Is depression a concern among medical students: a cross sectional study in different academic years of a private medical college in Bangladesh
DOI:
https://doi.org/10.18203/2320-6012.ijrms20203663Keywords:
Bangladesh, Depression, Medical college, Medical students, Patient health questionnaire-9Abstract
Background: Depression is not uncommon among medical students all over the world. Few studies have been conducted so far in Bangladesh to depict its actual prevalence and severity. So, the aim of this study was to assess the severity of depression and the level of difficulty faced by medical students in different academic years.
Methods: This cross-sectional study was conducted in North East medical college of Bangladesh from January 2018 to June 2018 involving 443 students from 1st year to 5th year. Students were instructed to fill up the patient health questionnaire (PHQ-9) which incorporates diagnostic and statistical manual of mental disorders (DSM-IV) depression diagnostic criteria categorized as no, mild, moderate, moderately severe, and severe depression and also evaluates their level of function.
Results: The prevalence of depression was quite high (79.68%). 196 (44.24%) and 157 (35.44%) students had mild and major depression respectively, while 90 (20.32%) showed no depression. Students with major depression were scored as moderate depression 24.38%, moderately severe depression 8.35%, and severe depression 2.71%. Moderate depression was significantly higher in year 1 and year 2 students in comparison to year 3, 4 and 5. Students from year 1 to year 5 with mild, moderate, moderately severe and severe depression experienced varying degree of difficulty in their daily activities. Almost all the students in all years with severe depression found themselves very difficult or extremely difficult to cope.
Conclusions: High prevalence of depression among medical students is really alarming and underlying factors need to be addressed.
Metrics
References
Kindermann D, Jenne MP, Schmid C, Bozorgmehr K, Wahedi K, Junne F, et al. Motives, experiences and psychological strain in medical students engaged in refugee care in a reception center-a mixed methods approach. BMC Med Edu. 2019;19(1):302.
Mao Y, Zhang N, Liu J, Zhu B, He R, Wang X. A systematic review of depression and anxiety in medical students in China. BMC Med Edu. 2019;19(1):327.
Bergmann C, Muth T, Loerbroks A. Medical students' perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study. Med Edu Online. 2019;24(1):1603526.
Hasan MT, Hossain S, Gupta RD, Podder V, Mowri NA, Ghosh A, et al. Depression, sleeping pattern & suicidal ideation among medical students in Bangladesh: A cross-sectional pilot study. J Public Health. 2020.
Alim SMAHM, Rabbani MG, Karim E, Khan MZR. Assessment of depression, anxiety and stress among first year MBBS students of a public medical college, Bangladesh. Bang J Psychiatry. 2015;29(1):23-9.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005;39(6):594-604.
Alharbi H, Almalki A, Alabdan F, Haddad B. Depression among medical students in Saudi medical colleges: a cross-sectional study. 2018;9:887-91.
Seweryn M, Tyrała K, Kolarczyk-Haczyk A, Bonk M, Bulska W, Krysta K. Evaluation of the level of depression among medical students from Poland, Portugal and Germany. Psychiatr Danub. 2015;27(1):216-22.
Ngasa SN, Sama CB, Dzekem BS, Nforchu KN, Tindong M, Aroke D et al. Prevalence and factors associated with depression among medical students in Cameroon: a cross-sectional study. BMC Psychiatry. 2017;17:216.
Aniebue PN, Onyema GO. Prevalence of depressive symptoms among Nigerian medical undergraduates. Trop Dr. 2008;38(3):157-8.
Hope V, Henderson M. Medical student depression, anxiety and distress outside North America: a systematic review. Med Educ. 2014;48(10):963-79.
Kumar GS, Jain A, Hegde S. Prevalence of depression and its associated factors using beck depression inventory among students of a medical college in karnataka. Indian J Psychiatry. 2012;54(3):223-6.
Vankar JR, Prabhakaran A, Sharma H. Depression and stigma in medical students at a Private Medical College. Indian J Psychol Med. 2014;36(3):246-54.
Singh A, Lal A, Shekhar Prevalence of depression among medical students of a private medical college in India. Online J Health Allied Scs. 2010;9:8.
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.
Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ. 1995;29:337-41.
Guthrie EA, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med. 1998;91:237-43.
Moffat KJ, McConnachie A, Ross S, Morrison JM. First-year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38:482-91.
Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ. 2001;35:12-7.
Uttra AM, Uttra MGM, Rauf A, Uttra MM, Hassan UH, Batool A. Prevalence of depression; a cross-sectional study among MBBS students of Sargodha medical college, Sargodha Pakistan. Professional Med J. 2017;24(3):482-9.
Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456-68.
Tyssen R, Vaglum P, Gronvold NT, Ekeberg O. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord. 2001;64:69-79.