Iqbal Shawaz, Gupta Sandhya, Venkatarao E
Department of Community Medicine, Institute of Medical Sciences & SUM Hospital, S 'O' A University, Bhubaneswar, India.
Indian J Med Res. 2015 Mar;141(3):354-7. doi: 10.4103/0971-5916.156571.
BACKGROUND & OBJECTIVES: Presence of psychological morbidity in medical undergraduate students has been reported from various countries across the world. Indian studies to document this burden are very few. Therefore, the presence of depression, anxiety and stress among medical undergraduate students was assessed using a previously validated and standardized instrument, Depression Anxiety Stress Scale (DASS 42) and the associations with their socio-demographic and personal characteristics were identified.
In a cross-sectional survey, a self-administered, pre-designed, pre-tested anonymous questionnaire including DASS 42 was used to collect information on basic socio-demographic (age, gender, semester) and personal characteristics (alcohol and tobacco use, academic performance). All students present on the day of survey were contacted for participation after obtaining informed written consent. Scores for each of the respondents over each of the sub-scales (Depression, Anxiety and Stress) were calculated as per the severity-rating index.
More than half of the respondents were affected by depression (51.3%), anxiety (66.9%) and stress (53%). Morbidity was found to be more in 5 th semester students rather than students of 2 nd semester. Females reported higher score as compared to their male counterparts. Perception of self assessment in academics was strongly associated with the higher score.
A substantial proportion of medical undergraduate students was found to be depressed, anxious and stressed revealing a neglected area of the students' psychology requiring urgent attention. Student counselling services need to be made available and accessible to curb this morbidity.
世界各国均有报道称医学本科学生存在心理疾病。印度关于记录这一负担的研究非常少。因此，我们使用先前经过验证和标准化的工具——抑郁焦虑压力量表（DASS - 42）评估了医学本科学生中抑郁、焦虑和压力的存在情况，并确定了其与社会人口统计学和个人特征的关联。
在一项横断面调查中，我们使用一份自行填写、预先设计、预先测试的匿名问卷（包括DASS - 42）来收集基本社会人口统计学信息（年龄、性别、学期）和个人特征信息（饮酒和吸烟情况、学业成绩）。在获得知情书面同意后，联系了调查当天在场的所有学生参与调查。根据严重程度评分指数计算每位受访者在每个子量表（抑郁、焦虑和压力）上的得分。
超过一半的受访者受到抑郁（51.3%）、焦虑（66.9%）和压力（53%）的影响。发现第五学期的学生比第二学期的学生发病率更高。女性报告的得分高于男性。对学业自我评估的认知与较高得分密切相关。
发现相当一部分医学本科学生存在抑郁、焦虑和压力，这揭示了学生心理这一被忽视的领域需要紧急关注。需要提供并让学生能够获得学生咨询服务以控制这种心理疾病。
