بررسي ميزان شيوع افسردگي در دانشجويان پزشكي دانشگاه علوم پزشكي بلخ افغانستان

Investigation of prevalence of depression among medical students of Balkh University of Medical Sciences, Afghanistan

افسردگي يك بيماري شايع مي باشد و درك عوامل تاثيرگذار بر آن بسيار مهم است. اين مطالعه جهت بررسي ميزان شيوع افسردگي در دانشجويان پزشكي دانشگاه علوم پزشكي بلخ صورت گرفت. مواد و روش ها در اين مطالعه مقطعي، 250 نفر از دانشجويان دانشكده پزشكي به روش نمونه گيري دردسترس انتخاب گرديدند. از ميان شركت كنندگان در اين پژوهش 126 نفر (50/4 درصد) زن، 124 نفر (49/6 درصد) مرد، 175 نفر (70 درصد) مجرد و 75 نفر (30 درصد) متاهل بودند. براي اندازه گيري افسردگي از پرسشنامه استانداردشده بك استفاده شد. نتايج از ميان شركت كنندگاني كه نمره افسردگي در حد بهنجار داشتند، 26/9 درصد (34=n) زن، 35/4 درصد (44=n) مرد، 33/1 درصد (58=n) مجرد و 26/6 درصد (20=n) متاهل بودند. همچنين در ميان افرادي كه نمره افسردگي خفيف داشتند، 34/1 درصد (43=n) زن، 25 درصد (31=n) مرد، 2/26 درصد (46=n) مجرد و 3/37 درصد (28=n) متاهل بودند. نمرات افسردگي متوسط در 30/15 درصد (n=38) زن، 31/4 درصد (39 =n) مرد، 28/5 درصد (50=n) مجرد و 36 درصد (27=n) متاهل مشاهده شد. همچنين تعداد مبتلايان به افسردگي شديد به صورت 7/8 درصد (11=n) زن، 8 درصد (10=n) مرد و 12 درصد (21=n) مجرد گزارش شد و در ميان متاهلان افسردگي شديد مشاهده نشد. همچنين مشخص شد كه بين نمرات افسردگي و وضعيت تاهل رابطه معنادار وجود دارد(0/005=P)؛ متاهلان اما ارتباط بين نمرات افسردگي با جنسيت معنادار نبود (0/351=P). نتيجه گيري با توجه به شيوع بالاي ميزان افسردگي در دانشجويان پزشكي دانشگاه علوم پزشكي بلخ، پيشنهاد مي گردد تا زمينه هاي مشاوره سلامت روان در اولويت برنامه هاي مسوولان ذيربط قرار گيرد.

Depression is a common disease and understanding its influential factors is important. This study aimed to investigate the prevalence of depression among medical students of Balkh University of Medical Science. Materials and Methods: In this cross-sectional study, 250 students of medical school were selected by convenience sampling. Among participants, 126 subjects (50.4%) were women, 124 (49.6%) were men, 175 subject (70%) were single and 75 (30%) were married. Beck standardized questionnaire was used to measure depression. Results: The results showed that among the participants who had a normal depression score 26.9% (n=34) were female, 35.4% (n=44) were male, 33.1% (n=58) were single and 26/6% (20=n) were married. Also, among those with a mild depression score, 34.1% (n=43%) were female, 25% (n=31) were male, 26.2% (n=46) were single, and 37.3% (n=28) were married. Moderate depression scores were observed in 30.15% (n=38) female, 31.4% (n=39) male, 28.5% (n=50) single and 36% (n=27) marred participants. Also, the number of people with severe depression was reported to be 8.7% (n=11) of female, 8% (n=10) male, and 12% (n=21) single participants and there was no severe depression reported among married participants. It was also found that there was a significant relationship between depression scores and marital status (P=0.005), but the relationship between depression scores and gender was not significant (P=0.351). Conclusion: Considering the high prevalence of depression among medical students of Balkh University of Medical Sciences, it is suggested that the areas of mental health counseling should be prioritized by relevant authorities.