Analysis of Mental Health Status of Medical Students in the Late Stage of COVID-19 Epidemic

2020 ◽  
Vol 10 (09) ◽  
pp. 1357-1362
Author(s):  
士慷 杨
2020 ◽  
Author(s):  
M Tasdik Hasan

Background: Depression is a major morbidity and the most common mental disorder among the medical students in medical schools globally. Undergraduate students suffer stress more due to their academic curriculum than the students of other faculties. In low resource settings like Bangladesh, there is a dearth in research on mental health of undergraduate medical students. This pilot study was conducted to add to the existing limited evidence by reporting the prevalence of depression, describing sleeping pattern & suicidal tendencies among medical students. Relevantly, we have investigated to the overall mental health status among the medical students in Bangladesh. Methods: This cross-sectional study was conducted in two medical colleges of Dhaka in between July 2013 to December 2013, among 221 Bangladeshi medical students from first to fifth year. By convenient sampling technique, data were collected by a pretested, structured, self-administered questionnaire and analysis was done by SPSS 18.0 version. Depression were assessed by validated PHQ-9 tool among the respondents. Goldberg’s General Health Questionnaire (GHQ-28) was used for assessing overall mental health status. Results: Depression was found in 38.9% of participants with 3.6%, 14.5%, 20.8% of being either severe, moderate and mild depression respectively. 17.6% medical students had suicidal tendency or attempted suicide at least for once after attending medical school. The sleeping hours were inadequate and altered after starting this stressful academic course. 33.5% medical students had poor mental health status. There was a statistically significant association between poor mental health status with age group of less than 22 years and initial academic study year (1st to 3rd of MBBS).Conclusion: The findings are suggestive of a higher prevalence of depression among early year medical students and marginal predominance in males. Suicidal tendency is also higher. These calls for further investigation with situation analysis, qualitative explorations and surveys to explore the burden of such disorders in Bangladesh.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Benali Abdeslam ◽  
Chichou Hajar ◽  
Elouadoudi Jalal ◽  
Laffinti Amine

2021 ◽  
Vol 13 (4) ◽  
pp. 71-84
Author(s):  
Razif Abas ◽  
◽  
Halimatus Sakdiah Minhat ◽  
Suhainizam Muhamad Saliluddin ◽  
Rusliza Basir ◽  
...  

Movement control order (MCO) was enforced by the Malaysian government on 18th March 2020 due to sudden increase in the cumulative number of COVID-19 cases. University students, including medical students, were among the group of the population which were significantly affected. This study was conducted among medical students in Universiti Putra Malaysia (UPM) to compare the mental health status and coping strategies, between gender and phase of the clinical study related to their quarantine status between 18th March 2020 to 9th June 2020. This was a cross-sectional study involving the undergraduate medical students in UPM in the academic year of 2019/2020 during the MCO. A stratified random sampling method was used; a total of 173 respondents which includes students of Year 1 to Year 5 participated. The study was conducted after five months since the first day of MCO, for one week period of data collection. The mental health status was assessed using Depression, Anxiety and Stress Scale 21-item (DASS-21) questionnaire. Four-point Likert scale was scored to determine the degree of severity. The coping strategies was assessed using Brief-COPE (Coping Orientation to Problems Experienced) in which four-point Likert scale was used as well, and the total marks were grouped into four coping strategies. This study found higher scores of DASS-21 in the non-quarantined group and approach method was considered as a favourable coping strategy in both groups. In the quarantined group, female and clinical students showed higher scores of DASS-21. In the non-quarantined group, clinical students showed a significantly higher score of stress while male students significantly used their humour as coping strategies.


Author(s):  
Mohammad Reza Sohrabi ◽  
Narges Malih ◽  
Hamid Reza Karimi3 ◽  
Zahra Hajihashemi

Objective: General medical degree (GMD) curriculum usually causes significant psychological distress for medical students, especially in transition periods between preclinical, clerkship, and internship periods. This study was conducted to assess the effect of curricular change in GMD program on mental health of medical students in internship period. Method: This study evaluated mental health of 2 concurrent groups of medical students under reformed and non-reformed GMD curriculum. In this study, 120 out of 180 interns in the non-reform GMD program and 60 interns in the reformed GMD program were selected and their mental health status evaluated using Symptom Checklist-90-Revised (SCL-90-R) questionnaire. The cut-off point of 0.7 was used for Global Severity Index (GSI) score. SPSS software, version 14 (SPSS Inc, Chicago, Il, USA) was used for analysis. Chi-square, Fisher’s exact test, t student, Mann–Whitney U, one-way ANOVA, and Kruskal-Wallis tests were used when appropriate. Logistic regression was used to estimate odds ratios for various determinants of students’ mental health. Results: About half of the participants in the 2 groups were male (P = 0.63), and the mean age of the students in the reformed and non-reformed programs was 24.8 (1.97) and 24.7(1.80), respectively (P = 0.9). About 20% of participants in the non-reformed and less than 2% of those in the reformed program had GSI score of more than 0.7. Medical students in the reformed program had lower scores in total GSI and 9 its dimensions (P<0.001). The results obtained from the logistic regression analysis indicated that reformed curriculum and good economic status were significant independent variables contributing to decreased psychological distress (OR = 0.016 and 0.11, respectively). Conclusion: The results revealed that curricular changes which were based on World Federation of Medical Education recommendation, could be associated with improvement in mental health status of medical students.


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