FACTORS ASSOCIATED WITH DEPRESSION AMONG MEDICAL STUDENTS IN A MEDICAL SCHOOL DURING THE COVID-19 PANDEMIC

Gilang Samudero; Hadiyanto Hadiyanto; Dharmady Agus

doi:10.22146/jpki.63305

FACTORS ASSOCIATED WITH DEPRESSION AMONG MEDICAL STUDENTS IN A MEDICAL SCHOOL DURING THE COVID-19 PANDEMIC

https://doi.org/10.22146/jpki.63305

Gilang Samudero^(1*), Hadiyanto Hadiyanto⁽²⁾, Dharmady Agus⁽³⁾

(1) Universitas Katolik Indonesia Atma Jaya
(2)
(3)
(*) Corresponding Author

Abstract

Background: The impact of the COVID-19 outbreak caused mental health problems, one of which is the depression. This study analyzed the factors associated with depression among medical students in a medical school during the COVID-19 pandemic. This study aimed to assess the factors associated with depression during the COVID-19 pandemic such as gender, the year of student, the residence during COVID-19 pandemic, the risk of infecting others, quarantine, and social distancing or physical distancing.

Methods: Cross-sectional study was conducted on 185 preclinic medical students of School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Data was collected using the identity of participants, Depression Anxiety Stress Scale (DASS 42), and Patient Health Questionnaire (PHQ-9). Chi-square analysis were applied for this study, if the chi-square analysis did not meet the requirements, the researcher had to use the fisher exact test as an alternative test. Researcher also performed logistic regression analysis to determine the most significant factor.

Results: The result of study showed that the year of student had the most significant relationship with depression measured by DASS 42 (p:0,043) and PHQ-9 (p:0,006) and the higher year of student or the higher semester of student had the decrease depression measured by DASS 42 (coef: -0,46; OR: 0,63; 95% CI: 0,406-0,985) and PHQ-9 (coef: -0,53; OR: 0,58; 95% CI: 0,404-0,858) with logistic regression analysis Conclusion: The year of student has the most significant relationship with depression .

Keywords

COVID-19, depression, medical students.

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References

B Yanping, Sun Y, Shi J, Lu L. 2019-nCov epidemic: address mental health care to empower society. Lancet. 2020 Feb 07; 395(1024): e37-e8.

Basheti IA, Mhaidat QN, Mhaidat HN. Prevalence of anxiety and depression during COVID-19 pandemic among healthcare students in Jordan and its effect on their learning process: A national survey. PLOS ONE. 2021 Apr 05.

Tripathi S. Depression in Elderly Life: Psychological and Psychosocial Approaches. Int J Depress Anxiety. 2020 Apr 04; 3(1): 1.

Komer L. COVID-19 amongst the Pandemic of Medical Student Mental Health. Int J Medical Students. 2020 Apr 30; 8(1); 56-7.

Sahu P. Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus. 2020 Apr 04; 12(4): 7541.

Ullah R, Amin S. The psychological impact of COVID-19 on medical students [Letter]. Psychiatry Res. 2020 Apr 16; 288: 113020.

Inter-Agency Standing Committee (IASC). Addressing Mental Health and Psychosocial Aspects of COVID-19 Outbreak. 1.5 version. IASC. 2020 Feb.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14; 395(10227): 912-20.

Lovibond, S.H. & Lovibond, P.F. Manual for the Depression Anxiety Stress Scales. 2nd. ed. Sydney: Psychology Foundation, 1995.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9): 606-13.

Albert PR. Why is depression more prevalent in women?. J Psychiatry Neurosci. 2015; 40(4): 219-221.

Smith L, Jacob L, Yakkundi A, et al. Correlates of symptoms of anxiety and depression and mental wellbeing associated with COVID-19: a cross-sectional study of UK-based respondents. Psychiatry Res. 2020 May 29; 291: 113138.

Özdin S, Bayrak Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry. 2020 Aug; 66(5): 504-511.

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

Chandavarkar U, Azzam A, Mathews CA. Anxiety symptoms and perceived performance in medical students. Depress Anxiety. 2007; 24(2): 103-11.

Akhtarul M, Barna DS, Raihan H, Khan MNA, Hossain MT. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web- based cross-sectional survey. PLOS ONE. 2020 Aug.

Centers for Disease Conrtol and Prevention. Considerations for Institutions of Higher Education. CDC. 2021 Jul 23.

Giallonardo V, Sampogna G, Del Vecchio V, Luciano M, Albert U, Carmassi C, Carrà G, Cirulli F, Dell’Osso B, Nanni MG, Pompili M, Sani G, Tortorella A, Volpe U and Fiorillo A. The Impact of Quarantine and Physical Distancing Following COVID-19 on Mental Health: Study Protocol of a Multicentric Italian Population Trial. Front. Psychiatry. 2020 Jun 05; 11: 533.

Tang F, Liang J, Zhang H, et al. COVID-19 related depression and anxiety among quarantined respondents. Psychology & Health. 2020 Jun 22; 36(2): 164-178.

Zhang Y, Ma ZF. Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. Int J Environ Res Public Health. 2020 Mar 31; 17(7): 2381.

DOI: https://doi.org/10.22146/jpki.63305