IJPR.2020.145

Type of Article:  Original Research

Volume 8; Issue 4 (August 2020)

Page No.: 3537-3546

DOI: https://dx.doi.org/10.16965/ijpr.2020.145

GENDER DIFFERENCES IN SCORES OF ANXIETY AND DEPRESSION AMONG PHYSICAL THERAPY STUDENTS OF SAUDI ARABIA: A CROSS-SECTIONAL STUDY

Fahad Saad Algarni.

Department of Health Rehabilitation Sciences, King Saud University, Riyadh, Saudi Arabia.

Corresponding author: Dr. Fahad Saad Algarni. BSc., PT., SMT., COMT., MSc., PhD; Assistant Professor, Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia, Tel: 0114693609 E-Mail: falgarni@ksu.edu.sa

ABSTRACT

Purpose: The current study aimed to determine the prevalence of depression and anxiety disorders among physical therapy students and to identify any gender differences. 

Methods: This study used a cross-sectional approach to investigate physical therapy students and collected data via the Beck Depression Inventory and Beck Anxiety Inventory as well as demographic and social information. Data collection occurred during the middle of the 2016/17 academic year, beginning in the second week of the academic term, and finishing in the fifth week. Data analysis was performed using descriptive statistics and chi-square tests.

Results: Among the 215 students included in this study, the prevalence of anxiety and depression was 33% and 34% respectively. In addition, gender differences showed that female students were more likely to experience severe and moderate anxiety levels compared to male students.

Conclusions: Physical therapy students reported alarming levels of anxiety and depression. Gender differences also existed with regard to anxiety and other factors. The presence of mental health concerns potentially compromises the academic achievement and quality of life for students. Urgent intervention is required to avoid or at least reduce such high levels of anxiety and depression among university students.

Key words: Depression, Anxiety, Physical Therapy, Students, Health Education.

REFERENCES

  1. Papazisis G, Vlasiadis I, Papanikolaou N et al. Depression and anxiety among nursing students in Greece. Annals of General Psychiatry 2008; 7: S209. https://doi.org/10.1186/1744-859X-7-S1-S209
  2. Hojat M, Lyons K. Psychosocial characteristics of female students in the allied health and medical colleges: Psychometrics of the measures and personality profiles. Advances in Health Sciences Education 1998; 3: 119-132. https://doi.org/10.1023/A:1009733623166
    PMid:12386448
  3. Ibrahim AK, Kelly SJ, Adams CE et al. A systematic review of studies of depression prevalence in university students. Journal of psychiatric research 2013; 47: 391-400.
    https://doi.org/10.1016/j.jpsychires.2012.11.015 PMid:23260171
  4. Aboalshamat K, Hou X-Y, Strodl E. Psychological well-being status among medical and dental students in Makkah, Saudi Arabia: A cross-sectional study. Medical teacher 2015; 37: S75-S81. https://doi.org/10.3109/0142159X.2015.1006612 PMid:25649101
  5. Koçyiğit F, Torun ED, Aslan ÜB. Anxiety, Depression, Physical Activity and Quality of Life in Student Physical Therapists: A Cross-sectional Study. American Journal of Educational Research 2015; 3: 26-29. https://doi.org/10.12691/education-3-10A-4.
  6. Zivin K, Eisenberg D, Gollust SE et al. Persistence of mental health problems and needs in a college student population. Journal of affective disorders 2009; 117: 180-185.
    https://doi.org/10.1016/j.jad.2009.01.001 PMid:19178949
  7. Dahlin ME, Runeson B. Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Medical education 2007; 7: 6. https://doi.org/10.1186/1472-6920-7-6
    PMid:17430583 PMCid:PMC1857695
  8. Eng J. Sample size estimation: how many individuals should be studied? Radiology 2003; 227: 309-313. https://doi.org/10.1148/radiol.2272012051 PMid:12732691
  9. Beck AT, Epstein N, Brown G et al. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology 1988; 56: 893.
    https://doi.org/10.1037/0022-006X.56.6.893 PMid:3204199
  10. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical psychology review 1988; 8: 77-100.
    https://doi.org/10.1016/0272-7358(88)90050-5
  11. Beck AT, Steer RA, Ball R et al. Comparison of Beck Depression Inventories-IA and-II in psychiatric outpatients. Journal of personality assessment 1996; 67: 588-597.
    https://doi.org/10.1207/s15327752jpa6703_13 PMid:8991972
  12. Wang Y-P, Gorenstein C. Psychometric properties of the Beck Depression Inventory-II: a comprehensive review. Brazilian Journal of Psychiatry 2013; 35: 416-431.
    https://doi.org/10.1590/1516-4446-2012-1048 PMid:24402217
  13. Jadue G. Some effects of anxiety on the students’ school performance. Estud pedagóg 2001;111-118.
  14. Regier DA, Farmer M, Rae D et al. One‐month prevalence of mental disorders in the United States and sociodemographic characteristics: the Epidemiologic Catchment Area study. Acta Psychiatrica Scandinavica 1993; 88: 35-47.
    https://doi.org/10.1111/j.1600-0447.1993.tb03411.x PMid:8372694
  15. Nyenhuis DL, Yamamoto C, Luchetta T et al. Adult and geriatric normative data and validation of the profile of mood states. Journal of clinical psychology 1999; 55: 79-86.
    https://doi.org/10.1002/(SICI)1097-4679(199901)55:1<79::AID-JCLP8>3.0.CO;2-7
  16. Mehanna Z, Richa S. Prevalence of anxiety and depressive disorders in medical students. Transversal study in medical students in the Saint-Joseph University of Beirut. L’Encephale 2006; 32: 976-982. https://doi.org/10.1016/S0013-7006(06)76276-5
  17. El-Gilany A-H, Amr M, Hammad S. Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors. Annals of Saudi medicine 2008; 28: 442-448. https://doi.org/10.4103/0256-4947.51666 https://doi.org/10.5144/0256-4947.2008.442 PMid:19011321 PMCid:PMC6074256
  18. Amr M, El Gilany AH, El-Hawary A. Does gender predict medical students’ stress in Mansoura, Egypt? Medical education online 2008; 13: 4481. https://doi.org/10.3402/meo.v13i.4481
  19. Rosenthal JM, Okie S. White coat, mood indigo-depression in medical school. New England journal of medicine 2005; 353: 1085-1088. https://doi.org/10.1056/NEJMp058183 PMid:16162877
  20. Levine RE, Litwins SD, Frye AW. An evaluation of depressed mood in two classes of medical students. Academic Psychiatry 2006; 30: 235-237. https://doi.org/10.1176/appi.ap.30.3.235 PMid:16728770
  21. Rab F, Mamdou R, Nasir S. Rates of depression and anxiety among female medical students in Pakistan. 2008.
  22. Aniebue P, Onyema G. Prevalence of depressive symptoms among Nigerian medical undergraduates. Tropical doctor 2008; 38: 157-158. https://doi.org/10.1258/td.2007.070202 PMid:18628542
  23. AlFaris E, Irfan F, Qureshi R et al. Health professions’ students have an alarming prevalence of depressive symptoms: exploration of the associated factors. BMC medical education 2016; 16: 279. https://doi.org/10.1186/s12909-016-0794-y PMid:27769235 PMCid:PMC5073730
  24. Seweryn M, Tyrała K, Kolarczyk-Haczyk A et al. Evaluation of the level of depression among medical students from Poland, Portugal and Germany. Psychiatr Danub 2015; 27: 216-222.
  25. Steptoe A, Tsuda A, Tanaka Y. Depressive symptoms, socio-economic background, sense of control, and cultural factors in university students from 23 countries. International journal of behavioral medicine 2007; 14: 97-107. https://doi.org/10.1007/BF03004175
    PMid:17926438
  26. AlFaris EA, Naeem N, Irfan F et al. Student centered curricular elements are associated with a healthier educational environment and lower depressive symptoms in medical students. BMC medical education 2014; 14: 192. https://doi.org/10.1186/1472-6920-14-192 PMid:25227417 PMCid:PMC4177056
  27. Abdulghani HM, AlKanhal AA, Mahmoud ES et al. Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia. Journal of health, population, and nutrition 2011; 29: 516. https://doi.org/10.3329/jhpn.v29i5.8906
    PMid:22106758 PMCid:PMC3225114
  28. Helmers KF, Danoff D, Steinert Y et al. Stress and depressed mood in medical students, law students, and graduate students at McGill University. Academic Medicine 1997; 72: 708-714. https://doi.org/10.1097/00001888-199708000-00018 PMid:9282148
  29. WALLACE BE, MASIAK J, PABIS MR. Depression in medical students: reviewing its prevalence, risk factors, consequences, and management in order to provide student treatment recommendations for the Polish medical education system. Polish Journal of Public Health 2013; 123.
  30. Styles W. Stress in undergraduate medical education:’the mask of relaxed brilliance’. The British Journal of General Practice 1993; 43: 46.
  31. Hussain A, Shoukat E, Zafar H. Level and Factors Responsible for Depression among Doctor of Physical Therapy Students in Islamabad. J Riphah Coll of Rehab Sci 2013; 1: 7-12.
  32. Abdulghani HM. Stress and depression among medical students: A cross sectional study at a medical college in Saudi Arabia. Pakistan journal of medical sciences 2008; 24: 12.
  33. Hall RC, Platt DE, Hall RC. Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts: evaluation of suicide risk in a time of managed care. Psychosomatics 1999; 40: 18-27. https://doi.org/10.1016/S0033-3182(99)71267-3
  34. Jacobson NC, Newman MG. Avoidance mediates the relationship between anxiety and depression over a decade later. J Anxiety Disord 2014; 28: 437-445. doi:10.1016/j.janxdis.2014.03.007 https://doi.org/10.1016/j.janxdis.2014.03.007
    PMid:24858656 PMCid:PMC4957550
  35. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic medicine 2006; 81: 354-373. https://doi.org/10.1097/00001888-200604000-00009 PMid:16565188

Cite this article: Fahad Saad Algarni. GENDER DIFFERENCES IN SCORES OF ANXIETY AND DEPRESSION AMONG PHYSICAL THERAPY STUDENTS OF SAUDI ARABIA: A CROSS-SECTIONAL STUDY. Int J Physiother Res 2020;8(4):3537-3546. DOI: 10.16965/ijpr.2020.145