Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Postgrad Med J. 2020 Jun;96(1136):343-348. doi: 10.1136/postgradmedj-2020-137578. Epub 2020 Apr 17.
To assess the prevalence of depression among medical students in their clinical years (fourth, fifth, and sixth years) in a government university in Eastern Province, Saudi Arabia, and its association with the students' sociodemographic characteristics, academic factors, perceived health problems and their perceived readiness to their future specialties.
A cross-sectional study was conducted among 527 clinical-year medical students. The Patient Health Questionnaire (PHQ-9) and questionnaire designed by the researchers to collect data on sociodemographic and academic variables were used as research instruments. Statistical analyses were conducted using Stata Statistical Software V.15. Descriptive statistics, the χ test, and both an ordered logistic regression and a binary logistic regression analysis were performed.
The prevalence of depression was found to be 39.27%, according to the results of the PHQ-9. Both the ordered logistic regression and the binary logistic regression analyses revealed that the odds of severe depression were high among women, and students who perceived that they were not yet ready for their future specialties. The more senior the medical students were, the less likely it is that they have severe depression. A similar association was found for students who perceived that they did not have psychological problems. However, students' grade point average was not statistically significantly associated with depression.
The prevalence of depression was high among the medical students examined. Policy makers should establish screening programmes, provide counselling for students who need it and deliver early interventions in detected cases.
在沙特阿拉伯东部省的一所政府大学，评估临床医学生（四年级、五年级和六年级）的抑郁患病率及其与学生的社会人口统计学特征、学业因素、感知健康问题及其对未来专业的准备程度的相关性。
对 527 名临床医学生进行了横断面研究。使用患者健康问卷（PHQ-9）和研究人员设计的问卷收集社会人口统计学和学业变量的数据。使用 Stata 统计软件 V.15 进行统计分析。采用描述性统计、卡方检验、有序逻辑回归和二元逻辑回归分析。
根据 PHQ-9 的结果，发现抑郁的患病率为 39.27%。有序逻辑回归和二元逻辑回归分析均表明，女性和认为自己尚未为未来专业做好准备的学生患重度抑郁症的几率较高。医学生年级越高，患重度抑郁症的可能性越低。对于认为自己没有心理问题的学生，也发现了类似的关联。然而，学生的平均绩点与抑郁无关。
所检查的医学生中抑郁的患病率很高。政策制定者应建立筛查计划，为需要的学生提供咨询，并在发现病例时提供早期干预。
