Hajira Ramlan, Norrul Izuhan Shafri, S. Wahab, Mohammad Arif Kamarudin, R. Rajikan, N. Wahab, H. Damanhuri
{"title":"医学生抑郁、焦虑与压力的早期观察分析","authors":"Hajira Ramlan, Norrul Izuhan Shafri, S. Wahab, Mohammad Arif Kamarudin, R. Rajikan, N. Wahab, H. Damanhuri","doi":"10.6092/2282-1619/MJCP-2516","DOIUrl":null,"url":null,"abstract":"Studying a medical degree can create a stressful environment for students who are in the pre-clinical or clinical phase of their course. This study aims to determine both the effect of a medical programme on levels of depression, anxiety, and stress among Universiti Kebangsaan Malaysia (UKM) medical students before and during the course. A study was conducted with 133 first-year medical students enrolled in the 2018/2019 academic session in UKM. Levels of depression, anxiety and stress were measured using a validated questionnaire—the 21-item Depression Anxiety Stress Scale (DASS-21)—at two different time intervals: during orientation week (time 0) and early in the second semester (time 1). The collected data undergo statistical assessment with Wilcoxon Signed Ranks Test, Mann-Whitney U Test and Kruskal-Wallis H Test using SPSS v25.0. The medical students comprised 25.6% (n = 34) males and 74.4% (n = 99) females. More than half were Malay (60.9%, n = 81), followed by Indian (18%, n = 24), Chinese (12%, n = 16) and other races (9%, n = 12). There was a significant increase in depression (Z = -4.263, p < 0.001), anxiety (Z = -2.235, p = 0.025) and stress (Z = -4.783, p < 0.001) symptoms among UKM medical students after starting the medical programme. Unhealthy level of anxiety was found to be highly prevalent compared with depression and stress, at both time intervals. The association between anxiety and race during the medical programme appeared to be significant (Z = 11.694, p = 0.009). The medical students experienced higher depression, anxiety, and stress symptoms as early as 6 months during the medical programme. Preventive measures should be taken at an early stage to maintain medical students’ good psychological health.","PeriodicalId":18428,"journal":{"name":"Mediterranean Journal of Clinical Psychology","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"6","resultStr":"{\"title\":\"Depression, Anxiety and Stress in Medical Students: An Early Observation Analysis\",\"authors\":\"Hajira Ramlan, Norrul Izuhan Shafri, S. Wahab, Mohammad Arif Kamarudin, R. Rajikan, N. Wahab, H. Damanhuri\",\"doi\":\"10.6092/2282-1619/MJCP-2516\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Studying a medical degree can create a stressful environment for students who are in the pre-clinical or clinical phase of their course. This study aims to determine both the effect of a medical programme on levels of depression, anxiety, and stress among Universiti Kebangsaan Malaysia (UKM) medical students before and during the course. A study was conducted with 133 first-year medical students enrolled in the 2018/2019 academic session in UKM. Levels of depression, anxiety and stress were measured using a validated questionnaire—the 21-item Depression Anxiety Stress Scale (DASS-21)—at two different time intervals: during orientation week (time 0) and early in the second semester (time 1). The collected data undergo statistical assessment with Wilcoxon Signed Ranks Test, Mann-Whitney U Test and Kruskal-Wallis H Test using SPSS v25.0. The medical students comprised 25.6% (n = 34) males and 74.4% (n = 99) females. More than half were Malay (60.9%, n = 81), followed by Indian (18%, n = 24), Chinese (12%, n = 16) and other races (9%, n = 12). There was a significant increase in depression (Z = -4.263, p < 0.001), anxiety (Z = -2.235, p = 0.025) and stress (Z = -4.783, p < 0.001) symptoms among UKM medical students after starting the medical programme. Unhealthy level of anxiety was found to be highly prevalent compared with depression and stress, at both time intervals. The association between anxiety and race during the medical programme appeared to be significant (Z = 11.694, p = 0.009). The medical students experienced higher depression, anxiety, and stress symptoms as early as 6 months during the medical programme. Preventive measures should be taken at an early stage to maintain medical students’ good psychological health.\",\"PeriodicalId\":18428,\"journal\":{\"name\":\"Mediterranean Journal of Clinical Psychology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2020-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Mediterranean Journal of Clinical Psychology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6092/2282-1619/MJCP-2516\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mediterranean Journal of Clinical Psychology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6092/2282-1619/MJCP-2516","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Depression, Anxiety and Stress in Medical Students: An Early Observation Analysis
Studying a medical degree can create a stressful environment for students who are in the pre-clinical or clinical phase of their course. This study aims to determine both the effect of a medical programme on levels of depression, anxiety, and stress among Universiti Kebangsaan Malaysia (UKM) medical students before and during the course. A study was conducted with 133 first-year medical students enrolled in the 2018/2019 academic session in UKM. Levels of depression, anxiety and stress were measured using a validated questionnaire—the 21-item Depression Anxiety Stress Scale (DASS-21)—at two different time intervals: during orientation week (time 0) and early in the second semester (time 1). The collected data undergo statistical assessment with Wilcoxon Signed Ranks Test, Mann-Whitney U Test and Kruskal-Wallis H Test using SPSS v25.0. The medical students comprised 25.6% (n = 34) males and 74.4% (n = 99) females. More than half were Malay (60.9%, n = 81), followed by Indian (18%, n = 24), Chinese (12%, n = 16) and other races (9%, n = 12). There was a significant increase in depression (Z = -4.263, p < 0.001), anxiety (Z = -2.235, p = 0.025) and stress (Z = -4.783, p < 0.001) symptoms among UKM medical students after starting the medical programme. Unhealthy level of anxiety was found to be highly prevalent compared with depression and stress, at both time intervals. The association between anxiety and race during the medical programme appeared to be significant (Z = 11.694, p = 0.009). The medical students experienced higher depression, anxiety, and stress symptoms as early as 6 months during the medical programme. Preventive measures should be taken at an early stage to maintain medical students’ good psychological health.
期刊介绍:
The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.