Moderate and severe symptoms of anxiety and depression are increased among female medical students during the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v10i6.15406Keywords:
COVID-19; Mental Health; Anxiety; Student, Medical; Depression.Abstract
Background: Emotional disorders in medical students are expected and deserve more attention, especially during the COVID-19 Pandemic. Objective: Evaluate anxiety and depression disorders among medical students during the COVID-19 Pandemic. Methods: A cross-sectional study at a private medical college in Brazil, two months after stay-at-home order and postponed classes due to the COVID-19 Pandemic. A survey among medical students was conducted in May 2020, using questionnaires regarding social and demographic status, the GAD-7 for symptoms of anxiety, and the PHQ-9 for symptoms of depression. Results: A total of 340 of 347 (97.98%) medical students participated. The average GAD-7 score was 9.18 (±4.75), and the average PHQ-9 score was 12.72 (±6.62). The results indicate a significant positive relationship between GAD-7 and females (F=5.816 P=.016). Using a cut-off score of 10 for GAD-7, 157 (46.17%) students were identified with moderate or severe anxiety symptoms. For the PHQ-9 score, using a cut-off of 10 219 (64.41%), students were recognized with moderate or severe symptoms of depression; the results indicate a significant positive relationship between the PHQ-9 and females (F=5.640 P=.018). Conclusion: The analysis demonstrated a significantly higher prevalence of moderate and severe anxiety and depression symptoms among female medical students during the COVID-19 Pandemic.
References
Ahmed, I., Banu, H., Al-Fageer, R., & Al-Suwaidi, R. (2009). Cognitive emotions: Depression and anxiety in medical students and staff. Journal of Critical Care, 24(3), e1–e7. https://doi.org/10.1016/j.jcrc.2009.06.003
Baldassin, S., Alves, T. C. D. T. F., De Andrade, A. G., & Nogueira Martins, L. A. (2008). The characteristics of depressive symptoms in medical students during medical education and training: A cross-sectional study. BMC Medical Education. https://doi.org/10.1186/1472-6920-8-60
Beard, C., & Björgvinsson, T. (2014). Beyond generalized anxiety disorder: Psychometric properties of the GAD-7 in a heterogeneous psychiatric sample. Journal of Anxiety Disorders. https://doi.org/10.1016/j.janxdis.2014.06.002
Bendtsen, M., Müssener, U., Linderoth, C., & Thomas, K. (2020). A Mobile Health Intervention for Mental Health Promotion Among University Students: Randomized Controlled Trial. JMIR MHealth and UHealth, 8(3), e17208. https://doi.org/10.2196/17208
Cullen, W., Gulati, G., & Kelly, B. D. (2020). Mental health in the COVID-19 Pandemic. QJM: An International Journal of Medicine, 113(5), 311–312. https://doi.org/10.1093/qjmed/hcaa110
Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Academic Medicine, 81(4), 354–373. https://doi.org/10.1097/00001888-200604000-00009
Inoue, T., Tanaka, T., Nakagawa, S., Nakato, Y., Kameyama, R., Boku, S., … Koyama, T. (2012). Utility and limitations of PHQ-9 in a clinic specializing in psychiatric care. BMC Psychiatry. https://doi.org/10.1186/1471-244X-12-73
Iqbal, S., Gupta, S., & Venkatarao, E. (2015). Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian Journal of Medical Research, Supplement, 141(Mar2015), 354–357. https://doi.org/10.4103/0971-5916.156571
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001a). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001b). The PHQ-9. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325. https://doi.org/10.7326/0003-4819-146-5-200703060-00004
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., & Hu, S. (2020). Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
Manea, L., Gilbody, S., & McMillan, D. (2012). Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. Canadian Medical Association Journal, 184(3), E191–E196. https://doi.org/10.1503/cmaj.110829
Moutinho, I. L. D., Maddalena, N. de C. P., Roland, R. K., Lucchetti, A. L. G., Tibiriçá, S. H. C., Ezequiel, O. da S., & Lucchetti, G. (2017). Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Revista Da Associação Médica Brasileira, 63(1), 21–28. https://doi.org/10.1590/1806-9282.63.01.21
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 Pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity. https://doi.org/10.1016/j.bbi.2020.05.026
Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: a meta-analysis. Medical Education, 50(4), 456–468. https://doi.org/10.1111/medu.12962
Rosenthal, J. M., & Okie, S. (2005). White Coat, Mood Indigo — Depression in Medical School. New England Journal of Medicine, 353(11), 1085–1088. https://doi.org/10.1056/NEJMp058183
Sahu, P. (2020). Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus, 2019(4), 4–9. https://doi.org/10.7759/cureus.7541
Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P. de, Silva, N. T. B. da, Tams, B. D., & Matijasevich, A. (2013). Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saúde Pública, 29(8), 1533–1543. https://doi.org/10.1590/0102-311X00144612
Sousa, T. V., Viveiros, V., Chai, M. V., Vicente, F. L., Jesus, G., Carnot, M. J., … Ferreira, P. L. (2015). Reliability and validity of the Portuguese version of the Generalized Anxiety Disorder (GAD-7) scale. Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-015-0244-2
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine. https://doi.org/10.1001/archinte.166.10.1092
Thomas, K., & Bendtsen, M. (2019). Mental Health Promotion Among University Students Using Text Messaging: Protocol for a Randomized Controlled Trial of a Mobile Phone–Based Intervention. JMIR Research Protocols, 8(8), e12396. https://doi.org/10.2196/12396
WHO. (2020). WHO Characterizes COVID-19 as A Pandemic. World Health Organization. Retrieved from https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Carlos Izaias Sartorão Filho; Wilson Conte de Las Villas Rodrigues; Ricardo Beauchamp de Castro ; Arlete Aparecida Marçal; Shirlene Pavelqueires; Luiz Takano; Wilson Luis de Oliveira; Carlos Izaias Sartorão Neto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.