Stress and Depression Among Medical Students - A Cross Sectional Study - Dahlin - 2005 - Medical Education - Wiley Online Library

10/26/2019 Stress and depression among medical students: a cross‐sectional study - Dahlin - 2005 - Medical Education - Wiley Online
Wiley Online Library
Medical Education / Volume 39, Issue 6
Stress and depression among medical students: a cross‐sectional study
Marie Dahlin , Nils Joneborg , Bo Runeson
First published: 17 May 2005

https://doi.org/10.1111/j.1365-2929.2005.02176.x
Cited by: 309
 Marie Dahlin, Department of Clinical Neuroscience, Section Psychiatry St Göran, S‐112 81 Stockholm,
Sweden.
Tel: 00 46 8 672 24 83; Fax: 00 46 8 672 19 08; E‐mail: marie.dahlin@sll.se
Abstract
Objective To assess the exposure to di erent stressors and the prevalence of depression
among medical students at di erent levels of education, taking gender di erences into
account.
Design Students were asked to complete a new stress inventory called the Higher Education
Stress Inventory (HESI), the Major Depression Inventory (MDI), slightly modi ed, and
questions on suicidal ideation developed by Meehan.
Setting The study was carried out at the Karolinska Institute Medical University, Stockholm,
Sweden. Matched controls from the general population were used.
Participants All registered students in Years 1, 3 and 6 were enrolled in the study (n =
342). The response rate was 90.4%.
Results Year 1 students gave high ratings to the workload and lack of feedback stressors.
Year 3 students gave high ratings to ‘Worries about future endurance/competence’ and
‘Pedagogical shortcomings’. In Year 6, both the latter factors were rated highly, but Year 6
students also gave higher ratings than the 2 other groups to ‘Non‐supportive climate’. In all
3 cohorts students complained of lack of feedback. Female students gave higher ratings
than males to 4 out of 7 factors. Several stress factors were identi ed as being associated
with depression. The prevalence of depressive symptoms among students was 12.9%,
signi cantly higher than in the general population, and was 16.1% among female students
versus 8.1% among males. A total of 2.7% of students had made suicide attempts, but none
during the previous year.
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2929.2005.02176.x 1/39
10/26/2019 Stress and depression among medical students: a cross‐sectional study - Dahlin - 2005 - Medical Education - Wiley Online Library
Conclusion Year 1 students indicated experiencing the highest degree of pressure from
studies. A gender di erence regarding stress levels was also seen, where women reported
higher levels of stress than men. Medical students had higher depression rates than the
general population, and women students had higher rates than men.
Citing Literature 
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10/26/2019 Stress and depression among medical students: a cross‐sectional study - Dahlin - 2005 - Medical Education - Wiley Online

Wiley Online Library

Medical Education / Volume 39, Issue 6

Stress and depression among medical students: a cross‐sectional study

Marie Dahlin , Nils Joneborg , Bo Runeson

First published: 17 May 2005

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