The prevalence of final year medical students with depressive symptoms and its contributing factors

International Medical Journal

Volumn 18, Issue 4, 2011, Pages 305-309

  Yusoff, Muhamad Saiful Bahri ^a   Rahim, Ahmad Fuad Abdul ^a   Yaacob, Mohd Jamil ^b  

^a Medical Education Department   (Malaysia)

^b SCHOOL OF MEDICAL SCIENCES   (Malaysia)

Author keywords

BDI; Depression; Medical students; Medicine; Mental health

Indexed keywords

DEPRESSION; FEMALE; HEALTH STATUS; HIGH RISK POPULATION; HUMAN; MAJOR CLINICAL STUDY; MALAYSIA; MALE; MEDICAL SCHOOL; MEDICAL STUDENT; PREVALENCE; REVIEW; RISK FACTOR;

EID: 83655165007     PISSN: 13412051     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (35)

1. World Health Organization (WHO). WHO definition of health. Retrieved on 28 August 2010 from
2. World Health Organization (WHO). Investing in mental health. Geneva: WHO, 2003.
3. World Health Organization (WHO). Mental health: depression. Retrieved on 28 August 2010 from
4. Yusoff MSB, Rahim AFA, Yaacob MJ. Prevalence and sources of stress among Universiti Sains Malaysia medical students. Malays J Med Sci 2010; 17 (1).
5. Shapiro SL, Shapiro DE, Schwartz GE. Stress management in medical education: a review of the literature. Acad Med 2000; 75(7): 748-759. (Pubitemid 30619370)
6. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006; 81: 354-373. (Pubitemid 44274777)
7. Sherina MS, Kaneson N. The prevalence of depression among medical students. Malays J Psychiatry 2003; 11(1): 12-17.
8. Rosal MC, Ockene IS, Ockene JK, Barrett SV, Ma Y, Hebert JR. A longitudinal study of students' depression at one medical school. Acad Med 1997; 72(6): 542-546. (Pubitemid 27263850)
9. Clark EJ, Rieker PP. Gender differences in relationships and stress of medical and law students. J Med Educ 1986; 61(1): 32-40. (Pubitemid 16148478)
10. Niemi PM, Vainiomaki PT. Medical students' distress: quality, continuity and gender differences during a six-year medical programme. Med Teach 2006; 28(2): 136-141. (Pubitemid 43771962)
11. Linn BS, Zeppa R. Stress in junior medical students: relationship to personality and performance. J Med Educ 1984; 59(1): 7-12. (Pubitemid 14219050)
12. Hays LR, Cheever T, Patel P. Medical student suicide, 1989-1994. Am J Psychiatry 1996; 153(4): 553-555. (Pubitemid 26113321)
13. Flaherty JA, Richman JA. Substance use and addiction among medical students, residents, and physicians. Psychiatric Clin North Am 1993; 16(1): 189-197. (Pubitemid 23108261)
14. Pickard M, Bates L, Dorian M, Greig H, Saint D. Alcohol and drug use in second-year medical students at the University of Leeds. Med Educ 2000; 34(2): 148-150. (Pubitemid 30069436)
15. Swami V, Chamorro-Premuzic T, Sinniah D, Maniam T, Kannan K, Stanistreet D, et al. General health mediates the relationship between loneliness, life satisfaction and depression: a study with Malaysian medical students. Soc Psychiatry Epidemiology 2007; 42: 161-166. (Pubitemid 46647118)
16. Barman A. Sample size. Power and precision calculator (SPPC). Malaysia: Arunodaya Barman, 2009.
17. McDowell, I. Measuring health: a guide to rating scales and questionnaires, 3rd ed. New York: Oxford University Press, 2006.
18. Jackson C. The General Health Questionnaire. Occup Med 2007; 57: 59.
19. Goldberg D. Manual of the General Health Questionnaire. NFER Publishing Company, 1978.
20. Goldberg D, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C. The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 1997; 27(1): 191-197. (Pubitemid 27042731)
21. Yusoff MSB, Rahim AFA, Yaacob MJ. The sensitivity, specificity and reliability of the Malay version 12-items General Health Questionnaire (GHQ-12) in detecting distressed medical students, ASEAN J Psychiatry, 2010; 11 (1). Available online at
22. Yusoff MSB. The validity of two Malay versions of the General Health Questionnaire (GHQ) in detecting distressed medical students, ASEAN J Psychiatry 2010; 11(2). Available online at
23. Wan Mohd Rushidi WM, Amir A, Iran H, Mahmood Nazaar M. Analysis of the psychometric properties of the Malay version of Beck Depression Inventory-II (BDI-II) among postpartum women in Kedah, north west of peninsular Malaysia. Med J Med Sci 2004; 11(2): 19-25.
24. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561-571.
25. Beck AT, Steer RA, Brown BK. Psychometric properties of beck depression inventory: twenty five years of evaluation. Clin Psychol Rev 1988; 8: 77-100. (Pubitemid 18045797)
26. McDowell I. Measuring health: A guide to rating scales and questionnaires. 3rd ed. New York: Oxford University Press, 2006.
27. World Health Survey, Country report for Malaysia: mental health condition, Vol I-V. Institute for Health Systems Research, 2002.
28. Yusoff MSB. Stress, stressors & coping strategies among secondary school students in a Malaysian government secondary school: initial findings, ASEAN J Psychiatry July - Dec 2010; 11(2). Available online at
29. Yusoff MSB. Personal & professional development programme for postgraduate volume 1: exploring & managing stress. Malaysia: Pustaka Aman Press, 2009.
30. Downie RS, Charlton B. The making of doctor: medical education in theory and practice. Oxford: Oxford University Press, 1992.
31. Aktekin M, Karaman T, Senol YY, Erdem S, Erengin H, Akaydin M. Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey. Med Educ 2001; 35(1): 12-7. (Pubitemid 32055610)
32. Firth J. Levels and sources of stress in medical students. Br Med J (Clin Res Ed.) 1986; 292(6529): 1177-80. (Pubitemid 16104648)
33. Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med 1998; 91(5): 237-43. (Pubitemid 28258535)
34. Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B. Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ 1995; 29(5): 337-41. (Pubitemid 26010871)
35. Miller PM, Surtees PG. Psychological symptoms and their course in first-year medical students as assessed by the Interval General Health Questionnaire (I-GHQ). Br J Psychiatry 1991; 159: 199-207.