Depressive Symptoms Among Medical Students

Study Overview
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Brief Summary
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Depression is a common mental disorder, people with depression feel sadness anxious, loss of interest or pleasure, hopeless, helpless, worthless feelings of guilt and poor concentration. It can impair person's ability to function at work or school, or cope with daily life. It can lead to suicide.

Detailed Description
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Depressive symptoms are higher among women and its prevalence among university students was reported to be higher than the general population .There are various risk factors of depressive symptoms among university students, lower socioeconomic status, poor academic performance, overweight, life stressors, family history of psychiatric disorders, sleeping problems, and exposure to patients' suffering. Several studies were conducted among medical students in different Egyptian Universities to detect prevalence of depressive symptoms which were 42.9% in Al-Azhar Uni-versity, Cairo, 60.8% in Fayoum University, 59.2% in Mansoura University and 57.9% in Alexandria University. A sense of control means having a feeling of autonomy, of choosing how you spend your time, of doing your own work in your own way, which is a key component of happiness. Depressive symptoms more common in those who feel there is little they can do to change important things in their lives. Medical education is considered stressful. Medical students have psychological and academic stressors during their revolution from insecure students to young knowledgeable physicians, which were determined to be associated with depressive symptoms and decrease the quality of life and academic achievements.

Official Title
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Prevalence and Correlates of Depressive Symptoms Among Assiut University Medical Students

Conditions
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Depressive Symptoms

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All Egyptian medical students at faculty of Medicine, Assiut University in the academic year 2018-2019 Exclusion Criteria: Non-Egyptian medical students

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| medical students<br>All students from the chosen classes in each study year will be invited to complete self-administered questionnaire | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| prevalence of depressive symptoms among medical students by patient health questionnaire-9 | it is a scale used to diagnose major depressive disorder or other depressive disorder, each question in the scale take score from 0 to 3 summation of these scores detect degree of severity which is (1-4) minimal depression, (5-9) mild depression, (10-14) moderate depression, (15-19) moderately severe depression and (20-27) severe depression. It includes questions about: Lack of interest, depressed mood, sleeping difficulties, tiredness, appetite problems, negative feelings about self, concentration problems, psychomotor agitation/retardation and Suicidal ideation | one year | 
| social class of the student by family affluence sale III (FAS-III) | FAS consists of 6 items. The responses to the items are given as specific values and calculated as an aggregated FAS index ranging from 0 to 13. The more index of FAS-III the higher is social class of the student. It consists of questions about: motor vehicle, bedroom, computers, bathrooms, dishwasher and holidays. | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sense of control by MIDI scale | A sense of control means having a feeling of autonomy, of choosing how you spend your time, of doing your own work in your own way, which is a key component of happiness. Depressive symptoms more common in those who feel there is little they can do to change important things in their lives. This scale is a self-report measure of sense of control of 12 items. It measures sense of control in 2 categories: Perceived Constraints and Personal Mastery. The scores of 12 items will be averaged to create a composite measure. Higher scores indicated higher sense of control. | one year |