Depression, anxiety, and stress among medical students of College of Medicine, Hawler Medical University, Erbil, Iraq

Authors

  • Ava Ghazi Rasheed Directorate of Health, Erbil, Iraq.
  • Asmaa Ghanim Hussein Department of Psychiatry, College of Medicine, Hawler Medical University, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2019.019

Keywords:

Depression, Anxiety, Stress, Medical students

Abstract

Background and objective: Students of the college of medicine involve in a hard study and training for six years; which might adversely affect the student's mental health and physical condition. This study aimed to identify the prevalence of depression, anxiety, and stress among medical students, and its association with different sociodemographic variables.

Methods: A cross-sectional study was conducted among students of the College of Medicine, Hawler Medical University from April to May 2017. This study included a randomly selected sample of 288 students. The Depression, Anxiety, and Stress Scale-21 (DASS-21) questionnaire was used to collect data. The statistical package for the social sciences was used for data analysis. Pearson Chi-square and Fisher's Exact Test were used to finding the association between various variables and depression, anxiety, and stress.

Results: The prevalence of depression, anxiety, and stress among medical students were 52.1%, 62.5%, and 45.1%, respectively. Male students were found to be more depressed than female students (63.6% vs. 42.3%) with a statistically significant association (P <0.001). Anxiety and stress were not significantly associated with gender. Anxiety among students from rural areas (88.9%) was significantly (P = 0.021) higher than students from urban areas (60.7%). The association of depression, anxiety, and stress with other variables was not significant.

Conclusion: The prevalence of depression, anxiety, and stress among students was high. Male students were regarded as a risk factor for depression, while students from the rural areas were regarded at risk of anxiety.

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References

Sarokhani D, Delpisheh A, Veisani Y, Sarokhani MT, Manesh RE, Sayehmiri K. Prevalence of Depression among University Students: A Systematic Review and Meta-Analysis Study. Depress Res Treat 2013; 2013:373857.

Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr Dis Treat 2015; 11:1713–22.

Abdel Wahed WY, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria J Med 2017; 53:77–84.

Jadoon NA, Yaqoob R, Raza A, Shehzad MA, Zeshan SC. Anxiety and depression among medical students: A cross-sectional study. J Pak Med Assoc 2010; 60(8):699–702.

Marcus M, Yasamy MT, Ommeren MV, Chisholm D, Saxena SH. Depression: a global public health concern. Proceedings of the 65th World Health Assembly 2012; Geneva, Switzerland. World Health Organization; 2012.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5thed. Arlington, VA: American Psychiatric Association; 2013. P.189.

Fink G. Stress: Definition and History. Elsevier Ltd; 2009. P.551.

Shah C, Trivedi RS, Diwan J, Dixit R, Anand AK. Common stressors and coping of stress by medical students. J Clin Diagn Res 2009; 3:1621–6.

Khan MS, Mahmood S, Badshah A, Ali SU, Jamal Y. Prevalence of Depression, Anxiety and their associated factors among medical students in Karachi, Pakistan. J Pak Med Assoc 2006; 56(12):583–6.

Houtman I, Jettinghoff K, Cedillo L. Raising Awareness of Stress at Work in Developing Countries: a modern hazard in a traditional working environment: advice to employers and worker representatives. WHO; 2007. P. 22.

Raosoft. Sample Size Calculator 2016. (Accessed November 7, 2016, at http://www.raosoft.com/samplesize.html).

Lovebird SH, Lovebird PF. Manual for the Depression Anxiety and Stress Scales. 2nd ed. Sydney. Psychology Foundation; 1995.

Shabu SA, Al-Tawil NG. Prevalence of Childhood Obesity among a Sample of Basic Education School Children in Erbil City. MEJFM 2012; 10(10):4–13.

Aghakhani N, Nia HS, Eghtedar S, Rahbar N, Jasemi M, Zadeh MM. Prevalence of depression among students of Urmia University of Medical Sciences (Iran). Iran J Psychiatry Behav Sci 2011; 5(2):131–5.

Lotfi MH, Aminian AH, Ghomizadea A, Zarea S. Prevalence of depression amongst students of Shaheed Sadoughi University of Medical Sciences, Yazd, Iran. IJPBS 2010; 4(2):51–5.

Singh A, Lal A, Singh S. Prevalence of depression amongmedical students of a private medical college in India. OJHAS 2010; 9(4):8.

Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res 2015; 141(3):354–7.

Ibrahim MB, Abdelreheem MH. Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University. Alexandria J Med 2015; 51:167–73.

Suhail HJ. Prevalence of Anxiety among Al-Qadisia Medical Students. KJNS 2015; 5(1).

Johari AB, Hassim IN. Stress and coping strategies among medical students in National University of Malaysia, Malaysia University of Sabah and University Kuala Lumpur Royal College of Medicine Perak. J Community Health 2009; 15:(2):106–15.

Saipanish R. Stress among medical students in a Thai medical school {Abstract}. Med Teach 2003; 25(5):502–6.

Abdulghani HM. Stress and depression among medical students: A cross sectional study at a Medical College in Saudi Arabia. Pak J Med Sci 2008; 24(1):12–7.

Koochaki GM, Charkazi A, Hasanzadeh A, Saedani M, Qorbani M, Marjani A. Prevalence of stress among Iranian medical students: a questionnaire survey. East Mediterr Health J 2011; 17(7):593–8.

Moutinho ID, Maddalena NP, Roland RK, Lucchetti AG, TiBiriçÁ1 SC, Ezequiel OS, Lucchetti G et al. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras 2017; 63(1):21–8.

Abdallah AR, Gabr HM. Depression, anxiety and stress among first year medical students in an Egyptian public university. Int J Med Med Sci 2014; 2(1):11–9.

Mohammed M, Hayati KS, Salmiah MS. Coping with Depression, Anxiety, and Stress: A Cross-Sectional Study among Malaysian Students in a Public University. IOSR-JDMS 2016; 15(11):83–95.

Modi K, Kumar D. Anxiety and depression in medical students and its association with coping method adopted by them. IJRRMS 2013; 3(2); 20–2.

Kunwar D, Risal A, Koirala S. Study of Depression, Anxiety and Stress among the Medical Students in two Medical Colleges of Nepal. KUMJ 2016; 53(1):22–6.

Saravanan C, Wilks R. Medical students’ experience of and reaction to stress: The role of depression and anxiety. Scientific World Journal 2014; 737382.

Masood A, Rashid S, Musarrat R, Mazzahir Sh. Nonclinical depression and anxiety as predictor of academic stress in medical students. IJMRHS 2016; 5(S):391–7.

Amr M, El Gilany A, El-Hawary A. Does gender predict medical students’ stress in Mansoura, Egypt? Med Educ Online 2008; 13:12.

Kalra R, Mutalik NR, Vinod A, Moni SH, Choudhari SB, Bhogale GS. Perceived stress and coping profile of undergraduate medical students: A cross sectional study. Int J Indian Psychol2016; 4(1):56–63.

Ben Loubir D, Serhier Z, Diouny S, Battas O, Agoub M, Bennani OM. Prevalence of stress in Casablanca medical students: a cross-sectional study. Pan Afr Med J 2014; 19:149.

Yussuf AD, Issa BA, Ajiboye PO, Buhari ON, The correlates of stress, coping styles and psychiatric morbidity in the first year of medical education at a Nigerian University. Afr J Psychiatry 2013; 16:206–15.

Yusoff MS, Yee LY, Wei LH, Siong TC, Meng LH, Bin LX, et al. A study on stress, stressors and coping strategies among Malaysian medical students. IJSR 2011; 1(2):45–50.

Madhyastha S, Latha KS, Kamath A. Stress and coping among final year medical students. AP J Psychol Med 2014; 15(1):74–80.

Oku AO, Owoaje ET, Oku OO, Ikpeme BM. Prevalence of stress, stressors and coping strategies among medical students in a Nigerian medical school. Afr J Med Health Sci 2015; 14:29–34.

Eva EO, Islam MZ, Mosaddek AM, Rahman MF, Rozario RJ, Iftekhar AH, et al. Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh. BMC Res Notes 2015; 8:327.

Siddiqui AF, Al-Amri SA, Al-Katheri AA, Al-Hassani KH. Perceived stress in Saudi undergraduate medical students. J Med Allied Sci 2017; 7(1):41–7.

Gazder DP, Ahmad F, Danish SH. Stressors, coursework stress and coping strategies among medical students in a private medical school of Karachi, Pakistan. Educ Med J 2014; 6(3):e22–9.

Bamuhair SS, AlFarhan AI, Althubaiti A, Agha S, urRahman S, Ibrahim NO. Sources of stress and coping strategies among undergraduate medical students enrolled in a problem-based learning curriculum. J Biomed Educ 2015; 2015.

Shaikh BT, Kahloon A, Kazmi M, Khalid H, Nawaz K, Khan NA, et al. Students, stress and coping strategies: A case of Pakistani Medical School. Educ Health (Abingdon) 2004; 17(3):346–53.

Sherina MS, Rampal L, Kaneson N. Psychological stress amongundergraduate medical students. Med J Malaysia 2004; 59(2):207–11.

Al-DubAi SA, Al-Naggar RA, Alshagga MA, Rampal KG. Stress and coping strategies of students in a medical faculty in Malaysia. Malaysian J Med Sci 2011; 18(3):57–64.

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Published

2019-08-01

How to Cite

Rasheed, A. G., & Hussein, A. G. (2019). Depression, anxiety, and stress among medical students of College of Medicine, Hawler Medical University, Erbil, Iraq. Zanco Journal of Medical Sciences (Zanco J Med Sci), 23(2), 143–152. https://doi.org/10.15218/zjms.2019.019

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Original Articles