ความชุก ปัจจัยที่เกี่ยวข้อง และปัจจัยที่มีผลต่อการเข้ารับการรักษาภาวะซึมเศร้าในนักศึกษาแพทย์ชั้นคลินิก โรงพยาบาลแห่งหนึ่งในภาคใต้ของประเทศไทย

Chutchawan Saewai

doi:10.33165/rmj.2023.46.3.263528

Authors

Chutchawan Saewai Department of Social Medicine, Maharaj Nakhon Sri Thammarat Hospital, Nakhon Sri Thammarat, Thailand

DOI:

https://doi.org/10.33165/rmj.2023.46.3.263528

Keywords:

Depression, Medical students, Prevalence, Factors

Abstract

Background: Depression is an important mental problem for medical students globally. It affects academic performance, quality of patient care, patient safety, and may lead to suicidal ideation.

Objective: To investigate the prevalence, associated factors, and factors influencing treatment of depression in medical students.

Methods: In this cross-sectional study, fourth- and sixth-year medical students were included 96 participants in December 2022. The 9-item Patient Health Questionnaire (PHQ-9) was used to assess depression. Potential factors and the associations between potential factors and depression were analyzed using multiple logistic regression. Medical students diagnosed with depression were interviewed to explore factors that affected treatment and facilitated the seeking of proper treatment.

Results: Among 96 participants, there were 91.67% (88/96) survey respondents and revealed 42% (37/88) of the prevalence rate of depression. Associated factors were female (Adjusted OR, 11.36; 95% CI, 2.21 - 46.51), major clinical rotations (Adjusted OR, 6.89; 95% CI, 1.82 - 26.09), and insufficient knowledge of the COVID-19 pandemic (Adjusted OR, 6.21; 95% CI, 1.58 - 23.81). Nine medical students diagnosed with depression had not visited a mental health clinic. The reasons for not seeking help were the inappropriate of mental health clinic services.

Conclusions: The prevalence of depression in this current study was 42%. Associated factors were female, major clinical rotations, and insufficient knowledge of the COVID-19 pandemic.

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