence of depression was 58.76% , anxiety was 69.07% % and stress was 54.63%.The incidence of depression and anxiety was highest which showed statistical significance (p<0.05) and females were affected more than males.
Conclusion: A significant proportion of first year medical students are affected with depression, anxiety and stress. The impact of negative emotional symptoms and the relevant contributing factors have to be understood. Early and timely intervention should be done addressing the negative psychological states.
Keywords: Stress, Anxiety, Depression.
References
1. C Thomas. Assesment of Mental Distress in Undergraduate Medical Students. Journal of Educational Research & Medical Teacher 2014;2(1):14-17
2. Coumaravelou Saravanan and Ray Wilks, “Medical Students’ Experience of and Reaction to Stress: The Role of Depression and Anxiety,” The Scientific World Journal, vol. 2014, Article ID 737382, 8 pages , 2014. doi:10.1155/2014/737382
3. Shawaz Iqbal, Sandhya Gupta & E. Venkatarao. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res 141, March 2015, pp 354-357.
4. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ 2005; 39: 594-604.
5. Somnath T. Salgar International Journal of Biomedical And Advance Research ISSN: 2229-3809 (Online) Journal.DOI:http://dx.doi.org/10.7439/ijbar.v5i1.580.
6. Stewart SM, Betson C, Lam TH, Marshall IB, Lee PW, Wong CM. Predicting stress in first year medical students: a longitudinal study.Med Educ. 1997 May; 31(3):163-8.
7. Nor Iza A Rahman, Salwani Ismail, Tengku Nur Ain Binti Tengku Seman, Nur Farah Atikah Binti Rosli, Siti Aisyah Binti Mat Jusoh, Wan Putri Elena Wan Dali, Md. Zakirul Islam, Mainul Haque. Stress Among Preclinical Medical Students of University Sultan Zainal Abidin. Journal of Applied Pharmaceutical Science. November, 2013; Vol. 3 (11), pp. 076-081. DOI: 10.7324/JAPS.2013.31113
8. Ayat R. Abdallah, Hala M. Gabr. International Research Journal of Medicine and Medical Sciences Vol. 2(1), pp. 11-19, February 2014 ISSN: 2354-211X.
9. Kallingappa PB, Asokan S. Psychosocial perspective of first year medical students entered in a professional course - a cross sectional study from Davangere, Karn-ataka. Medical Science. 2014; 2(2): 110-6.
10. Patnaik KK , Samuel CM, Pathrudu GB, RamLakshmi YVA, Bahmed F, Bodhe A.. Depression, anxiety & stress among first year medical students: A cross sectional study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) .Volume 14, (Oct. 2015), PP 25-28
11. Vaz RF, Mbajiorgu EF, Acuda SW .A preliminary study of stress levels among first year medical students at the University of Zimbabwe.Cent Afr J Med. 1998 Sep; 44(9):214-9.
12. Mancevska S, Bozinovska L, Tecce J, Pluncevik-Gligoroska J, Sivevska-Smilevska E.Bratisl Lek Listy. Depression, anxiety and substance use in medical students in the Republic of Macedonia. 2008; 109(12):568-72.
13. Lovibond SH, Lovibond Pf. Manual for the Depression anxiety Stress Scales. (2nd Ed) Sydney, Psychology Foundation; 1995.
14. Supe AN. A study of stress in medical students at Seth G.S.Medical College. J Postgrad Med. 1998 Jan-Mar;44(1):1-6.
15. Shawaz Iqbal, Sandhya Gupta & E. Venkatarao. stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res 141, March 2015, pp 354-357.
16. Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students: A cross-sectional study at a college of medicine in Saudi Arabia. J Health Popul Nutr 2011;29:516-22.
17. Mannapur B, Dorle AS,Hiremath ID, Ghattargi CH, Ramadurg U,Kulkarni KR. A study of psychological stress in undergraduate medical college students at S.N. medical college, Bagalkot, Karnataka. J Clin Diagn Res 2010;4:2869-74.
18. Amr M, Hady El Gilany A, El-Hawary A. Does gender predict medical students’ stress in mansoura, egypt? Med Educ Online 2008;13:12.
19. Karim E, Alam MF, Rahman AH, Hussain AA, Uddin MJ, Firoz AH. Prevalence of mental illness in the community. Teach Assoc RMC 2006; 19:18-23.
20. Verger P, Combes JB, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, et al. Psychological distress in first year university students: Socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol 2009; 44:643-50.
21. Shariati M, Yunesian M, Vash JH. Mental health of medical students: A cross-sectional study in Tehran. Psychol Rep 2007;100:346-54.
22. Lima MC, Domingues Mde S, Cerqueira AT. Prevalence and risk factors of common mental disorders among medical students. Rev Saude Publica 2006;40:1035-41.
23. Chatterjee C, Mandal PK, MallikS, Manna N, Sardar JC, Dasgupta S. A study on mental distress among MBBS students in a Medical College, Kolkata, India. Ann Trop Med Public Health 2012;5:453-7
24. Farwa Rizvi, Ayisha Qureshi, Abdul Majid Rajput and M. Afzal. Prevalence of Depression, Anxiety and Stress (by DASS Scoring System) among Medical Students in Islamabad, Pakistan. British Journal of Medicine & Medical Research. 2015; 8(1): 69-75.
25. Inam S N, Saqib A, Alam E. J. Prevalence of anxiety and depression among medical students of private university Pak. Med. Asso. 2003 Feb 53 (2) 44-7.
26. Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, et al. Depressive symptoms in medical students and residents: A multischool study. Acad Med 2009;84:236-41.
27. Lloyd C, Gartrell NK. Sex differences in medical student mental health. Am J Psychiatry 1981;138:1346-51
28. Fisher S, Hood B. Vulnerability factors in the transition to university. Br J Psychol 1987;78:309-20.
29. Watanabe N. A survey of mental health of university students in Japan. Int Med J 1999;6:175-9.