Depression, anxiety and self-perceived health in medical students: a cross-sectional study.
Abstract
The mental health of university students is a reason for international research. The objective of this study was to estimate the prevalence of anxiety, depression and self-perceived health status of medical students from the Miguel Hernandez University and analyze their association with different sociodemographic and lifestyle variables. We did a cross-sectional descriptive study of medical students from 1st to 6th year of the Miguel Hernandez University during the 2019-20 academic year. They were used the Visual Analogue Scale (VAS) of the European Quality of Life-5 Dimensions (EQ-5D), the Goldberg Anxiety and Depression Scale (GADS), the Mediterranean Diet Prevention study (PREDIMED), the Alcohol Use Disorders Identification Test (AUDIT-C) and the Fagerström Test were used. All the questionnaires are validated in Spain. For the analysis, multivariate logistic models were adjusted. They were surveyed 474 students. The overall response rate was 55.26%. 68.1% of the sample were women. A prevalence of probable anxiety of 54.9%; probable depression of 60.9% and probable anxiety or depression of 73.3% was estimated. Regular-bad-very bad self-perceived health was only 8.9%. A statistically significant association was detected between the aforementioned variables and sex, age, academic year, municipality of residence, type of diet, physical activity and consumption of toxics. The medical students of the Miguel Hernandez University presented a high prevalence of probable anxiety and depression. Differences were observed based on sex, academic year, type of diet and consumption of toxic drugs.
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Rodríguez-Martin A, Santi Cano MJ, Jiménez-Rodríguez A, Novalbos-Ruiz JP. Educando con el ejemplo. Alimentación y actividad física en los futuros promotores de salud. Rev Esp Nutr Comunitaria. 2019; 25(4). https://www.renc.es/imagenes/auxiliar/files/NUTRICION_COMUNITARIA_4-2019_articulo_6.pdf
World Health Organization (2019). Unhealty diets & physical inactivity. Consultado el 19 de Diciembre de 2019. https://www.who.int/nmh/publications/fact_sheet_diet_en.pdf
Ortiz-Moncada R, Norte Navarro AI., Zaragoza Marti A., Fernández Sáez J, Davó Blanes MC. Do the Spanish university students follow Mediterranean dietary patterns? Nutr Hosp. 2012; 27(6):1954-9. http://doi.org/10.20960/nh.583
Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E; PREDIMED INVESTIGATORS. Benefits of the Mediterranean Diet: Insights From the PREDIMED Study. Prog Cardiovasc Dis. 2015 Jul-Aug;58(1):50-60. http://doi.org/10.1016/j.pcad.2015.04.003
Navarrete-Muñoz EM, Valera-Gran D, Gonzalez-Palacios S, García de la Hera M, Gimenez-Monzo D, Torres Collado L, Vioque J. The DiSA-UMH Study: A prospective cohort study in health science students from Miguel Hernández University. Rev Esp Nutr Hum Diet. 2016; 20(1): 69-76. doi: 10.14306/renhyd.20.1.188
World Health Organization. (2019). Tabaco. Consultado el 21 de Diciembre de 2019. https://www.who.int/es/news-room/fact-sheets/detail/tobacco
World Health Organization(2019). Alcohol. Consultado el 21 de Diciembre de 2019. .https://www.who.int/es/news-room/fact-sheets/detail/alcohol
Scholz A, Navarrete-Muñoz E. M, Garcia de la Hera, M, Gimenez-Monzo D, Gonzalez-Palacios S, Valera-Gran D, Torres-Collado L, Vioque J. Alcohol consumption and Mediterranean Diet adherence among health science students in Spain: the DiSA-UMH Study. Gac Sanit. 2016; 30(2): 126-132. http://doi.org/10.1016/j.gaceta.2015.10.011
Instituto Nacional de Estadística (2019). Consumo de tabaco según sexo y grupo de edad. Población de 15 y más años. Consultado el 21 de Diciembre de 2019. https://www.ine.es/jaxi/Tabla.htm?path=/t15/p419/a2011/p06/&file=06017.px.
Roncero C, Egido A, Rodríguez-Cintas L, Pérez-Pazos J, Collazos F, Casas M. Substance Use among Medical Students: A Literature Review 1988-2013. Actas Esp Psiquiatr. 2015 May-Jun;43(3):109-21. Epub 2015 May 1. PMID: 25999158.
World Health Organization (2019). Global Strategy for Health for All by the Year 2000. Consultado el 22 de Diciembre de 2019. http://whqlibdoc.who.int/publications/9241800038.pdf
Helliwell, J. F., Layard, R., & Sachs, J. (2012, April 30). World happiness report [2012] [R]. doi: http://dx.doi.org/10.14288/1.0053622
Steptoe A, Wardle J. Life skills, wealth, health, and wellbeing in later life. Proc Natl Acad Sci U S A. 2017 Apr 25;114(17):4354-4359. http://doi.org/10.1073/pnas.1616011114
Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019 Jul 31;16(15):2735. http://doi.org/10.3390/ijerph16152735
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016 Dec 6;316(21):2214-2236. http://doi.org/10.1001/jama.2016.17324.
Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students: current insights. Adv Med Educ Pract. 2018 May 7;9:323-333. http://doi.org/10.2147/AMEP.S137384
Uhernik A.I, Skoko-Poljak D, Dečković-Vukres V, Jelavić M, Mihel S, Benjak T, Štefančić V, Draušnik Ž, Stevanovic R.G. Association of Poor Self-Perceived Health with Demographic, Socioeconomic and Lifestyle Factors in the Croatian Adult Population. Drus. Istraz. 2019; vol. 28 No. 2. http://doi.org/10.5559/di.28.2.03
Mojs E, Warchoł-Biedermann K, Głowacka MD, Strzelecki W, Ziemska B, Marcinkowski JT. Are students prone to depression and suicidal thoughts? Assessment of the risk of depression in university students from rural and urban areas. Ann Agric Environ Med. 2012; 19(4):770-4. http://dx.doi.org/10.1590/1518-8345.1592.2878
Paro HB, Morales NM, Silva CH, Rezende CH, Pinto RM, Morales RR, Mendonça TM, Prado MM. Health-related quality of life of medical students. Med Educ. 2010 Mar;44(3):227-35. http://doi.org/10.1111/j.1365-2923.2009.03587.x
Gil-Calderón J, Alonso-Molero J, Dierssen-Sotos T, Gómez-Acebo I, Llorca J. Burnout syndrome in Spanish medical students. BMC Med Educ. 2021 Apr 22;21(1):231. http://doi.org/10.1186/s12909-021-02661-4
Balanza Galindo S, Morales Moreno I, Guerrero Muñoz J. Prevalencia de Ansiedad y Depresión en una Población de Estudiantes Universitarios: Factores Académicos y Sociofamiliares Asociados. Clínica y Salud [online]. 2009, vol.20, n.2, pp.177-187. ISSN 2174-0550
Osada J, Rojas M, Rosales C, Vega-Dienstmaier J. Sintomatología ansiosa y depresiva en estudiantes de medicina. RNP [Internet]. 22feb.2013 [citado 5may2021];73(1):15-9. Available from: https://revistas.upch.edu.pe/index.php/RNP/article/view/1651
Capdevilla P, García-Abajo JM, Flores-Funes D, García-Barbero M, García-Estañ J. Prevalencia de Depresión, Ansiedad, Burnout y Empatía en estudiantes de Medicina de España. Boletín de educación médica DocTutor. Publicada Nov 3, 2020-Actualizada Dic 8, 2020. 3, 2020. Consultado el 5 de Mayo de 2021. Disponible en http://www.doctutor.es/2020/11/03/prevalencia-de-depresion-ansiedad-burnout-y-empatia-en-estudiantes-de-medicina-de-espana/
Kar A, Bhattacharyya S. A Study on the Relation between Depression and Anxiety with Eating Disorder in Students, Politicians and Businessmen of a Suburb Region of Kolkata, India. IJHSR. 2016; 6(2): 315-322. https://www.ijhsr.org/IJHSR_Vol.6_Issue.2_Feb2016/45.pdf
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