Silent struggles in medical education: a cross-sectional study on anxiety and depression among medical interns
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262339Keywords:
Medical interns, Anxiety, Depression, Workload, Lifestyle disturbances, Mental healthAbstract
Background: Medical internship is a demanding transition period characterized by heavy clinical responsibilities, prolonged working hours, emotional strain, and academic pressure, which may adversely affect mental health. The present study aimed to estimate the prevalence and severity of anxiety and depression among medical interns and assess their association with workload characteristics and lifestyle disturbances during internship.
Methods: A cross-sectional observational study was conducted among 113 medical interns at a tertiary care teaching hospital. Data were collected using a pre-tested semi-structured questionnaire on socio-demographic details, workload parameters, and lifestyle impact. Anxiety and depression were assessed using the generalized anxiety disorder-7 (GAD-7) and patient health questionnaire-9 (PHQ-9) scales. Data were analyzed using descriptive statistics, Chi-square test, and Pearson’s correlation coefficient.
Results: The prevalence of anxiety and depression was 13.3% and 17.7%, respectively. Mild anxiety and depression were observed in 27.4% and 23.0% of interns, while moderate-to-severe symptoms were present in 13.2% and 17.6%, respectively. Female gender was significantly associated with depression (p=0.014). Previous mental illness and current treatment status were significantly associated with both anxiety and depression. Mental and emotional workload showed significant association with anxiety (p=0.022), whereas working hours and night duties did not. Appetite disturbance was significantly associated with anxiety (p=0.041). Anxiety and depression demonstrated a strong positive correlation (r=0.639, p<0.001).
Conclusions: Anxiety and depression affect a considerable proportion of medical interns. Routine mental health screening and supportive interventions during internship are essential to promote psychological well-being and safe clinical practice.
References
January J, Madhombiro M, Chipamaunga S, Ray S, Chingono A, Abas M. Prevalence of depression and anxiety among undergraduate university students in low- and middle-income countries: a systematic review protocol. Syst Rev. 2018;7(1):57.
World Health Organization. Depression and other common mental disorders: global health estimates. Geneva: World Health Organization. 2017. Available at: https://apps.who.int/iris/handle/10665/254610. Accessed on 2 May 2026.
Mofatteh M. Risk factors associated with stress, anxiety, and depression among university undergraduate students. AIMS Public Health. 2021;8(1):36-65.
Hakim A, Tak H, Nagar S, Bhansali S. Assessment of prevalence of depression and anxiety and factors associated with them in undergraduate medical students of Dr. S. N. Medical College, Jodhpur. Int J Community Med Public Health. 2017;4(9):3267-72.
Dey S, Khan MH, Rahman MS, Hossain I, Kairi TK. Prevalence of stress and its associated factors among intern physicians in Bangladesh: a cross-sectional study. BMJ Open. 2025;15(8):e093211.
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214-36.
World Health Organization. World mental health report: transforming mental health for all. Geneva: World Health Organization. 2022. Available at: https://www.who.int/publications/i/item/9789240049338. Accessed on 2 May 2026.
Chakraborty A, Jha A, Banerjee A, Banerjee N, Saha D, Das A. Depression, anxiety, and stress levels among medical students and interns in a medical college of Kolkata: a cross-sectional study. J Compr Health. 2024;12:89-93.
Singh A, Lal A, Shekhar. Prevalence of depression among medical interns in a tertiary care teaching hospital. Indian J Psychiatry. 2010;52(3):264-5.
Shad R, Thawani R, Goel A. Burnout and depression among interns and junior doctors in a tertiary care hospital. J Ment Health Hum Behav. 2015;20(2):95-100.
Kumar SD, Kavitha HS, Kulkarni P, Siddalingappa H. Perceived stress, anxiety and depression among medical interns in South India. Int J Community Med Public Health. 2016;3(1):351-4.
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.
Anand N, Grover S, Kumar R, Kumar M, Ingle GK. Assessment of stress and psychological morbidity among medical students. Indian J Community Med. 2016;41(2):145-9.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression and psychological distress among medical trainees. Acad Med. 2006;81(4):354-73.
Abdulghani HM, AlKanhal AA, Mahmoud ES, Ponnamperuma GG, Alfaris EA. Stress and its effects on medical students. J Health Popul Nutr. 2011;29(5):516-22.
Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity and sources of stress among medical students. BMC Med Educ. 2007;7:26.
Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress among students. Nutr J. 2009;8:31.
Quek TTC, Tam WWS, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The global prevalence of anxiety among medical students: a meta-analysis. Int J Environ Res Public Health. 2019;16(15):2735.
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