Rafi Md Abdur, Mamun Mohammed A, Hsan Kamrul, Hossain Moazzem, Gozal David
Rajshahi Medical College, Rajshahi, Bangladesh.
Undergraduate Research Organization, Dhaka, Bangladesh.
Front Psychiatry. 2019 Aug 12;10:578. doi: 10.3389/fpsyt.2019.00578. eCollection 2019.
Recent trends suggest that university graduates seeking jobs are more susceptible to common mental disorders, such as depression, anxiety, or stress. However, the mental health issues among unemployed graduates has not been explored in Bangladesh yet. This study aimed to assess for the first time the prevalence and associated risk factors of depression, anxiety, and stress among Bangladesh Civil Service (BCS) job seekers. Three hundred four graduates residing in Rajshahi, Bangladesh, who were preparing to attend the 40 BCS examination, the most sought-after employment opportunity in the country, were surveyed. Measures included socio-demographics, field of study, and career-related variables, and the Bangla Depression Anxiety Stress Scale (DASS-21). Chi-square test, Fisher exact test, and binary logistic regression with "depression," "anxiety," and "stress" as the dependent variables were carried out to identify the factors associated with these. Overall, the prevalence of moderate to extremely severe depression, anxiety, and stress was 49.3%, 53.6%, and 28.3%, respectively, with no detectable differences between genders. Insecurity related to a BCS job (OR = 0.41; CI = 0.26-0.65, < 0.001; ref: job insecurity), family and social pressure to obtain a BCS job (OR = 4.58; CI = 1.67-12.56, < 0.001), and stress (OR = 8.33; CI = 4.47-15.51, < 0.001) emerged as independent predictors for depression. In addition, having part-time job was associated with anxiety (OR = 2.38; CI = 1.34-4.23, = 0.003), and security in a BCS job and serving the nation through this job were negatively associated with stress (OR = 0.59; CI = 0.35-0.98, = 0.042 vs. OR = 0.59; CI = 0.36-1.00, = 0.05). The relatively high rates of depression, anxiety, and stress among graduate job seekers should prompt implementation of market force initiatives that incorporate interventions related to the major risk factors uncovered herein.
近期趋势表明,求职的大学毕业生更容易患上常见的精神障碍,如抑郁症、焦虑症或压力过大。然而,孟加拉国尚未对失业毕业生的心理健康问题进行过研究。本研究旨在首次评估孟加拉国公务员(BCS)求职者中抑郁症、焦虑症和压力过大的患病率及相关风险因素。对居住在孟加拉国拉杰沙希的304名准备参加该国最热门就业机会——BCS第40次考试的毕业生进行了调查。测量指标包括社会人口统计学特征、研究领域和与职业相关的变量,以及孟加拉语版抑郁焦虑压力量表(DASS - 21)。以“抑郁症”“焦虑症”和“压力过大”为因变量进行卡方检验、费舍尔精确检验和二元逻辑回归,以确定与这些症状相关的因素。总体而言,中度至极其严重的抑郁症、焦虑症和压力过大的患病率分别为49.3%、53.6%和28.3%,男女之间无明显差异。与BCS工作相关的不安全感(OR = 0.41;CI = 0.26 - 0.65,< 0.001;对照:工作不安全感)、获得BCS工作的家庭和社会压力(OR = 4.58;CI = 1.67 - 12.56,< 0.001)以及压力过大(OR = 8.33;CI = 4.47 - 15.51,< 0.001)成为抑郁症的独立预测因素。此外,有兼职工作与焦虑症相关(OR = 2.38;CI = 1.34 - 4.23,= 0.003),BCS工作的安全感以及通过这份工作为国家服务与压力过大呈负相关(OR = 0.59;CI = 0.35 - 0.98,= 0.042 对比 OR = 0.59;CI = 0.36 - 1.00,= 0.05)。毕业生求职者中抑郁症、焦虑症和压力过大的比例相对较高,这应促使实施市场力量举措,纳入与本文发现的主要风险因素相关的干预措施。