Association between nutritional level, menstrual-related symptoms, and mental health in female medical students

Fukushima, Keiko; Fukushima, Noritoshi; Sato, Hiroki; Yokota, Jinko; Uchida, Keiko

doi:10.1371/journal.pone.0235909

Cited by 23 publications

(18 citation statements)

References 43 publications

(52 reference statements)

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“…Of 571 respondents evaluated in this study, 163 (28.5%) reported K-6 scores of ≥5, a value indicative of psychological distress. This percentage was higher than that identified in a previous study which revealed that 15% of Japanese female medical students had experienced psychological distress under routine conditions, 10 and another study which revealed 27% of the students had experienced depression under routine conditions. 11 The average GSES score was 29.11, with an SD of 5.36 and a Cronbach’s alpha at 0.924.…”

Section: Resultscontrasting

confidence: 68%

“… 9 A previous cross-sectional study assessed 326 Japanese female medical students in 2018 and showed 15% of them experienced psychological distress. 10 A systematic review of 195 studies from 47 countries around the world revealed a prevalence of depressive symptoms of 27.2% among medical students 11 ; this is much higher than that reported for this age cohort among those in the general population in the USA, where the 12-month prevalence of depressive episodes has been reported at 9.3% among those in a cohort of individuals aged 18–25 years old. 12 Psychological distress was identified at the early stages of medical education, 13 as students encounter both personal and societal pressure as well as competitiveness, which is typically associated with perfectionism.…”

Section: Introductionmentioning

confidence: 93%

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Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

et al. 2020

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ObjectiveThe COVID-19 pandemic had a substantial impact on university students, including those in medical schools, with disruption in routine education causing significant psychological distress. The objective of this study was to evaluate the factors associated with psychological distress among medical students during the period of enforced home quarantine from March through May 2020.DesignA cross-sectional study.SettingOne Japanese medical school.Participants571 medical students.Primary and secondary outcome measuresSelf-administered electronic questionnaires including the K-6 scale for psychological distress, the Rosenberg Self-Esteem Scale (RSES) for self-esteem and the General Self-Efficacy Scale (GSES) for self-efficacy were distributed. To assess the determinant factor for psychological distress, variables such as sex, grade in school, living conditions, and RSES and GSES scores were evaluated in regression analysis.Results163 respondents (28.5%) scored ≥5 on the K-6 scale, indicating a significant degree of psychological distress. Logistic regression revealed that a higher score on RSES (p<0.001) and GSES (p<0.01) was an independent factor associated with lower levels of psychological distress. Multiple regression analysis focusing on students with a K-6 score ≥5 revealed that higher scores on RSES correlated with lower levels of psychological distress. By contrast, those with higher GSES scores also scored higher for indicators of psychological distress.ConclusionsThis study identified that self-efficacy and self-esteem were both influential factors for predicting psychological distress during the current COVID-19 pandemic. Medical schools should provide support for mental health and educational initiatives directed at enhancing self-esteem and self-efficacy, with a focus on improving personal resilience. In emergency situations, such as that faced in response to the COVID-19 pandemic, initial programmes might target students with higher levels of self-efficacy. By contrast, under routine situations, these efforts should be directed towards students with lower self-esteem as primary means to prevent depression.

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Section: Resultscontrasting

confidence: 68%

Section: Introductionmentioning

confidence: 93%

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

et al. 2020

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“…In a study by Fukushima et al carried out in a group of medical students in Tokyo, where the GHQ-30 questionnaire was also used as a tool, 85% of participants obtained a result of up to 7 points, assessed as low. In our study, only 50.30% of students obtained such a result [51]. Mohebbi et al in their research, based on the GHQ-28 result, in a group of nursing students in Iran showed that 30.0% of participants did not experience any symptoms of mental disorders, which is a result similar to our study [52].…”

Section: Discussionsupporting

confidence: 89%

Lifestyle, sleep quality, and overall mental health of nursing students

Juchnowicz

Tulej²,

Karakuła

et al. 2022

Current Problems of Psychiatry

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Introduction: Lifestyle is often a decisive factor influencing both, somatic health and mental health. The aim of the study was to evaluate the quality of life, sleep quality and general mental health of nursing students. Material and method: The study used the diagnostic survey method. The study was cross-sectional. A questionnaire was used, which was made available to the respondents via the Internet. The survey included the demographic questionnaire, the Fantastic Life Inventory, the Pittsburgh Sleep Quality Questionnaire (PSQI) and the General Health Questionnaire (GHQ-30). A total number of 165 nursing students (151 female and 14 male), aged from 19 to 53, participated in the study. All calculations were made using version 24 of the SPSS statistical package. Results: The general mental health of students, as measured by the GHQ-30 scale, was quite good – the mean score on the GHQ30 scale – M = 9.21 (SD = 7.80). The average lifestyle quality index in the Fantastic Life Inventory Scale (M = 34.99; SD = 6.19) indicated a high quality of lifestyle. As many as 81% (N = 134) of the respondents followed the principles of rational nutrition and consumed a balanced diet, 92% (N = 152) did not abuse alcohol, 86% (N = 142) did not smoke, 93% (N = 154) had never used other psychoactive substances. However, 57% (N = 94) of respondents did not undertake physical activity or undertook it on an insufficient level. Most of the subjects experienced sleep disturbances, the most common being difficulty falling asleep – 78.8% (N = 130), and waking up during the night or early in the morning – 70.3% (N = 116). Conclusions: The quality of lifestyle and general mental health of the respondents was good. A significant influence of the quality of life on the occurrence of mental health disorders has been demonstrated.

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“…Further the combined time required to answer all questionnaires was longer than recommended [62]. We acknowledge that some evidence supports an association of menstrual phase and mental health and that the lack of these data is a limitation of this study [63][64][65]. It is also recognized that body composition data would strengthen future studies of the relationship between diet quality and mental health.…”

Section: Discussionmentioning

confidence: 89%

Diet Quality and Mental Health Status among Division 1 Female Collegiate Athletes during the COVID-19 Pandemic

Christensen

Woerden

Aubuchon‐Endsley

et al. 2021

IJERPH

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The International Olympic Committee has identified mental health as a priority that significantly affects the physical health and safety of collegiate athletes. Interventions that improve diet quality have been shown to improve mental health in several populations. However, studies are needed to examine this relationship in female collegiate athletes, who have elevated risk of experiencing anxiety and depression symptoms, as well as dietary insufficiencies. In a quantitative, cross-sectional study, female student athletes at a U.S. university completed three mental health questionnaires: Depression Anxiety and Stress Scale (DASS-21), Athlete Psychological Strain Questionnaire (APSQ), and COVID Stress Scales (CSS). Each female athlete also completed a validated, web-based Diet History Questionnaire (DHQ-III) resulting in a Healthy Eating Index (HEI). Seventy-seven participants completed all survey information. HEI scores were consistently higher for athletes with poorer mental health. HEI scores were significantly positively associated with stress (p = 0.015), performance concerns (p = 0.048), CSS components of danger (p = 0.007), contamination (p = 0.006), and traumatic stress (p = 0.003). Although findings support statistically significant associations among dietary quality and mental health indicators, including broad symptom severity or stressors specific to athletics or COVID-19, these associations were in the opposite direction hypothesized. Possible reasons for results and suggestions for future research are discussed.

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Association between nutritional level, menstrual-related symptoms, and mental health in female medical students

Cited by 23 publications

References 43 publications

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan

Lifestyle, sleep quality, and overall mental health of nursing students

Diet Quality and Mental Health Status among Division 1 Female Collegiate Athletes during the COVID-19 Pandemic

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