FACTORS ASSOCIATED WITH DEPRESSION AMONG MEDICAL STUDENTS IN A MEDICAL SCHOOL DURING THE COVID-19 PANDEMIC

Gilang Samudero, H. Hadiyanto, Dharmady Agus
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Abstract

Background: The impact of the COVID-19 outbreak caused mental health problems, one of which is the depression. This study analyzed the factors associated with depression among medical students in a medical school during the COVID-19 pandemic. This study aimed to assess the factors associated with depression during the COVID-19  pandemic such as gender, the year of student, the residence during COVID-19 pandemic, the risk of infecting others, quarantine, and social distancing or physical distancing.Methods: Cross-sectional study was conducted on 185 preclinic medical students of School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Data was collected using the identity of participants, Depression Anxiety Stress Scale (DASS 42), and Patient Health Questionnaire (PHQ-9). Chi-square analysis were applied for this study, if the chi-square analysis did not meet the requirements, the researcher had to use the fisher exact test as an alternative test. Researcher also performed logistic regression analysis to determine the most significant factor.Results: The result of study showed that the year of student had the most significant relationship with depression measured by DASS 42 (p:0,043) and PHQ-9 (p:0,006) and the higher year of student or the higher semester of student had the decrease depression measured by DASS 42 (coef: -0,46; OR: 0,63; 95% CI: 0,406-0,985) and PHQ-9 (coef: -0,53; OR: 0,58; 95% CI: 0,404-0,858) with logistic regression analysis Conclusion: The year of student has the most significant relationship with depression . 
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COVID-19大流行期间医学院医学生抑郁相关因素
背景:新冠肺炎疫情的影响导致心理健康问题,其中之一是抑郁症。本研究分析了COVID-19大流行期间一所医学院医学生抑郁的相关因素。本研究旨在评估与COVID-19大流行期间抑郁症相关的因素,如性别、学生年份、COVID-19大流行期间的居住地、感染他人的风险、隔离、社交距离或身体距离。方法:对印度尼西亚Atma Jaya天主教大学医学与健康科学学院185名临床前医学院学生进行横断面研究。采用参与者身份、抑郁焦虑压力量表(DASS 42)和患者健康问卷(PHQ-9)收集数据。本研究采用卡方分析,如果卡方分析不符合要求,研究者必须使用fisher精确检验作为替代检验。研究人员还进行了逻辑回归分析,以确定最显著的因素。结果:研究结果显示,学生年级与DASS 42 (p: 0.043)和PHQ-9 (p: 0.006)的抑郁关系最显著,高年级或高学期的学生DASS 42的抑郁程度降低(系数:-0,46;或:0,63;95% CI: 0,406-0,985)和PHQ-9(系数:-0,53;或:0,58;95% CI: 0,404-0,858) logistic回归分析结论:学生年级与抑郁的关系最显著。
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