Irfan Muhammad, Sethi Mifrah Rauf, Abdullah Ayesha Sumera, Saleem Urooj, Khan Durdana
Department of Mental Health, Psychiatry and Behavioural Sciences,Riphah International University, Islamabad, Pakistan.
Department of Health Professions Education, Riphah International University, Islamabad, Pakistan.
J Pak Med Assoc. 2018 Nov;68(11):1603-1607.
To explore psychological distress in terms of depression, anxiety, social dysfunction, depressive and somatic symptoms among students appearing for medical school entrance examination.
The cross-sectional study was conducted at Peshawar Medical College, Peshawar, Pakistan, from August 2015 to May 2016, and comprised all students who appeared in the written test. The subjects were asked to fill the General Health Questionnaire for the evaluation of psychological distress. Those who scored 24 and more and were called for the entrance interview were further assessed on Hamilton R ating Scale for Depression. SPSS 20 was used for data analysis..
Of the 1334 subjects, 745(55.8%) were males and 589(44.2%) were females. The mean age was 18.9±1.41 years and 182(13.6%) subjects had psychological distress. On the four subscales of the questionnaire, 472 (35.4%) students had somatic symptoms, 560 (42%) had anxiety/insomnia, 819 (61.4%) had social dysfunction and 323 (24.2%) had depressive symptoms. Amongst the 322(24%) students who were called for interviews, 73(22.7%) had psychological distress based on the questionnaire and 9 (2.8%) had depression on the Hamilton scale. There was a significant correlation between female gender and psychological distress based on the questionnaire scores (p<0.05). Among those who had both the assessments, there was no significant gender-based correlation (p>0.05). No significant correlation was found between academic performance and either of the assessment tools (p>0.05 each).
A significant proportion of students at the medical school entrance examination level had psychological distress.
探讨参加医学院入学考试的学生在抑郁、焦虑、社交功能障碍、抑郁症状和躯体症状方面的心理困扰情况。
2015年8月至2016年5月在巴基斯坦白沙瓦的白沙瓦医学院进行了一项横断面研究，研究对象为所有参加笔试的学生。要求受试者填写一般健康问卷以评估心理困扰情况。得分24分及以上并被要求参加入学面试的学生，进一步采用汉密尔顿抑郁量表进行评估。使用SPSS 20进行数据分析。
1334名受试者中，745名（55.8%）为男性，589名（44.2%）为女性。平均年龄为18.9±1.41岁，182名（13.6%）受试者存在心理困扰。在问卷的四个子量表上，472名（35.4%）学生有躯体症状，560名（42%）有焦虑/失眠，819名（61.4%）有社交功能障碍，323名（24.2%）有抑郁症状。在被要求参加面试的322名（24%）学生中，73名（22.7%）根据问卷存在心理困扰，9名（2.8%）根据汉密尔顿量表存在抑郁。根据问卷得分，女性性别与心理困扰之间存在显著相关性（p<0.05）。在接受两种评估的学生中，不存在基于性别的显著相关性（p>0.05）。学业成绩与任何一种评估工具之间均未发现显著相关性（各p>0.05）。
参加医学院入学考试的学生中有相当一部分存在心理困扰。
