Symptoms of Anxiety and Depression in Medical Students and in Humanities Students: Relationship With Big-Five Personality Dimensions and Vulnerability To Stress
Restricted accessResearch articleFirst published online November, 2008
Symptoms of Anxiety and Depression in Medical Students and in Humanities Students: Relationship With Big-Five Personality Dimensions and Vulnerability To Stress
Aims: To evaluate the prevalence of anxiety and depression in medical students and in humanities students. To assess the relationship between symptoms of anxiety, symptoms of depression and Big-Five personality dimensions and vulnerability to stress in medical students.
Methods: Randomly selected 338 medical students and 73 humanities students were evaluated for symptoms of anxiety and depression using the Hospital Anxiety and Depression Scale (HADS), for Big-Five personality dimensions using the Ten-Item Personality Inventory (TIPI), and for vulnerability to stress using the Stress Vulnerability Scale (SVS).
Results: Symptoms of anxiety and symptoms of depression were prevalent in medical students (43% and 14%, respectively) and in humanities students (52% and 12%, respectively). In medical students the score on the HADS anxiety subscale and the score on the HADS depression subscale correlated negatively with the score on the TIPI Emotional Stability scale (r = —0.39, p < 0.01 and r = —0.2, p < 0.01, respectively) and correlated positively with the score on the SVS (r = 0.38, p < 0.01 and r = 0.44, p < 0.01, respectively).
Conclusions: Symptoms of anxiety and depression are prevalent in medical students and in humanities students. Severity of symptoms of anxiety and symptoms of depression in medical students is negatively related to emotional stability and positively related to stress vulnerability.
Akvardar, Y., Demiral, Y., Ergor, G. & Ergor, A. (2004) Substance use among medical students and physicians in a medical school in Turkey. Social Psychiatry Psychiatric Epidemiology, 39, 502-506.
2.
Bienvenu, O.J., Samuels, J.F., Costa, P.T., Reti, I.M., Eaton, W.W. & Nestadt, G. (2004) Anxiety and depressive disorders and the five-factor model of personality: a higher- and lower-order personality trait investigation in a community sample. Depression and Anxiety, 20, 92-97.
3.
Bjelland, I., Dahl, A.A., Haug, T.T. & Neckelmann, D. (2003) The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69-77.
4.
Bunevicius, A., Peceliuniene, J., Mickuviene, N., Valius, L. & Bunevicius, R. (2006) Screening for depression and anxiety disorders in primary care patients. Depression and Anxiety, 24, 455-460.
5.
Bunevicius, R., Peceliuniene, J., Mickuviene, N., Bunevicius, A., Pop, V.J. & Girdler, S.S. (2007) Mood and thyroid immunity assessed by ultrasonographic imaging in a primary health care. Journal of Affective Disorders , 1-3, 85-90.
6.
Center, C., Davis, M., Detre, T., Ford, D.E., Hansbrough, W., Hendin, H., Laszlo, J., Litts, D.A., Mann, J., Mansky, P.A., Michels R., Miles, S.H., Proujansky, R., Reynolds, C.F. III & Silverman, M.M. (2003) Confronting depression and suicide in physicians: a consensus statement. The Journal of the American Medical Association, 289, 3161-3166.
7.
Dyrbye, L.N., Thomas, M.R. & Shanafelt, T.D. (2006) Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic Medicine, 81, 354-373.
8.
Eller, T., Aluoja, A., Vasar, V. & Veldi, M. (2006) Symptoms of anxiety and depression in Estonian medical students with sleep problems. Depression and Anxiety , 23, 250-256.
9.
Fontana, D. & Abouserie, R. (1993) Stress levels, gender and personality factors in teachers. British Journal of Educational Psychology, 63, 261-270.
10.
Givens, J.L. & Tjia, J. (2002) Depressed medical students' use of mental health services and barriers to use. Academic Medicine, 77, 918-921.
11.
Gosling, S.D., Rentfrow, P.J. & Swan Jr, W.B. (2003) A very brief measure of the Big-Five personality domains. Journal of Research in Personality, 37, 504-528.
12.
Holmes, V.F. & Rich, C.L. (1990) Suicide among physicians. In Suicide Over the Life Cycle: Risk Factors, Assessment, and Treatment of Suicidal Patients (eds. S. Blumenthal & D. Kupfer), pp. 599-616. Washington, DC: American Psychiatric Press Inc.
13.
Lievens, F., Coetsier, P., De Fruyt, F. & De Maeseneer, J. (2002) Medical students' personality characteristics and academic performance: a five-factor model perspective . Medical Education, 36, 1050-1056.
14.
Matsudaira, T. & Kitamura, T. (2006) Personality traits as risk factors of depression and anxiety among Japanese students. Journal of Clinical Psychology , 62, 97-109.
15.
Miller, L. & Smith, A.D. (1985) Stress Vulnerability Scale. University of California, Berkeley Wellness Letter.
16.
Rosal, M.C., Ockene, I.S., Ockene, J.K., Barrett, S.V., Ma, Y. & Hebert, J.R. (1997) A longitudinal study of students' depression at one medical school. Academic Medicine, 72, 542-546.
17.
Smith, C.K., Peterson, D.F., Degenhardt, B.F. & Johnson, J.C. (2007) Depression, anxiety, and perceived hassles among entering medical students. Psychology Health and Medicine , 12, 31-39.
18.
Steunenberg, B., Beekman, A.T., Deeg, D.J. & Kerkhof, A.J. (2006) Personality and the onset of depression in late life. Journal of Affective Disorders, 2-3, 243-251.
19.
Tjia J., Givens, J.L. & Shea, J.A. (2005) Factors associated with undertreatment of medical student depression. Journal of American College of Health , 53, 219-224.
20.
Tyssen, R., Hem E., Vaglum, P., Gronvold, N.T. & Ekeberg, O. (2004) The process of suicidal planning among medical doctors: predictors in a longitudinal Norwegian sample. Journal of Affective Disorders, 80, 191-198.
21.
Uehara, T., Sakado, K., Sakado, M., Sato, T. & Someya, T. (1999) Relationship between stress coping and personality in patients with major depressive disorder. Psychotherapy and Psychosomatics, 1, 26-30.
22.
Zigmond, A.S. & Snaith, R.P. (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.
