The Associations between Social Support, Health-Related Behaviors, Socioeconomic Status and Depression in Medical Students
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
OBJECTIVES: The objective of this study was to estimate the prevalence of depression in medical students and to evaluate whether interpersonal social support, health-related behaviors, and socio-economic factors were associated with depression in medical students. METHODS: The subjects in this study were 120 medical students in Seoul, Korea who were surveyed in September, 2008. The subjects were all women and over the age of 20. Their age, body mass index (BMI), quality of sleep, diet, household income, smoking, alcohol consumption, exercise levels, and self-reported health status were surveyed. The degree of perceived social support was measured using the interpersonal support evaluation list (ISEL). Depression was evaluated using the Center for Epidemiology Studies Depression Scale (CES-D). RESULTS: The mean CES-D score was 14.1±8.6 and 37.1% of the participants appeared to suffer from depression. Low levels of perceived interpersonal support increased the risk of depression by more than 10 times and having higher household income did not necessarily decrease the risk of depression. CONCLUSION: Medical students have a relatively high level of depression. Efforts should be made to encourage social support in order to promote mental health in medical students.
Abstract
OBJECTIVES: The objective of this study was to estimate the prevalence of depression in medical students and to evaluate whether interpersonal social support, health-related behaviors, and socio-economic factors were associated with depression in medical students. METHODS: The subjects in this study were 120 medical students in Seoul, Korea who were surveyed in September, 2008. The subjects were all women and over the age of 20. Their age, body mass index (BMI), quality of sleep, diet, household income, smoking, alcohol consumption, exercise levels, and self-reported health status were surveyed. The degree of perceived social support was measured using the interpersonal support evaluation list (ISEL). Depression was evaluated using the Center for Epidemiology Studies Depression Scale (CES-D). RESULTS: The mean CES-D score was 14.1±8.6 and 37.1% of the participants appeared to suffer from depression. Low levels of perceived interpersonal support increased the risk of depression by more than 10 times and having higher household income did not necessarily decrease the risk of depression. CONCLUSION: Medical students have a relatively high level of depression. Efforts should be made to encourage social support in order to promote mental health in medical students.
참고문헌 (40)
- Dyrbye LN, "Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students", Acad Med, 81, pp.354~373 (2006)
- Toews JA, "Stress among residents, medical students, and graduate science (MSc", PhD) students, 1993, pp.68, S46~S48
- Dahlin M, "Stress and depression among medical students: a cross-sectional study", Med Educ, 39, pp.594~604 (2005)
- Givens JL, "Depressed medical students’ use of mental health services and barriers to use", Acad Med, 77, pp.918~921 (2002)
- Guthrie EA, "Embarking upon a medical career: psychological morbidity in first year medical students", Med Educ, 29, pp.337~341 (1995)
- Clark DC, "Vicissitudes of depressed mood during four years of medical school", JAMA, 260, pp.2521~2528 (1988)
- Lindeman S, "Suicides among physicians, engineers, and teachers: the prevalence of reported depression, admissions to hospital and contributory causes of death", Acta Psychiatr Scand, 96, pp.68~71 (1997)
- Center C, "Confronting depression and suicide in physicians", JAMA, 289, pp.3161~3166 (2003)
- Tjia J, "Factors associated with undertreatment of medical student depression", J Am Coll Health, 53, pp.219~224 (2005)
- Ball S, "Self-care in medical education: effectiveness of healthhabits interventions for first-year medical students", Acad Med, 77, pp.911~917 (2002)
- Sahraian A, "Sleep disruption and its correlation to psychological distress among medical students", SEMJ, 11, pp.12~17 (2010)
- Zailinawati AH, "Daytime sleepiness and sleep quality among Malaysian medical students", Med J Malaysia, 64, pp.108~110 (2009)
- Tamaki T, "Prevalence of and factors associated with smoking among Japanese medical students", J Epidemiol, 20, pp.339~345 (2010)
- Akvardar Y, "Substance use in a sample of Turkish medical students", Drug Alcohol Depend, 72, pp.117~121 (2003)
- Newbury-Birch D, "Factors influencing alcohol and illicit drug use amongst medical students", Drug Alcohol Depend, 59, pp.125~130 (2000)
- Aktekin M, "Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey", Med Educ, 35, pp.12~17 (2001)
- Cohen S, "Positive events and social support as buffers of life change stress", J Appl Soc Physiol, 13, pp.99~125 (1983)
- 고진경, "스트레스 대처방식이 의과대학생들의 주관적 안녕감에 미치는 영향", 한국의학교육, 19(3), pp.225~233 (2007), 한국의학교육학회
- Katz J, "Individual and crossover effects of stress on adjustment in medical student marriages", J Marital Fam Ther, 26, pp.341~351 (2000)
- Kjeldstadli K, "Life satisfaction and resilience in medical school: a six-year longitudinal, nationwide and comparative study", BMC Med Educ, 6, pp.48~ (2006)
- Mendelson T, "Relation of female gender and low socioeconomic status to internalizing symptoms among adolescents: a case of double jeopardy?", Soc Sci Med, 66, pp.1284~1296 (2008)
- Lorant V, "Socioeconomic inequalities in depression: a meta-analysis", Am J Epidemiol, 157, pp.98~112 (2003)
- Bostanci M, "Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates", Croat Med J, 46, pp.96~100 (2005)
- Ying Li, "Relationship between socioeconomic factors, health behaviors, and mental health among university students of Heilongjiang province in China", School Health, 4, pp.9~15 (2008)
- Brummett BH, "Perceived social support as a predictor of mortality in coronary patients: effects of smoking, sedentary behavior, and depressive symptoms", Psychosom Med, 67, pp.40~45 (2005)
- Sank JR, "Perceived social support of mothers of children with clefts", Cleft Palate Craniofac J, 40, pp.165~171 (2003)
- Radloff LS, "The CES-D scale: a self-report depression scale for research in the general population", Appl Psychol Measur, 1, pp.385~401 (1977)
- Beekman AT, "Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): results from a community-based sample of older subjects in The Netherlands", Psychol Med, 27, pp.231~235 (1997)
- Bigatti SM, "Depression in husbands of breast cancer patients: relationships to coping and social support", Support Care Cancer (2010)
- 한상수, "Zung Self-Rating Depression Scale을 이용한 일부 수도권 의대생과 공대생의 우울증 유병률 및 관련요인", 가정의학회지, 30(7), pp.539~548 (2009), 대한가정의학회
- 신경림, "Prevalence and Determining Factors related to Depression Among Adult Women in Korea", Journal of Korean Academy of Nursing, 34(7), pp.1388~1394 (2004), 한국간호과학회
- Rosal MC, "A longitudinal study of students’ depression at one medical school", Acad Med, 72, pp.542~546 (1997)
- Moffat KJ, "First year medical student stress and coping a problem-based learning medical curriculum", Med Educ, 38, pp.482~491 (2004)
- Moak ZB, "The association between perceived interpersonal social support and physical and mental health: results from the National Epidemiological Survey on Alcohol and Related Conditions", J Public Health (Oxf), 32, pp.191~201 (2010)
- Roh MS, "The prevalence and impact of depression among medical students: a nationwide crosssectional study in South Korea", Acad Med, 85, pp.1384~1390 (2010)
- "Substance Abuse and Mental Health Services Administration. Depression among Adolescents. The National Survey on Drug Use and Health, 2005"[URL]
- Chang PP, "Insom-nia in young men and subsequent depression. The Johns Hopkins Precursors Study", Am J Epidemiol, 146, pp.105~114 (1997)
- Sen S, "A prospective cohort study investigating factors associated with depression during medical internship", Arch Gen Psychiatry, 67, pp.557~565 (2010)
- Dahlin ME, "Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study", BMC Med Educ, 7, pp.6~ (2007)
- Jeong S, "Characteristics of major depressive disorder according to family history of depression: A CRESCEND-K (Clinical Research Center for Depression in Korea) study", Korean J Epidemiol, 30, pp.272~280 (2008)