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

The DOI matches its Crossref record; 81 of the 83 references it cites were found in a registry or an index.

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

Open this paper in CoChat — free account

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.

Integrity signals

Registry

Crossref · 10.1016/j.psychres.2017.05.027

Cites

81 of 81 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234
Untitled work
(1995) · Cited by 6,909
Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00009 · Cited by 2,909
Prevalence and correlates of depression, anxiety, and suicidality among university students
Eisenberg, D., Gollust, S. E., Golberstein, E., & Hefner, J. L. (2007) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.77.4.534 · Cited by 1,592
Stress and depression among medical students: a cross-sectional study
Dahlin, M., Joneborg, N., & Runeson, B. (2005) · Medical Education · doi:10.1111/j.1365-2929.2005.02176.x · Cited by 1,226
Prevalence of depression amongst medical students: A meta-analysis
Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016) · Medical Education · doi:10.1111/medu.12962 · Cited by 855
Confronting Depression and Suicide in Physicians: A Consensus Statement
Center, C., Davis, M., Detre, T., Ford, D. E., Hansbrough, W., Hendin, H., Laszlo, J., Litts, D. A., Mann, J., Mansky, P. A., et al. (2003) · JAMA · doi:10.1001/jama.289.23.3161 · Cited by 661
Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal
Sreeramareddy, C. T., Shankar, P. R., Binu, V. S. N., Mukhopadhyay, C., Ray, B., & Menezes, R. G. (2007) · BMC Medical Education · doi:10.1186/1472-6920-7-26 · Cited by 607
Stress and Its Effects on Medical Students: A Cross-sectional Study at a College of Medicine in Saudi Arabia
Abdulghani, H. M., Alkanhal, A., Mahmoud, E., Ponnamperuma, G. G., & AlFaris, E. (2011) · Journal of Health Population and Nutrition · doi:10.3329/jhpn.v29i5.8906 · Cited by 587

Show all 83 references

Research works printed but not linked: 2

Abdel-Rahim, 2013, Epidemiologic profile of sleep disorders among medical college students at MUST University in Egypt, Egypt J. Med. Sci., 34, 711
Yusoff, 2011, The prevalence of final year medical students with depressive symptoms and its contributing factors, Int. Med. J., 18, 305

Sorted by citations

Items 401–450 of 450

Estresse, ansiedade, depressão e qualidade de vida ao longo da graduação médica: estudo longitudinal
Maddalena, N. D. C. P. (2023) · doi:10.34019/ufjf/te/2023/00144 · Cited by 1
Frequency of distress symptoms in the population of medical students and their relationship with symptoms of attention deficit hyperactivity disorder
Joković, N., Kojović, N., Mandić-Maravić, V., & Marić, N. P. (2024) · Medicinski podmladak · doi:10.5937/mp75-47784
Validation of the Chinese version of the perceived medical school stress (PMSS) scale and analysis of the associated factors
Zhang, C., Liang, C., Zhang, F., Zhang, Q., & Xu, K. (2025) · BMC Psychology · doi:10.1186/s40359-025-02604-4 · Cited by 1
Mental Health Outcomes Among Health and Medicine Undergraduate Students Post-COVID-19 Lockdown: A Cross-Sectional Study from Sulaimani, Iraq
Kamal, N. M. (2025) · Mağallaẗ al-Mawṣil li-l-tamrīḍ/Mosul journal of nursing · doi:10.33899/mjn.2025.146973.1101
A Comparative Evaluation of Hearing and Psychological Distress in Smokers and Non-smokers: A Cross-Sectional Study
Meghani, K., Sidam, S., Pakhre, A., Chavan, A. G., Bharti, V. K., & Sahoo, A. K. (2025) · Cureus · doi:10.7759/cureus.83111
Evaluation of Stress and Cardiovascular Risk Factors among Medical Students at Joseph KI-ZERBO University
Thiam, A. T., Kologo, J. K., Yalguia, E., Tindano, C., Millogo, G. R. C., Bagué, B., Kagambega, L. J., Yaméogo, N. V., Zabsonré, P., Ouedraogo, D., et al. (2025) · World Journal of Cardiovascular Diseases · doi:10.4236/wjcd.2025.156025
Prevalence of sedative drug use and associated risk factors among medical students in Karachi, Pakistan
Zafar, M., Zaidi, T. H., Durrani, H. M., Yousuf, F., Nalwala, M., Rehman, E. U., & Burhan, M. (2025) · Discover Public Health · doi:10.1186/s12982-025-00768-3
“Various studies have explored the reasons medical students resort to using sedatives, with common factors including allergies, sleep disorders, timesaving, stress, anxiety, and panic attacks [14, 15].”
Perceptions of COVID-19 Variants and Treatment-Related Anxiety: A Review with a Focus on Undergraduate Students
Orukwowu, U., Kue, J. B., & Mgbere, M. (2025) · IPS Journal of Basic and Clinical Medicine · doi:10.54117/ijbcm.v2i1.9
Navigating Negative Trends in Body Image Perception: Associations with Anxiety, Depression, and Self-Esteem Among Undergraduate Medical Students in South Kerala – A Cross-Sectional StudyPreprint
Kuttikkatt, J., Thankam, K., Harishankar, A., Sukumaran, G. P., Joseph, J., James, J., Ramachandran, R. V., & John, A. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5356064
A Remote Time-Restricted Eating and Mindfulness Intervention Addressing Risk Factors Associated with Early-Onset Colorectal Cancer Demonstrates Feasibility and Acceptability among Young Adults: A Randomized Controlled Pilot Trial
Oliveira, M. L., Cares, K., Hamm, A., Nadeem, S., Bogseth, D., Klatkiewicz, B., Overhiser, T., Elias, C., Li, Y., Guo, R., et al. (2025) · Nutrition and Cancer · doi:10.1080/01635581.2025.2557642
“The prevalence of chronic psychosocial stress (CPS) in young adults varies widely, with studies reporting rates ranging from 20% (4) to 60% (5).”
Issues Related to Academic Success and Mental Health: A Cross-sectional Study among Medical Students of Sangli District, Maharashtra, India
Gore, A. D., Waghachavare, V. B., Dhobale, R., Sawant, M. R., Muley, A. A., & Jadhav, V. (2025) · Journal of the Association of Physicians of India · doi:10.59556/japi.73.1096
The Psychological Effect of Excessive Gingival Display on Egyptian Females
Amro, L. A., AbdalWahab, M. M. M., Zazou, N., & Amr, A. E. H. (2025) · The Scientific World JOURNAL · doi:10.1155/tswj/9996803
“It should be noted that the Egyptian population was less a ﬀ ected by gummy smile than other populations [25, 35], perhaps due to the immense amount of stress the Egyptian citizens experience [37 – 40] or due to a lower level of patient awareness of oral health – related quality of life [41].”
Social participation and depressive symptomatology among medical students: A Saudi cross-sectional study
Aljaffer, M. A., Alahmari, S. A., Alharbi, T. N., ibn Saqyan, M. F., Alkhunein, F. M., Alsulimi, A. S., Sultan, A. A., Alghamdi, A. H., & Almadani, A. H. (2025) · Medicine · doi:10.1097/md.0000000000045174
Latent profile analysis of depression among medical graduate students: evidence from Anhui Province, ChinaPreprint
Zhu, W., Zheng, X., Wang, Z., Li, N., Bai, Z., Wu, J. J., Hao, S., Xu, Z., Zhao, J., Chen, P., et al. (2025) · Research Square · doi:10.21203/rs.3.rs-7701018/v1
Network Analysis of the Associations between Social Media Addiction, Mental Health, and Academic Burnout among Chinese College Students
万, 晋. (2025) · Advances in Education · doi:10.12677/ae.2025.15112161
Neural mechanisms underlying the depression-reducing effects of mindfulness-based stress reduction in university students: A Rs-fMRI study
Zhan, X., Li, H., Chen, K., Chen, Y., Zhao, X., Zhou, J., Liu, H., & Jiang, Z. (2025) · Biological Psychology · doi:10.1016/j.biopsycho.2025.109174
PREVALENCE OF GENERALIZED ANXIETY DISORDER AMONG MEDICAL STUDENTS
de Abreu, J. S., & Bispo, C. B. D. S. (2025) · Health and Society · doi:10.51249/hs.v5i06.2729
Additional file 4 of Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis
Chen, J., Tuersun, Y., Yang, J., Xiong, M., Wang, Y., Rao, X., & Jiang, S. (2022) · Figshare · doi:10.6084/m9.figshare.20514840
Additional file 2 of Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis
Chen, J., Tuersun, Y., Yang, J., Xiong, M., Wang, Y., Rao, X., & Jiang, S. (2022) · Figshare · doi:10.6084/m9.figshare.20514834
Additional file 1 of Emotional distress symptoms and their determinants: screening of non-clinical hospital staff in an Egyptian University hospital
Ibrahim, N. M., El-Din, D. A. G., Gadallah, M. A., & Kandil, S. K. (2023) · Figshare · doi:10.6084/m9.figshare.22613033
Apoyo Social Percibido, Depresión y Ansiedad En Estudiantes de una Institución Técnica y Tecnológica del Departamento del Atlántico-Colombia
Reyes-Ruíz, L., Carmona-Alvarado, F., Pacheco-Ariza, A., & Sánchez-Villegas, M. (2024) · Búsqueda · doi:10.21892/01239813.735
Additional file 1 of Exploring wellbeing in first year medical students amidst a curriculum change
Merrick, D., Mbaki, Y., Pratten, M. K., & Simpson, T. (2021) · Figshare · doi:10.6084/m9.figshare.14526392
Additional file 3 of Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis
Chen, J., Tuersun, Y., Yang, J., Xiong, M., Wang, Y., Rao, X., & Jiang, S. (2022) · Figshare · doi:10.6084/m9.figshare.20514837
Additional file 1 of Association of depression symptoms and sleep quality with state-trait anxiety in medical university students in Anhui Province, China: a mediation analysis
Chen, J., Tuersun, Y., Yang, J., Xiong, M., Wang, Y., Rao, X., & Jiang, S. (2022) · Figshare · doi:10.6084/m9.figshare.20514831
Additional file 2 of Exploring wellbeing in first year medical students amidst a curriculum change
Merrick, D., Mbaki, Y., Pratten, M. K., & Simpson, T. (2021) · Figshare · doi:10.6084/m9.figshare.14526395
NICOTINE DEPENDENCE AND PSYCHOLOGICAL DISTRESS AMONG MEDICAL STUDENTS IN UKRAINE DURING THE WAR
OGORENKO, V., Tamara, NIKOLENKO, A., & KOKASHYNSKYI, V. (2025) · Ukrains kyi Visnyk Psykhonevrolohii · doi:10.36927/2079-0325-v33-is4-2025-9
Assessment of Sleep Quality and Depression Among Medical Students: A Cross-Sectional Study
Alsalloum, T., Alawaisheh, A., Daoud, A., Alnajjar, A. Z., Meky, A., & Funjan, K. (2025) · Avicenna Journal of Medicine · doi:10.1055/s-0045-1815851 · Cited by 1
Hypertension and Depression in Medical Students: Assessing Prevalence and Association
Müller, J., Richter, F., & Hoffmann, L. H. (2024) · Interdisciplinary Research in Medical Sciences Specialty · doi:10.51847/grfmk6ekuh
Anxiety and depression and its correlates among undergraduate medical students in Nepal: A cross-sectional study
Gaihre, M., Rana, A., Niroula, S., Sejuwal, A. K., Dhakal, R., Adhikari, A., Devkota, S. P., & Shrestha, R. (2026) · PLOS mental health. · doi:10.1371/journal.pmen.0000560
“[27], and Saudi Arabia (55.4”
Influential
Effects of a Mindfulness-Based Intervention on Perceived Stress, Posttraumatic Growth, Mindfulness and Life Satisfaction Among Medical Students in Southwest China
Xu, X., Yan, X., Zeng, Q., Xu, C., & Li, M. (2026) · Mindfulness · doi:10.1007/s12671-025-02676-8
Network Analysis of Stress, Anxiety, Depression, Burnout, Insomnia, Quality of Life, and Dropout Intention Among Chinese Medical Postgraduates
Wu, M., Li, Z., Wang, X. M., Xu, H., Liu, Y., Li, M., Yuan, W., Peng, H., Wu, Q., & Liu, T. (2026) · Depression and Anxiety · doi:10.1155/da/3424408
Prevalence of Stress, Anxiety, and Depression Among Bangladeshi School‐Going Adolescents: A Cross‐Sectional Study
Hossain, M. S., Sheikh, M. J., Mamun, B. M. A. A., Bhuia, M. S., & Islam, M. T. (2026) · Health Science Reports · doi:10.1002/hsr2.72260
Personality traits and their relationship with stress level and academic performance of medical students
AbouShawareb, H., Elbayar, R., Mosaad, A. A., & ElShamy, A. (2026) · Personalized Medicine in Psychiatry · doi:10.1016/j.pmip.2026.100184
Present Focus Moderated the Relationship Between Academic Stress, Self‐Stigma, and Anxiety Level: A Longitudinal Study
Yang, M., Luo, S., Miao, M., Han, P., Yan, L., & Wang, G. (2026) · Depression and Anxiety · doi:10.1155/da/7831491
Associations of academic stress with anxiety and depressive symptoms: the mediating role of emotional eating
Ding, P., & Wang, J. (2026) · Frontiers in Nutrition · doi:10.3389/fnut.2026.1826577
“For instance, studies from Portugal (46), Egypt (47), and Malaysia (48) have reported high rates of anxiety (63% − 75”
Common Mental Disorders among Medical Students: Prevalence, Predictors and Association with Financial and Health System Burden of Pakistan—A Multicenter StudyPreprint
Rashid, F., Noor, I., Najeeb, W., Siddiqui, H. R., & Ali, H. M. (2026) · Research Square · doi:10.21203/rs.3.rs-9666691/v1
Autohypnose et santé mentale des étudiants en odontologie : étude prospective
Mialon, M., Sturaro, E., Canceill, T., Marty, M., Fournier, G., & Diemer, F. (2026) · Santé Publique · doi:10.3917/spub.262.0065
Perceived stress and depression in Chinese university students: a parallel mediation analysis examining the roles of insomnia and somatic symptoms
Ren, J., Xiong, N., Liu, Q., Su, H., Rodriguez, M. A., Wang, Y., & Fan, T. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1847914
Insomnia, a sequel of stress among medical students in Iraq
Shawi, A. F. A., Tayib, Z. M., Lafta, R., Hasan, H. F., Saaeed, M. M., & Noori, A. S. (2026) · F1000Research · doi:10.12688/f1000research.174339.1
Prevalence of obsessive-compulsive symptoms and associations with psychological distress and quality of life among medical students in Egypt: a multicentre cross-sectional study
Shaheen, M., Amasha, F., Riad, N., Ail, O. M., Morshed, M. I., Ahmed, M., Yasin, A., Al-Sarhi, Y., Salem, A., & Sheta, H. (2026) · BMJ Open · doi:10.1136/bmjopen-2025-111299
“These interventions may reduce psychological distress and improve academic performance and quality of life.”
Prevalence of propranolol use and self-prescription and its association with anxiety among medical students in Egypt: a cross-sectional study
Belal, M. M., Khalefa, B. B., Bashir, M. N., Sayed, A. A., Khatatbeh, A. A., Baraka, A., Bahbah, E. I., & Meshref, M. M. (2026) · Discover Psychology · doi:10.1007/s44202-026-00706-7
“Regarding Egyptian medical students, the prevalence is unclear, but it ranges between 51% and 73% [8, 9].”
The impact of career planning on health behaviors in medical students: a mixed methods study
Huang, Y., Yang, C., Kang, B., He, S., Zhou, J., & Yang, L. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1815494
Resilience in medical students: Mediating and moderating role in relationship between stress and life satisfaction
Asaduzzaman, M., Rahman, M. S., Sayed, M. A., Akhter, N., Chakraborty, S. R., Tanu, S., Nishan, R. K., Hasan, M., Khan, A. H., Ashrafi, M., et al. (2026) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2026.101082
Depression, anxiety, and lifestyle behaviors in Ecuadorian medical students: a multivariable approach
Sánchez, X., Carrera, P., Merchán, I. G. V., Jimbo-Sotomayor, R., Manzano, A., & Araujo, V. (2026) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2026.101106
Mental health illnesses and university life satisfaction among medical students in post-conflict Syria: a cross-sectional study
Keblawy, M., Alsarhan, A., Taghi, A., Mohaisen, M. A. B., Atia, M., Alhamid, A. A. H., & Collaborators group (2026) · BMJ Public Health · doi:10.1136/bmjph-2025-003663
“including investment in student well-being programmes, integration of mental-health services within universities and policies that strengthen population resilience.”
Association Between Academic Stress, Depression and Anxiety Symptoms Among Secondary School Students: A Longitudinal Study
Sridhar, N. (2023) · Vidhyayana · doi:10.58213/8ydqnz02
Multivariable analysis of health-related quality of life determinants among medical students at a Single Syrian University in a conflict-affected setting: a cross-sectional study using the Arabic SF-36
Chukr, M., Qatza, A., Khaled, M., Attiya, B., Siddiq, A., & Elsayed, M. M. (2026) · BMC Medical Education · doi:10.1186/s12909-026-09937-7
“Multiple studies have found higher rates of stress, depression, anxiety, and lower psychological scores among female medical students [11, 24].”
Exploring Stress and Anxiety in University Settings: (Study and its Assessment)
Fazil, A., Agarwal, P., & Anas, M. (2026) · Innovations in Sustainable Technologies and Computing · doi:10.1007/978-3-032-22830-7_38
Nutrient intake, depression, anxiety, and stress among medical students in Saudi Arabia
Tayeb, H. O., Kokandi, S. A., Khojah, A. B., Aljadani, S. B., Alshabibi, B., Alnowaiser, M. W., Noorsaeed, A. S., Alafari, S. A., Baduwailan, A. O., Tarazi, F. I., et al. (2026) · Saudi Journal for Health Sciences · doi:10.4103/sjhs.sjhs_126_25
Sex modifies the association of high-altitude hypoxia with poor sleep quality and depression in school-age children and adolescents
梅金玉, 潘, 朋., Gong, W., Wang, X., Xu, X., Baima, Y., Hu, Q., & Huang, Z. (2026) · Sleep And Breathing · doi:10.1007/s11325-026-03791-z

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

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

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

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks