Emotional status of final year MBBS Students in a private medical college in central Kerala, India
Keywords:Anxiety, Depression, DASS score, Questionnaire, Stress
Background: Medical education is highly stressful for students. They repeatedly experience different stressors which make them vulnerable for psychological problems.This study was undertaken to determine the prevalence of stress, anxiety and depression among the Final year MBBS students.
Methods: A questionnaire based study was conducted among 157 Final year MBBS students. The DASS 42 scale described by Lovibond and Lovibond was used. DASS baseline scores were collected during relaxed state when there is no exam and in a stressful condition, one week before the sessional exam.
Results: DASS questionnaire collected from 157 students showed that anxiety score was higher in tensed state while the stress and depression scores were higher in relaxed state. Stress, anxiety and depression scores of females are more than males in relaxed state.
Conclusions: There is increased prevalence of depression, anxiety and stress among the medical students. The severity is more among the females. Early screening and intervention are advisable because it will help the students in reducing their stress, anxiety and depression which are in their initial phase and can be managed easily with few sessions of counselling.
Saravanan C, Wilks R. “Medical Students Experience of and Reaction to Stress: The Role of Depression and Anxiety,” The Scientific World Journal. 2014(2014). doi:1155/2014/737382.
Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and Its Effects on Medical Students: A Cross-sectional Study at a College of Medicine in Saudi Arabia. Journal of Health, Population, and Nutrition. 2011;29(5);516-22.
Salam A, Yousuf R, Bakar SMA, Haque M. Stress among Medical Students in Malasia: A systematic Review of Literatures. International Medical Journal. 2013;20(6):649-55.
Yousuf MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. The impact of medical education on psychological health of students: a cohort study. Psychol Health Med. 2013;18(4):420-30.
Jeong Y, Kim JY, Ryu JS, Kei L, Ha EH, Park H. The associations between social support, health related behaviours, socioeconomic status and depression in medical students; Epidemiol Health 2010;32.
Wolf TM. Stress,coping and health. Enhancing wellbeing during medical school. Med Educ. 1994;28:8-17.
Dyrbye LN, Thomas MR, Shanafelt TD. Systemic review of depression, anxiety & other indications of psychological distress among U.S and Canadian medical students. Acad Med. 2006;81:354-73.
Baldassin S, Alves TC, de Andrade AG, Nougueira Martius LA. The characteristics of depressive symptoms in medical students during medical education &training: A cross sectional study. BMC MED Educ. 2008 11;8:60.
Vaz RF, Mbajiorgu EF, Acuda SW. A preliminary study of stress levels among first year medical students at the University of Zimbabwe, Cent Afr J Med. 1998:44(9):214-9.
Mancevska S, Bozinovska L, Tecce J, Pluncevik-Gligoroska J, Sivevska-Smilevska E. Bratisl Lek Listy. Depression, anxiety and substance use in medical students in the Republic of Macedonia. 2008;109(12):568-72.
Salt P, Nadelson C, Notman; Depression and Anxiety among Medical Students. New Research abstract 13, APA Annual Meeting, Los Angeles. 1984.
Supe AN. A study of stress in medical students at Seth G. S. Medical Colege. J Postgrad Med. 1998;44(1):1-6
Lovibond LH, Lovibond PF. Manual for the Depression, Anxiety, Stress Scales. 2nd ed.Sydney: Psychology foundation of Australia. 1995.
Kaya M, Genc M, Kaya B, Pehlivan E(Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students)Turk Psikiyatri Derg. 2007;18:137-46.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross sectional study. Med Educ. 2005;39:594-604.