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医学生中的抑郁、焦虑及其相关因素。

Depression, anxiety and their associated factors among medical students.

作者信息

Alvi Tabassum, Assad Fatima, Ramzan Mussarat, Khan Faiza Aslam

机构信息

Department of Psychiatry and Behavioral Sciences, Wah Medical College, Wah Cantt.

出版信息

J Coll Physicians Surg Pak. 2010 Feb;20(2):122-6.

PMID:20378041
Abstract

OBJECTIVE

To determine the frequency of anxiety and depression among medical students of Wah Medical College and their associations with sociodemographic and educational characteristics if any.

STUDY DESIGN

Cross-sectional survey.

PLACE AND DURATION OF STUDY

Wah Medical College, from September 2007 to March 2008.

METHODOLOGY

A sample of 279 students was included in the study after excluding first year medical students because they were admitted for less than 6 months. A self administered Encounter Form was administered. Sociodemographic and educational characteristics included age, gender, birth order, number of siblings, monthly income, monthly expenditure on education, academic performance in professional examination, past medical and past psychiatric history, substance abuse and family history of psychiatric illness. Beck depression inventory and beck anxiety inventory were used to assess the level of depression and anxiety. The chi-square test was applied at 5% level of significance to determine associated factors for anxiety and depression respectively.

RESULTS

The mean age of students was 21.4+/-1.41 years with female preponderance i.e. 202 (72.4%). Anxiety was present in 133 (47.7%) students and depression in 98 (35.1%) students. Both were found concomitantly in 68 (24.37%) students. Age (p=0.013), gender (p=0.016), examination criteria dissatisfaction (p=0.002) and overburden with test schedule (p=0.002) were significantly associated with depression. Anxiety was significantly associated with gender (p=0.007), birth order (p=0.049), year of study (p=0.001), examination criteria dissatisfaction (p=0.010) and overburden with test schedule (p=0.006).

CONCLUSION

One third of students were found to have anxiety and depression which was associated with the sociodemographic and educational factors as stated above.

摘要

目的

确定瓦赫医学院医学生中焦虑和抑郁的发生率,以及它们与社会人口学和教育特征(若有)之间的关联。

研究设计

横断面调查。

研究地点和时间

2007年9月至2008年3月期间的瓦赫医学院。

方法

排除一年级医学生(因为他们入学时间不足6个月)后,选取279名学生作为研究样本。采用自行填写的偶遇式表格。社会人口学和教育特征包括年龄、性别、出生顺序、兄弟姐妹数量、月收入、教育月支出、专业考试成绩、既往病史和精神病史、药物滥用以及精神疾病家族史。使用贝克抑郁量表和贝克焦虑量表评估抑郁和焦虑水平。分别采用卡方检验,显著性水平为5%,以确定焦虑和抑郁的相关因素。

结果

学生的平均年龄为21.4±1.41岁,女性占优势,即202人(72.4%)。133名(47.7%)学生存在焦虑,98名(35.1%)学生存在抑郁。68名(24.37%)学生同时存在焦虑和抑郁。年龄(p=0.013)、性别(p=0.016)、对考试标准不满意(p=0.002)以及考试安排负担过重(p=0.002)与抑郁显著相关。焦虑与性别(p=0.007)、出生顺序(p=0.049)、学习年份(p=0.001)、对考试标准不满意(p=0.010)以及考试安排负担过重(p=0.006)显著相关。

结论

发现三分之一的学生存在焦虑和抑郁,这与上述社会人口学和教育因素有关。

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