PREVALENCE OF

DEPRESSION AND
ANXIETY AMONG
MEDICAL
STUDENTS IN
ARISH UNIVERSITY
This work was done by:
Supervisor: gastrointestinal surgeon Dr Mohamed Elyamany

Aliaa Elsayed Saber Mariem Salem Mohamed

Yousef Imad Elden
Elsady Fatma Ali Mohamed
Mohamed Rabie
Lana Alaa Elbelbeasy
Abdulkaleq
Mohamed Abdullah Ali Ali Soliman Hassan
Presented by

Aliaa Elsayed Saber

Yousef Imad Elden Elsady

Mariem Salem Mohamed

Acknowledgement
 As our study comes to an end, we would like to
sincerely thank
 our mentor gastrointestinal surgeon Dr. Mohamed
El Yamany.
 Prof. Dina Sameh head of Community and
occupational medicine department.
for their tremendous time and efforts in assessing us
at every turn. We extend our sincere gratitude to
everyone who took part in our study.
Content
Introduction
Objective
Methodology
Results
Conclusion
Recommendation
 Introduction
 Definition: depressive disorder or depression is a common mental
disorder. It involves a depressed mood or loss of pleasure or interest
in activities for long period.
 Depression can happen to anyone who have lived through abuse,
several loss and stressful events.
 Medical students have higher psychological morbidities than
their non-medical counterparts, according to research studies
conducted across national boundaries and in developed and emerging
educational systems. (Karaoglu & Seker, 2010; Baldassin et al.,
2013; Bore et al., 2016) and the general population.
 Introduction
 Psychological morbidities were observed among medical
students enrolled in public universities (Yusoff et al., 2013a;
Sidana et al., 2012) as well as those enrolled in private
medical schools(Saravanan & Wilks, 2014; Waqas et al., 2015).
 The prevalence of psychological stress in undergraduate
medical students has been estimated in different nationalities
and found to be 10–96%.
 High to extremely high levels of psychological distress were
reported in medical students from( Australia (Ibrahim et al.,
2013), Saudi Arabia (Abdulghani et al., 2011), India (Uddin et
al., 2016), and Egypt (Amr et al., 2008; El-Gilany et al.,
2008).).
 Introduction
 Previous studies have noted that, in addition to
endogenous factors (such as sex, personality
traits, beliefs, etc.) that impact psychological
stress in the general population.
 Most medical students share distinct exogenous
factors with one another that are distinct from
those faced by non-medical university students.
 These elements are categorized as stressors that
are academic and non-academic (psychosocial
and socio-demographic).(Shamsuddin et al.,
2013a; Bassols et al., 2014; Uddin et al., 2016).
 Introduction
Academical factors:
 difficulties with understanding and learning a new syllabus.
 difficulty with reading textbooks, particularly if there is a lack of a
premedical university preparatory program (UPP).
 high workload.
 extensive medical curricula; long teaching hours.
 a lack of leisure or recreation times.
 the poor quality of the educational process at the college.
 irregular schedules; frequency of tests.
 competition with peers.
 and worries related to academic performance or achievement or fear of
failure.
Introduction
 Psychological factors:
 paternal expectations.
 home sickness.
 the new living accommodation.
 financial strain.
 and fear of future failure in a medical career.
 In Arab countries, epidemiological data about psychological
morbidities among medical undergraduate students are few. In
Egypt, only two studies were done and evaluated the
psychological state of undergraduate medical students and its
related stressors (Amr et al., 2008; El-Gilany et al., 2008).
Aim of the study
 The present study was aimed to
improve mental health and decrease
psychological problems among the
undergraduate medical students
attending the Faculty of Medicine of
Arish University.
 Special objectives
 toassess the risk factors for
depression and anxiety and
the impact on medical
students at Arish University.
 toestimate the prevalence of
depression and anxiety
among medical students at
Arish University.
Methodology
 Study design: a cross-sectional study with an online-filled
questionnaire.
 Study setting: the study was conducted in the Faculty of
Medicine at Arish University.
 Study population: student at the medicine college in Arish
University.
 Sampling Design and sample size:
 methodology
 The sample size was calculated using Open epi software according to the
following:
 Total number of faculty of medicine students is 250 and mean percent
of anxiety, depression and stress was 66% (Fawzy & Hamed, 2017a).
 Prevalence of psychological stress, depression and anxiety among
medical students in Egypt.
 Psychiatry Research.
 so, at confidence interval 95% and 5% margin of error The sample size
was calculated to be 123 students
 Methodology
 Data collection:
Data was collected by using a self-administered
questionnaire filled out electronically by using
*form
 (i) Sociodemographic Data Sheet: It was
developed by the investigators to obtain
information about respondents’ gender, the year
of study, housing, and academic performance.
 methodology
 (ii) Generalized Anxiety Disorder 7
consists of seven items measuring worry and anxiety symptoms. Each item is
scored on a four-point Likert scale (0–3), with total scores ranging from 0 to 21,
with higher scores reflecting greater anxiety severity. Scores above 10 are
considered to be in the clinical range. (Spitzer et al., 2006). The GAD-7 has
shown good reliability and construct validity (Kroenke et al., 2007); Löwe et
al., 2008).
 (iii) Patient Health Questionnaire 9

PHQ-9 (Kroenke et al., 2001) consists of nine items measuring depressive

symptoms corresponding to the diagnostic criteria for major depressive
disorder. Each item is scored on a four-point Likert scale (0–3), with scores
ranging from 0 to 27, with higher scores reflecting greater depression severity.
Scores above 10 are considered to be in the depressive area. PHQ-9 has shown
Methodology
 Inclusion: they should be in Arish University and
the faculty of medicine. All the batch is in the
faculty of medicine.
 Exclusion: students attended to other college or
university
Results
 . Demographic characteristics of the studied population.

Total Males Females

Demographic characteristics (N =123) (N =25) (N =71)
Gender
Male 52 (42.3%) – –
Female 71 (57.7%) – –
Housing
With their families 76 (61.8%) 36 (47.4%) 40 (52.6%)
In University campus/student residence facility 47 (38.25%) 16 (34.04%) 31 (65.96%)

The year of study

MBBS 1 51 (41.5%) 28 (54.9%) 23 (45.1%)
Demographic characteristics of the studied population

Total Males Females

Academic performance

Excellent/Very good 105 (85.4%) 39 (31.7%) 66 (53.7%)

Excellent 68 (55.3%) 24 (19.5%) 44 (35.8%)
Very good 37 (30.1%) 15 (12.2%) 22 (17.9%)
Good/fair or pass 18 (14.6%) 11 (8.9%) 7 (5.7%)
Good 16(13%) 10 (8.1%) 6 (4.9%)
Fair or pass 2 (1.6%) 1 (0.8%) 1 (0.8%)
 The relation between depression and gender

90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00% Series 3

20.00% male

10.00%
female
0.00%
normal mild moderate severe extremly
severe

female male
 The relation between depression and the year of study

80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
Column1
20.00%
second
10.00%
first
0.00%
normal mild moderate severe extremely
severe

first second
 The relation between depression and academical performance
70.00%
61.80%
60.60%

60.00%
50.00%
50.00% 46.20%
42.90%42.90%

40.00%
33.30%
30.80%

30.00% 26.50% 27.30%

20.00% 14.30%
16.70%
15.40%
12.00%
8.80%
7.70%
10.00%
2.90%
0.00% 0.00% 0.00%
0.00%
normal mild moderate severe extremely severe

A B C D
 the relation between depression and housing

90.00%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00% Column1

20.00% without their family

10.00%
with their family
0.00%
normal mild moderate severe extremely
severe

with their family without their family

 the relation between anxiety and gender

80%
70%
60%
50%
40%
Column1
30%
20% male

10%
female
0%
normal mild moderate severe

female male
 the relation between anxiety and the year of study

70.00%
60.00%
50.00%
40.00% Column2

30.00% Column1

20.00% second

10.00%
first
0.00%
normal mild moderate severe

first second
 The relation between anxiety and academic performance
60%

50%

40%

30%

20%

10%

0%
normal mild moderate severe

A B C D
 The relation between anxiety and housing

80%
70%
60%
50%
40%
Column1
30%
with their
20% family

10% without
their family
0%
normal mild moderate severe

without their family with their family

 The relation between anxiety and depression

60%

50%

40%

30%

20%

10%

0%
normal without anx- mild anxiety moderate anxiety severe anxiety
iety

normal without depression mild depression moderate depression

severe depression extremely severe depression
 Conclusion
 Significant percentages of Arish University medical students
have reported having psychological disorders such as anxiety
and depression; anxiety was recorded in 75.6% of students,
while depression was reported in 94.3% of students.
 Most of the psychological morbidities that have been
researched have been found to be significantly correlated with
a variety of social, demographic, behavioral, and academic
characteristics, including gender, place of residence, and
academic performance.
 Recommendation
 Time management.t
 practising sports or other hobbies.
 Stop fearing of future.
 Learning Problem solving skill.
 Increase ability to manage stress and
worried.
Discussion