Kongsomboon Kittipong
Department of Preventive and Social Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
J Med Assoc Thai. 2010 Feb;93 Suppl 2:S106-13.
Medical students have a high prevalence of stress, depression, daytime sleepiness, sleep deprivation and overweight. The students from the social sciences such as Faculty of Humanities, may have different problems. The aim of this study was to compare the epidemiology of stress, depression, daytime sleepiness, sleep deprivation and overweight of medical students with students from Faculty of Humanities, Srinakharinwirot University.
Total of 646 students from Faculty of Medicine and 103 students from Division of Children's Literature, Faculty of Humanity from Srinakharinwirot University were selected; the response rate was 75% and 83.5%, respectively. The design was cross-sectional study. Each participant was evaluated by Health-Related Self-Reported (HRSR) Scale from Psychological Department, Ministry of Public Health, Suanprung stress test from Suanprung Hospital, Thailand, and Epworth sleepiness scale during February, 11th 2008 to March, 4th 2008. Categorical variables were analyzed using the Chi-square test or Fisher exact test and p-value less than 0.05 was considered significant.
The prevalence of depression in medical students was 11.5% and the prevalence of depression in students from Faculty of Humanities was 12.2%. Medical students in clinical class had high to severe stress more than medical students in pre-clinical class and had the most sleep deprivation on class 6. Male medical students had sleep deprivation and overweight more than female. Medical students with underlying diseases had high to severe stress, but students from Faculty of Humanities had depression. Medical students had odds ratio of stress and sleep deprivation 0.61 and 0.39, respectively compared to the students from Faculty of Humanities.
The students from Faculty of Humanities had high to severe stress and sleep deprivation more than medical students but they were the same as depression, excessive daytime sleepiness and overweight. The administrators of each faculty should adjust the curriculum and train the advisors to support their students.
医学生中压力、抑郁、日间嗜睡、睡眠剥夺和超重的发生率较高。来自人文学院等社会科学专业的学生可能存在不同的问题。本研究的目的是比较诗纳卡宁威洛大学医学院学生与人文学院学生在压力、抑郁、日间嗜睡、睡眠剥夺和超重方面的流行病学情况。
选取诗纳卡宁威洛大学医学院的646名学生和人文学院儿童文学专业的103名学生;应答率分别为75%和83.5%。采用横断面研究设计。在2008年2月11日至2008年3月4日期间,通过泰国公共卫生部心理司的健康相关自我报告(HRSR)量表、泰国讪巴陵医院的讪巴陵压力测试以及爱泼华嗜睡量表对每位参与者进行评估。分类变量采用卡方检验或Fisher精确检验进行分析,p值小于0.05被认为具有统计学意义。
医学生中抑郁症的患病率为11.5%,人文学院学生中抑郁症的患病率为12.2%。临床课的医学生比临床前课的医学生有更高至严重的压力,且在第6节课时睡眠剥夺最为严重。男医学生比女医学生有更多的睡眠剥夺和超重情况。有基础疾病的医学生有更高至严重的压力,但人文学院的学生有抑郁症。与人文学院的学生相比,医学生压力和睡眠剥夺的优势比分别为0.61和0.39。
人文学院的学生比医学生有更高至严重的压力和睡眠剥夺,但在抑郁症、日间过度嗜睡和超重方面两者相同。各学院的管理人员应调整课程设置并培训辅导员以支持他们的学生。