Stress and depression as a medical intern, Police General hospital
Objective: To study the prevalence and associated factor of stress and depression as a medical intern in Police General hospital
Method: An observational analytic cross-sectional study was conducted. Participants were 63 medical internal Police General hospital academic year 2018. The research instrument is a questionnaire consisting of demographic data and associated factors of stress and depression. Stress assessed by questionnaire form for stress screening of the Department of Mental Health, Ministry of Public Health. Depression assessed by Patient Health Questionnaire (PHQ-9) Thai version. The demographic data was analyzed by the number and percentage. The chi-square test analyzed associated factors of stress and depression as a medical intern.
Results: The prevalence of stress that affects living of medical interns was 12.6% and depression 47.6%. Factors associated with stress and depression of medical interns include: department that is currently practicing, study problems, problems with friends and problems with resident physicians have a significant associated with the depression of medical intern at the level of 0.05. Stress is also significantly associated with depression at the level of 0.05 (OR, 2.50; 95% CI, 1.809-3.456).
Conclusion:Stress and depression in medical interns is very important and associated with many factors. Therefore, there should be plans for health promotion, prevention and surveillance of stress and depression including treatment and monitoring of mental health problems as a medical intern.
2. The medical council of Thailand. Regulations of the Medical Council on Assessment and Certification of Knowledge in Medical Practice 2005. 2018 [cited 2018 Nov 20]. Available from : https://www.tmc.or.th/service_law02_12.php
3. Department of Mental Health. Guide to relieve stress (revised version). ฺBangkok: Ministry of Public Health; 2012
4. Nikom Thanomsiang. Sample size calculations. 2018 [cited 2018 Nov 22]. Available from : https://home.kku.ac.th/nikom/516201_sample_size_nk2561.pdf
5. Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross sectional study. Medl Educ 2005; 39:594-604.
6. Department of Mental Health, Ministry of Public Health. Stress Assessment and Analysis Form [Internet]. 2018 Jun [cited 2018 Nov 10]. Available from : http://www.la.mahidol.ac.th/th/images/KM/article_20170504171136.pdf
7. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001; 16:606-13
8. Department of Mental Health, Ministry of Public Health. Depression Assessment Form [Internet].2018 Jun [cited 2018 Nov 10]. Available from :https://www.dmh.go.th/test/download/files/2Q%209Q%208Q%20(1).pdf
9. Lotrakul M, Sumrithe S, Saipanish R. Reliability and validity of the Thai version of the PHQ-9. BMC Psychiatry 2008; 8:46
10. Suwanna Sisomprasong. A study of stress of the fourth-year to the sixth-year medical student [Master's degree thesis]. Bangkok : Srinakharinwirot University; 2009.
11. Abdulghani H., Irshad M., Al Zunitan M., Al Sulihem A., Al Dehaim M., Al Esefir W., et al. Haque S. Prevalence of stress in junior doctors during their internship training: a cross-sectional study of three Saudi medical colleges’ hospitals. Neuropsychiatric Disease and Treatment 2014; 10:1879-86.
12. Kanokwan Limsricharoen, Nasamapon Handee, Sudsabuy Chulakdabba. Prevalence and Associated Factors of Depression in Second to Sixth Years Medical Students, Faculty of Medicine in Thailand. J Psychiatr Assoc Thailand 2014; 59:29-40.
13. Goebert D., Thompson D., Takeshita J., Beach C., Bryson P., Ephgrave K. Depressive symptoms in medical students and residents: a multischool study.Acad Med 2009;84:236-41.
14. Sherina M.S., Rampal L., Kaneson N. Psychological stress among undergraduate medical students. Med J Malaysia 2004;59:207-11.
Copyright (c) 2021 Journal of the Psychiatric Association of Thailand
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.