DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221764
Published: 2022-06-28

The prevalence of anxiety and depression among MBBS students in the medical colleges in Thrissur district, Kerala during the shutdown of colleges due to the COVID-19 pandemic

Steve Paul, Jose Vincent

Abstract


Background: The medical students of India, who are already facing psychological challenges due to their existing study system will be much more significantly affected, including their academics and social interactions, because of the lockdown due to the COVID-19 pandemic. The aim of this study was to find the prevalence and determinants of anxiety and depression among MBBS students due to this.

Methods: This was a cross sectional study and the setting were two medical colleges in Thrissur district, Kerala namely, Government Medical College and Amala Institute of Medical Sciences. The study subjects were the students undergoing MBBS course in these two medical colleges and the data was collected between July and December, 2020. The sample size was calculated as 200. Hospital anxiety and depression scale (HADS) questionnaire and attitude towards mental illness scale (AMI) questionnaire was used to obtain data along with relevant sociodemographic details. Stratified random sampling was used.

Results: 26.2% and 13.1% of the participants had abnormal scores for anxiety and depression respectively. Out of all the participants that underwent isolation, 71.4% and 61.9% of them had abnormal scores for anxiety and depression respectively. Out of all the participants whose residential area had been a containment zone, 68% had normal score for depression. A minority of participants (8%, 3.3%) had unfavourable responses regarding their attitude towards mental illnesses.

Conclusions: Our study established a significant prevalence of anxiety and depression among the participants and these results may be generalised to all Indian medical students. This study also showed that their attitude towards mental illness were not appropriate.


Keywords


Anxiety, Depression, Attitude, Mental illness, Medical students, Lockdown

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References


Chand SP, Arif H. Depression. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.

Cui R. A Systematic Review of Depression. Curr Neuropharmacol. 2015;13(4):480.

Definition of ANXIETY. Available at: https://www.merriam-webster.com/dictionary/ anxiety. Accessed on 21 February 2022.

What Are Anxiety Disorders? Available at: https://www.psychiatry.org/patients-families/ anxiety-disorders/what-are-anxiety-disorders. Accessed on 21 February 2022.

Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456-68.

Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735.

Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ. 2007;7:6.

Pawlaczyk M, Siembida J, Balaj K, Rajewska-Rager A. The assessment of stress level, anxiety, depressive symptoms, and defense mechanisms among Polish and English medical students. Ann Gen Psychiatry. 2020;19:29.

Amini H, Majdzadeh R, Eftekhar-Ardebili H, Shabani A, Davari-Ashtiani R. How Mental Illness is Perceived by Iranian Medical Students: A Preliminary Study. Clin Pract Epidemiol Ment Health. 2013;9:62-8.

India lockdown: First lockdown announced. The Economic Times. Available at: https://economic times.indiatimes.com/news/india/one-year-since-a-complete-lockdown-was-announced-we-look-back-on-how-india-fought-covid/first-lockdown-announced/slideshow/81662838.cms. Accessed on 21 February 2022.

Coronavirus: Kerala in partial shutdown mode. The Hindu. 2020. Available at: https://www.thehindu. com/news/national/kerala/all-educational-institutions-shut-down/article31032461.ece. Accessed on 28 November 2021.

Colleges, Universities Open In Kerala After A Gap Of Over 290 Days. Available at: https:// www.ndtv.com/education/colleges-universities-open-in-ker-after-gap-of-over-290-days. Accessed on 26 January 2022.

Muley P, Muley P, Meshram K. Effect of Covid-19 Lockdown on Perceived Stress Scale in Medical Students. Indian J Forensic Med Toxicol. 2021;14:6426-9.

Kumar SG, Kattimani S, Sarkar S, Kar SS. Prevalence of depression and its relation to stress level among medical students in Puducherry, India. Ind Psychiatry J. 2017;26(1):86-90.

Sundarasen S, Chinna K, Kamaludin K, Nurunnabi M, Baloch GM, Khoshaim HB, et al. Psychological Impact of COVID-19 and Lockdown among University Students in Malaysia: Implications and Policy Recommendations. Int J Environ Res Public Health. 2020;17(17):6206.

Iqbal S, Gupta S, Venkatarao E. Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res. 2015;141(3):354-7.

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;1.

Soltan MR, Soliman SS, Dawoud ME. A study of anxiety, depression and stress symptoms among Fayoum medical students during COVID-19 lockdown, Egypt. Egypt J Neurol Psychiatr Neurosurg. 2021;57(1):123.

Pandey U, Corbett G, Mohan S, Reagu S, Kumar S, Farrell T, et al. Anxiety, Depression and Behavioural Changes in Junior Doctors and Medical Students Associated with the Coronavirus Pandemic: A Cross-Sectional Survey. J Obstet Gynaecol India. 2021;71(1):33-7.

Lyons Z, Wilcox H, Leung L, Dearsley O. COVID-19 and the mental well-being of Australian medical students: impact, concerns and coping strategies used. Australas Psychiatry. 2020;28(6):649-52.

Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293:113429.

Saraswathi I, Saikarthik J, Senthil Kumar K, Madhan Srinivasan K, Ardhanaari M, Gunapriya R. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. Peer J. 2020;8:e10164.

Sazakli E, Leotsinidis M, Bakola M, Kitsou KS, Katsifara A, Konstantopoulou A, et al. Prevalence and associated factors of anxiety and depression in students at a Greek university during COVID-19 lockdown. J Public Health Res. 2021;10(3):2089.

Geo J, Sam SP, Kallivayalil RA. Mental Health Problems among Medical Students during COVID-19 Lockdown: A Cross- Sectional Study. Kerala J Psychiatry. 2021;34(1):40-3.

Torun F, Torun SD. The psychological impact of the COVID-19 pandemic on medical students in Turkey. Pak J Med Sci. 2020;36(6):1355-9.

Thind AS, Singh H, Yerramsetty DL, Pandeya DR. Impact of the COVID-19 pandemic on Caribbean Medical Students: A cross-sectional study. Ann Med Surg (Lond). 2021;67:102515.

Sarkar S, Gupta R, Menon V. A Systematic Review of Depression, Anxiety, and Stress among Medical Students in India. J Ment Health Human Behav. 2017;22(2):9.

Hospital Anxiety and Depression Scale - an overview. ScienceDirect Topics. Available at: https://www.sciencedirect.com/topics/medicine-and-dentistry/hospital-anxiety-and-depression-scale. Accessed on 26 January 2022.

Snaith RP. The Hospital Anxiety And Depression Scale. Health Qual Life Outcomes. 2003;1:29.

Yuan Q, Picco L, Chang S, Abdin E, Chua BY, Ong S, et al. Attitudes to mental illness among mental health professionals in Singapore and comparisons with the general population. Plos One. 2017;12(11):e0187593.

Yuan Q, Abdin E, Picco L, Vaingankar JA, Shahwan S, Jeyagurunathan A, et al. Attitudes to Mental Illness and Its Demographic Correlates among General Population in Singapore. PLoS One. 2016;11(11):e0167297.

Adhikari A, Sujakhu E, Sandervee GC, Zoowa S. Depression among Medical Students of a Medical College in Nepal during COVID-19 Pandemic: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2021;59(239):645-8.

Khetan MS, Vaishnao LS, Kewalramani M. Effect of lockdown due to COVID-19 pandemic on mental health of pre-medical students of Maharashtra. Int J Community Med Public Health. 2020;7(9):3524.

Ogunsemi OO, Odusan O, Olatawura MO. Stigmatising attitude of medical students towards a psychiatry label. Ann Gen Psychiatry. 2008;7:15.

Chawla JM, Balhara YPS, Sagar R, Shivaprakash. Undergraduate medical students’ attitude toward psychiatry: A cross-sectional study. Indian J Psychiatry. 2012;54(1):37-40.

Risal A, Sharma PP, Sanjel S. Attitude toward mental illness and psychiatry among the medical students and interns in a medical college. JNMA J Nepal Med Assoc. 2013;52(190):322-31.

Pal T, Singh S. Impact of clinical posting in psychiatry on the attitude towards mental illness in undergraduate final year medical students. Asian Journal of Psychiatry. 2022;69:103001.

Failde I, Salazar A, Elorza J, Casais L, Pérez V, Martínez LC, et al. Spanish medical students’ attitudes and views towards mental health and psychiatry: a multicentric cross-sectional study. Acad Psychiatry. 2014;38(3):332-8.

Reddy J, Tan SK, Azmi M, Shaharom M, Razali R, Thambu M, et al. The effect of a clinical posting in psychiatry on the attitudes of medical students towards psychiatry and mental illness in a Malaysian Medical School. Ann Acad Med Singapore. 2005;34:505-10.