Prevalence of stress, anxiety, depression and its associated factors among undergraduate medical students of Thrissur district during COVID-19 pandemic: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233099Keywords:
Anxiety, Depression, Kerala, Medical undergraduate, StressAbstract
Background: The COVID-19 pandemic and lockdown has aggravated mental health problems among the student community. But due to pandemic restrictions the medical students lack the clinical exposure and interaction with patients and were forced to learn through online platform, which affected their procurement of clinical and communication skills. This led to lot of stress among medical students, which needs to be evaluated and managed. Objectives were to study the prevalence of stress, anxiety, depression and its associated factors among undergraduate medical students of Thrissur district during COVID-19 pandemic.
Methods: A cross- sectional study was undertaken among undergraduate medical students from July 2021 to Jan 2022. Total 205 undergraduate medical students from all batches were included in the study and data was collected with the help of Google forms and a self-administered DASS 21 questionnaire was used as a tool for assessing the prevalence of depression, anxiety and stress among medical students.
Results: Out of 205 undergraduate medical students, 106 (51.7%) were suffering from anxiety, 70 (34.1%) were suffering from stress and 119 (58%) were suffering from depression. Around 112 (54.6%) of students faced difficulty in paying academic fees and 127 (62%) of students had difficulty due to cut shorting of clinical postings. The female students had higher prevalence of stress and anxiety compared with males which was statistically significant (p=0.04, 0.01 respectively).
Conclusions: The presence of depression, anxiety and stress was prevalent among medical students. It has to be addressed with mentorship programmes, counselling and by ensuring leisure activities in the campus.
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References
World Health Organization. Available at: https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide. Accessed on 25 July, 2023.
Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of intolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Addict. 2021;19(6):2369-82.
Martínez-Hernáez A, Carceller-Maicas N, DiGiacomo SM, Ariste S. Social support and gender differences in coping with depression among emerging adults: a mixed-methods study. Child Adolesc Psychiatry Ment Health. 2016;10:2.
Vala N, Vachhani M, Sorani A. Study of anxiety, stress, and depression level among medical students during COVID-19 pandemic phase in Jamnagar city. Natl J Physiol Pharm Pharmacol. 2020;10(0):1.
Nisha SN, Francis YM, Balaji K, Raghunath G, Kumaresan M. A survey on anxiety and depression level among South Indian medical students during the COVID 19 pandemic. Int J Res Pharm Sci. 2020;11(1):779-86.
Mathew JA, Siby E, Alex AG, Krishna GBS, Moni M, Marwaha V. Assessment of depression among medical students during COVID-19 in a southern state of India. Int J Adv Med 2021;8:752-9.
Atta IS, Almilaibary A. The Prevalence of Stress Among Medical Students Studying an Integrative Curriculum During the COVID-19 Pandemic. Adv Med Educ Pract. 2022;13:35-45.
Naqshbandi I, Bashir N, Qadri SY, Khan SMS. Prevalence of Stress, Anxiety and Depression among Medical Undergraduate Students of Kashmir-A Cross-Sectional Study. Int J Contemp Med Res. 2019;6(5):E6-8.
Sarkar S, Gupta R, Menon V. A systematic review of depression, anxiety, and stress among medical students in India. ResearchGate. 2018.
Verma H, Verma G, Kumar P. Depression, Anxiety, and Stress During Times of COVID-19: An Analysis of Youngsters Studying in Higher Education in India. Rev Socionetwork Strat. 2021;15:471-88.
Ashiq MAR, Gupta PS, Jubayer Biswas MAA, Ahmed N, Sultana MS, Ghosh B et al. Depression, anxiety, stress, and fear of COVID-19 among Bangladeshi medical students during the first wave of the pandemic: a mixed-methods study. Front. Psychiatr. 2023;14:1142724.
Waghmare PR, Ukey UU, Sharma SK, Meman SA. Cross sectional study of depression, anxiety and stress due to COVID-19 pandemic among undergraduate medical students from Maharashtra. Int J Community Med Public Health. 2021;8(10):4895-901.
