Well-being and help-seeking: an exploratory study among final-year medical students

Leao, Paula Bertozzi de Oliveira E. Sousa; Nogueira-Martins, Luiz Antônio; Menezes, Paulo Rossi; Bellodi, Patrícia Lacerda

doi:10.1016/s0104-4230(11)70080-x

Cited by 3 publications

(4 citation statements)

References 28 publications

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“…One hundred ninety-five studies involving a total of 129 123 individuals in 47 countries were included in the analysis (Figure 1). The median number of participants per study was 336 (range, 44-10 140).…”

Section: Resultsmentioning

confidence: 99%

“…The median number of participants per study was 336 (range, 44-10 140). One hundred sixty-seven cross-sectional studies (n = 116 628) and 16 longitudinal studies (n = 5728) in 43 countries reported on depression or depressive symptom prevalence (Table 1). Twenty-four cross-sectional studies (n = 21 002) in 15 countries reported on the prevalence of suicidal ideation (Table 2).…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

Rotenstein

Ramos

Torre

et al. 2016

JAMA

1,842

1,409

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IMPORTANCE Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies.OBJECTIVE To estimate the prevalence of depression, depressive symptoms, and suicidal ideation in medical students.DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE, psycARTICLES, and psycINFO without language restriction for studies on the prevalence of depression, depressive symptoms, or suicidal ideation in medical students published before September 17, 2016. Studies that were published in the peer-reviewed literature and used validated assessment methods were included.DATA EXTRACTION AND SYNTHESIS Information on study characteristics; prevalence of depression or depressive symptoms and suicidal ideation; and whether students who screened positive for depression sought treatment was extracted independently by 3 investigators. Estimates were pooled using random-effects meta-analysis. Differences by study-level characteristics were estimated using stratified meta-analysis and meta-regression. MAIN OUTCOMES AND MEASURESPoint or period prevalence of depression, depressive symptoms, or suicidal ideation as assessed by validated questionnaire or structured interview.RESULTS Depression or depressive symptom prevalence data were extracted from 167 cross-sectional studies (n = 116 628) and 16 longitudinal studies (n = 5728) from 43 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of depression or depressive symptoms was 27.2% (37 933/122 356 individuals; 95% CI, 24.7% to 29.9%, I 2 = 98.9%). Summary prevalence estimates ranged across assessment modalities from 9.3% to 55.9%. Depressive symptom prevalence remained relatively constant over the period studied (baseline survey year range of 1982-2015; slope, 0.2% increase per year [95% CI, −0.2% to 0.7%]). In the 9 longitudinal studies that assessed depressive symptoms before and during medical school (n = 2432), the median absolute increase in symptoms was 13.5% (range, 0.6% to 35.3%). Prevalence estimates did not significantly differ between studies of only preclinical students and studies of only clinical students (23.7% [95% CI, 19.5% to 28.5%] vs 22.4% [95% CI, 17.6% to 28.2%]; P = .72). The percentage of medical students screening positive for depression who sought psychiatric treatment was 15.7% (110/954 individuals; 95% CI, 10.2% to 23.4%, I 2 = 70.1%). Suicidal ideation prevalence data were extracted from 24 cross-sectional studies (n = 21 002) from 15 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of suicidal ideation was 11.1% (2043/21 002 individuals; 95% CI, 9.0% to 13.7%, I 2 = 95.8%). Summary prevalence estimates ranged across assessment modalities from 7.4% to 24.2%. CONCLUSIONS AND RELEVANCEIn this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among medical students was 27.2% and that of suicidal ideation was 11.1%. Further research is nee...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

Rotenstein

Ramos

Torre

et al. 2016

JAMA

1,842

1,409

View full text Add to dashboard Cite

show abstract

“…Researchers define this type of assistance as seeking emotional support, instrumental support, advice, or information from professional psychologists or counselors to avoid or reduce stress or its consequences (13). There is considerable literature on socio-demographic factors associated with PHSI, including gender, grade, and family economic situation (14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Status of professional mental health help-seeking intention associated factors among medical students: a cross-sectional study in China

Qiu,

Wangzhou,

Liu

et al. 2024

Front. Psychiatry

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AimLow professional help-seeking intention (PHSI) hinders effective treatment of mental illness. PHSI among Chinese students is still understudied and under-recognized. This study aimed to evaluate the status of PHSI and its associated risk factors among Chinese medical students.MethodsA cross-sectional survey was conducted in Hainan province, South China, between January 1, 2021, and May 31, 2021. A total of 2182 medical students were recruited and surveyed via an anonymous structured questionnaire. Logistic regression analyses were performed to identify the factors associated with PHSI.ResultsAmong the 2182 medical students (mean age 21.0 years (SD = 3.70), 61.5% females), those with and without PHSI were 72.0% and 28.0%, and 16.4% with moderate to severe depression. Male students, those with a high level of depression stigma, serious family dysfunction, and heavy dependence on mobile phones were significantly less likely to seek professional mental health help, with odds ratios (ORs) of 1.5, 2.0, 2.1, and 1.7, respectively.ConclusionA significant proportion of Chinese medical students demonstrate low PHSI, influenced by factors such as gender, depression stigma, family dysfunction, and mobile phone dependence. Future interventions aimed at increasing medical students’ PHSI should prioritize reducing depression stigma, mitigating reliance on mobile phone use, and enhancing family function to address these key barriers to seeking professional mental health support.

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“…[13]. There is considerable literature on socio-demographic factors associated with PHSI, including gender, grade, and family economic situation [14][15][16][17][18]. Furthermore, psycho-social factors like social support and depression stigma may be linked to PHSI [19].…”

Section: Introductionmentioning

confidence: 99%

Status of professional mental health help-seeking intention and associated factors among medical students: a cross-sectional study in China

Qiu

Wangzhou

Liu

et al. 2023

Preprint

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Aim Low professional help-seeking intention (PHSI) hinders effective treatment of mental illness. PHSI among Chinese students is still understudied and under-recognized. This study aimed to evaluate the status of PHSI and its associated risk factors among Chinese medical students. Methods A cross-sectional survey was conducted in Hainan province, South China, between January 1, 2021, and May 31, 2021. A total of 2182 medical students was recruited and surveyed via an anonymous structured questionnaire. Logistic regression analyses were performed to identify the factors associated with PHSI. Results Among the 2182 medical students (mean age 21.0 years (SD = 3.70), 61.5% females), those with and without PHSI were 72.0% and 28.0%, and 16.4% with moderate to severe depression. Regression analysis revealed that those students who were male (OR = 1.5), with a high level of depression stigma (OR = 2.0), had serious family dysfunction (OR = 2.1), with heavy dependence on mobile phones (OR = 1.7), were more likely not to seek for professional mental health help. Conclusions Interventions concentrating on increasing medical students' PHSI should focus on reducing depression stigma, reliance on mobile phone use, and improving their family function.

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Well-being and help-seeking: an exploratory study among final-year medical students

Cited by 3 publications

References 28 publications

Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

Status of professional mental health help-seeking intention associated factors among medical students: a cross-sectional study in China

Status of professional mental health help-seeking intention and associated factors among medical students: a cross-sectional study in China

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