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Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students
Abstract
Background: Medical students experience depression and anxiety at a higher rate than the general population or students from other specialties. While there is a growing literature on the high prevalence of depression and anxiety symptoms and about potential risk factors to the prevalence of depression and anxiety symptoms among medical students, there is a paucity of evidence focused on the prevalence of depression and anxiety symptoms and associations with family function, social support and coping styles in Chinese vocational medicine students. This study aims to investigate the prevalence of depression and anxiety symptoms among Chinese medical students and assess the correlation between depression/anxiety symptoms and family function, social support and coping styles. Methods: A sample of 2057 medical students from Chongqing Medical and Pharmaceutical College in China was investigated with a self-report questionnaire, which included demographic information, Zung self-rating depression scale, Zung Self-Rating Anxiety Scale, Family APGAR Index, Social Support Rating Scale and Trait Coping Style Questionnaire. Results: The prevalence of depression and anxiety symptoms among the medical students was 57.5 and 30.8%, respectively. Older students(≥20 years) experienced higher levels of depression and anxiety. More depression and anxiety symptoms were exhibited among students with big financial burden, big study-induced stress and poor sleep quality. Students with large employment pressure showed more anxiety symptoms. Students who live alone or had bad relationship with their lovers or classmates or friends showed higher depression and anxiety scores. Depression and anxiety symptoms had highly significant correlations with family functioning, social support and coping style. Conclusions: Academic staffs should take measures to reduce depression and anxiety among medical students and to provide educational counseling and psychological support for students to cope with these problems.
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“Studies in the literature show a positive correlation between depression and anxiety in university students, suggesting that they should be evaluated together (Milić et al., 2019;Shao et al., 2020).”
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Social Relationships and Health.
Cohen, S. (2004) · American Psychologist · doi:10.1037/0003-066x.59.8.676 · Cited by 4,852
Folkman, S., & Moskowitz, J. T. (2004) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141456 · Cited by 3,485
Nolen-Hoeksema, S., & Morrow, J. (1991) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.61.1.115 · Cited by 3,276
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
The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis
Tian-Ci Quek, T., Wai-San Tam, W., X. Tran, B., Zhang, M., Zhang, Z., Su-Hui Ho, C., & Chun-Man Ho, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16152735 · Cited by 990 · cited 1×
“8%) estimated by a metaanalysis of 40,348 medical students across 69 studies [57].”
BackgroundPrevalence of psychological stress, depression and anxiety among medical students in Egypt
Fawzy, M., & Hamed, S. A. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.05.027 · Cited by 455 · cited 4×
“Previous studies have suggested that academic pressure, workload, sleep deprivation and financial concerns may have an adverse effect on students’ mental health [3, 14, 63, 64].”
BackgroundResultInfluentialPrevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis
Low, Z. X., Yeo, K. A., Sharma, V. K., Leung, G. K., McIntyre, R. S., Guerrero, A., Lu, B., Sin Fai Lam, C. C., Tran, B. X., Nguyen, L. H., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091479 · Cited by 415 · cited 1×
“Nevertheless, depression and anxiety experienced by medical students could be a predisposing factor to burnout during residency or postgraduate training [62].”
BackgroundPrevalence of mental health problems among medical students in China: A meta-analysis
Zeng, W., Chen, R., Wang, X., Zhang, Q., & Deng, W. (2019) · Medicine · doi:10.1097/md.0000000000015337 · Cited by 286 · cited 2×
“These factors could be the cause of worries and mental disorders in Chinese medical students [29, 30].”
BackgroundNgasa, S. N., Sama, C.-B., Dzekem, B. S., Nforchu, K. N., Tindong, M., Aroke, D., & Dimala, C. A. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1382-3 · Cited by 192
Research works printed but not linked: 69
- Naja WJ, Kansoun AH, Haddad RS. Prevalence of depression in medical students at the Lebanese University and exploring its correlation with Facebook relevance: a questionnaire study. JMIR Res Protoc. 2016;5(2):e96. · DOI
- Brenneisen Mayer F, Souza Santos I, Silveira PS, Itaqui Lopes MH, de Souza AR, Campos EP, et al. Factors associated to depression and anxiety in medical students: a multicenter study. BMC Med Educ. 2016;16(1):282. · DOI · Paper page
- Iorga M, Dondas C, Zugun-Eloae C. Depressed as freshmen, stressed as seniors: the relationship between depression, perceived stress and academic results among medical students. Behav Sci (Basel). 2018;8(8):70. · DOI
- Shi M, Liu L, Wang ZY, Wang L. The mediating role of resilience in the relationship between big five personality and anxiety among Chinese medical students: a cross-sectional study. PLoS One. 2015;10(3):e0119916. · DOI
- Lupo MK, Strous RD. Religiosity, anxiety and depression among Israeli medical students. Isr Med Assoc J. 2011;13(10):613–8.
- Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian J Psychiatr. 2013;6(2):128–33. · DOI
- Rab F, Mamdou R, Nasir S. Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Health J. 2008;14(1):126–33.
- Moutinho IL, Maddalena NC, Roland RK, Lucchetti AL, Tibirica SH, Ezequiel OD, et al. Depression, stress and anxiety in medical students: a cross-sectional comparison between students from different semesters. Rev Assoc Med Bras (1992). 2017;63(1):21–8. · DOI
- Haldorsen H, Bak NH, Dissing A, Petersson B. Stress and symptoms of depression among medical students at the University of Copenhagen. Scand J Public Health. 2014;42(1):89–95. · DOI
- Bassols AM, Okabayashi LS, Silva AB, Carneiro BB, Feijo F, Guimaraes GC, et al. First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Braz J Psychiatr. 2014;36(3):233–40. · DOI
- Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354–73. · DOI · Paper page
- Nasioudis D, Palaiodimos L, Dagiasis M, Katsarou A, Ntouros E. Depression in military medicine cadets: a cross-sectional study. Mil Med Res. 2015;2:28. · DOI
- Azim SR, Baig M. Frequency and perceived causes of depression, anxiety and stress among medical students of a private medical institute in Karachi: a mixed method study. J Pak Med Assoc. 2019;69(6):840–5.
- Rosenthal JM, Okie S. White coat, mood indigo--depression in medical school. N Engl J Med. 2005;353(11):1085–8. · DOI · Paper page
- Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB. Gender comparisons of medical students' psychosocial profiles. Med Educ. 1999;33(5):342–9. · DOI · Paper page
- Wege N, Muth T, Li J, Angerer P. Mental health among currently enrolled medical students in Germany. Public Health. 2016;132:92–100. · DOI
- Tyssen R, Vaglum P, Gronvold NT, Ekeberg O. Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord. 2001;64(1):69–79. · DOI
- Midtgaard M, Ekeberg O, Vaglum P, Tyssen R. Mental health treatment needs for medical students: a national longitudinal study. Eur Psychiatry. 2008;23(7):505–11. · DOI
- Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM. A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ. 1999;33(4):243–50. · DOI · Paper page
- Walkiewicz M, Tartas M, Majkowicz M, Budzinski W. Academic achievement, depression and anxiety during medical education predict the styles of success in a medical career: a 10-year longitudinal study. Med Teach. 2012;34(9):e611–9. · DOI
- Zhang MWB, Lim RBC, Lee C, Ho RCM. Prevalence of internet addiction in medical students: a meta-analysis. Acad Psychiatry. 2018;42(1):88–93. · DOI
- de La Rosa-Rojas G, Chang-Grozo S, Delgado-Flores L, Oliveros-Lijap L, Murillo-Perez D, Ortiz-Lozada R, et al. Level of stress and coping strategy in medical students compared with students of other careers. Gac Med Mex. 2015;151(4):443–9.
- Lau Y, Wang Y, Kwong DH, Wang Y. Are different coping styles mitigating perceived stress associated with depressive symptoms among pregnant women? Perspect Psychiatr Care. 2016;52(2):102–12. · DOI
- Ding Y, Yang Y, Yang X, Zhang T, Qiu X, He X, et al. The mediating role of coping style in the relationship between psychological capital and burnout among Chinese nurses. PLoS One. 2015;10(4):e0122128. · DOI
- Wu L, Farquhar J, Ma J, Vidyarthi AR. Understanding Singaporean medical students' stress and coping. Singapore Med J. 2018;59(4):172–6. · DOI
- Mao Y, Zhang N, Liu J, Zhu B, He R, Wang X. A systematic review of depression and anxiety in medical students in China. BMC Med Educ. 2019;19(1):327. · DOI
- Cheng C, Liu X, Fan W, Bai X, Liu Z. Comprehensive rehabilitation training decreases cognitive impairment, anxiety, and depression in Poststroke patients: a randomized, controlled study. J Stroke Cerebrovasc Dis. 2018;27(10):2613–22. · DOI
- Liao Y, Knoesen NP, Deng Y, Tang J, Castle DJ, Bookun R, et al. Body dysmorphic disorder, social anxiety and depressive symptoms in Chinese medical students. Soc Psychiatry Psychiatr Epidemiol. 2010;45(10):963–71. · DOI
- Zung WW, Gianturco JA. Personality dimension and the self-rating depression scale. J Clin Psychol. 1971;27(2):247–8. · DOI
- Chen SB, Hu H, Gao YS, He HY, Jin DX, Zhang CQ. Prevalence of clinical anxiety, clinical depression and associated risk factors in chinese young and middle-aged patients with osteonecrosis of the femoral head. PLoS One. 2015;10(3):e0120234. · DOI
- Leung KK, Lue BH, Lee MB, Tang LY. Screening of depression in patients with chronic medical diseases in a primary care setting. Fam Pract. 1998;15(1):67–75. · DOI
- Zung WW. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371–9. · DOI · Paper page
- Gainotti G, Cianchetti C, Taramelli M, Tiacci C. The guided self-rating anxiety-depression scale for use in clinical psychopharmacology. Act Nerv Super (Praha). 1972;14(1):49–51.
- Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Anxiety symptoms among Chinese nurses and the associated factors: a cross sectional study. BMC Psychiatry. 2012;12:141. · DOI
- Gong Y, Han T, Chen W, Dib HH, Yang G, Zhuang R, et al. Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PLoS One. 2014;9(7):e103242. · DOI
- Ding Y, Qu J, Yu X, Wang S. The mediating effects of burnout on the relationship between anxiety symptoms and occupational stress among community healthcare workers in China: a cross-sectional study. PLoS One. 2014;9(9):e107130. · DOI
- Smilkstein G. The family APGAR: a proposal for a family function test and its use by physicians. J Fam Pract. 1978;6(6):1231–9.
- Smilkstein G, Ashworth C, Montano D. Validity and reliability of the family APGAR as a test of family function. J Fam Pract. 1982;15(2):303–11.
- Yu Y, Yang JP, Shiu CS, Simoni JM, Xiao S, Chen WT, et al. Psychometric testing of the Chinese version of the medical outcomes study social support survey among people living with HIV/AIDS in China. Appl Nurs Res. 2015;28(4):328–33. · DOI
- Cheng Y, Liu C, Mao C, Qian J, Liu K, Ke G. Social support plays a role in depression in Parkinson's disease: a cross-section study in a Chinese cohort. Parkinsonism Relat Disord. 2008;14(1):43–5. · DOI
- Xie RH, He G, Koszycki D, Walker M, Wen SW. Prenatal social support, postnatal social support, and postpartum depression. Ann Epidemiol. 2009;19(9):637–43. · DOI
- Ke X, Liu C, Li N. Social support and quality of life: a cross-sectional study on survivors eight months after the 2008 Wenchuan earthquake. BMC Public Health. 2010;10:573. · DOI
- Luo Y, Wang H. Correlation research on psychological health impact on nursing students against stress, coping way and social support. Nurse Educ Today. 2009;29(1):5–8. · DOI
- Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015;141(3):354–7. · DOI · Paper page
- Al-Faris EA, Irfan F, Van der Vleuten CP, Naeem N, Alsalem A, Alamiri N, et al. The prevalence and correlates of depressive symptoms from an Arabian setting: a wake up call. Med Teach. 2012;34(Suppl 1):S32–6. · DOI
- Honney K, Buszewicz M, Coppola W, Griffin M. Comparison of levels of depression in medical and non-medical students. Clin Teach. 2010;7(3):180–4. · DOI
- Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005;53(5):219–24. · DOI
- Baykan Z, Nacar M, Cetinkaya F. Depression, anxiety, and stress among last-year students at Erciyes University medical school. Acad Psychiatry. 2012;36(1):64–5. · DOI
- Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, et al. Correlates of depression, anxiety and stress among Malaysian university students. Asian J Psychiatr. 2013;6(4):318–23. · DOI
- Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456–68. · DOI · Paper page
- Cuttilan AN, Sayampanathan AA, Ho RC. Mental health issues amongst medical students in Asia: a systematic review [2000-2015]. Ann Transl Med. 2016;4(4):72.
- Xu J, Wei Y. Social support as a moderator of the relationship between anxiety and depression: an empirical study with adult survivors of Wenchuan earthquake. PLoS One. 2013;8(10):e79045. · DOI
- Bostanci M, Ozdel O, Oguzhanoglu NK, Ozdel L, Ergin A, Ergin N, et al. Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates. Croat Med J. 2005;46(1):96–100.
- Baldassin S, Alves TC, de Andrade AG, Nogueira Martins LA. The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ. 2008;8:60. · DOI
- Bassols AM, Okabayashi LS, Silva AB, Carneiro BB, Feijo F, Guimaraes GC, et al. First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Braz J Psychiatry. 2014;36(3):233–40. · DOI
- Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. The impact of medical education on psychological health of students: a cohort study. Psychol Health Med. 2013;18(4):420–30. · DOI
- Bernhardt V, Rothkotter HJ, Kasten E. Psychological stress in first year medical students in response to the dissection of a human corpse. GMS Z Med Ausbild. 2012;29(1):Doc12.
- Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ. 2001;35(1):12–7. · DOI
- Liu XC, Oda S, Peng X, Asai K. Life events and anxiety in Chinese medical students. Soc Psychiatry Psychiatr Epidemiol. 1997;32(2):63–7. · DOI
- Xiaowen W, Guangping G, Ling Z, Jiarui Z, Xiumin L, Zhaoqin L, et al. Depression and anxiety mediate perceived social support to predict health-related quality of life in pregnant women living with HIV. AIDS Care. 2018;30(9):1147–55. · DOI
- Ball S, Bax A. Self-care in medical education: effectiveness of health-habits interventions for first-year medical students. Acad Med. 2002;77(9):911–7. · DOI
- Kjeldstadli K, Tyssen R, Finset A, Hem E, Gude T, Gronvold NT, et al. Life satisfaction and resilience in medical school--a six-year longitudinal, nationwide and comparative study. BMC Med Educ. 2006;6:48. · DOI
- Souza RA, Desani da Costa G, Yamashita CH, Amendola F, Gaspar JC, Alvarenga MR, et al. Family functioning of elderly with depressive symptoms. Rev Esc Enferm USP. 2014;48(3):469–76. · DOI
- Wickrama KA, Wickrama KA. Family context of mental health risk in tsunami affected mothers: findings from a pilot study in Sri Lanka. Soc Sci Med. 2008;66(4):994–1007. · DOI
- Beutler LE, Moos RH, Lane G. Coping, treatment planning, and treatment outcome: discussion. J Clin Psychol. 2003;59(10):1151–67. · DOI
- Zhao X, Wu M, Zhang D, Sun Y, Yang Y, Xie H, et al. The relationship of interpersonal sensitivity and depression among patients with chronic atrophic gastritis: the mediating role of coping styles. J Clin Nurs. 2018;27(5–6):e984–91. · DOI
- Faisal-Cury A, Savoia MG, Menezes PR. Coping style and depressive symptomatology during pregnancy in a private setting sample. Span J Psychol. 2012;15(1):295–305. · DOI
- Blake SM, Murray KD, El-Khorazaty MN, Gantz MG, Kiely M, Best D, et al. Environmental tobacco smoke avoidance among pregnant African-American nonsmokers. Am J Prev Med. 2009;36(3):225–34. · DOI
- Nolen-Hoeksema S, McBride A, Larson J. Rumination and psychological distress among bereaved partners. J Pers Soc Psychol. 1997;72(4):855–62. · DOI
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Metadata
- Authors
- Shao, R., He, P., Ling, B., Tan, L., Xu, L., Hou, Y., Kong, L., & Yang, Y.
- Venue
- BMC Psychology
- Published
- 2020-04-22
- Volume
- 8
- Issue
- 1
- ISSN
- 2050-7283
- PMC
- PMC7178943
- Cited by
- 422
- References
- 9
- Language
- en
- Funders
- Chongqing Municipal Education Commission (17SKG259)
- Chongqing Higher Vocational and Technical Education Research Association (GY174014)
- Chongqing Education Science Planning Office (2016-GX-073)
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