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埃及亚历山大的医学生中的抑郁状况。

Depression among medical students in Alexandria, Egypt.

机构信息

Technical Officer, Mental Health and Substance Abuse Unit- UHC\Non Communicable diseases Department, World Health Organization (Regional Office for the Eastern Mediterranean), Cairo, Egypt.

Department of Epidemiology, High Institute of Public Health, Alexandria University, Egypt Address: High Institute of Public Health, 165 El-Horreya Ave. El-Hadara, Alexandria, Egypt.

出版信息

Afr Health Sci. 2020 Sep;20(3):1416-1425. doi: 10.4314/ahs.v20i3.47.

Abstract

BACKGROUND

Depression is a common illness worldwide with high rate among medical students. The objectives were to estimate the prevalence of depression among medical students in Alexandria, and identify its correlates.

METHODS

A cross-sectional study design was used. The study was conducted at the Faculty of Medicine, Alexandria University. Using a systematic random sampling technique, 390 students attending 4, 5, and 6 academic years were included. Data was collected using the Arabic version of the BDI-II and a predesigned structured self-administered questionnaire, including questions about the students' personal and social characteristics and academic environment.

RESULTS

Moderate and severe depression accounted for 27.9% and 17.2%, respectively. Logistic regression analysis results showed that the independent predictors for moderate and severe depression were female gender, the presence of mental illness, not having someone to talk to when under stress, experiencing stressful life event(s) during the previous 6 months, not being satisfied with the socioeconomic level, reporting that the surrounding environment is not suitable for studying, not specifying a grade to achieve, and extreme dissatisfaction with the student's result.

CONCLUSION

Prevalence of moderate and severe depression was high among medical students, calling for actions to help those students and to prevent new cases.

摘要

背景

抑郁症是一种全球范围内常见的疾病,在医学生中发病率较高。本研究旨在评估亚历山大里亚医学生的抑郁发生率,并确定其相关因素。

方法

采用横断面研究设计。研究在亚历山大里亚大学医学院进行。采用系统随机抽样技术,纳入了 4、5 和 6 年级的 390 名学生。使用 BDI-II 的阿拉伯语版本和预先设计的结构化自我管理问卷收集数据,问卷包括学生的个人和社会特征以及学术环境的问题。

结果

中度和重度抑郁的比例分别为 27.9%和 17.2%。逻辑回归分析结果表明,中度和重度抑郁的独立预测因素为女性性别、存在精神疾病、在压力下无人倾诉、在过去 6 个月经历过生活压力事件、对社会经济水平不满意、报告周围环境不适合学习、未明确成绩目标、对学生成绩极度不满意。

结论

医学生中存在较高比例的中度和重度抑郁,需要采取行动帮助这些学生并预防新的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccca/7751550/d23a859eed65/AFHS2003-1416Fig1.jpg

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