Publication:
Predictors of Depression and Anxiety among Medical Students

Date

2023

Authors

Thapa, Bipin
Sapkota, Suman
Khanal, Anil
Aryal, Binod Kumar
Hu, Yifei

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Nepal Health Research Council

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Abstract

Abstract Background: Medical undergraduates are more prone to emotional distress in comparison to the general population and non-medical undergraduates. This study aimed to identify the prevalence and factors associated with depression and anxiety symptoms among undergraduate medical students. Methods: A cross-sectional study was conducted among 204 medical students in a medical institute in Kathmandu. Depression, Anxiety and Stress Scale-42 was used to identify the prevalence of depression and anxiety symptoms. The data were analyzed using multivariable logistic regression models. Results: The prevalence of depression and anxiety symptoms was 30.9% and 38.7% respectively. Depression symptoms were more likely to be prevalent among fourth and fifth-year students, with an adjusted odds ratio (aOR 1.96, 95% CI: 1.03-3.75) compared to second and third-year students, and those who failed in the last academic examination (aOR 2.55, 95% CI: 1.28-5.09). Anxiety symptoms were more prevalent among male students (aOR 2.11, 95% CI: 1.04-4.27), those who were from the relatively less advantaged ethnic group (aOR 2.08, 95% CI: 1.04-4.16) and those who stayed outside the dormitory (aOR 2.90, 95% CI: 1.46-5.78). Conclusions: The prevalence of depression and anxiety symptoms among medical students was high. Psychological support is needed to ensure the mental well-being of medical students. Keywords: Anxiety; DASS-42; depression; medical students.

Description

Bipin Thapa Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing 100069, China Suman Sapkota Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing 100069, China Anil Khanal Department of Research and Development, Dhulikhel Hospital-Kathmandu University Hospital, Kavrepalanchok, Nepal Binod Kumar Aryal Ministry of Health and Population, Ramshah Path, Kathmandu, Nepal Yifei Hu Department of Child, Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing 100069, China

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