Depression and hopelessness in pre‐clinical medical students

Çoşkun, Özlem; Ocalan, Ali Ozgurcan; Ocbe, Cetin Batuhan; Semiz, Huseyin Omer; Budakoğlu, Işıl İrem

doi:10.1111/tct.13073

Cited by 20 publications

(15 citation statements)

References 6 publications

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“…The observed associations between lifestyle factors and psychological distress in our study are broadly consistent with previous literature documenting worse psychological health among students with former smoking status [ 50 ], poor sleep quality [ 16 , 17 ], fruit consumption [ 18 ], and a lack of physical activity [ 51 ]. The current smokers, however, did not show any higher risk of psychological distress compared to never smokers.…”

Section: Discussionsupporting

confidence: 91%

Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate?

et al. 2021

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Background While there is a growing body of empirical studies focusing on the social and behavioral predictors of psychological health, the mechanisms that may underlie the reported associations have not been adequately explored. This study aimed to examine the association of social and lifestyle factors with psychological distress, and the potential mediating role of the lifestyle factors in the estimated associations between social circumstances and psychological distress. Methods A total of 742 tertiary level students (53% females) from a range of socio-economic backgrounds and multiple educational institutions participated in this cross-sectional study. The 12-items General Health Questionnaire (GHQ-12) was utilized for measuring psychological distress. Data related to students’ socio-demographic characteristics, family social circumstances, and lifestyle factors were also collected. Modified Poisson regression analysis was used to estimate the risk ratios (RR) and their 95% confidence intervals (CI). Results The multivariable regression analysis suggests heightened risks of psychological distress associated with low parental Socio-Economic Position (SEP) (RR: 1.36; 95% CI: 1.07, 1.76), childhood poverty (RR: 1.31; 95% CI: 1.11, 1.55), and living away from the family (RR: 1.28; 95% CI: 1.07, 1.54). Among the lifestyle factors, past smoking, physical inactivity, inadequate fruit intake, and poor sleep quality were strongly associated with psychological distress and these associations persisted when the family social circumstances and lifestyle factors were mutually adjusted for. The lifestyle factors did not considerably mediate the estimated associations between family social circumstances and psychological distress. Conclusion The social and lifestyle factors operated independently to increase students’ risk of psychological distress. Accordingly, while promoting students’ healthy lifestyles may reduce the overall burden of psychological distress, any equity initiative aiming to minimize the social inequalities in psychological health should be targeted to improving the living conditions in early life.

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Section: Discussionsupporting

confidence: 91%

Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate?

et al. 2021

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“… 18 Undergraduate students who have been subjected to high levels of academic pressure for a long period of time and adopt ineffective coping methods may experience frustration, despair, and even develop more serious mental disorders, such as depression. 45 , 46 Due to both hopelessness and depression being significant risk factors for suicidal behavior, 47 , 48 attentions must be paid to the issue of high academic stress affecting college students.…”

Section: Discussionmentioning

confidence: 99%

Associations Between Academic Stress and Depressive Symptoms Mediated by Anxiety Symptoms and Hopelessness Among Chinese College Students

Zhang¹,

Shi²,

Tian³

et al. 2022

PRBM

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Purpose Explore the potential mediating effects of anxiety symptoms and hopelessness on the relationship between academic stress and depressive symptoms among Chinese college students. Patients and Methods A total of 1309 college students with informed consent were recruited from a local university in China. Academic stress, anxiety symptoms, hopelessness, and depressive symptoms were assessed by self-report scales. Haye’s PROCESS macro for SPSS was used to test the hypothesized mediation effect of anxiety symptoms and hopelessness in the relationship between academic stress and depressive symptoms. Results Anxiety symptoms, hopelessness, and depressive symptoms were common among college students and were all significantly positively associated with academic stress levels. Academic stress could indirectly affect depressive symptoms by anxiety symptoms, hopelessness, and both anxiety symptoms and hopelessness. The total effect of academic stress on depressive symptoms was 0.063. The total effect of three indirect pathway was 0.039 which account for 62% of the total effect. Conclusion The study detailed the specific process of depressive symptoms caused by academic stress in college students. Anxiety symptoms and hopelessness could mediate the relationship between academic stress and depressive symptoms. Paying attention to the anxiety levels and hopelessness levels of college students with high academic pressure is suggested as a means of preventing depression and promoting mental health.

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“…For the next years though, medical education turns into a balanced mixture of theoretical and practical training [12] and apparently becomes more stressful [13]. Thus, providing context is essential for medical students and for their perceived performance, but it seemed to be true only for the early clinical students.…”

Section: Discussionmentioning

confidence: 99%

E-learning during the COVID-19 pandemic: the impact on medical students’ perceived academic progress

Vîlceleanu

Bălan

Juganaru

et al. 2021

Romanian Journal of Occupational Medicine

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The Covid-19 pandemic created one of the most stressful situations all around the world and affected almost all activity sectors, including medical education. Sudden restrictions on social interactions forced an abrupt transition from amphitheatres and physical examinations to online lectures and, despite difficulties, the academic community rallied to continue teaching. The swift transition left academia with no time to design custom platforms and confined the university to choose among a set of readily available tools: Google Classroom and Google Meet, Zoom and Moodle, which offer a basic framework for substituting the students’ needs. In some countries, ours included, most of the summer term took place online. Although pandemics are, hopefully, rare events, the experience with online classes should be used to improve and expand current teaching models, since this improvement could be a means to a general improvement of the medical teaching system. On the other hand, the COVID-19 pandemic is not finished yet and many restrictions continue, affecting at least 20% of the total undergraduate training of several generations of doctors. The study aims to identify – within the medical students’ community - transferable aspects of online classes to the post-pandemic teaching in the perspective of blended learning. We deliberately chose to omit the examination part of the educational process in order to set the focus on the delivery of teaching. In this first analysis of the results, the degree of progress in reaching a high professionalism level was analyzed starting from the self-assessment of professional growth, that was previously found to be in good agreement with the actual achievements as derived from the traditional formative examination. [1]

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Depression and hopelessness in pre‐clinical medical students

Cited by 20 publications

References 6 publications

Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate?

Associations between family social circumstances and psychological distress among the university students of Bangladesh: To what extent do the lifestyle factors mediate?

Associations Between Academic Stress and Depressive Symptoms Mediated by Anxiety Symptoms and Hopelessness Among Chinese College Students

E-learning during the COVID-19 pandemic: the impact on medical students’ perceived academic progress

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