Depression among medical students |
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| Authors: | M Zoccolillo G E Murphy R D Wetzel |
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| Affiliation: | 1. Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh;2. Maternal and Child Health Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), 68, Shahid Tajuddin Sarani, Mohakhali, Dhaka 1212, Bangladesh;3. Research Assistant, Department of Psychological Sciences, University of Liverpool, United Kingdom;4. Department of English, University of Dhaka, Dhaka 1000, Bangladesh |
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| Abstract: | 304 first- and second-year medical students were prospectively assessed for depression with a monthly Beck Depression Inventory (BDI). Students scoring above nine on the BDI and a control group were then interviewed with the NIMH Diagnostic Interview Schedule. The incidence of major depression or probable major depression by DSM-III criteria during the first two years of medical school was 12%. The lifetime prevalence was 15%, three times greater than the rate in the general population. An episode of depression prior to medical school was much more common among the depressed students (69 vs. 8%, P less than 0.001) as was a family history of treated depression (46 vs. 21%, P less than 0.025). The elevated rate of depression during medical school does not appear to be a result of the medical school experience alone. Rather, it suggests a positive bias of unknown nature in the selection of students predisposed to depression. |
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