شیوع اضطراب، افسردگی و استرس و همبسته های روانی-اجتماعی آن در دانشجویان پزشکی دانشگاه علوم پزشکی مشهد در دوره همه گیری کووید-19

نوع مقاله : مقاله پژوهشی

نویسندگان

1 مرکز تحقیقات روانپزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 دپارتمان انفورماتیک پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

4 دپارتمان طب کار، بخش طب خواب، مرکز تحقیقات روانپزشکی و علوم رفتاری، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقدمه: مطالعه حاضر با هدف بررسی فراوانی علائم اضطراب، افسردگی و استرس و همبسته‌های روانی-اجتماعی آن در دانشجویان پزشکی در دوره همه گیری COVID-19، انجام شد.
روش کار: مطالعه حاضر یک مطالعه مقطعی بود که روی 347 نفر از دانشجویان پزشکی دانشگاه علوم پزشکی مشهد طی سال تحصیلی 1399-1400 انجام شد. داده ها با استفاده از یک پرسشنامه ساختاریافته آنلاین جمع آوری گردید. به منظور سنجش میزان افسردگی، اضطراب و استرس دانشجویان از مقیاس افسردگی، اضطراب و استرس (DASS-21) استفاده شد.
نتایج: بر اساس آزمون DASS، به ترتیب 59/7، 55/5 و 57/4 درصد از دانشجویان پزشکی دارای درجاتی از افسردگی، اضطراب و استرس بودند. میزان افسردگی در دانشجویان رشته پزشکی که فرزند نداشتند (0/006=P)، رضایت کمتری از رشته تحصیلی خود داشتند (0/005>P)، سوء مصرف مواد داشتند (0/01=P)، و به COVID-19 مبتلا شده بودند بیشتر بود (0/02=P). فراوانی اضطراب در دانشجویان رشته پزشکی که سوء مصرف مواد داشتند (0/01=P) و رضایت کمتری از رشته تحصیلی خود داشتند بیشتر بود (0/001=P). استرس در افرادی که سوء مصرف مواد داشتند (0/005>P)، رضایت کمتری از رشته تحصیلی خود داشتند (0/005>P) و واکسن COVID-19 دریافت نکرده بودند، بیشتر بود. (0/02=P).
نتیجه‌گیری: بیش از 50 درصد از دانشجویان پزشکی در دوره پاندمی COVID-19 درجاتی از افسردگی، اضطراب و استرس را گزارش کردند. عدم رضایت از رشته تحصیلی و سوء مصرف مواد با هر سه خرده مقیاس افسردگی، اضطراب و استرس در دانشجویان پزشکی مرتبط بود. میزان استرس در دانشجویانی که واکسن COVID-19 دریافت کرده بودند، کمتر از کسانی بود که واکسن دریافت نکرده بودند.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Prevalence of anxiety, depression, and stress, as well as their psychosocial correlates, among medical students during the COVID-19 pandemic

نویسندگان [English]

  • Mahsa Nahidi 1
  • Zahra Mirza Hoseinzadeh Moghaddam 2
  • Hamed Tabesh 3
  • Lahya Afshari Saleh 4
1 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Occupational Medicine, Division of Sleep Medicine, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Introduction: The present study aimed to investigate the frequency of anxiety, depression, and stress, as well as their psychosocial correlates, in medical students during the COVID-19 pandemic.
Materials and Methods: This cross-sectional study was conducted on 347 medical students at Mashhad University of Medical Sciences, Mashhad, during the academic year 2020-2021. Data were collected using a structured online questionnaire. Depression, anxiety, and stress scale (DASS-21) was used to measure students' depression, anxiety, and stress levels.
Results: The results of the DASS test showed that 59.7%, 55.5%, and 57.4% of medical students experienced degrees of depression, anxiety, and stress, respectively. The frequency of depression was higher in medical students who did not have children (P=0.006), were less satisfied with their field of study (P<0.005), had substance abuse (P=0.01), and had history of infection with COVID-19 (P=0.02). The frequency of anxiety was higher in medical students who were less satisfied with their field of study (P=0.001), and had substance abuse (P=0.01). The frequency of stress was higher in medical students who were less satisfied with their field of study (P<0.005), had substance abuse (P=0.01), and did not receive COVID-19 vaccine (P=0.02).
Conclusion: More than 50% of the medical students reported some degree of depression, anxiety, and stress during the COVID-19 pandemic. The level of satisfaction with the academic field and substance abuse were related to all three subscales of depression, anxiety, and stress in medical students. The stress level was lower in students who received the COVID-19 vaccine.

کلیدواژه‌ها [English]

  • Anxiety
  • COVID-19
  • Depression
  • Medical students
  • Stress
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