An Assessment of Mental Health Status of Undergraduate Medical Trainees in the University of Calabar, Nigeria: A Cross-Sectional Study

Authors

  • Afiong Oku Department of Community Medicine, University of Calabar, Calabar, Cross River State
  • Oboko Oku Department of Anaesthesia, University of Calabar, Calabar, Cross River State
  • Eme Owoaje Department of Community Medicine, University of Ibadan, Oyo State
  • Emmanuel Monjok Department of Community Medicine, University of Calabar, Calabar, Cross River State

DOI:

https://doi.org/10.3889/oamjms.2015.068

Keywords:

Mental health, medical students, Calabar, Nigeria, General health questionnaire 12

Abstract

BACKGROUND: The mental health status of medical students has been proven to be poor compared to their peers in other disciplines and has led to grave personal and professional consequences. This subject has however remained largely unexplored in our medical school.

AIM: The study was therefore conducted to assess the prevalence of mental health of medical students in the University of Calabar, Cross river state, Nigeria.

METHODOLOGY: A descriptive cross-sectional survey of 451 randomly selected medical students from the pre-clinical and clinical levels of study in the University of Calabar. A self administered questionnaire including the GHQ12 was used to elicit information from the respondents. A score of ≥ 3 suggested poor mental while a score < 3 represented good mental health. Data were summarized using proportions, and c2 test was used to explore associations between categorical variables. Level of significance was set at p < 0.05.

RESULTS: The mean age of the respondents was 23.4 ± 4.3 years, 63.8% were males, 34.8% were from the preclinical and 65.2% from clinical levels of study. Based on the GHQ categorisation, 39.2% had a poor mental health status, compared to 60.8% with good mental health status. The factors significantly associated with poor mental health, were recent experience of mistreatment by trainers or colleagues, perceived inadequate monthly allowance and perception that medical training is stressful (p < 0.05). 

CONCLUSION: With more than a third of undergraduate medical trainees with traits of poor mental health, provision of accessible mental health services/counselling is strongly recommended early in their training.

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References

WHO. Mental health challenges of young people. http://wwwwhoint/mental_health/en/ [Internet]. 2008 17th Feb., 2009.

Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: a global public-health challenge. The Lancet. 2007;369(9569):1302-13. DOI: https://doi.org/10.1016/S0140-6736(07)60368-7

Dyrbye L, Matthew R, Stanford M, Power D, Eacker A, William H, et al. Burnout and suicidal ideation among US medical students. Annals of Internal Medicine. 2008;149(334):8-9. DOI: https://doi.org/10.7326/0003-4819-149-5-200809020-00008

Guthrie E, Black D S, CM, , Hamilton J, Creed F, Tomenson B. Embarking Upon a Medical Career: Psychological Morbidity in First Year Medical Students. Medical Education. 1995;29(5):3-9. DOI: https://doi.org/10.1111/j.1365-2923.1995.tb00022.x

Givens J, Tjia J. Depressed medical students' use of mental health services and barriers to use. Academic Medicine. 2002;77:918-21. DOI: https://doi.org/10.1097/00001888-200209000-00024

Yiu V. Supporting the well-being of medical students. CMAJ. 2005;172(7):889-90. DOI: https://doi.org/10.1503/cmaj.050126

Dyrbye L, Thomas M, Shanafelt T. Medical Students Distress: Causes, Consequences, and Proposed Solutions. Mayo Clinic Proceedings. 2005;80(12):1613-22. DOI: https://doi.org/10.4065/80.12.1613

Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Education. 2005;39:594-604. DOI: https://doi.org/10.1111/j.1365-2929.2005.02176.x

Rosal M, Ockene I, Ockene J, Barrett S, Ma Y, Hebert J. A longitudinal study of students’ depression at one medical school. Academic Medicine. 1997;72:542-6. DOI: https://doi.org/10.1097/00001888-199706000-00022

Carson A, Dias S, Johnston A. Mental health in medical students: a case control study using the 60 item General Health Questionnaire. Scott Med J. 2000;45:115-6. DOI: https://doi.org/10.1177/003693300004500406

Moffat K, Mc Connachie A, Ross S, Morrison J. First year medical student stress and coping in a problem-based learning medical curriculum. Medical Education. 2004;38(482-491). DOI: https://doi.org/10.1046/j.1365-2929.2004.01814.x

Ball S, Bax A. Self-care in medical education: effectiveness of health habits interventions for first-year medical students. Acad Med. 2002;77:911-7. DOI: https://doi.org/10.1097/00001888-200209000-00023

Aktekin M, Karaman T, Senol Y, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: A prospective study in Antalya, Turkey. Medical Education. 2001;35:12-7. DOI: https://doi.org/10.1046/j.1365-2923.2001.00726.x

Assadi S, Nakhaei M, Najaf iF, Faze S. Mental health in three generations of Iranian medical students and doctors: A cross-sectional study. Soc Psychiatry Psychiatr Epidemiol. 2007;42:57-60. DOI: https://doi.org/10.1007/s00127-006-0130-7

Willcock S, Daly M, Tennant C, Allard B. Burnout and psychiatric morbidity in new medical graduates. Medical Journal of Australia. 2004;181:357-60. DOI: https://doi.org/10.5694/j.1326-5377.2004.tb06325.x

Tyssen R. Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal study. Med Educ. 2001;35(2):110-20. DOI: https://doi.org/10.1046/j.1365-2923.2001.00770.x

Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: A Five-year Prospective Longitudinal Study. J R Soc Med. 1998;91(5):237-43. DOI: https://doi.org/10.1177/014107689809100502

Chandrashekhar TS, Pathiyil RS, Binu V, Mukhopadhyay C, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepa. BMC Medical Education. 2007;7(26):1-8. DOI: https://doi.org/10.1186/1472-6920-7-26

Omigbodun OO, Odukogbe AA, Omigbodun AO, Yusuf OB, Bella TT, Oladopo O. Stressors and psychological symptoms in students of Medicine and allied health professions in Nigeria. Soc Psychiatry Epidemiology. 2006;40:1-7. DOI: https://doi.org/10.1007/s00127-006-0037-3

Amr M, El-Gilany A, El-Sayed M, El- Sheshtawy E. Study of stress among medical students at Mansoura University. Banha Medical Journal. 2007;37(5):25-31.

Nivert Z, Jehan MI. Psychiatric Morbidity Among Third Year Medical Students at Ain ShamsUniversity, Cairo, Egypt. The Egyptian Journal of Community Medicine. 2010;28(1).

Omohkodion FO, Gureje O. Psychosocial problems of preclinical students in the University of Ibadan Medical School. African Journal of Medicine. 2003;32(1):55-8.

Yousafzai AW, Syed A, Ehsanullah S, Naila B, Saman I, Mohammed NS, et al. Well-being of medical students and their awareness on substance misuse: A cross-sectional survey in Pakistan. Annals of General Psychiatry. 2009;8(8):1-5. DOI: https://doi.org/10.1186/1744-859X-8-8

YuSoff MSB, Ahmad FaR, Mohd JY. Prevalence and Sources of Stress among Universiti Sains Malaysia Medical Students. Malaysian J Med Sciences. 2010;17(1):30-7.

Benitez C, Quintero J, Torres R. Prevalence of risk for mental disorders among undergraduate medical students at the Medical School of the Catholic University of Chile. Rev Med Chil. 2001;129:173-8.

Firth J. Levels and Sources of Stress in Medical Students. British Medical Journal (Clinical Research and Epidemiology). 1986;292(6529):1177-80. DOI: https://doi.org/10.1136/bmj.292.6529.1177

Sender R, Salamero M, Valles A, Valdes M. Psychological variables for identifying susceptibility to mental disorders in medical students at the University of Barcelona. MED Educ online. 2004. DOI: https://doi.org/10.3402/meo.v9i.4350

Shoukat S, Anis M, Kella D, Qazi F, Samad F, et al. . Prevalence of Mistreatment or Belittlement among Medical Students – A Cross Sectional Survey at a Private Medical School in Karachi, Pakistan. PLoS ONE. 2010;5(10):1-7. DOI: https://doi.org/10.1371/journal.pone.0013429

Dahlin M, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Medical education. 2007;7(6):1-5. DOI: https://doi.org/10.1186/1472-6920-7-6

Facundes V, Ludermir A. Common mental disorders among health care students. Rev Bras Psiquiatr. 2005;27:194-200. DOI: https://doi.org/10.1590/S1516-44462005000300007

Sami Abdo RA-D, Redhwan AA-N, Mustafa AA, Krishna GR. Stress and Coping Strategies of Students in a Medical Faculty in Malaysia. Malaysian J Med Sci. 2011; 18(3): 57-64. 2011;18(3):57-64.

Published

2015-06-10

How to Cite

1.
Oku A, Oku O, Owoaje E, Monjok E. An Assessment of Mental Health Status of Undergraduate Medical Trainees in the University of Calabar, Nigeria: A Cross-Sectional Study. Open Access Maced J Med Sci [Internet]. 2015 Jun. 10 [cited 2024 Apr. 26];3(2):356-62. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2015.068

Issue

Section

E - Public Health

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