Anxiety and Depression among Medical Students of Karachi During the Covid-19 Pandemic
DOI:
https://doi.org/10.51985/JBUMDC2022024Keywords:
Anxiety, COVID-19, depression, medical students, pandemic,Abstract
Objective: To determine the prevalence of anxiety and depression among medical students of Bahria University Health
Sciences (BUHS)
Study Design and Setting: Cross-Sectional survey conducted from January to June 2021 at BUHS, Karachi
Methodology: Two hundred and sixty one medical students (79 male and 182 female), were assessed for anxiety and
depression using Generalised Anxiety Disorder 7 (GAD-7) and Patient Health Questionnaire 9 (PHQ-9) respectively. Chi
Square test was used to check the association of anxiety and depression with gender and year of study. P-value =0.05 was
considered significant.
Results: Out of 261 participants, 76.8% of medical students had anxiety. Among them 21.1% had mild, 24.5% had moderate
and 27.2% had severe anxiety. 83.5% of students had depression, of which 24.9% met the criteria for mild, 20.7% for
moderate, 21.1% for moderate-severe and 16.9% students for severe depression. Chi Square test indicated significant
associations between anxiety and gender, with 29.7% of female students having severe anxiety as compared to 21.5% of
male students; and between depression and gender, with 24.1% male students having moderate depression as compared
to 19.2% of female students.
Both depression and anxiety were more prevalent among first year students with 31.7% students having depression and
27.5% having anxiety.
Conclusion: Anxiety and depression were more prevalent among first year students with anxiety being more prevalent
in female and depression being more prevalent in male students.
References
Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A,
Rasoulpoor S, Mohammadi M, Rasoulpoor S, Khaledi-Paveh
B. Prevalence of stress, anxiety, depression among the general
population during the COVID-19 pandemic: a systematic
review and meta-analysis. Global Health. 2020;16(1):57. doi:
1186/s12992-020-00589-w. PMID: 32631403; PMCID:
PMC7338126.
Pfefferbaum B, North CS. Mental Health and the Covid-19
Pandemic. N Engl J Med. 2020 ;383(6):510-512. doi:
1056/NEJMp2008017. Epub 2020 Apr 13.
Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS,
Ho RC. The Global Prevalence of Anxiety Among Medical
Students: A Meta-Analysis. Int J Environ Res Public Health.
;16(15):2735. doi: 10.3390/ijerph16152735.
Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ,
Guille C, Sen S, Mata DA. Prevalence of Depression,
Depressive Symptoms, and Suicidal Ideation Among Medical
Students: A Systematic Review and Meta-Analysis. JAMA.
;316(21):2214-2236. doi: 10.1001/jama.2016.17324.
PMID: 27923088; PMCID: PMC5613659.
Azad N, Shahid A, Abbas N, Shaheen A, Munir N. Anxiety
And Depression In Medical Students Of A Private Medical
College. J Ayub Med Coll Abbottabad. 2017;29(1):123-127.
Salman M, Asif N, Mustafa ZU, et al. Psychological Impact
of COVID-19 on Pakistani University Students and How
They Are Coping. MedRxiv. 2020; 2020.05.21.20108647.
DOI:. https://doi.org/10.1017/dmp.2020.397
Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT.
Depression and anxiety among university students during the
COVID-19 pandemic in Bangladesh: A web-based crosssectional survey. PLoS One. 2020;15(8):e0238162. doi:
1371/journal.pone.0238162.
Chirikov I, Soria KM, Horgos B, Jones-White D.
Undergraduate and graduate students’ mental health during
the COVID-19 pandemic. SERU Consortium, University of
California - Berkeley and University of Minnesota 2020.
https://hdl.handle.net/11299/215271
Wang ZH, Yang HL, Yang YQ, Liu D, Li ZH, Zhang XR,
Zhang YJ, Shen D, Chen PL, Song WQ, Wang XM, Wu XB,
Yang XF, Mao C. Prevalence of anxiety and depression
symptom, and the demands for psychological knowledge and
interventions in college students during COVID-19 epidemic:
A large cross-sectional study. J Affect Disord. 2020;275:188-
DOI: https://doi.org/10.1016/j.jad.2020.06.034
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure
for assessing generalized anxiety disorder: the GAD-7. Arch
Intern Med. 2006;166(10):1092-7. DOI: https://doi.org/
1001/archinte.166.10.1092
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity
of a brief depression severity measure. J Gen Intern Med.
;16(9):606-13. DOI: https://doi.org/10.1046/j.1525-
2001.016009606.x
Imran N, Haider II., Mustafa AB. The hidden crisis: COVID-
and impact on mental health of medical students in Pakistan.
Middle East Curr Psychiatry. 2021; 28(1): 45. doi:
1186/s43045-021-00123-7
Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence
of Anxiety and Depression Among Medical Students During
the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ
Curric Dev. 2021 Feb 15;8:2382120521991150. DOI:
https://doi.org/10.1177/2382120521991150
Nakhostin-Ansari A, Sherafati A, Aghajani F, Khonji MS,
Aghajani R, Shahmansouri N. Depression and Anxiety among
Iranian Medical Students during COVID-19 Pandemic. Iran
J Psychiatry. 2020 ;15(3):228-235. doi: 10.18502/ijps.
v15i3.3815. PMID: 33193771; PMCID: PMC7603582.
Seetan K, Al-Zubi M, Rubbai Y, Athamneh M, Khamees A,
Radaideh T. Impact of COVID-19 on medical students' mental
wellbeing in Jordan. PLoS One. 2021;16(6):e0253295. doi:
1371/journal.pone.0253295. PMID: 34138964; PMCID:
PMC8211263.
Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah
MH, Koutaich RA, Haddad ES, Al-Roub NM, Marhoon FA,
Hamid Q, Halwani R. Increased Levels of Anxiety Among
Medical and Non-Medical University Students During the
COVID-19 Pandemic in the United Arab Emirates. Risk
Manag Healthc Policy. 2020;13:2395-2406. doi: 10.2147/
RMHP.S273333. PMID: 33177898; PMCID: PMC7652570.
Gao W, Ping S, Liu X. Gender differences in depression,
anxiety, and stress among college students: A longitudinal
study from China. J Affect Disord. 2020;263:292-300. doi:
1016/j.jad.2019.11.121. Epub 2019 Dec 4. PMID:
Khidri FF, Riaz H, Bhatti U, Shahani KA, Kamran Ali F,
Effendi S, Rani K, Chohan MN. Physical Activity, Dietary
Habits and Factors Associated with Depression Among Medical
Students of Sindh, Pakistan, During the COVID-19 Pandemic.
Psychol Res Behav Manag. 2022;15:1311-1323. doi: 10.2147/
PRBM.S364540.
Peng P, Hao Y, Liu Y, Chen S, Wang Y, Yang Q, Wang X, Li
M, Wang Y, He L, Wang Q, Ma Y, He H, Zhou Y, Wu Q, Liu
T. The prevalence and risk factors of mental problems in
medical students during COVID-19 pandemic: A systematic
review and meta-analysis. J Affect Disord. 2023;321:167-
Tugnoli S, Casetta I, Caracciolo S, Salviato J. Parental bonding,
depression, and suicidal ideation in medical students. Front
Psychol. 2022;13:877306
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Copyright (c) 2023 Sannia Perwaiz Iqbal, Navaid Siddiqui, Faryal Gul, Sajid Abbass Jaffri
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