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Prevalence and Socio-Demographic Correlates of Mental Health Problems Among Iranian Health Sciences Students

  • Batool Tayefi
  • Mehrdad Eftekhar
  • Maryam Tayefi
  • Susan Darroudi
  • Narjes Khalili
  • Azadeh Mottaghi
  • Zarrintaj Hosseinzadeh Shanjani
  • Marzieh NojomiEmail author
In Brief Report

Abstract

Objective

The primary objective of the present study was to compare the mental health status of Iranian medical vs other health sciences students and to examine how demographic factors relate to their mental health problems.

Methods

A total of 560 medical and other health sciences students (250 (44.6%) males and 310 (55.4%) females) were recruited from Iran University of Medical Sciences. Data were obtained by self-administered questionnaire, including questions on socio-demographic characteristics. The Beck Depression Inventory, Beck Anxiety Inventory, General Health Questionnaire, and WHO well-being index were used to assess mental health status of students.

Results

Ten percent of students had BDI scores consistent with clinically significant depression (6.6% mild, 1.8% moderate, 1.6% severe), and 28.7% had BAI scores consistent with clinically significant anxiety (20.7% mild, 7.1% moderate, 0.9% severe). Kurdish students had an odds ratio (OR) of 2.71 (95% CL, 1.22–6.02) for mild to severe depression symptoms when compared to Persian students. The prevalence of distressed health sciences students and poor psychological well-being was 13.4% and 14.1%, respectively. Maternal education gave an OR of 0.57 (0.35–0.93) for anxiety symptoms, after adjustment for all other factors. The possibility of general psychiatric morbidity was significantly lower in students who studied medicine (OR, 0.40 (0.21–0.71)). Being born in the capital city was associated with better psychological well-being (OR, 0.48 (0.26–0.86)).

Conclusions

Ethnicity, birthplace, discipline, and maternal educational level were major determinants of mental health status among health sciences students. Further research should be undertaken to determine the prevalence of psychological disorders using more reliable diagnostic interview.

Keywords

Mental health problems Prevalence Socio-demographic correlates Iranian university students 

Notes

Acknowledgments

The authors acknowledge with grateful appreciation the kind assistance provided by Iran University of Medical Sciences (IUMS).

Funding Information

This work was supported by the Iran University of Medical Sciences (IUMS).

Compliance with Ethical Standards

The protocol was approved by the ethics committee of Iran University of Medical Sciences (IUMS).

Disclosures

On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

  1. 1.
    Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: an update from the WHO World Mental Health (WMH) surveys. Epidemiology and Psychiatric Sciences. 2009;18(1):23–33.CrossRefGoogle Scholar
  2. 2.
    Hunt J, Eisenberg D. Mental health problems and help-seeking behavior among college students. J Adolesc Health. 2010;46(1):3–10.CrossRefGoogle Scholar
  3. 3.
    Mikolajczyk RT, Maxwell AE, El Ansari W, Naydenova V, Stock C, Ilieva S, et al. Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Soc Psychiatry Psychiatr Epidemiol. 2008;43(2):105–12.CrossRefGoogle Scholar
  4. 4.
    Bostanci M, Ozdel O, Oguzhanoglu NK, Ozdel L, Ergin A, Ergin N, et al. Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates. Croatian medical journal. 2005;46(1):96–100.PubMedGoogle Scholar
  5. 5.
    Stallman HM. Psychological distress in university students: a comparison with general population data. Aust Psychol. 2010;45(4):249–57.CrossRefGoogle Scholar
  6. 6.
    de Wit MA, Tuinebreijer WC, Dekker J, Beekman A-JT, Gorissen WH, Schrier AC, et al. Depressive and anxiety disorders in different ethnic groups. Soc Psychiatry Psychiatr Epidemiol. 2008;43(11):905–12.CrossRefGoogle Scholar
  7. 7.
    Zhai H, Chen L, Yang Y, Sun H, Pan H, He J, et al. Family and college environmental exposures mediate the relationship between parental education and depression among college students. PLoS One. 2016;11(3):e0151759.CrossRefGoogle Scholar
  8. 8.
    Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck Depression Inventory-second edition: BDI-II-PERSIAN. Depression and anxiety. 2005;21(4):185–92.CrossRefGoogle Scholar
  9. 9.
    Kaviani H, Mousavi A. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran University Medical Journal (TUMJ). 2008;66(2):136–40.Google Scholar
  10. 10.
    Goldberg DP, Williams PA. User's guide to the general health questionnaire: GHQ. NFER-Nelson, Windsor, UK. 1988.Google Scholar
  11. 11.
    Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item general health questionnaire (GHQ-12): translation and validation study of the Iranian version. Health Qual Life Outcomes. 2003;1(1):66.CrossRefGoogle Scholar
  12. 12.
    Awata S, Bech P, Yoshida S, Hirai M, Suzuki S, Yamashita M, et al. Reliability and validity of the Japanese version of the world health organization-five well-being index in the context of detecting depression in diabetic patients. Psychiatry Clin Neurosci. 2007;61(1):112–9.CrossRefGoogle Scholar
  13. 13.
    Dadfar M, Momeni Safarabad N, Asgharnejad Farid AA, Nemati Shirzy M, Ghazie Pour Abarghouie F. Reliability, validity, and factorial structure of the World Health Organization-5 Well-Being Index (WHO-5) in Iranian psychiatric outpatients. Trends Psychiatry Psychother. 2018;40(2):79–84.CrossRefGoogle Scholar
  14. 14.
    Assadi SM, Nakhaei MR, Najafi F, Fazel S. Mental health in three generations of Iranian medical students and doctors. A cross-sectional study. Soc Psychiatry Psychiatr Epidemiol. 2007;42(1):57–60.CrossRefGoogle Scholar
  15. 15.
    Farahangiz S, Mohebpour F, Salehi A. Assessment of mental health among Iranian medical students: a cross-sectional study. Int J Health Sci. 2016;10(1):49–55.CrossRefGoogle Scholar
  16. 16.
    Tayefi M, Shafiee M, Kazemi-Bajestani SMR, Esmaeili H, Darroudi S, Khakpouri S, et al. Depression and anxiety both associate with serum level of hs-CRP: a gender-stratified analysis in a population-based study. Psychoneuroendocrinology. 2017;81:63–9.CrossRefGoogle Scholar
  17. 17.
    Dion KL, Giordano C. Ethnicity and sex as correlates of depression symptoms in a Canadian university sample. Int J Soc Psychiatry. 1990;36(1):30–41.CrossRefGoogle Scholar
  18. 18.
    Carmody DP. Psychometric characteristics of the Beck Depression Inventory-II with college students of diverse ethnicity. Int J Psychiatry Clin Pract. 2005;9(1):22–8.CrossRefGoogle Scholar
  19. 19.
    Yusoff MS, Abdul Rahim AF, Baba AA, Ismail SB, Mat Pa MN, Esa AR. Prevalence and associated factors of stress, anxiety and depression among prospective medical students. Asian J Psychiatr. 2013;6(2):128–33.CrossRefGoogle Scholar
  20. 20.
    Verger P, Combes J-B, Kovess-Masfety V, Choquet M, Guagliardo V, Rouillon F, et al. Psychological distress in first year university students: socioeconomic and academic stressors, mastery and social support in young men and women. Soc Psychiatry Psychiatr Epidemiol. 2009;44(8):643–50.CrossRefGoogle Scholar
  21. 21.
    Delara M, Woodgate RL. Psychological distress and its correlates among university students: a cross-sectional study. J Pediatr Adolesc Gynecol. 2015;28(4):240–4.CrossRefGoogle Scholar

Copyright information

© Academic Psychiatry 2019

Authors and Affiliations

  • Batool Tayefi
    • 1
  • Mehrdad Eftekhar
    • 1
  • Maryam Tayefi
    • 2
  • Susan Darroudi
    • 2
  • Narjes Khalili
    • 1
  • Azadeh Mottaghi
    • 1
  • Zarrintaj Hosseinzadeh Shanjani
    • 3
  • Marzieh Nojomi
    • 4
    Email author
  1. 1.Iran University of Medical SciencesTehranIran
  2. 2.Mashhad University of Medical SciencesMashhadIran
  3. 3.Zanjan University of Medical SciencesZanjanIran
  4. 4.Preventive Medicine and Public Health Research CenterTehranIran

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