The Prevalence of Psychological Stress, Anxiety, and Depression Among Medical Students During Their Study Period in Palestine
Abstract
Objectives: Medical students have significant rates of psychological morbidity such as depression and anxiety, and their psychological stress levels are consistently higher than those of the general population and age-matched coworkers. This study aimed to assess the prevalence of stress, anxiety, and depression among Palestinian medical students and to assess the differences between socio-demographic characteristics in terms of stress, anxiety, and depression scores.
Methods: A cross-sectional study was conducted among medical students at Palestine Polytechnic University in Oct 2022 using a self-administered questionnaire distributed among medical students by simple random sampling method. The assessment of psychological mood disorders among 200 medical students was done by using Depression, Anxiety, and Stress Scale-21. Descriptive and inferential statistics were used.
Results: Among 200 students, half of the medical students have suffered from psychological mood disorders at moderate, severe, and extremely severe levels. Furthermore, 2nd-year medical students have higher stress and depression scores than 3rd and 4th-year students (p=0.017) and (p=0.020) respectively. Female medical students have significantly higher anxiety scores than male students (p=0.043).
Conclusions: It is noted that stress, anxiety, and depression are common among medical students, and there is an urgent need for attention, support, and personalized counseling.
References
2. Rotenstein L, Ramos M, Torre M, Segal J, Peluso M, Guille C. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students. Jama [Internet]. 2016; 316 (21): 2214. 2015.
3. Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry research. 2017;255:186-94.
4. Amro N, Abdulhamid D, Asherah AA, Bsharat R. The Prevalence of Psychological Health Impact of COVID-19 Pandemic Among Palestinian Population. A Cross-sectional Study. Journal of Health, Medicine and Nursing. 2020.
5. Baldassin S, Silva N, Alves TCdTF, Castaldelli-Maia JM, Bhugra D, Nogueira-Martins MCF, et al. Depression in medical students: cluster symptoms and management. Journal of Affective Disorders. 2013;150(1):110-4.
6. Bore M, Kelly B, Nair B. Potential predictors of psychological distress and well-being in medical students: a cross-sectional pilot study. Advances in medical education and practice. 2016:125-35.
7. Abdallah AR, Gabr HM. Depression, anxiety, and stress among first-year medical students in an Egyptian public university. Int Res J Med Med Sci. 2014;2(1):11-9.
8. Bassi R, Sharma S, Kaur M. A study of correlation of anxiety levels with body mass index in new MBBS students. National Journal of Physiology, Pharmacy, and Pharmacology. 2014;4(3):208.
9. Ruprai RK, Kamble P, Kurwale M. Environmental stress and changes in anxiety score and reaction time: A comparative study among day scholars and hostilities in first year MBBS students. Glob J Interdiscip Soc Sci. 2012;1:1-3.
10. Gabal H, Wahdan M, Gamal Eldin D. Prevalence of anxiety, depression, and stress among medical students, and associated factors. Egypt J Occup Med. 2022;46:55-74.
11. Mirza AA, Milaat WA, Ramadan IK, Baig M, Elmorsy SA, Beyari GM, et al. Depression, anxiety, and stress among medical and non-medical students in Saudi Arabia: an epidemiological comparative cross-sectional study. Neurosciences Journal. 2021;26(2):141-51.
12. Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: A meta‐analysis. Medical education. 2016;50(4):456-68.
13. Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. Jama. 2016;316(21):2214-36.
14. Marie M, Hannigan B, Jones A. Mental health needs and services in the West Bank, Palestine. International journal of mental health systems. 2016;10(1):1-8.
15. Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. The Lancet. 2007;370(9590):851-8.
16. Lovibond SH. Manual for the depression anxiety stress scales. Sydney Psychology Foundation. 1995.
17. Taneja N, Sachdeva S, Dwivedi N. Assessment of depression, anxiety, and stress among medical students enrolled in a medical college of New Delhi, India. Indian Journal of Social Psychiatry. 2018;34(2):157-62.
18. Waqas A, Khan S, Sharif W, Khalid U, Ali A. Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: a cross-sectional survey. PeerJ. 2015;3:e840.
19. Saipanish R. Stress among medical students in a Thai medical school. Medical teacher. 2003;25(5):502-6.
20. Mosley Jr TH, Perrin SG, Neral SM, Dubbert PM, Grothues CA, Pinto BM. Stress, coping, and well-being among third-year medical students. Academic Medicine. 1994;69(9):765-7.
21. Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatric disease and treatment. 2015:1713-22.
22. Islam S, Akter R, Sikder T, Griffiths MD. Prevalence and factors associated with depression and anxiety among first-year university students in Bangladesh: a cross-sectional study. International Journal of Mental Health and Addiction. 2020:1-14.
23. Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, et al. The global prevalence of anxiety among medical students: a meta-analysis. International journal of environmental research and public health. 2019;16(15):2735.
24. Gefen D, Fish M. Adjustment to college in nonresidential first-year students: The roles of stress, family, and coping. Journal of The First-Year Experience & Students in Transition. 2013;25(2):95-116.