Depression in Medical Academia: A Study on Prevalence and Risk Factors among Undergraduate Students in Jammu, India

Authors

  • Bhavna Sahni Associate Professor, Department of Community Medicine, ASCOMS and Hospital Jammu
  • Urvi Gupta Model Institute of Education and Research, Jammu, J&K
  • Shahrukh Raf Under graduate MBBS students, ASCOMS and Hospital, Sidhra, Jammu, J&K
  • Arnav Dev Singh Under graduate MBBS students, ASCOMS and Hospital, Sidhra, Jammu, J&K
  • Rizwaan Nayeem Under graduate MBBS students, ASCOMS and Hospital, Sidhra, Jammu, J&K

DOI:

https://doi.org/10.26463/rjns.14_1_4

Keywords:

Depression, PHQ-9, University students, Prevalence, Medical students, Predictors

Abstract

Background and Aim: Medical students endure elevated stress levels. Contemporary data on the epidemiology of depression and its concomitant risk factors in this demographic is pivotal in comprehending its ubiquity and for instituting preventative strategies. This research endeavors to scrutinize the prevalence of depression in undergraduate medical students and identify the diverse risk factors implicated.

Methods: In February 2023, a cross-sectional investigation was undertaken at a private medical institution in North India. A cohort of 302 medical students underwent depression screening and evaluation of related factors through the utilization of the 9-Item-Patient Health Questionnaire (PHQ-9).

Results: A substantial proportion, 71.2% (215/302), exhibited varying degrees of depression. The PHQ-9 responses facilitated the categorization of students into distinct severity brackets: 28.8% mild, 19.9% moderate, 11.6% moderately severe, and 10.9% severe depression. Implementing a PHQ-9 score threshold of ≥10 delineated an overarching depression prevalence of 42.38%. Univariate logistic regression identified numerous significant correlates of depressive symptoms, including urban habitation, having a limited number of siblings, engaging in moderate physical activity, and enrollment in specific professional academic years. Nevertheless, multivariable logistic regression affirmed only urban dwelling and the academic duress experienced in the first, third or fourth professional years as persistent significant correlates.

Conclusion: The study unveiled a high prevalence (42.38%) of moderate to severe depression among medical students, advocating for meticulous surveillance and further assessment of the affected individuals. It is imperative to devise and implement robust strategies to mitigate academic stressors and forestall the descent into depressive states.

References

1. Sadock BJ, Sadock VA. Kaplan and Sadok’s synopsis of psychiatry: Behavioural science/clinical psychiatry. 10th ed. Philadelphia: Lippincott Williams, Wilkins and Wolter Kluwer Health; 2007.

2. Supe AN. A study of stress in medical students at Seth GS Medical College. J Postgrad Med 1998;44(1):3-8.

3. Inam SN, Saqib A, Alam E. Prevalence of anxiety and depression among medical students of private university. J Pak Med Assoc 2003;53(2):44-6.

4. 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 metaanalysis. JAMA 2016;316(21):2214-2236.

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

6. Gupta S, Choudhury S, Das M, Mondol A, Pradhan R. Factors causing stress among students of a medical college in Kolkata, India. Educ Health (Abingdon) 2015;28(1):92-95.

7. Singh A, Lal A, Shekhar. Prevalence of depression among medical students of a private medical college in India. Online J Health Allied Sci 2010;9(4):8.

8. Sahoo S, Khess CRJ. Prevalence of depression, anxiety, and stress among young male adults in India: A dimensional and categorical diagnosesbased study. J Nerv Ment Dis 2010;198(12): 901-904.

9. Kumar GS, Jain A, Hegde S. Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka. Indian J Psychiatry 2012;54(3):223-6.

10. Sidana S, Kishore J, Ghosh V, Gulati D, Jiloha R, Anand T. Prevalence of depression in students of a medical college in New Delhi: A cross-sectional study. Australas Med J 2012;5(5):247-250.

11. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA 1999;282(18):1737-44.

12. Pattnaik A, Purohit S, Routray D. Screening for depression and associated risk factors amongst students of a government medical college in Odisha, India. Indian Journal of Mental Health 2020;7(3):202-209.

13. Mohammed HM, Soliman SM, Abdelrahman AA, Ibrahim AK. Depressive symptoms and its correlates among medical students in Upper Egypt. Middle East curr psychiatry 2022;29(1):66.

14. Tadeo-Álvarez MA, Munguía-Ortíz CD, BenítezLópez V, Valles-Medina AM, Delgado-Ramos G, Flores-Castillo PM, et al. Presence of depressive symptoms in medical students in a Mexican public university. Salud Mental 2019;42(3):131-136.

15. Pham T, Bui L, Nguyen A, Nguyen B, Tran P, Vu P, et al. The prevalence of depression and associated risk factors among medical students: An untold story in Vietnam. PLoS One 2019;14(8):e0221432.

16. Tamene MA, Dagne B. Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study. Research Square; 2013. Available from: https:// www.researchsquare.com/article/rs-776940/v2

17. Zeng W, Chen R, Wang X, Zhang Q, Deng W. Prevalence of mental health problems among medical students in China: A meta-analysis. Medicine 2019;98(18):e15337.

18. Mao Y, Zhang N, Liu J, Zhu B, He R, Wang X. A systematic review of depression and anxiety in medical students in China. BMC Med Educ 2019;19(1):327.

19. Rasheed AG, Hussein A. Depression, anxiety, and stress among medical students of College of Medicine, Hawler Medical University, Erbil, Iraq. Zanco J Med Sci 2019;23(2):150-157.

20. Elhossiney DM, Gamal DA, Ghanem EA. Musculoskeletal disorders and its relation to psychological distress among medical students subjected to online learning during COVID-19 pandemic. Egypt J Occup Med 2023;47(1):1-17.

21. Cheng Q, Xu Y, Xie L, Hu Y, Lv Y. Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study. Cad Saude Publica 2019;35(1):e00008418.

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Published

2026-01-14

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Original Articles