Prevalence and Predictors for Depression among Medical Students during Coronavirus Disease-19 Pandemic: A Cross-sectional Study

Authors

  • Shereen Esmat Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
  • Abeer Attia Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
  • Eman Elhabashi Department of Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2021.7390

Keywords:

Depression, Coronavirus disease-19, Pandemic, Medical students, Beck’s depression inventory

Abstract

BACKGROUND: Since the declaration of the World Health Organization of the coronavirus (SARS-COV-2) as a pandemic, several countries have locked down and quarantined their residents with restrictive procedures to control spread of the disease. Due to pandemic related stressors, concerns and worries have developed regarding negative psychological impact on the mental well-being of the general population, particularly those known to have higher levels of psychological impairment with high vulnerability to mental health diseases such as medical students.

AIM: The objectives of the study were to assess the prevalence of self-reported depression and to explore its predictors during the period of Coronavirus Disease 2019 first lock down among medical students.

METHODS: This was a cross-sectional study design. The study was conducted at Kasr Alainy Medical School, Faculty of Medicine, Cairo University, Egypt, in June 2020. A simple random sample was picked of one subgroup of 4th year medical students (No. = 300) at faculty of medicine during the academic year 2019–2020. Self-administered questionnaires including Beck’s Depression Inventory scoring were distributed using Google form through communication social media such as WhatsApp.

RESULTS: Out of the 300 participants, 238 responses were received with response rate 79.3%. Results indicated that 38.2% of the respondents were experiencing depression with different degrees with Beck’s Depression Inventory mean scores was 19.4 ± 11.6. Multiple logistic regression analysis point out that gender (odds ratio [OR] = 2.4 and p = 0.022) and “Good” grade level of academic performance (OR = 7.2 and p = 0.045) are significant predictors for developing depression among the participating medical students.

CONCLUSION: A significantly high prevalence of depression is detected among medical students during the first wave of the SARS-COV-2 pandemic. The prevalence of depression is more among females than males and more with medical students achieving “Good” grade level.

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References

Available from: https://www.medicalnewstoday.com/articles/depression-and-covid-19 [Last accessed 2020 Jun 18]. 2. Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students: Current insights. Adv Med Educ Pract. 2018;9:323-33. http://doi.org/10.2147/AMEP.S137384 PMid:29765261

Ediz B, Ozcakir A, Bilgel N, Walla P. Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics. Cogent Psychol. 2017;4:1. http://doi.org/10.1080/23311908.2017.1283829

Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: A meta-analysis. Med Educ. 2016;50(4):456-68. http://doi.org/10.1111/medu.12962 PMid:26995484

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. http://doi.org/10.1001/jama.2016.17324 PMid:27923088

Tam W, Lo K, Pacheco J. Prevalence of depressive symptoms among medical students: Overview of systematic reviews. Med Educ. 2019;53(4):345-54. http://doi.org/10.1111/medu.13770 PMid:30474128

Pham T, Bui L, Nguyen A, Nguyen B, Tran P, Vu P, et al. The prevalence of depression and associated risk factors among medical students: An untold story in Vietnam. PLoS One. 2019;14(8):e0221432. https://doi.org/10.1371/journal.pone.0221432 PMid:31430339

Chandratre S. Medical students and COVID-19: Challenges and supportive strategies. J Med Educ Curric Dev. 2020;7:2382120520935059. https://doi.org/10.1177/2382120520935059 PMid:32637642

O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J, McGrath D, et al. Barriers and solutions to online learning in medical education an integrative review. BMC Med Eduz. 2018;18:130. https://doi.org/10.1186/s12909-018-1240-0

Baticulon RE, Sy JJ, Alberto NR, Baron MB, Mabulay RE, Rizada LG, et al. Barriers to online learning in the time of COVID-19: A national survey of medical students in the Philippines. Med Sci Educ. 2021;31(2):1-12. https://doi.org/10.1007/s40670-021-01231-z PMid:33649712

Komer L. COVID-19 amongst the pandemic of medical student mental health. Int J Med Stud. 2020;8(1):56-7. https://doi.org/10.5195/ijms.2020.501

Park JE, Park K. Text Book of Preventive and social Medicine. 7th ed. Napier Town: Hessers Barinar Sides, ph. Not Publisher; 1979. p. 81.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004 PMid:13688369

World Medical Association. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-4. https://doi.org/10.1001/jama.2013.281053 PMid:24141714

Mei SL, Yu JX, He BW, Li JY. Psychological investigation of university students in a university in Jilin province. Med Soc (Berkeley). 2011;24(5):84-6.

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15-6. https://doi.org/10.1016/S2215-0366(20)30078-X PMid:32085839

Li SW, Wang Y, Yang YY, Lei XM, Yang YF. Analysis of influencing factors of anxiety and emotional disorders in children and adolescents during home isolation during the epidemic of novel coronavirus pneumonia. Chin J Child Health. 2020;28:1-9.

Yang Y, Li W, Zhang Q, Zhang L, Cheung T, Xiang YT. Mental health services for older adults in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e19. https://doi.org/10.1016/S2215-0366(20)30079-1 PMid:32085843

Amir M, El Gillany AH. Self-reported depression and anxiety by students at an Egyptian medical school. J Pak Psychiatric Soc. 2010;7(2):71.

Nakhostin-Ansari A, Sherafati A, Aghajani F, Khonji MS, Aghajani R, Shahmansouri N. Depression and anxiety among Iranian medical students during COVID-19 pandemic. Iran J Psychiatry. 2020;15(3):228-35. https://doi.org/10.18502/ijps.v15i3.3815 PMid:33193771

Chen Y, Zhou H, Zhou Y, Zhou F. Prevalence of self-reported depression and anxiety among pediatric medical staff members during the COVID-19 outbreak in Guiyang, China. Psychiatry Res. 2020;288:113005. https://doi.org/10.1016/j.psychres.2020.113005 PMid:32315886

Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936. https://doi.org/10.1016/j.psychres.2020.112936 PMid:32276196

Xu J, Xu QH, Wang CM, Wang J. Psychological status of surgical staff during the COVID-19 outbreak. Psychiatry Res. 2020;288:112955. https://doi.org/10.1016/j.psychres.2020.112955 PMid:32302815

Cornine A. Reducing nursing student anxiety in the clinical setting: An integrative review. Nurs Educ Perspect. 2020;41(4):229-34. https://doi.org/10.1097/01.NEP.0000000000000633 PMid:32102067

Kmietowicz Z. Rules on isolation rooms for suspected covid-19 cases in GP surgeries to be relaxed. BMJ. 2020;368:m707. https://doi.org/10.1136/bmj.m707 PMid:32086235

Xiao C. A novel approach of consultation on 2019 novel coronavirus (COVID-19)-Related psychological and mental problems: Structured letter therapy. Psychiatry Investig. 2020;17(2):175-6. https://doi.org/10.30773/pi.2020.0047 PMid:32093461

Schwenk TL, Davis L, Wimsatt LA. Depression, stigma, and suicidal ideation in medical students. JAMA. 2010;304(11):1181-90. https://doi.org/10.1001/jama.2010.1300 PMid:20841531

Basnet B, Jaiswal M, Adhikari B, Shyangwa PM. Depression among undergraduate medical students. Kathmandu Univ Med J. 2012;10(39):56-9. https://doi.org/10.3126/kumj.v10i3.8021 PMid:23434964

Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychol Bull 2017;143(8):783. https://doi.org/10.1037/bul0000102 PMid:28447828

Shao R, He P, Ling B, Tan L, Xu L, Hou Y, et al. Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychol. 2020;8(1):38. https://doi.org/10.1186/s40359-020-00402-8 PMid:32321593

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. https://doi.org/10.4066/AMJ.2012.750 PMid:22848319

Henning MA, Krägeloh CU, Hawken SJ, Doherty I, Zhao Y, Shulruf B. Motivation to learn, quality of life and estimated academic achievement: Medical students studying in New Zealand. Med Sci Educ. 2011;21:142-50.

Kunanitthaworn N, Wongpakaran T, Wongpakaran N, Paiboonsithiwong S, Songtrijuck N, Kuntawong P, et al. Factors associated with motivation in medical education: A path analysis. BMC Med Educ. 2018;18(1):140. http://doi.org/10.1186/s12909-018-1256-5 PMid:29914462

Nahar VK, Davis RE, Dunn C, Layman B, Johnson EC, Dascanio JJ, et al. The prevalence and demographic correlates of stress, anxiety, and depression among veterinary students in the Southeastern United States. Res Vet Sci. 2019;125:370-3. http://doi.org/10.1016/j.rvsc.2019.07.007 PMid:31377419

Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):2133-4. http://doi.org/10.1001/jama.2020.5893 PMid:32259193

Maunder R. Stress, coping and lessons learned from the SARS outbreak. Hosp Q. 2003;6(4):49-50. 4. http://doi.org/10.12927/hcq.16480 PMid:14628529

Tsang HW, Scudds RJ, Chan EY. Psychosocial impact of SARS. Emerg Infect Dis. 2004;10(7):1326-7. http://doi.org/10.3201/eid1007.040090 PMid:15338536

Luo Y, Chua CR, Xiong Z, Ho RC, Ho CS. A systematic review of the impact of viral respiratory epidemics on mental health: An implication on the coronavirus disease 2019 pandemic. Front Psychiatry. 2020;11:565098. http://doi.org/10.3389/fpsyt.2020.565098 PMid:33329106

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet. 2020;395(10227):912-20. http://doi.org/10.1016/S0140-6736(20)30460-8 PMid:32112714

Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: A systematic review and meta-analysis with comparison to the COVID-19 pandemic. Lancet Psychiatry. 2020;7(7):611-27. http://doi.org/10.1016/S2215-0366(20)30203-0 PMid:32437679

Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020;368:m313. http://doi.org/10.1136/bmj.m313 PMid:31992552

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-9. http://doi.org/10.1016/S2215-0366(20)30046-8 PMid:32032543

Zhu Y, Zhang L, Zhou X, Li C, Yang D. The impact of social distancing during COVID-19: A conditional process model of negative emotions, alienation, affective disorders, and posttraumatic stress disorder. J Affect Disord. 2020;281:131-7. http://doi.org/10.1016/j.jad.2020.12.004 PMid:33316718

Liu D, Baumeister RF, Veilleux JC, Chen C, Liu W, Yue Y, et al. Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China. Psychiatry Res. 2020;292:113297. http://doi.org/10.1016/j.psychres.2020.113297 PMid:32707218

Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020;89:594-600. http://doi.org/10.1016/j.bbi.2020.07.037 PMid:32738287

Omasoni D, Bai F, Castoldi R, Barbanotti D, Falcinella C, Mule G, et al. Anxiety and depression symptoms after virological clearance of COVID-19: A cross-sectional study in Milan, Italy. J Med Virol. 2021;93(2):1175-9. http://doi.org/10.1002/jmv.26459 PMid:32841387

Poyraz BC, Poyraz CA, Olgun Y, Gurel O, Alkan S, Ozdemir YE, et al. Psychiatric morbidity and protracted symptoms after COVID-19. Psychiatry Res. 2021;295:113604. http://doi.org/10.1016/j.psychres.2020.113604 PMid:33296818

Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, Hasson-Ohayon I, Matalon N, Gross R, et al. Anxiety and depression symptoms in COVID-19 isolated patients and in their relatives. Front Psychiatry. 2020;11:581598. http://doi.org/10.3389/fpsyt.2020.581598 PMid:33192727

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Published

2021-11-28

How to Cite

1.
Esmat S, Attia A, Elhabashi E. Prevalence and Predictors for Depression among Medical Students during Coronavirus Disease-19 Pandemic: A Cross-sectional Study. Open Access Maced J Med Sci [Internet]. 2021 Nov. 28 [cited 2026 Oct. 18];9(E):1454-60. Available from: https://oamjms.eu/index.php/mjms/article/view/7390

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