Assessment of Mental Health in Medical and Dental College Students in Jazan Province to See the Delayed Psychological Impact of COVID-19 Pandemic: An Online Survey
Kulashekar R Nandalur, Amit Porwal, Samaher M Masmali, Noha K Mokli, Hana Y Madkhli, Rishika R Nandalur, Priyanka Porwal, Hafiz Adawi
Citation Information :
Nandalur KR, Porwal A, Masmali SM, Mokli NK, Madkhli HY, Nandalur RR, Porwal P, Adawi H. Assessment of Mental Health in Medical and Dental College Students in Jazan Province to See the Delayed Psychological Impact of COVID-19 Pandemic: An Online Survey. World J Dent 2023; 14 (1):36-40.
Aim: The present study aimed to assess the depression and anxiety among medical and dental students of Jazan University, Jazan, Saudi Arabia, during the COVID-19 pandemic using the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7).
Materials and methods: An online descriptive cross-sectional survey was conducted among 117 students of Jazan University. Depression and anxiety among the students were assessed using the PHQ-9 and GAD-7. Descriptive statistics were calculated. Association between independent variables and questionnaire scores was calculated using the Chi-square test. Statistical significance was considered at a p-value less than 0.05.
Results: Eighty-one students (69.2%) and 72 (61.5%) who participated in the survey were suffering from depression and anxiety, respectively. The medical students had significantly more severe anxiety (p = 0.028) than dental students. No significant association of gender with the presence of depression and anxiety was observed (p > 0.05).
Conclusion: Two-thirds of the participants were suffering from some form of depression or anxiety. Medical students reported higher levels of anxiety than dental students. No association was found between depression and anxiety with gender.
Clinical significance: COVID-19 had an impact on the mental health of the students and proper counseling from time to time should be provided.
Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern. Lancet 2020;395(10223):470–473. DOI: 10.1016/S0140-6736(20)30185-9
The official Saudi Press Agency; 2020 https://www.spa.gov.sa/viewfullstory.php?lang=en≠wsid=2050402 (accessed February 11, 2021).
Alkhamees AA, Aljohani MS. The psychological impact of COVID-19 pandemic on the students of Saudi Arabia. Compr Psychiatry 2020;102:152192. DOI: 10.1016/j.comppsych.2020.152192
Sahu P. Closure of universities due to Coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus 2020;12(4):e7541. DOI: 10.7759/cureus.7541
Sartorao Filho CI, Rodrigues WC, de Castro RB, et al. Impact of covid-19 pandemic on mental health of medical students: a cross-sectional study using GAD-7 and PHQ-9 questionnaires. MedRxiv 2020. DOI: 10.1101/2020.06.24.20138925
Alzahem AM, van der Molen HT, Alaujan AH, et al. Stress amongst dental students: a systematic review. Eur J Dent Educ 2011;15(1):8–18. DOI: 10.1111/j.1600-0579.2010.00640.x
Burk DT, Bender DJ. Use and perceived effectiveness of student support services in a first-year dental student population. J Dent Educ 2005;69(10):1148–1160. PMID: 16204681.
Lloyd C, Musser LA. Psychiatric symptoms in dental students. J Nerv Ment Dis 1989;177(2):61–69. DOI: 10.1097/00005053-198902000-00001
Hakami Z, Khanagar SB, Vishwanathaiah S, et al. Psychological impact of the COVID-19 pandemic on dental students: a nationwide Study. J Dent Educ 2021;85(4):494–503. DOI: 10.1002/jdd.12470
Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, et al. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health 2020;13(5):687–691. DOI: 10.1016/j.jiph.2020.01.005
Al-Sowygh ZH, Alfadley AA, Al-Saif MI, et al. Perceived causes of stress among Saudi dental students. King Saud University J Dent Sci 2013;4(1):7–15. DOI: 10.1016/j.ksujds.2012.11.002
Liu J, Zhu Q, Fan W, et al. Corrigendum: online mental health survey in a medical college in China during the COVID-19 outbreak. Front Psychiatry 2020;11:845. DOI: 10.3389/fpsyt.2020.00845
Lee SM, Kang WS, Cho AR, et al. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry 2018;87:123–127. DOI: 10.1016/j.comppsych.2018.10.003
Lu YC, Shu BC, Chang YY, et al. The mental health of hospital workers dealing with severe acute respiratory syndrome. Psychother Psychosom 2006;75(6):370–375. DOI: 10.1159/000095443
McAlonan GM, Lee AM, Cheung V, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry 2007;52(4):241–247. DOI: 10.1177/070674370705200406
Saraswathi I, Saikarthik J, Senthil Kumar K, et al. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: a prospective longitudinal study. PeerJ 2020;8:e10164. DOI: 10.7717/peerj.10164
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001;16(9):606–613. DOI: 10.1046/j.1525-1497.2001.016009606.x
Martin A, Rief W, Klaiberg A, et al. Validity of the brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. Gen Hosp Psychiatry 2006;28(1):71–77. DOI: 10.1016/j.genhosppsych.2005.07.003
Spitzer RL, Kroenke K, Williams JBW, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166(10):1092–1097. DOI: 10.1001/archinte.166.10.1092
Hossain S, Anjum A, Uddin ME, et al. Impacts of socio-cultural environment and lifestyle factors on the psychological health of university students in Bangladesh: A longitudinal study. J Affect Disord 2019;256:393–403. DOI: 10.1016/j.jad.2019.06.001
Islam MA, Barna SD, Raihan H, et al. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One 2020;15(8):e0238162. DOI: 10.1371/journal.pone.0238162
Aker S, Mıdık Ö. The views of medical faculty students in Turkey concerning the COVID-19 pandemic. J Community Health 2020;45(4):684–688. DOI: 10.1007/s10900-020-00841-9
Meo SA, Abukhalaf AA, Alomar AA, et al. COVID-19 pandemic: impact of quarantine on medical students’ mental wellbeing and learning behaviors. Pak J Med Sci 2020;36(COVID19-S4):S43–S48. DOI: 10.12669/pjms.36.COVID19-S4.2809
Khanagar SB, Alfadley A. Psychological impact of the COVID-19 pandemic on dental interns in Riyadh, Saudi Arabia: a cross-sectional survey. Int J Clin Pediatr Dent 2020;13(5):508–512. DOI: 10.5005/jp-journals-10005-1773
Peker I, Alkurt MT, Usta MG, et al. The evaluation of perceived sources of stress and stress levels among Turkish dental students. Int Dent J 2009;59(2):103–111. PMID: 19489290.
Holtzman JM, Berg RG, Mann J, et al. The relationship of age and gender to fear and anxiety in response to dental care. Spec Care Dentist 1997;17(3):82–87. DOI: 10.1111/j.1754-4505.1997.tb00873.x
Stecker T. Well-being in an academic environment. Med Educ 2004;38(5):465–478. DOI: 10.1046/j.1365-2929.2004.01812.x
Peretz B, Rosenblum A, Zadik D. Stress levels and related variables among dental students in Jerusalem, Israel. Eur J Dent Educ 1997;1(4):162–166. PMID: 9516285.
Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020;395(10227):912–920. DOI: 10.1016/S0140-6736(20)30460-8
Owusu-Fordjour C, Koomson CK, Hanson D. The impact of COVID-19 on learning—the perspective of the Ghanaian student. Eur J Educ Stud 2020;7(3):88–101. DOI: 10.5281/zenodo.3753586
Liu X, Liu J, Zhong X. Psychological state of college students during COVID-19 epidemic. Lancet Prepr 2020. DOI: 10.2139/ssrn.3552814
Pan H. A glimpse of university students’ family life amidst the COVID-19 virus. J Loss Trauma 2020;25(6–7):594–597. DOI: 10.1080/15325024.2020.1750194
De Vos J. The effect of COVID-19 and subsequent social distancing on travel behavior. Transp Res Interdiscip Perspect 2020;5:100121. DOI: 10.1016/j.trip.2020.100121
Aristovnik A, Keržič D, Ravšelj D, et al. Impacts of the COVID-19 pandemic on life of higher education students: a global perspective. Sustainability 2020;12(20):8438. DOI: 10.3390/su12208438