Shembesh Rana H, Beshr Mohammed S, Almasheeti Aseel A, Sheltami Aisha T, El-Ojeli Ahmed
Faculty of Medicine, Libyan International Medical University, Benghazi, Libya.
Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen.
Glob Ment Health (Camb). 2025 Jul 17;12:e82. doi: 10.1017/gmh.2025.10039. eCollection 2025.
Storm Daniel struck northeastern Libya on September 10, 2023, causing severe infrastructure damage and significant human loss. Derna was the most affected city, with the University of Derna suffering extensive damage and the tragic loss of 37 medical students. Medical students face unique psychological and academic stressors, and tend to have higher rates of psychiatric disorders compared to their peers of the same age. This is the first study to investigate the storm's psychological impact on medical students at the University of Derna. The study has a cross-sectional design and lasted from February 1 to March 1, 2024. We used the Generalized Anxiety Disorder-7 (GAD-7) to assess anxiety and the Patient Health Questionnaire-9 (PHQ-9) to assess depression, along with sociodemographic questions in our questionnaire. We included only active students enrolled in the 7-year undergraduate program at the University of Derna. Statistical tests such as the chi-square test and binary logistic regression were used in the analysis. About 225 students completed the survey. The means and standard deviations for GAD-7 and PHQ-9 scores were 9.2 (3.9) and 10.8 (5.0), respectively. The prevalence of anxiety was 42.2% for cases classified as moderate and severe (cut-off ≥10). Depression had a prevalence of 51.1% for cases classified as moderate, moderately severe and severe (cut-off ≥ 10). Suicidal ideation was reported at a rate of 48.9% for "several days" or more and at 16.5% for "more than half of the days" and "nearly every day." Internal displacement following the storm was significantly associated with both anxiety ( = 0.033) and depression ( = 0.003). However, age, gender, year of study, monthly allowance and residence status (living with family or alone) did not show a statistically significant association with either anxiety or depression ( > 0.05 for all variables). Logistic regression analysis identified gender as the only significant predictor of anxiety ( = 0.041) and internal displacement as the sole significant predictor of depression ( = 0.023). Medical students at the University of Derna reported high rates of anxiety, depression and suicidal ideation following Storm Daniel. Internal displacement was significantly associated with both anxiety and depression. These results highlight the need for targeted interventions to address medical students' mental health challenges and improve their overall well-being.
2023年9月10日，风暴“丹尼尔”袭击了利比亚东北部，造成严重的基础设施破坏和重大人员伤亡。德尔纳是受影响最严重的城市，德尔纳大学遭受了广泛破坏，37名医科学生不幸遇难。医科学生面临独特的心理和学业压力源，与同龄人相比，他们患精神疾病的几率往往更高。这是第一项调查风暴对德尔纳大学医科学生心理影响的研究。该研究采用横断面设计，从2024年2月1日持续到3月1日。我们使用广泛性焦虑障碍量表-7（GAD-7）评估焦虑，患者健康问卷-9（PHQ-9）评估抑郁，并在问卷中设置了社会人口统计学问题。我们只纳入了德尔纳大学7年制本科项目的在读学生。分析中使用了卡方检验和二元逻辑回归等统计检验。约225名学生完成了调查。GAD-7和PHQ-9分数的均值及标准差分别为9.2（3.9）和10.8（5.0）。中度及重度焦虑（临界值≥10）的患病率为42.2%。中度、中度重度及重度抑郁（临界值≥10）的患病率为51.1%。“几天”或更长时间有自杀意念的报告率为48.9%，“超过一半天数”及“几乎每天”有自杀意念的报告率为16.5%。风暴过后的国内流离失所与焦虑（P = 0.033）和抑郁（P = 0.003）均显著相关。然而，年龄、性别、就读年份、月津贴及居住状况（与家人同住或独居）与焦虑或抑郁均未显示出统计学上的显著关联（所有变量P>0.05）。逻辑回归分析确定性别是焦虑的唯一显著预测因素（P = 0.041），国内流离失所是抑郁的唯一显著预测因素（P = 0.023）。德尔纳大学的医科学生报告称，在风暴“丹尼尔”过后，焦虑、抑郁和自杀意念的发生率很高。国内流离失所与焦虑和抑郁均显著相关。这些结果凸显了采取针对性干预措施以应对医科学生心理健康挑战并改善其整体幸福感的必要性。
