The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.
Stress and depression among medical students: a cross-sectional study
Abstract
OBJECTIVE: To assess the exposure to different stressors and the prevalence of depression among medical students at different levels of education, taking gender differences into account. DESIGN: Students were asked to complete a new stress inventory called the Higher Education Stress Inventory (HESI), the Major Depression Inventory (MDI), slightly modified, and questions on suicidal ideation developed by Meehan. SETTING: The study was carried out at the Karolinska Institute Medical University, Stockholm, Sweden. Matched controls from the general population were used. PARTICIPANTS: All registered students in Years 1, 3 and 6 were enrolled in the study (n = 342). The response rate was 90.4%. RESULTS: Year 1 students gave high ratings to the workload and lack of feedback stressors. Year 3 students gave high ratings to 'Worries about future endurance/competence' and 'Pedagogical shortcomings'. In Year 6, both the latter factors were rated highly, but Year 6 students also gave higher ratings than the 2 other groups to 'Non-supportive climate'. In all 3 cohorts students complained of lack of feedback. Female students gave higher ratings than males to 4 out of 7 factors. Several stress factors were identified as being associated with depression. The prevalence of depressive symptoms among students was 12.9%, significantly higher than in the general population, and was 16.1% among female students versus 8.1% among males. A total of 2.7% of students had made suicide attempts, but none during the previous year. CONCLUSION: Year 1 students indicated experiencing the highest degree of pressure from studies. A gender difference regarding stress levels was also seen, where women reported higher levels of stress than men. Medical students had higher depression rates than the general population, and women students had higher rates than men.
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“It has been shown that psychological distress is greater in medical students than their age-matched peers.1,2”
From Improved quality of life and reduced depressive symptoms in medical students after a single-session intervention (2020) · cites this paper as [1]
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Bech, P., Rasmussen, N.-A., Olsen, L. R., Noerholm, V., & Abildgaard, W. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00309-8 · Cited by 975
Chew-Graham, C. A., Rogers, A. E., & Yassin, N. (2003) · Medical Education · doi:10.1046/j.1365-2923.2003.01627.x · Cited by 582
Levels and sources of stress in medical students.
Firth, J. (1986) · BMJ · doi:10.1136/bmj.292.6529.1177 · Cited by 561
Perceived stress during undergraduate medical training: a qualitative study
Radcliffe, C., & Lester, H. E. (2003) · Medical Education · doi:10.1046/j.1365-2923.2003.01405.x · Cited by 558
A longitudinal study of studentsʼ depression at one medical school
Rosal, M. C., Ockene, I. S., Ockene, J. K., Barrett, S. V., Ma, Y., & Hebert, J. R. (1997) · Academic Medicine · doi:10.1097/00001888-199706000-00022 · Cited by 464
Psychological stress and burnout in medical students: a five-year prospective longitudinal study
Guthrie, E., Black, D., Bagalkote, H., Shaw, C., Campbell, M., & Creed, F. (1998) · Journal of the Royal Society of Medicine · doi:10.1177/014107689809100502 · Cited by 456
Tyssen, R., Vaglum, P., Grønvold, N. T., & Ekeberg, Ø. (2001) · Journal of Affective Disorders · doi:10.1016/s0165-0327(00)00205-6 · Cited by 444
Stress among medical students in a Thai medical school
Saipanish, R. (2003) · Medical Teacher · doi:10.1080/0142159031000136716 · Cited by 440
Embarking upon a medical career: psychological morbidity in first year medical students
Guthrie, E., Black, D., Shaw, C. M., HAMILTON, J. D., Creed, F. H., & Tomenson, B. (1995) · Medical Education · doi:10.1111/j.1365-2923.1995.tb00022.x · Cited by 356
Attempted suicide among young adults: progress toward a meaningful estimate of prevalence
Meehan, P., Lamb, J. A., Saltzman, L. E., & O’Carroll, P. W. (1992) · American Journal of Psychiatry · doi:10.1176/ajp.149.1.41 · Cited by 252
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Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006) · Academic Medicine · doi:10.1097/00001888-200604000-00009 · Cited by 2,909
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016) · JAMA · doi:10.1001/jama.2016.17324 · Cited by 2,479
A systematic review of studies of depression prevalence in university students
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.11.015 · Cited by 1,988
Burnout and Suicidal Ideation among U.S. Medical Students
Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., Durning, S., Moutier, C., Szydlo, D. W., Novotny, P. J., et al. (2008) · Annals of Internal Medicine · doi:10.7326/0003-4819-149-5-200809020-00008 · Cited by 1,532
Bayram, N., & Bilgel, N. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0345-x · Cited by 1,391
Metadata
- Authors
- Dahlin, M., Joneborg, N., & Runeson, B.
- Affiliations
- Saint Göran Hospital (SE)
- Corresponding author
- Dahlin, Marie
- Venue
- Medical Education
- Publisher
- Wiley
- Published
- 2005-05-17
- Volume
- 39
- Issue
- 6
- Pages
- 594-604
- ISSN
- 0308-0110 (ISSN-L)
- 1365-2923
- OpenAlex
- W2095424375
- Cited by
- 1,226
- References
- 24
- Citations by year
- 2026: 27 · 2025: 58 · 2024: 64 · 2023: 69 · 2022: 93 · 2021: 115 · 2020: 106 · 2019: 74 · 2018: 79 · 2017: 77 · 2016: 53 · 2015: 72 · 2014: 70 · 2013: 61 · 2012: 53
- FWCI
- 33.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Education (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 › Education › Innovations in Medical Education
- Keywords
- medical students, stress, depression, depressive symptoms, stressors, workload, lack of feedback, gender differences, suicidal ideation, suicide attempts, Major Depression Inventory
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Depressive Disorder, Education, Medical, Undergraduate, Female, Humans, Male, Sex Factors, Stress, Psychological, Students, Medical
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