Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Indian J Psychiatry. 2012 Jul;54(3):223-6. doi: 10.4103/0019-5545.102412.
Depression among medical students is an area of increasing concern worldwide. This study aimed to assess the prevalence of depression and its associated factors among medical students.
A stratified random sample of 400 students was assessed using Beck Depression Inventory by investigators. Associations between depression and class of studying, social factors like alcohol use, drug addiction, family problems, family history of depression, and staying away from home were analyzed by univariate analysis.
The overall prevalence of depression was found to be 71.25%. Among those with depression, a majority (80%) had mild and moderate degree of depression. The study showed that 46.3% (132) of the depressed were females and 53.7% (153) were males. According to cut-off scores, 115 students (29.8%) scored as normal (0-9), 111 (27.8%) as mild (10-18), 117 (29.3%) as moderate (19-29), 30 (7.5%) as severe (30-40), and 27 (6.7%) as very severe (>40) depression. The prevalence of depression was comparatively less among 1(st) and 2(nd) year medical students (57% and 50%, respectively) and the difference between the grade of depression and year of studying was found to be significant (χ(2)=122, P<0.001). The prevalence was significantly more among those with family problems and family history of depression.
Depression is highly prevalent among medical students in this area. Our findings point to the importance of broad screening and psychiatric counseling of this vulnerable population.
医学生中的抑郁问题是全球日益关注的领域。本研究旨在评估医学生抑郁的患病率及其相关因素。
研究人员采用贝克抑郁量表对 400 名学生进行了分层随机抽样评估。通过单因素分析,分析了抑郁与学习班级、饮酒等社会因素、家庭问题、抑郁家族史和离家住宿之间的关联。
总体抑郁患病率为 71.25%。在抑郁患者中,大多数(80%)为轻度和中度抑郁。研究表明,46.3%(132 人)的抑郁患者为女性,53.7%(153 人)为男性。根据截断分数,115 名学生(29.8%)得分为正常(0-9),111 名(27.8%)为轻度(10-18),117 名(29.3%)为中度(19-29),30 名(7.5%)为重度(30-40),27 名(6.7%)为非常重度(>40)抑郁。1 年级和 2 年级医学生(分别为 57%和 50%)的抑郁患病率相对较低,抑郁程度与学习年级之间的差异具有统计学意义(χ²=122,P<0.001)。有家庭问题和抑郁家族史的学生中,抑郁的患病率显著更高。
该地区医学生的抑郁患病率很高。我们的研究结果表明,对这一弱势群体进行广泛筛查和精神科咨询非常重要。