Inam S N B, Saqib A, Alam E
Department of Community Health Sciences, Ziauddin Medical University, Karachi.
J Pak Med Assoc. 2003 Feb;53(2):44-7.
To assess anxiety and depression levels among medical students of a private university by using a self-administered anxiety and depression questionnaire.
A cross sectional study was done on the students of Ziauddin Medical University, who had spent more than six months in the medical school. A self-administered questionnaire was given to the students, present in the class and willing to participate in the study. During the survey students of 5th year were not available. The instrument used to asses the anxiety and depression levels was the, Aga Khan University Anxiety and Depression Scale (AKUADS). Additional questions regarding socioeconomic variables were also included in the survey instrument, such as student's birth order, monthly income, number of siblings, and monthly expenditure on education. Data analysis was done on Epi info version 6.
There were 252 students in 4th year MBBS to 1st year MBBS. Of these 189 were present during the survey. Using anxiety and depression scale it was found out that 113 (60%) students had anxiety and depression. Prevalence of anxiety and depression in students of 4th year, 3rd year, 2nd year and 1st year was 49%, 47%, 73% and 66% respectively. It was significantly higher in 1st year and 2nd year, as compared to 3rd and 4th year (p < 0.05). It was seen that birth order, monthly income, number of siblings and monthly expenditure on education did not affect the prevalence of anxiety and depression.
This study suggests that medical students experience anxiety and depression, the finding is consistent with other western studies, however there is no local data available to support our findings. The study finding highlights the need of psychiatric counseling and support services available to vulnerable students. These findings should be further explored in longitudinal studies to identify the stressors leading to these outcomes and appropriate interventions.
通过使用一份自行填写的焦虑和抑郁问卷，评估一所私立大学医学生的焦虑和抑郁水平。
对在齐亚乌丁医科大学医学院就读超过六个月的学生进行了一项横断面研究。向课堂上在场且愿意参与研究的学生发放了一份自行填写的问卷。调查期间五年级学生未参与。用于评估焦虑和抑郁水平的工具是阿迦汗大学焦虑和抑郁量表（AKUADS）。调查问卷中还包括了关于社会经济变量的其他问题，如学生的出生顺序、月收入、兄弟姐妹数量以及每月教育支出。使用Epi info 6版本进行数据分析。
从医学学士四年级到医学学士一年级共有252名学生。其中189名学生在调查期间在场。使用焦虑和抑郁量表发现，113名（60%）学生存在焦虑和抑郁。四年级、三年级、二年级和一年级学生的焦虑和抑郁患病率分别为49%、47%、73%和66%。与三年级和四年级相比，一年级和二年级的患病率显著更高（p < 0.05）。研究发现出生顺序、月收入、兄弟姐妹数量和每月教育支出并未影响焦虑和抑郁的患病率。
本研究表明医学生存在焦虑和抑郁情绪，这一发现与其他西方研究一致，但尚无本地数据支持我们的研究结果。该研究结果凸显了为易受影响的学生提供心理咨询和支持服务的必要性。这些发现应在纵向研究中进一步探讨，以确定导致这些结果的压力源并采取适当干预措施。
