Determining environmental predictors of subjective feeling of depressive symptoms among Polish medical students
DOI:
https://doi.org/10.12775/JEHS.2020.10.05.014Keywords
depression, medical studentsAbstract
Introduction and objective. Depression is a disease that impairs daily functioning. According to research, as much as 27.2% of medical students suffer from depression or show depressive symptoms and 11.1% of them experience suicidal ideation. The aim of the research was to investigate the occurrence of subjective feeling of depressive symptoms among Polish medical students during the course of their medical studies and to determine predictors of this phenomenon that are related to student’s environment. Material and method. A total of 1023 medical students from each year of medical education and different Polish universities took part in the study. The research tool was an author’s questionnaire. Obtained data was subjected to a statistical analysis. To assess the relationship between two variables, the chi-square test of independence was used. The level of significance was set at p < 0.05. Results. The statistical analysis showed that most respondents (52.79%) had noticed symptoms that might had pointed to depression during their medical studies. A statistically significant link was found between subjective feeling of depressive symptoms during the course of medical studies and: mother’s level of education, relationship with parents, relationship with siblings, relationship with friends, knowing a person that one could count on in a difficult situation, knowing a person in which one could trust with all their problems, frequent feelings of loneliness and feeling that one doesn’t participate in social gatherings often enough. Conclusions. The prevalence of subjective feeling of depressive symptoms among medical students is high. Results suggest that good relationships with others are important in prevention of depression.
References
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316:2214–2236. doi: 10.1001/jama.2016.17324.
Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ. 2007;7:26. PMID: 17678553.
Mukhtar F, Daud S, Manzoor I, Amjad I, Saeed K, Naeem M, Javed M. Bullying of medical students. J Coll Physicians Surg Pak. 2010;20(12):814–818 PMID: 21205548.
Lyndon MP, Strom JM, Alyami HM, Yu TC, Wilson NC, Singh PP, Lemanu DP, Yielder J, Hill AG.. The relationship between academic assessment and psychological distress among medical students: a systematic review. Perspect Med Educ. 2014;3(6):405–418. PMID: 25428333.
Tyssen R, Dolatowski FC, Røvik JO, Thorkildsen RF, Ekeberg O, Hem E, Gude T, Grønvold NT, Vaglum P.. Personality traits and types predict medical school stress: a six-year longitudinal and nationwide study. Med Educ. 2007;41(8):781–787. PMID: 17661886.
Zvauya R, Oyebode F, Day EJ, Thomas CP, Jones LA. A comparison of stress levels, coping styles and psychological morbidity between graduate-entry and traditional undergraduate medical students during the first 2 years at a UK medical school. BMC Res Notes. 2017;10(1):93 PMID: 28193287.
Moutinho IL, Maddalena NC, Roland RK, Lucchetti AL, Tibiriçá SH, Ezequiel OD, Lucchetti G. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras (1992). 2017 Jan 1;63(1):21-28. PMID: 28225885.
Coentre R, Faravelli C, Figueira ML. Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ. 2016 Oct 29;7:354-363. PMID: 27794561.
Nguyen TTT, Nguyen NTM, Pham MV, Pham HV, Nakamura H. The four-domain structure model of a depression scale for medical students: A cross-sectional study in Haiphong, Vietnam. PLoS One. 2018 Mar 22;13(3):e0194550. PMID: 29566050.
Clark DC, Daugherty SR, Zeldow PB, Gotterer GS, Hedeker D. The relationship between academic performance and severity of depressed mood during medical school. Compr Psychiatry Jul-Aug 1988;29(4):409-20.
Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM. A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ 1999 Apr;33(4):243-50.
Fogleman BY, Vander Zwagg R. Demographic, situational, and scholastic factors in medical school attrition. South Med J. 1981 May;74(5):602-6.
Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, Edwards S, Wiedermann BL, Landrigan CP. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 2008 Mar 1;336(7642):488-91.
Weissman MM, Klerman GL. Sex differences and the epidemiology of depression. Arch Gen Psychiatry. 1977 Jan;34(1):98-111.
Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456–468. doi: 10.1111/medu.12962.
Polish Ministry of Health- Program for Peventing Depression for years: 2016- 2020. Polish Ministry of Health. 2016; 2018 update. [cited 03.05.2020]. Available from: https://www.gov.pl/web/zdrowie/program-zapobiegania-depresji-w-polsce-na-lata-2016-2020 . Polish.
Mao Y, Zhang N, Liu J, Zhu B, He R, Wang X. A systematic review of depression and anxiety in medical students in China. BMC Med Educ. 2019;19(1):327. doi: 10.1186/s12909-019-1744-2.
Džubur A, Abdulahović D, Kurspahić-Mujčić A, Džubur A, Loga-Zec S, Škrijelj V. Depressive Symptoms Among Sarajevo University Students: Prevalence and Socio-Demographic Correlations.Acta Med Acad. 2018 Nov;47(2):155-164. doi: 10.5644/ama2006-124.227.
Sidana S, Kishore J, Ghosh V, Gulati D, Jiloha R, Anand T. Prevalence of depression in students of a medical college in New Delhi: A cross-sectional study. Australas Med J. 2012;5(5):247-50. doi: 10.4066/AMJ.2012.750. Epub 2012 May 31. PMID: 22848319.
Zhai H, Chen L, Yang Y, Sun H, Pan H, He J, Zhu X, Sui H, Wang W, Qiu X, Qiao Z, Yang X, Yang J, Yu Y, Ban B, He C. Family and College Environmental Exposures Mediate the Relationship between Parental Education and Depression among College Students. PLoS One. 2016 Mar 18;11(3):e0151759. doi: 10.1371/journal.pone.0151759. eCollection 2016. PMID: 26991783.
Baldassin S, Alves TC, de Andrade AG, Nogueira Martins LA. The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ. 2008 Dec 11;8:60.
Kerstis B, Åslund C, Sonnby K. More secure attachment to the father and the mother is associated with fewer depressive symptoms in adolescents. Ups J Med Sci. 2018 Mar;123(1):62-67. doi: 10.1080/03009734.2018.1439552. Epub 2018 Mar 2. PMID: 29495912.
Lin HC, Tang TC, Yen JY, Ko CH, Huang CF, Liu SC, Yen CF. Depression and its association with self-esteem, family, peer and school factors in a population of 9586 adolescents in southern Taiwan. Psychiatry Clin Neurosci. 2008 Aug;62(4):412-20. doi: 10.1111/j.1440-1819.2008.01820.x. PMID: 18778438.
Sun L, Sun LN, Sun YH, Yang LS, Wu HY, Zhang DD, Cao HY, Sun Y. Correlations Between Psychological Symptoms and Social Relationships Among Medical Undergraduates in Anhui Province of China; Int J Psychiatry Med 2011;42(1):29-47.
Coskun O, Ocalan AO, Ocbe CB, Semiz HO, Budakoglu I. Depression and hopelessness in pre-clinical medical students. Clin Teach. 2019 Aug;16(4):345-351.
Erschens R, Herrmann-Werner A, Keifenheim KE, Loda T, Bugaj TJ, Nikendei C, Lammerding-Köppel M, Zipfel S, Junne F. Differential determination of perceived stress in medical students and high-school graduates due to private and training-related stressors. PLoS One. 2018 Jan 31;13(1):e0191831.
Jeong Y, Kim JY, Ryu JS, Lee KE, Ha EH, Park H. The Associations between Social Support, Health-Related Behaviors, Socioeconomic Status and Depression in Medical Students. Epidemiol Health. 2010 Nov 24;32:e2010009.
Haldorsen H, Bak NH, Dissing A, Petersson B. Stress and symptoms of depression among medical students at the University of Copenhagen. Scand J Public Health. 2014 Feb;42(1):89-95.
Magdalena Michalska-Leśniewicz, Wojciech Gruszczyński. Psychological factors in depression. Psychiatria 2010; 7, 3: 95–103.
Matthews T, Danese A, Wertz J, Odgers CL, Ambler A, Moffitt TE, Arseneault L. Social isolation, loneliness and depression in young adulthood: a behavioural genetic analysis. Soc Psychiatry Psychiatr Epidemiol. 2016 Mar;51(3):339-48. doi: 10.1007/s00127-016-1178-7. Epub 2016 Feb 3. PMID: 26843197.
Ge L, Yap CW, Ong R, Heng BH. Social isolation, loneliness and their relationships with depressive symptoms: A population-based study. PLoS One. 2017 Aug 23;12(8):e0182145. doi: 10.1371/journal.pone.0182145. eCollection 2017. PMID: 28832594.
Swami V, Chamorro-Premuzic T, Sinniah D, Maniam T, Kannan K, Stanistreet D, Furnham A. General health mediates the relationship between loneliness, life satisfaction and depression. A study with Malaysian medical students. Soc Psychiatry Psychiatr Epidemiol. 2007 Feb;42(2):161-6. Epub 2006 Dec 18. PMID: 17180631.
Ball S, Bax A, Self-care in Medical Education: Effectiveness of Health-Habits Interventions for First-Year Medical Students. Acad Med. 2002 Sep;77(9):911-7.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 541
Number of citations: 0