Vol 44 # 2 June 2012 - Kma.org.kw

More documents

Recommendations

Info

105 Is Medical Education Really Stressful? A Prospective Study in Selcuk University, Turkey June 2012 the magnitude and periodicity of the distress of medical students is still unclear and only a small number of prospective studies have been done [10,19] . Prospective studies to determine the sources of medical students’ stress and the association of psychological morbidity with demographic variables are needed [14,17] . Therefore, this three-year prospective study was designed to achieve the following aims: (1) to define the incidence of anxiety and depression among new entrant medical students prior to full effect of medical education (2) to describe the probable factors contributing to their anxiety and depression (3) to analyze the changes in anxiety and depression levels during their three-year medical training. SUBJECTS AND METHODS Medical education in Selcuk University Meram Faculty of Medicine is divided into preclinical (1 st , 2 nd and 3 rd years), clinical (4 th and 5 th years), and internship (6 th year) periods. The selected participants of this prospective study were 164 new entrant medical students in 2007. These students were evaluated after a four-month period in 2008 (A1) and results of that study with the comparison of second year students were published in another journal [14] . For this study, students were re-evaluated in one year periods in 2009 (A2) and in 2010 (A3) via a redesigned questionnaire. This paper presents the data of the first (A1), second (A2) and third (A3) assessments. In summary, medical students’ anxiety and depression levels were followed from the first year to the end of preclinical years between 2008 and 2010. This survey was carried out by avoiding the stressful times of exams and transition problems of new academic year beginning. Every student was briefed about the aim of the study and verbal consent was taken. The students were also assured about anonymity and confidentiality of their responses given in the questionnaire. The questionnaires were distributed during a lecture and completed questionnaires were collected at the end of the same lecture. The local ethics committee approved the study. Questionnaire form Data was obtained through a questionnaire consisting of three parts: 1. Questions concerning socio-demographic data; gender, hometown, family income etc 2. A. Questions concerning education-related details; reasons for selecting a career in medicine, expectations from medical career, being pleased with the career selection, idea of abandon etc. B. Questions about recent life events; experience of an important problem in the past six months, suicidal idea, if any, and the time and reasons of the suicidal idea and predilections Table 1: The main characteristics of students who participated in the study Characteristics Gender Man Woman Hometown Rural Urban Family income 0-1000 TL 1001 TL and over Information about medical education Yes No Information about working conditions Yes No The reasons for medical career Occupation guarantee External influences Individual reasons Other factors Expectations from medical career Esteem/prestige Better economic conditions Occupational satisfaction Other 2007-2008 2008-2009 2009-2010 N (%) N (%) N (%) 70 69 18 121 65 74 82 57 72 67 59 15 61 4 99 16 24 0 50.4 49.6 12.9 87.1 46.8 53.2 59.0 41.0 51.8 48.2 42.2 10.8 43.9 2.9 71.2 11.5 17.3 0.0 45 53 13 85 34 64 63 35 61 37 55 9 31 3 52 20 20 6 45.9 54.1 13.3 86.7 34.7 65.3 64.3 35.7 62.2 37.8 56.1 9.2 31.6 3.1 53.1 20.4 20.4 6.1 45 56 8 93 26 75 72 29 64 37 55 10 32 4 63 13 18 7 44.6 55.4 7.9 92.1 25.7 74.3 71.3 28.7 63.4 36.6 54.5 9.9 31.7 4.0 62.4 12.9 17.8 6.9 p-value 0.67 0.39 0.00 0.16 0.14 0.34 0.00 Total 139 100.0 98 100.0 101 100.0
June 2012 KUWAIT MEDICAL JOURNAL 106 Table 2: Anxiety levels of students according to different variables in three year Variables Gender Man Woman Hometown Rural Urban Family income 0-1000 TL 1001 TL and over Information about medical education Yes No Information about working conditions Yes No The reasons for medical career Occupation guarantee External influences Individual reasons Other factors Expectations from medical career Esteem/prestige Better economic conditions Occupational satisfaction Others Mean Anxiety Scores 2007 - 2008 p* 2008 - 2009 p* 2009 - 2010 p** 0.67 0.90 0.32 7.48 ± 3.13 8.53 ± 4.42 7.82 ± 4.45 7.26 ± 3.22 8.43 ± 4.16 7.00 ± 3.88 7.88 ± 3.51 7.29 ± 3.12 8.13 ± 2.97 6.70 ± 3.19 7.43 ± 3.17 7.28 ± 3.19 7.09 ± 3.18 7.67 ± 3.14 7.40 ± 3.17 7.86 ± 3.27 7.42 ± 3.15 4.25 ± 1.89 7.25 ± 2.98 8.81 ± 3.95 6.91 ± 3.21 0.46 0.00 0.77 0.28 0.23 0.13 11.38 ± 3.42 8.03 ± 4.22 8.79 ± 4.26 8.31 ± 4.28 7.96 ± 4.02 9.40 ± 4.57 7.54 ± 3.77 10.02 ± 4.61 9.20 ± 4.36 7.88 ± 3.05 7.41 ± 4.38 8.00 ± 2.64 8.90 ± 4.12 8.45 ± 4.96 7.40 ± 3.74 8.50 ± 5.08 0.00 0.59 0.11 0.00 0.29 0.62 7.75 ± 4.71 7.33 ± 4.12 7.84 ± 4.27 7.20 ± 4.11 6.68 ± 3.77 9.06 ± 4.58 6.35 ± 3.53 9.10 ± 4.57 7.70 ± 4.28 6.10 ± 4.72 7.25 ± 3.63 6.75 ± 5.56 7.12 ± 4.12 7.15 ± 3.86 7.94 ± 3.76 8.42 ± 6.10 0.78 0.49 0.00 0.00 0.70 0.79 Groupwise mean scores 7.35 ± 3.17 8.47 ± 4.26 7.36 ± 4.14 0.05 p* p-value according to one-way ANOVA test P** p-value according to student-t test Table 3: Depression levels of students according to different variables in three year Variables Gender Man Woman Hometown Rural Urban Family income 0-1000 TL 1001 TL and over Information about medical education Yes No Information about working conditions Yes No The reasons for medical career Occupation guarantee External influences Individual reasons Other factors Expectations from medical career Esteem/prestige Better economic conditions Occupational satisfaction Others Mean Depression Scores 2007 - 2008 p* 2008 - 2009 p* 2009 - 2010 p** 0.02 0.00 0.00 5.65 ± 3.64 7.95 ± 4.29 6.68 ± 3.93 4.40 ± 2.93 5.56 ± 3.66 4.76 ± 3.12 6.55 ± 3.34 4.80 ± 3.31 6.12 ± 3.43 4.08 ± 3.00 4.76 ± 2.88 5.42 ± 3.94 4.31 ± 3.06 5.80 ± 3.51 5.10 ± 3.72 6.26 ± 3.65 4.68 ± 2.91 4.75 ± 2.98 4.53 ± 2.81 8.62 ± 4.81 4.70 ± 2.94 0.03 0.00 0.26 0.00 0.44 0.00 9.23 ± 5.01 6.27 ± 3.84 8.00 ± 4.43 5.95 ± 3.78 6.22 ± 3.79 7.45 ± 4.60 5.95 ± 3.87 7.83 ± 4.28 7.27 ± 4.41 8.77 ± 4.81 5.03 ± 2.71 6.00 ±4.58 6.40 ± 4.18 7.75 ± 4.52 6.40 ± 3.81 6.16 ± 3.31 0.01 0.01 0.15 0.02 0.03 0.62 5.50 ± 3.58 5.63 ± 3.64 5.80± 3.95 5.56 ± 3.52 5.23 ± 3.64 6.58 ± 3.43 5.17 ± 3.80 6.40 ± 3.17 6.07 ± 3.94 4.40 ± 3.50 5.09 ± 2.97 6.75 ± 3.94 5.22 ± 3.84 5.92 ± 3.30 6.05 ± 2.77 7.57 ± 3.86 0.92 0.76 0.09 0.09 0.38 0.37 Groupwise mean scores 5.03 ± 3.36 6.66 ± 4.11 5.62 ± 3.62 0.00 p* = p-value according to one-way ANOVA test P** = p-value according to student-t test
Page 1 and 2: VOLUME 44 NUMBER 2 KMJ KUWAIT MEDIC
Page 3 and 4: Kuwait Medical Journal (KMJ) Publis
Page 5 and 6: Instructions for Authors (if applic
Page 7 and 8: June 2012 KUWAIT MEDICAL JOURNAL 90
Page 15 and 16: June 2012 In many subjects with poo
Page 21: June 2012 KUWAIT MEDICAL JOURNAL 10
Page 27 and 28: June 2012 students experience lower
Page 59 and 60: June 2012 Timely diagnosis and drai
Page 73 and 74:
June 2012 KUWAIT MEDICAL JOURNAL 15
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
show all

Vol 44 # 2 June 2012 - Kma.org.kw

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?