Comparison of Depression, Anxiety And Stress In Undergraduate And Postgraduate Medical Students

Authors

  • Nadia Iftikhar Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi / National University of Medical Sciences (NUMS) Pakistan
  • Tanwir Khaliq Shaheed Zulfiqar Ali Bhutto Medical University, Islamabad Pakistan.

DOI:

https://doi.org/10.51253/pafmj.v74i2.4162

Keywords:

Anxiety, depression, Medical students, Pakistan, Residents, Stress

Abstract

Objective: To determine the frequency of depression, anxiety, and stress among medical students and to compare between undergraduate and postgraduate students.

Study Design: Comparative cross-sectional study.

Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, Public Sector Medical College, Pakistan Jul to Dec 2019.

Methodology: A study was carried out on 200 medical students. One hundred undergraduates from all five years and 100 postgraduates/residents from varying specialities were asked to complete DASS 21(depression, anxiety, and stress score 21).

Results: Out of 200 students who completed the questionnaire, 116(58%) were depressed. Among the postgraduates, females were more likely to be depressed (p=0.029). 135(67.5%) students suffered from anxiety. Undergraduates were statistically more likely to suffer from anxiety (p=0.011). 101(50.5%) students were stressed. Overall, females were more stressed than male students (0.012). Among postgraduates, females were more likely to be stressed than males (p=0.013). Marital status does not appear to have any effect on depression, anxiety, and stress. 25(12.5%) students had suicidal ideation.

Conclusion: Depression, anxiety and stress are present in over half of our medical students, both undergraduates and postgraduates/residents. We need to address this in our hospitals and medical schools by providing easily accessible counselling facilities and psychologists to help them.

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References

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(2): 236-241. https://doi.org/10.1097/acm.0b013e31819391bb

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): 354-373. https://doi.org/10.1097/00001888-200604000-00009

Coentre R, Faravelli C, Figueira ML. Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ 2016 ; 7: 354-363. https://doi.org/10.5116/ijme.57f8.c468

Villwock JA, Sobin LB, Koester LA, Harris TM. Impostor syndrome and burnout among American medical students: a pilot study. Int J Med Educ 2016; 7: 364-369. https://doi.org/10.5116/ijme.5801.eac4

Rizvi F, Qureshi A, Rajput AM, Afzal M. Prevalence of depression, anxiety and stress (by DASS scoring system) among medical students in Islamabad, Pakistan. J Adv Med Med Res 2015 ; 8(1): 69–75. https://doi.org/10.9734/BJMMR/2015/17193

Hashmi AM, Aftab MA, Naqvi SH, Sajjad W, Mohsin M, Khawaja IS. Anxiety and depression in Pakistani medical students: a multicenter study. Health Med 2014; 8(7): 813-820.

Mahmood K. Time to act-alarming rise in suicides among medical professionals in Pakistan. J Coll Physicians Surg Pak 2016; 26: 947-949.

Waqas A, Khan S, Sharif W, Khalid U, Ali A. Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: a cross sectional survey. PeerJ 2015; 3: e840. https://doi.org/10.7717/peerj.840

Yousaf M, Daud S, Shafique MM. Gender Difference in Depression and Suicidal Ideation of medical students. Pak J Med Health Sci 2016; 10(3): 870-873.

Khan MS, Mahmood S, Badshah A, Ali SU, Jamal Y. Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. J Pak Med Assoc 2006; 56(12): 583-586.

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA 2016 ; 316(21): 2214-2236. https://doi.org/10.1001/jama.2016.17324

Wahed WYA, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria J Med 2017; 53(1): 77-84. https://doi.org/10.1016/j.ajme.2016.01.005

Sadiq MS, Morshed NM, Rahman W, Chowdhury NF, Arafat S, Mullick MSI. Depression, Anxiety, Stress among Postgraduate Medical Residents: A Cross Sectional Observation in Bangladesh. Iran J Psychiatry 2019 ; 14(3): 192-197.

Saravanan C, Wilks R. Medical students' experience of and reaction to stress: the role of depression and anxiety. Sci World J 2014 ; 2014: 737382. https://doi.org/10.1155/2014/737382

Jafari P, Nozari F, Ahrari F, Bagheri Z. Measurement invariance of the Depression Anxiety Stress Scales-21 across medical student genders. Int J Med Educ 2017; 8: 116-122. https://doi.org/10.5116/ijme.58ba.7d8b

Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res 2015; 141(3): 354-357. https://doi.org/10.4103/0971-5916.156571

Hope V, Henderson M. Medical student depression, anxiety and distress outside North America: a systematic review. Med Educ 2014 Oct; 48(10): 963-979. https://doi.org/10.1111/medu.12512

Mousa OY, Dhamoon MS, Lander S, Dhamoon AS. The MD Blues: Under-Recognized Depression and Anxiety in Medical Trainees. PLoS One 2016 ; 11(6): e0156554. https://doi.org/10.1371/journal.pone.0156554

Abdulrahman M, Nair SC, Farooq MM, Al Kharmiri A, Al Marzooqi F, Carrick FR. Burnout and depression among medical residents in the United Arab Emirates: A Multicenter study. J Family Med Prim Care 2018 ; 7(2): 435-441. https://doi.org/10.4103/jfmpc.jfmpc_199_17 Erratum in: J Family Med Prim Care 2018; 7(4): 839.

Sakata Y, Wada K, Tsutsumi A, Ishikawa H, Aratake Y, Watanabe M, et al. Effort-reward imbalance and depression in Japanese medical residents. J Occup Health 2008; 50(6): 498-504. https://doi.org/10.1539/joh.l8043

Waldman SV, Diez JC, Arazi HC, Linetzky B, Guinjoan S, Grancelli H. Burnout, perceived stress, and depression among cardiology residents in Argentina. Acad Psychiatry 2009 ; 33(4): 296-301. https://doi.org/10.1176/appi.ap.33.4.296

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Published

27-04-2024

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Section

Original Articles

How to Cite

1.
Iftikhar N, Tanwir Khaliq. Comparison of Depression, Anxiety And Stress In Undergraduate And Postgraduate Medical Students. Pak Armed Forces Med J [Internet]. 2024 Apr. 27 [cited 2024 Nov. 24];74(2):300-3. Available from: https://pafmj.org/PAFMJ/article/view/4162