Ibrahim Nahla, Al-Kharboush Dania, El-Khatib Lamis, Al-Habib Ahd, Asali Dana
Family & Community Medicine Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia ; Epidemiology Department, High Institute of Public Health, Alexandria, University, Egypt.
Faculty of Medicine, King Abdul-Aziz University Jeddah, Saudi Arabia.
Iran J Public Health. 2013 Jul 1;42(7):726-36. eCollection 2013.
Medical education & medical profession are among the most challenging and most stressful ones. Anxiety and depression represents an escalating public health problem among medical students. The objective of the study was to determine the prevalence & predictors of anxiety and depression among female medical students in King Abdulaziz University, Jeddah, Saudi Arabia.
A cross-sectional study was carried out during 2010-2011. A stratified random sample method was used to select 450 medical students. A confidential, anonymous & self administered questionnaire included Standardized Hospital Anxiety & Depression Scale was used.
The mean scores for anxiety and depression were 9.32 ± 3.77 & 6.59 ± 3.62, respectively. There is a positive correlation between anxiety & depression scores (r= 0.52, P< 0.001). Prevalence of morbid anxiety and depression were 34.9% and 14.7%, respectively. Logistic regression analysis revealed that the first predictor of morbid anxiety was depression (adjusted Odds Ratio (aOR) = 3.28; 95% Confidence Interval (CI): 1.85-5.82, P < 0.001). Students complained from condensed academic course, had academic and emotional failures during the 6 months preceded the study were about 2 times more prone to anxiety. Predictors of depression were having anxiety, nationality (being non-Saudi) & having emotional failure.
Medical students encountered high rates of anxiety & depression compared to others. Academic problems and major life events were the main predictors. Enhancing faculty preventive & curative mental health services is recommended. Initiation of stress management courses & enhancing academic advising services are required since the start of medical education.
医学教育和医学职业是最具挑战性和压力最大的领域之一。焦虑和抑郁在医学生中已成为一个日益严重的公共卫生问题。本研究的目的是确定沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学女医学生中焦虑和抑郁的患病率及预测因素。
在2010 - 2011年期间进行了一项横断面研究。采用分层随机抽样方法选取450名医学生。使用一份包含标准化医院焦虑抑郁量表的保密、匿名且自我填写的问卷。
焦虑和抑郁的平均得分分别为9.32±3.77和6.59±3.62。焦虑和抑郁得分之间存在正相关（r = 0.52，P < 0.001）。病态焦虑和抑郁的患病率分别为34.9%和14.7%。逻辑回归分析显示，病态焦虑的首要预测因素是抑郁（调整后的优势比（aOR）= 3.28；95%置信区间（CI）：1.85 - 5.82，P < 0.001）。抱怨课程紧凑、在研究前6个月有学业和情感失败经历的学生患焦虑症的可能性大约高出2倍。抑郁的预测因素包括焦虑、国籍（非沙特人）以及情感失败。
与其他人相比，医学生面临较高的焦虑和抑郁发生率。学业问题和重大生活事件是主要的预测因素。建议加强教师的预防性和治疗性心理健康服务。从医学教育开始就需要开设压力管理课程并加强学业咨询服务。
