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Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart
OBJECTIVE: To investigate any changes in mental distress levels over 20 years among medical students, as well as the clinical importance of these changes. DESIGN: Two cross-sectional surveys 20 years apart. SETTING: The surveys were performed at two Norwegian medical faculties in 1993 and 2015. PART...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430411/ https://www.ncbi.nlm.nih.gov/pubmed/32801199 http://dx.doi.org/10.1136/bmjopen-2020-036968 |
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author | Ruud, Nora Løvseth, Lise Tevik Isaksson Ro, Karin Tyssen, Reidar |
author_facet | Ruud, Nora Løvseth, Lise Tevik Isaksson Ro, Karin Tyssen, Reidar |
author_sort | Ruud, Nora |
collection | PubMed |
description | OBJECTIVE: To investigate any changes in mental distress levels over 20 years among medical students, as well as the clinical importance of these changes. DESIGN: Two cross-sectional surveys 20 years apart. SETTING: The surveys were performed at two Norwegian medical faculties in 1993 and 2015. PARTICIPANTS: One hundred and seventy-four first-year medical students in 1993 were compared with 169 students in 2015. MAIN OUTCOME MEASURES: Mental distress (Hopkins Symptom Checklist 5) and Mental Health Problems in Need of Treatment. RESULTS: Mental distress increased from 1993 to 2015 (p<0.001) due to a larger increase among female students, which seemed to be of clinical importance (Cohen’s d=0.63). There was a significant gender difference in mental distress in 2015 (p=0.007), but not in 1993. Independent factors associated with mental distress in 2015 were female sex (p<0.001), low perceived social support from parents (p=0.023) and low perceived social support from other friends (p=0.048). Additional analyses showed that social support from friends was more important for female students than for their male peers. From 1993 to 2015, there was no significant increase in the proportion of female students reporting previous mental health problems in need of treatment (21.3% vs 27.8%), but we found a significant increase in help-seeking among those in need of treatment over these years from 30.0% (6/20) to 74.3% (26/35; p=0.003). CONCLUSIONS: We found a significant increase in mental distress among female medical students over the past 20 years, but also a promising increase in help-seeking among those in need of treatment. The strong and important association between low social support and mental distress should urge both universities and students to maintain students’ social life after entering medical school. |
format | Online Article Text |
id | pubmed-7430411 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-74304112020-08-24 Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart Ruud, Nora Løvseth, Lise Tevik Isaksson Ro, Karin Tyssen, Reidar BMJ Open Medical Education and Training OBJECTIVE: To investigate any changes in mental distress levels over 20 years among medical students, as well as the clinical importance of these changes. DESIGN: Two cross-sectional surveys 20 years apart. SETTING: The surveys were performed at two Norwegian medical faculties in 1993 and 2015. PARTICIPANTS: One hundred and seventy-four first-year medical students in 1993 were compared with 169 students in 2015. MAIN OUTCOME MEASURES: Mental distress (Hopkins Symptom Checklist 5) and Mental Health Problems in Need of Treatment. RESULTS: Mental distress increased from 1993 to 2015 (p<0.001) due to a larger increase among female students, which seemed to be of clinical importance (Cohen’s d=0.63). There was a significant gender difference in mental distress in 2015 (p=0.007), but not in 1993. Independent factors associated with mental distress in 2015 were female sex (p<0.001), low perceived social support from parents (p=0.023) and low perceived social support from other friends (p=0.048). Additional analyses showed that social support from friends was more important for female students than for their male peers. From 1993 to 2015, there was no significant increase in the proportion of female students reporting previous mental health problems in need of treatment (21.3% vs 27.8%), but we found a significant increase in help-seeking among those in need of treatment over these years from 30.0% (6/20) to 74.3% (26/35; p=0.003). CONCLUSIONS: We found a significant increase in mental distress among female medical students over the past 20 years, but also a promising increase in help-seeking among those in need of treatment. The strong and important association between low social support and mental distress should urge both universities and students to maintain students’ social life after entering medical school. BMJ Publishing Group 2020-08-16 /pmc/articles/PMC7430411/ /pubmed/32801199 http://dx.doi.org/10.1136/bmjopen-2020-036968 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Medical Education and Training Ruud, Nora Løvseth, Lise Tevik Isaksson Ro, Karin Tyssen, Reidar Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title | Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title_full | Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title_fullStr | Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title_full_unstemmed | Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title_short | Comparing mental distress and help-seeking among first-year medical students in Norway: results of two cross-sectional surveys 20 years apart |
title_sort | comparing mental distress and help-seeking among first-year medical students in norway: results of two cross-sectional surveys 20 years apart |
topic | Medical Education and Training |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7430411/ https://www.ncbi.nlm.nih.gov/pubmed/32801199 http://dx.doi.org/10.1136/bmjopen-2020-036968 |
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