Stress and depressive symptoms/dysphoria among us medical students: Results from a large, nationally representative survey

Journal of Nervous and Mental Disease

Volumn 196, Issue 12, 2008, Pages 891-897

  Compton, Michael T ^a   Carrera, Jennifer ^a   Frank, Erica ^a,b  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Depression; Medical education; Medical students; Stress; Suicidal ideation

Indexed keywords

ADULT; ARTICLE; CLINICAL EDUCATION; CONTROLLED STUDY; COPING BEHAVIOR; DEPRESSION; DYSPHORIA; EDUCATION PROGRAM; FEMALE; HEALTH SURVEY; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SCHOOL; MEDICAL STUDENT; MENTAL HEALTH; MENTAL STRESS; QUESTIONNAIRE; SUICIDAL IDEATION; ADAPTIVE BEHAVIOR; INFORMATION PROCESSING; PSYCHOLOGICAL ASPECT; UNITED STATES;

ADAPTATION, PSYCHOLOGICAL; ADULT; DATA COLLECTION; DEPRESSION; FEMALE; HUMANS; MALE; STRESS, PSYCHOLOGICAL; STUDENTS, MEDICAL; UNITED STATES; YOUNG ADULT;

EID: 58149260733     PISSN: 00223018     EISSN: None     Source Type: Journal    
DOI: 10.1097/NMD.0b013e3181924d03     Document Type: Article

References (44)

1. Ball S, Bax A (2002) Self-care in medical education: Effectiveness of health-habits interventions for first-year medical students. Acad Med. 77:911-917.
2. Barrios LC, Everett SA, Simon TR, Brener ND (2000) Suicide ideation among US college students: Associations with other injury risk behaviors. J Am Coll Health. 48:229-233.
3. Barzansky B, Etzel SI (2005) Educational programs in US medical schools, 2004-2005. JAMA. 294:1068-1074.
4. Brener ND, Hassan SS, Barrios LC (1999) Suicidal ideation among college students in the United States. J Consult Clin Psychol. 67:1004-1008.
5. Center C, Davis M, Detre T, Ford DE, Hansbrough W, Hendin H, Laszlo J, Litts DA, Mann J, Mansky PA, Michels R, Miles SH, Proujansky R, Reynolds CF (2003) Confronting depression and suicide in physicians: A consensus statement. JAMA. 289:3161-3166.
6. Centers for Disease Control and Prevention (2004) Self-reported frequent mental distress among adults - United States, 1993-2001. Morb Mortal Wkly Rep. 53:963-966.
7. Centers for Disease Control and Prevention (2005) Health-related quality of life surveillance - United States, 1993-2002. Morb Mortal Wkly Rep. 54:1-35.
8. Centers for Disease Control and Prevention (2008) National Center for Injury Prevention and Control: WISQARS Injury Mortality Reports, 1999-2005. Available at: http://webappa.cdc.gov/sasweb/ncipc/mortrate10-sy.html. Accessed 17 November, 2008.
9. Chew-Graham CA, Rogers A, Yassin N (2003) 'I wouldn't want it on my CV or their records': Medical students' experiences of help-seeking for mental health problems. Med Educ. 37:873-880.
10. Clark DC, Salazar-Grueso E, Grabler P, Fawcett J (1984) Predictors of depression during the first 6 months on internship. Am J Psychiatry. 141:1095-1098.
11. Compton MT, Frank E, Elon L, Carrera J (2008) Changes in U.S. medical students' specialty interests over the course of medical school. J Gen Intern Med. 23:1095-1100.
12. Crosby AE, Cheltenham MP, Sacks JJ (1999) Incidence of suicidal ideation and behavior in the United States, 1994. Suicide Life Threat Behav. 29:131-140.
13. Dillman DA (1978) Mail and Telephone Surveys: The Total Design Method. New York, NY: Wiley.
14. Firth-Cozens J (2001) Medical student stress. Med Educ. 35:6-7.
15. Frank E, Carrera JS, Elon L, Hertzberg VS (2006) Basic demographics, health practices and health status of U.S. medical students. Am J Prev Med. 31:499-505.
16. Frank E, Carrera JS, Elon L, Hertzberg VS (2007) Predictors of US medical students' prevention counseling practices. Prev Med. 44:76-81.
17. Frank E, Dingle AD (1999) Self-reported depression and suicide attempts among US women physicians. Am J Psychiatry. 156:1887-1894.
18. Givens JL, Tjia J (2002) Depressed medical students' use of mental health services and barriers to use. Acad Med. 77:918-921.
19. Godenick MT, Musham C, Palesch Y, Hainer BL, Michels PJ (1995) Physical and psychological health of family practice residents. Fam Med. 27:646-651.
20. Hainer BL, Palesch Y (1998) Symptoms of depression in residents: A South Carolina Family Practice Research Consortium Study. Acad Med. 73: 1305-1310.
21. Hays LR, Cheever T, Patel P (1996) Medical student suicide, 1989-1994. Am J Psychiatry. 153:553-555.
22. Hendrie HC, Clair DK, Brittain HM, Fadul PE (1990) A study of anxiety/depressive symptoms of medical students, housestaff and their spouses/partners. J Nerv Ment Dis. 178:204-207.
23. Kalaça S, Sarikaya Ö , Keklik D, Gülpínar MA (2003) What do we know about the anxieties of new clinical students? Med Educ. 37:390.
24. Kessler RC, Berglund P, Borges G, Nock M, Wang PS (2005) Trends in suicide ideation, plans, gestures and attempts in the United States, 1990-1992 to 2001-2003. JAMA. 293:2487-2495.
25. Kirsling RA, Kochar MS, Chan CH (1989) An evaluation of mood states among first year residents. Psychol Rep. 65:355-366.
26. Kisch J, Leino EV, Silverman MM (2005) Aspects of suicidal behavior, depression and treatment in college students: Results from the spring 2000 National College Health Assessment Survey. Suicide Life Threat Behav. 35:3-13.
27. Lindeman S, Laara E, Hakko H, Lonnqvist J (1996) A systematic review on gender-specific suicide mortality in medical doctors. Br J Psychiatry. 168:274-279.
28. Meehan PJ, Lamb JA, Saltzman LE, O'Carroll PW (1992) Attempted suicide among young adults: Progress toward a meaningful estimate of prevalence. Am J Psychiatry. 149:41-44.
29. Moscicki EK, O'Carroll PW, Rae DS, Locke BZ, Roy AG (1989) Suicidal ideation and attempts: The Epidemiologic Catchment Area study. In: Report of the Secretary's Task Force on Youth Suicide, Vol 4. Strategies for the Prevention of Youth Suicide. Washington, DC: US Government Printing Office. DHHS Publication 87-1624.
30. Paykel ES, Myers JK, Lindenthal JJ, Tanner J (1974) Suicidal feelings in the general population: A prevalence study. Br J Psychiatry. 124:460-469.
31. Roberts LW, Warner TD, Carter D, Frank E, Ganzini L, Lyketsos C (2000) Caring for medical students as patients: Health concerns, access to services and care-seeking practices of 1027 students at nine medical schools. Acad Med. 75:272-277.
32. Roberts LW, Warner TD, Lykestos C, Frank E, Ganzini L, Carter D (2001) Perceptions of academic vulnerability associated with personal illness: A study of 1027 medical students at nine medical schools. Compr Psychiatry. 42:1-15.
33. Rosal MC, Ockene IS, Ockene JK, Barrett SV, Ma Y, Herbert JR (1997) A longitudinal study of students' depression at one medical school. Acad Med. 72:542-546.
34. Rosenthal JM, Okie S (2005) White coat, mood indigo - Depression in medical school. New Engl J Med. 353:1085-1088.
35. Rosenzweig S, Reibel DK, Greeson JM, Brainard GC, Hojat M (2003) Mindfulness-based stress reduction lowers psychological distress in medical students. Teaching Learning Med. 15:88-92.
36. Shapiro SL, Schwartz GE, Bonner G (1998) Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med. 21:581-599.
37. Shapiro SL, Shapiro DE, Schwartz GE (2000) Stress management in medical education: A review of the literature. Acad Med. 75:748-759.
38. Stewart AL, Ware JE (Eds) (1992) Measuring Functioning and Well-being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press.
39. Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM (1999) A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ. 33:243-250.
40. Tjia J, Givens JL, Shea JA (2005) Factors associated with undertreatment of medical student depression. J Am Coll Health. 53:219-224.
41. Tyssen R, Vaglum P, Grønvold NT, Ekeberg Ø (2001) Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. J Affect Disord. 64:69-79.
42. Weissman MM, Bland RC, Canino GJ, Greenwald S, Hwu HG, Joyce PR, Karam EG, Lee CK, Lellouch J, Lepine JP, Newman SC, Rubio-Stipec M, Wells JE, Wickramaratne PJ, Wittchen HU, Yeh EK (1999) Prevalence of suicide ideation and suicide attempts in nine countries. Psychol Med. 29:9-17.
43. Welch SS (2001) A review of the literature on the epidemiology of parasuicide in the general population. Psychiatr Serv. 52:368-375.
44. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO (1983) Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 17:37-49.