Download presentation
Presentation is loading. Please wait.
Published byEric Porter Modified over 7 years ago
1
Depression, suicidal ideation and anxiety among medical university students in Central Vietnam Prevalence and possible contributing factors A/Professor VO VAN THANG Acting Director, Institute for Community Health Research, Dean, Faculty of Public Health Hue University of Medicine and Pharmacy, Viet Nam
2
Introduction Research worldwide showed: University students face emotional and behavioral difficulties during the transition from adolescence to adulthood. Medical students suffer from high stress and this can lead to depression. Medical students may be more likely to experience depression and anxiety compared to the general population as well as other undergraduate groups. 2 Introduction
3
Estimates of the prevalence of mental disorder among medical students: USA/Europe: 8%-15%; Middle East: 45- 67%; Others: 21%-38%, depending on methods of measurement. The prevalence of suicidal ideation among medical students in US: 11.2%; in Northern Europe: 14%; in China: 12% 3 Introduction
4
In Vietnam There have been some small-scale surveys on this topic with students from just one or two universities. These studies examined the health status of medical students in eight national universities across all regions of Vietnam to provide evidence for the need of mental health and counseling services. Introduction
5
Psychological distress: ranging from 21% to 56% Depression is one of the most common health problems for university students 35.2 – 38.4% (CESD ≥16) 11.5% of medical students suffered from anxiety disorder In Hue city: CES-D ≥ 16: 24.3% ; > 21: 11,9%; > 25: 6,8% 5 A. K. Ibrahim, (2013), Vuong Diem Khanh Doan (2011), Smith. C.K. (2011), Chandavarkar. U (2007) Previous Research: prevalence Background
6
1.What is the prevalence of depression, anxiety and suicidal thinking among medical students? 2.What factors contribute to depression, anxiety and self-harm? 6 Main research questions Background
7
7 Study method
8
8 Cross-sectional study 267 medical students Y1A – Y3B – Y5C Randomized Study setting: Hue university of Medicine & Pharmacy, Hue city, Central Vietnam Time: From 4/2013 – 7/2013 1 st Year3 rd Year5 th Year Study design & sample size Methodology Undergraduate medical students
9
` 9 The study protocol and procedures were approval by the scientific committee of the Hue University of Medicine and Pharmacy and written consent was obtained from all participants Study ethics Methodology
10
Variables Demography Potential risk factors: Adverse childhood experiences, recent stressful life events; study hours; career choice, parental expectations, Depression: Diagnosis instrument: Vietnamese version of the Center for Epidemiological Studies -Depression Scale (CES-D) 20-item, four factors 4-point Likert scale Validated (Nguyen, Le, Dunne, 2007) 10 Measurement: self-completed questionnaire
11
11 Anxiety: Vietnamese version (Nguyen, Le, and Dunne 2007). 13-item 3-point Likert scale Suicidal behaviours : questions from the youth risk behaviour survey (YRBS): Developed by the US CDC (Eaton et al., 2008; CDC, 2009) Three items for suicidal behaviours (thoughts, planning and attempts) Measurement Methodology
12
12 Results
13
13 Data analysis conducted with 267 students (100% of the potential participants): 1 st year (37.1%), 3 rd (33.7%) and 5 th (29.2%). Male (50.2%) & Female (49.8%), Age 21.05±1.68, Almost all (95%) were Kinh ethnic group Urban family 50%; MethodologyDemographics
14
14 Methodology
15
Depression prevalenceDepression prevalence CES-D ≥ 16: 49.81% (at risk for depression) CES-D > 21: 18.7% ( substantial depressive symptoms) CES-D > 25: 6.8% (depression) Depressive symptoms are high in Vietnamese medical students compared to adults in the Hue population (Khanh 2011)
16
Anxiety PrevalenceAnxiety Prevalence
17
Putting this in context…Putting this in context… 17 On average, this is about 6 students in every classroom
18
Suicidal thinking 10.49%; Suicidal planning 4.49% and: Suicidal attempt 1.50% 18 Suicidal thinking Prevalence Results
19
19 Suicidal ideation by genderResults
20
Independent variables Depression (log) βSE Gender Male Female1.90*1.25 Marital status of parent Live togetherRef- Divorced / Separated 3.71*2.29 Widowed0.741.47 Occu. of mother OfficerRef- Self-manager0.851.47 Farmer1.86*1.31 Jobless3.022.63 Housewife0.971.38 20 Depression: Multiple regression analysis
21
21 Depression: Multiple regression analysis Independent variables Depression (log) βSE No. Academic hrs in medical curriculum 0.970.23 GPA (10 score) <5,5ref 5,5-6,40.220,45 6,5-7,40130,48 7,5-8,40.11*0,48 8,5-8,90.22*0,52 Stressful life events0.77*0,03
22
Independent variables Anxiety (log) βSE Gender Male Ref- Female 1.13*0.03 Occu. of mothers Officer Ref- Self-manager 0,020.05 Farmer 1.04*0.03 Jobless 1.200.11 Housewife 1.010.04 Stressful life events0.77*0.03 Physical paint NoRef Yes1.28*0.04 22 Anxiety: Multiple regression analysis
23
23 Discussion & Conclusion
24
24 Although still a new topic in most universities in Vietnam, this study confirms trends observed worldwide. Many students carry with them a significant mental health burden. In this study, for an example, about 10% had thought about suicide in the past year, and half that number had made a plan, and 1 in every 70 students said they’d actually attempted suicide. Non-trivial levels of psychological distress were reported by about one in six students Main points
25
25 Factors significantly correlated with depression and anxiety included study burden and enrolment to study medicine that was somewhat against their own preference (usually to meet parental expectations). Further research relevant to mental health promotion should focus on the relationships between the student and family factors, academic burden and recent stressful life events Main points
26
RECOMMENDATION To promote students wellbeing, it’s necessary to provide free and confidential health service that include medical and psychological care and counseling in medical universities. Social skills are needed to develop within learning environment during 6 years of medical education.
27
Future … No health without mental health 27
Similar presentations
© 2024 SlidePlayer.com Inc.
All rights reserved.