Cited by 455Healthcare professionals’ stress and burnoutStudent Stress and CopingCOVID-19 and Mental Health

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Prevalence of psychological stress, depression and anxiety among medical students in Egypt

Fawzy, Mohamed, Hamed, Sherifa A.·2017·Psychiatry Research

DOI 10.1016/j.psychres.2017.05.027

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Abstract

Poor psychological health in medical students has been reported nationwide. This study estimated the prevalence of depression, anxiety and stress symptoms among medical students who were enrolled in a public university in Upper Egypt and determine the association of these morbidities with the students' basic socio-demographic variables. This cross-sectional study included 700 students. A self-administered, questionnaire for the socio-demographic characteristics, Depression Anxiety Stress Scale (DASS 21) and Pittsburgh Sleep Quality Index (PSQI) questionnaire were used for assessment. High frequencies of depression (65%), anxiety (73%) and stress (59.9%) were reported. Stress scores were significantly higher than depression and anxiety (P=0.001). 55.7% were poor sleepers. In univarate analysis, females, those living in the University campus/students' residence facility, in the preclinical years and with lower academic achievement had higher scores of DASS and PSQI compared to their comparative partners. Significant correlations were reported between stress with depression, anxiety and PQSI scores (P=0.0001). In multivariate analysis, stress scores were significantly associated with female sex, depression and anxiety scores. We conclude that depression, anxiety and stress symptoms are common in medical students of Assiut University relative to other schools and female gender was significantly correlated with these findings.

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“The literature related to the effect of having an autistic child in a family on healthy brothers and sisters such as Ferraioli and Harris (2009); Quintero and McIntyre (2010); Green (2013); Melli et al. (2016); Estes et al.”
BackgroundInfluential
Prevalence of depression, anxiety, stress, and substance use among medical undergraduates
Chauhan, P., & Katkuri, S. (2021) · MRIMS Journal of Health Sciences · doi:10.4103/mjhs.mjhs_19_21
Impact of Leadership Styles on the Organizational Commitment of Medical Practitioners: The Moderating Effects of Workplace Stress
Govindasamy, P. A. L., Wahat, N. W. A., Alias, S. N., Idris, K., & Ahrari, S. (2021) · Asian Social Science · doi:10.5539/ass.v17n11p133
“In this regard, occupational stress models provided more specific explanations on how stress factors unique to a particular occupation are enhanced (Fida et al., 2018). frequency of behavior threatening medical practitioners (Fawzy & Hamed, 2017).”
Background
Prevalence and Awareness of Ergonomics and Physical Activities in Controlling Work-Related Musculoskeletal Disorders Among Dental Students: A Cross-Sectional StudyPreprint
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Linh, L. H. H., Cẩm, B. H., Hoàng, T. T., & Linh, T. H. (2021) · Tạp chí Nghiên cứu Y học · doi:10.52852/tcncyh.v143i7.662
Impact of MDCAT scores on pessimism, loneliness, and depressive symptoms: Moderating role of coping strategies
Fatima, I., Nadeem, M., Naeem, M. W., & Raza, H. M. Z. (2021) · World Journal of Advanced Research and Reviews · doi:10.30574/wjarr.2021.12.2.0600
“This theory suggest that abstract goals or higher order goals are less likely to achieve and leads to depression [15].”
Background
Emotional Intelligence and Language Teaching
PEKBAY, M., KARASU, O., & Tunaboylu, O. (2021) · Journal of Language Research · doi:10.51726/jlr.1034535 · Cited by 3
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Chin, S. T. S., Khan, A., & Anwar, M. (2021) · Gomal University Journal of Research · doi:10.51380/gujr-37-04-01 · Cited by 1
Application of latent class analysis in assessing the mental health of medical students during the COVID-19 Epidemic (Preprint)Preprint
Wang, F. (2020) · doi:10.2196/preprints.26804
The Prevalence of Depression among Medical Students: A Worldwide Literature Review
Alajmi, A. H. M. M. M., Almutairi, B. B. J. M. M., Alajmi, M. R. M. R. H., Alazemi, S. S. S. S. S. A., Alhussain, A. M., Salman, F. M. A. S., & Alomran, A. J. A. (2021) · Journal of Pharmaceutical Research International · doi:10.9734/jpri/2021/v33i60b34908
“They also found that the prevalence of stress and depression was higher among female students [11].”
Background
Transition to Medical College: Dynamics of Depression, Internet Addiction and Nutritional Status among Junior Medical Students
Maurya, T. P., Jamir, L., & Aravindakshan, R. (2022) · National Journal of Community Medicine · doi:10.55489/njcm.1332022389
اجترار الأفکار وعلاقته بمهارات حل المشکلات الاجتماعیة لدى طلاب جامعة الأزهر ذوی الأعراض الاکتئابیة
السید, ا. ع. أ., رزق, ا. غ. م., & سعاده, س. أ. س. أ. (2022) · التربية (الأزهر) مجلة علمية محکمة للبحوث التربوية والنفسية والاجتماعية) · doi:10.21608/jsrep.2022.257409
Influence of Cisgender Male and Female Genders on Perceived Social Support of Medical Students: A Scoping Review
Jin, W., Felix, M. S., & Xian, B. (2022) · Journal of Population and Social Studies · doi:10.25133/jpssv312023.017
Work-family Conflict and Psychological Stress among Nurses in Irbid Hospitals
Al-jobour, F. Q. (2022) · Dirasat: Educational Sciences · doi:10.35516/edu.v49i4.3349
“ةفل فرعيو ( دماحو يزوفFawzy & Hamed, 2017 وغضلا ) ثيحب ،ةدشلا نم ةريبك ةجرد ىلع نوكت يتلا ،ةيجراخلا وأ ةيلخادلا تاريثلما كلت اهنأب ةيسفنلا ط .”
Level of Anxiety among Undergraduate Students of Major Public Sector Dental and Medical Colleges, Peshawar
Khan, Z., Khan, I., Wazir, Z. M., Khaliq, A., Fida, Z., & Haider, I. (2022) · Journal of Liaquat University of Medical & Health Sciences · doi:10.22442/jlumhs.2022.00909
Prevalence of Anxiety Related Irritable Bowel Syndrome Symptoms Among Medical Students of Rawalpindi
Hisam, A., Mashhadi, S. F., Ashfaq, M., Javed, H., Ahmed, H., Waqas, M., & Amtal, T. (2023) · Pakistan Armed Forces Medical Journal · doi:10.51253/pafmj.v72isuppl-4.9837
Anxiety and Coping Attitudes in Medical School Students During the COVID-19 Pandemic
Kıraz, S. (2023) · Medical Records · doi:10.37990/medr.1262714
The Global Prevalence of Anxiety Symptoms Among Healthcare Workers Before and During COVID-19: A Systematic Review and Meta-analysisPreprint
Chang, Q., Yan, Z., Xia, Y., Su, H., Yan, S., Gao, Y., Zhang, X., Zhang, Y., Liu, C., & Zhao, Y. (2023) · Research Square · doi:10.21203/rs.3.rs-2706961/v1
Secondary School Students’ Perceptions of Motivational Climate, Enjoyment Processes, and Mental Well-being in Physical Education
Sian, T. B., Siong, C. N., & Yu, M. C. Y. (2023) · Lecture notes in bioengineering · doi:10.1007/978-981-99-2162-1_16
The Depression, General Self-Efficacy and Social Support in Medical Vocational College Students: Basis for a Psychological Intervention Program
Yi-ping, Y., Lopez, E. R., & Landicho, L. C. (2023) · Journal of Education and Educational Research · doi:10.54097/jeer.v4i1.10292
PROCEEDINGS OF THE SLIIT INTERNATIONAL CONFERENCE ON ADVANCEMENTS IN SCIENCES AND HUMANITIES [SICASH]
(2023) · The proceedings of sliit international conference on advancements in science and humanities · doi:10.54389/ulbu6330
A Cross-Sectional Study on the Prevalence of Depression, Anxiety & Stress and Their Correlates (Sociodemographic and Lifestyle) among University of Cyberjaya Undergraduates
Farizal, P. I. A. A., Zuhri, M. N. M., & Bijarimi, N. A. N. M. (2023) · International Journal of Science and Healthcare Research · doi:10.52403/ijshr.20230330
Prevalence of Indices of Stress with Degree of Insomnia and Academic Performance in Undergraduate Medical Students
Nasir, G. M., Zafar, R., Hussain, H., Ahmad, J. E., Zafar, H., & Aziz, A. (2023) · Journal of Fatima Jinnah Medical University · doi:10.37018/dskz2702 · Cited by 1
Assessment of perceived fear of coronavirus disease 2019 and its relationship to health-related quality of life among type one diabetic children and adolescents during the pandemic in Ismailia City
Mohammed, Z. A., Abdelwahab, A., Hussein, A. S., & Wageeh, A. E. (2023) · Alexandria Journal of Pediatrics · doi:10.4103/ajop.ajop_26_23
Factores asociados a niveles de ansiedad, estrés y depresión en estudiantes y profesionales odontólogos en una población limeña en tiempo de pandemia por COVID-19
Montoya, M. K. M. (2022) · Universidad Privada San Juan Bautista · doi:10.59590/upsjb/fcs.estomat/tesis/4056
Efficacy of Adding Lactoferrin with Triple Therapy for Helicobacter Pylori Eradication in Egyptian Patients
Elsayed, A., Afify, M., Zeitoun, Y. A., Ghazy, A., & Abdelrazik, O. M. (2023) · International Journal of Medical Arts · doi:10.21608/ijma.2023.237996.1818
Factors Associated with Sleep Quality in Final Year Students
Huma, C., Junias, M. S., & Boeky, D. L. A. (2023) · Journal of Health and Behavioral Science · doi:10.35508/jhbs.v5i1.8629
“Mohamed Fawzy (2017) says that stress can cause anxiety, depression, poor sleep quality, poor academic performance, alcohol use, substance abuse, reduced satisfaction and quality of life, loss of self-confidence, and the risk of mental disorders or suicidal ideation and attempts.”
Background
Relationship between anxiety and depression with smoking cessation treatments: a follow-up study
Bozkurt, N., & Bozkurt, A. İ. (2023) · Journal of Substance Use · doi:10.1080/14659891.2023.2294528
“Smoking cessation has been reported to be more difficult in people with anxiety and depression (Dupont et al., 2012; Fawzy & Hamed, 2017; Guirguis et al., 2010; Gungen et al., 2022; Ho et al., 2019).”
Academic Burnout and its Association with Undesired Behaviors among Faculty Members at Al-Balqa Applied University from Students’ Perspectives
Samawi, F. S., & Tadros, Z. (2023) · Athens Journal of Social Sciences · doi:10.30958/ajss.11-1-4
Common Health Related Factors affecting Academic Achievement among Minia University Students
Amein, Z., Eltomy, E. M., & Hasan, E. (2023) · Minia Scientific Nursing Journal · doi:10.21608/msnj.2023.256909.1101
“On the other hand, the current study findings are contradictory with Fawzy& Hamed., (2017) who studied " Prevalence of psychological stress, depression and anxiety among medical participant the participant students in Egypt " reported that frequencies of depression representing 65%, anxiety equal…”
Result
PREVALENSI DEPRESI DAN GANGGUAN CEMAS PADA MAHASISWA PREKLINIK FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA TAHUN 2020 DALAM MASA PANDEMI COVID-19
Clairine, S. I. (2023) · E-Jurnal Medika Udayana · doi:10.24843/mu.2023.v12.i04.p14
Pengaruh Tekanan Akademik, Keyakinan Tingkah Laku Akademik dan Kebimbangan dalam Kalangan Pelajar Universiti
Ahmad, S., & Latif, N. F. A. (2023) · EDUCATUM Journal of Social Sciences · doi:10.37134/ejoss.vol9.2.2.2023
"ASSESSMENT OF PREVALENCE OF STRESS, ANXIOUS AND DEPRESSED AMONG THE COVID-19 PANDEMIC PATIENTS ATTENDING PRIMARY HEALTHCARE CENTERS IN MAKKAH AL-MUKARRAMAH SAUDI ARABIA AT SAUDI ARABIA 2023”
nafadi, H. M., Badrun, T. F. A., alelwani, G. F., alrushaid, J. A., Mandura, Y. H., alreshi, R. A., khudysh, M. A., Alzuhayri, N. S., alshehri, R. F. Z., Jambi, A. A., et al. (2023) · doi:10.53555/jptcp.v30i2.4764
Navigating Educational Success: The Role of Sustainable Student Advisory Processes in Fostering University Excellence
KEHINDE-AWOYELE, A. A., & ADEOWU, A. W. (2024) · International journal of research and scientific innovation · doi:10.51244/ijrsi.2024.1102014
Impactos na qualidade do sono dos acadêmicos de medicina durante a pandemia de COVID-19: uma revisão sistemática
Tenório, G. A. R., Diniz, J. S., Bolognesi, L. B., Briante, M. E. T., Sousa, P. V., & Vasconcelos, L. A. D. P. (2024) · Brazilian Journal of Health Review · doi:10.34119/bjhrv7n2-073
Perceived Sources of Stress Among The Students Of a Medical College Of Southern Punjab
Jan, H., Dogar, F., Khan, H. A. Z., Abideen, M. Z. U., Shaukat, M. S., & Malik, A. (2024) · Journal of Rawalpindi Medical College · doi:10.37939/jrmc.v28i1.2431
Academic stress among students of Van Lang University, Vietnam
Van, T. P. (2024) · International Journal of Psychology Sciences · doi:10.33545/26648377.2024.v6.i1a.42 · Cited by 1
Self-efficacy evaluation and anxiety level in the educational process of first year medical student
Khairunnisa, S. A., & Farhan, F. S. (2024) · AIP conference proceedings · doi:10.1063/5.0218265
Enhancing mental well-being of undergraduates: establishing cut-off values and analyzing substitutive effects of physical activity on depression regulation
Ma, Y., Gao, Y., Yang, H., Zhang, Y., & Ku, Y. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1432454
“The Pittsburgh Sleep Quality Index is a self-report questionnaire that assesses sleep quality. the Chinese version of the PSQI is 0.89 (Liu et al., 1996), indicating good internal consistency (Fawzy and Hamed, 2017; Liu et al., 2021).”
Influential
Relationship of anxiety and depression with smoking cessation treatments: a follow-up study
Bozkurt, N., & Bozkurt, A. İ. (2024) · Journal of Substance Use · doi:10.1080/14659891.2024.2414832
“Smoking cessation has been reported to be more difficult in people with anxiety and depression (Dupont et al., 2012; Fawzy & Hamed, 2017; Guirguis et al., 2010; Gungen et al., 2022; C. S. H. Ho et al., 2019).”
Students Interest in Research and Tendency to Acquire Research Skills among Postgraduate Students with Learning Disabilities (LD) in Two Public Universities of Cross River State, Nigeria: Implications for Psychology
Ikwen, E. U., Denwigwe, C. P., Nwogwugwu, C. E., Ovat, S. V., Ntamu, B. A., Ekpang, P. U., Eteng, M. E., Undiyaundeye, F. A., Eduwem, J. D., Uchegbu, H. O., et al. (2024) · Journal of Intellectual Disability - Diagnosis and Treatment · doi:10.6000/2292-2598.2024.12.04.2

Authors: Fawzy, M., & Hamed, S. A.
Affiliations: Assiut University Hospitals (EG)
Corresponding author: Hamed, Sherifa A.
ORCID: Hamed, Sherifa A.
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2017-09
Volume: 255
Pages: 186-194
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2017.05.027
OpenAlex: W2615784653
Cited by: 455
References: 83
Citations by year: 2026: 30 · 2025: 52 · 2024: 60 · 2023: 74 · 2022: 68 · 2021: 81 · 2020: 46 · 2019: 28 · 2018: 13 · 2017: 2
FWCI: 39.29
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatry Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords: psychological stress, depression, anxiety, medical students, sleep quality, prevalence, sociodemographic factors, sex differences, academic performance, Assiut University
MeSH terms: Adolescent, Adult, Anxiety, Cross-Sectional Studies, Depression, Egypt, Female, Humans, Male, Mental Health, Surveys and Questionnaires, Stress, Psychological, Students, Medical, Prevalence, Young Adult

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Prevalence of psychological stress, depression and anxiety among medical students in Egypt

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