Magnitude of Psychological Distress Among Medical and Non-Medical Students During the Late Phase of the COVID-19 Pandemic in West Bengal: A Cross-Sectional Study

Authors

Keywords:

covid-19, Pandemics, Psychological Distress, Mental health services

Abstract

Background: COVID-19 pandemic led to drastic changes worldwide significantly affecting mental health of students. This study aimed to assess psychological distress due to COVID-19 in students during the late phase of pandemic and to establish correlation of academic course, socio-demographics and knowledge-attitude-practices (KAP) with depression and anxiety.

Methods: A cross-sectional study was conducted in Kolkata, from March to April 2022 among undergraduate medical students and undergraduate students from engineering and general science colleges, via purposive and snowball sampling. Survey questionnaire was circulated via Google forms through social media. It included Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Fear of COVID-19 scale 2020, KAP regarding COVID-19 and socio-demographics. Data were analyzed using SPSS(Version 22.0) by estimating mean, standard deviation, median, interquartile range and displayed by charts and tables. Mann-Whitney U test/non-parametric ANOVA and Chi-square tests were used for drawing statistical inferences. P-value of <0.05 was considered significant.

Results: Total 421 responses were included: 219 medical and 202 non-medical students. Most participants were male (58.67%). Prevalence of depression was 58.42% among non-medical students and 81.73% among medical students.  Prevalence of anxiety was 50.99% among non-medical students and 76.25% among medical students. Medical students had significantly better scores for knowledge and attitude (p=0.001 in both). Anxiety was influenced by residence (p=0.018), mode of travel (p=0.012), and having relatives or friends affected by COVID-19 (p=0.03).

Conclusion: High prevalence of depression and anxiety among college students, especially medical students, highlights the need for student wellness activities and better mental health services in colleges across India.

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References

Cucinotta D, Vanelli M. WHO Declares COVID-19 a Pandemic. Acta Biomed. 2020;91(1):157-60.

Gettleman J, Schultz K. Modi orders 3-week total lockdown for all 1.3 billion Indians. Available from:https://www.nytimes.com/2020/03/24/world/asia/india-coronavirus-lockdown.html ISSN 0362-4331. Last updated Mar 24, 2020; cited Nov 9, 2022.

Imran N, Haider II, Mustafa AB, Aamer I, Kamal Z, Rasool G, et al. The Hidden Crisis: COVID-19 and Impact on Mental Health of Medical Students in Pakistan. Middle East Curr Psychiatry. 2021;28(1):45.

Ettman CK, Abdalla SM, Cohen GH, Sampson L, Vivier PM, Galea S. Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Netw Open. 2020;3(9):e2019686.

Mohammed S, Tharayil H, Gopakumar S, George C. Pattern and Correlates of Depression among Medical Students: An 18 Month Follow-Up Study. Indian J Psychol Med. 2020;42(2):116-21.

India Briefing. How India is Managing COVID-19 in 2022: Transition to the Workplace, Vaccine Program Expanded. Available from:https://www.india-briefing.com/news/india-COVID-19-vaccine-program-best-practice-employers-2022-23998.html/.Last updated Mar 24, 2022 ; cited Nov 9, 2022.

Shailaja B, Singh H, Chaudhury S, Thyloth M. COVID-19 pandemic and its aftermath: Knowledge, attitude, behavior, and mental health-care needs of medical undergraduates. Ind Psychiatry J. 2020;29(1):51-60.

Saraswathi I, Saikarthik J, Senthil Kumar K, Madhan Srinivasan K, Ardhanaari M, Gunapriya R. 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.

Bhowmick S, Parolia S, Jana S, Kundu D, Choudhury D, Das N, et al. A Study on the Anxiety Level and Stress during Covid19 Lockdown among the General Population of West Bengal, India- A Must Know for Primary Care Physicians. J Family Med Prim Care. 2021;10(2):978-84.

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001;16(9):606-13.

Spitzer RL, Kroenke K, Williams JB, Lowe B. A Brief Measure for Assessing Generalized Anxiety Disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-7.

De Man J, Absetz P, Sathish T, Desloge A, Haregu T, Oldenburg B, et al. Are the PHQ-9 and GAD-7 Suitable for Use in India? A Psychometric Analysis. Front Psychol. 2021;12:676398.

Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2022;20(3):1537-45.

Chaudhary AP, Sonar NS, TR J, Banerjee M, Yadav S. Impact of the COVID-19 Pandemic on the Mental Health of College Students in India: Cross-sectional Web-Based Study. JMIRx Med. 2021;2(3):e28158.

Lee M, Kang BA, You M. Knowledge, Attitudes, and Practices (KAP) toward COVID-19: A Cross-sectional Study in South Korea. BMC Public Health. 2021;21(1):295.

Shreevastava AK, Mavai M, Mittal PS, Verma R, Kaur D, Bhandari B. Assessment of the psychological impact of COVID-19 pandemic on undergraduate medical students in India. J Edu Health Promot 2022;11:214.

Mishra J, Samanta P, Panigrahi A, Dash K, Behera MR, Das R. Mental Health Status, Coping Strategies during COVID-19 Pandemic among Undergraduate Students of Healthcare Profession. Int J Ment Health Addict. 2023;21(1):562-74.

Zheng X, Guo Y, Yang H, Luo L, Ya B, Xu H, et al. A Cross-Sectional Study on Mental Health Problems of Medical and Nonmedical Students in Shandong During the COVID-19 Epidemic Recovery Period. Front. Psychiatry 2021;12:1-9.

Pradeep BS, Gururaj G, Varghese M, Benegal V, Rao GN, Sukumar GM. National Mental Health Survey of India, 2016 - Rationale, Design and Methods. PLoS ONE. 2018;13(10):e0205096.

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016;316(21):2214–36.

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735.

Verma H, Verma G, Kumar P. Depression, Anxiety, and Stress during Times of COVID-19: An Analysis of Youngsters Studying in Higher Education in India. Rev Socionetwork Strateg. 2021;15(2):471-88.

Islam MA, Barna SD, Raihan H, Khan MNA, Hossain MT. 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.

Son C, Hegde S, Smith A, Wang X, Sasangohar F, et al. Effects of COVID-19 on College Students’ Mental Health in the United States: Interview Survey Study. J Med Internet Res. 2020;22(9):e21279.

Awadalla NJ, Alsabaani AA, Alsaleem MA, Alsaleem SA, Alshaikh AA, Al-Fifi SH, et al. Increased Mental Stress among Undergraduate Medical Students in South-Western Saudi Arabia during the COVID-19 Pandemic. PeerJ 2022;10:e13900.

Gallagher MW, Zvolensky MJ, Long LJ, Rogers AH, Garey L. The Impact of COVID-19 Experiences and Associated Stress on Anxiety, Depression, and Functional Impairment in American Adults. Cognit Ther Res. 2020;44(6):1043-51.

Adli I, Widyahening IS, Lazarus G, Phowira J, Baihaqi LA, Ariffandi B, et al. Knowledge, Attitude, and Practice related to the COVID-19 Pandemic among Undergraduate Medical Students in Indonesia: A Nationwide Cross Sectional Study. PLoS ONE. 2022;17(1):e0262827.

Chan SS, So WK, Wong DC, Lee AC, Tiwari A. Improving Older Adults’ Knowledge and Practice of Preventive Measures through a Telephone Health Education during the SARS Epidemic in Hong Kong: A Pilot Study. Int J Nurs Stud. 2007;44:1120–7.

Moore KA, Lucas JJ. COVID-19 Distress and Worries: The Role of Attitudes, Social Support, and Positive Coping during Social Isolation. Psychol Psychother. 2021; 94(2):365-70.

Khan K, Li Y, Liu S, Li C. Psychological Distress and Trust in University Management Among International Students During the COVID-19 Pandemic. Front. Psychol. 2021;12:679661.

Saali A, Stanislawski ER, Kumar V, Chan C, Hurtado A, Pietrzak RH, et al. The Psychiatric Burden on Medical Students in New York City Entering Clinical Clerkships during the COVID-19 Pandemic. Psychiatr Q. 2022;93(2):419-34.

Horwitz AG, Hill RM, King CA. Specific Coping Behaviors in Relation to Adolescent Depression and Suicidal Ideation. J Adolesc. 2011;34(5):1077-85.

Arjun MC, Singh AK, Roy P, Ravichandran M, Mandal S, Pal D, et al. Long COVID Following Omicron Wave in Eastern India—A Retrospective Cohort Study. J Med Virol. 2022;95:e28214.

Steimle LN, Sun Y, Johnson L, Besedes T, Mokhtarian P, Nazzal D. Students' Preferences for Returning to Colleges and Universities during the COVID-19 Pandemic: A Discrete Choice Experiment. Socioecon Plann Sci. 2022;82:101266.

Mandal A, Ghosh A, Sengupta G, Bera T, Das N, Mukherjee S. Factors Affecting The Performance Of Undergraduate Medical Students: A Perspective. Indian J Community Med. 2012;37(2):126-9.

Woolery A, Myers H, Sternlieb B, Zeltzer L. A Yoga Intervention for Young Adults with Elevated Symptoms of Depression. Altern Ther Health Med. 2004;10(2):60-3.

Haglund ME, aan het Rot M, Cooper NS, Nestadt PS, Muller D, Southwick SM, et al. Resilience in the Third Year of Medical School: A Prospective Study of the Associations between Stressful Events Occurring during Clinical Rotations and Student Well-being. Acad Med. 2009;84(2):258–68.

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2024-11-14

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Das, U., Ganguly , A., Haldar, D., & Mukhopadhyay , A. (2024). Magnitude of Psychological Distress Among Medical and Non-Medical Students During the Late Phase of the COVID-19 Pandemic in West Bengal: A Cross-Sectional Study. International Journal of Medical Students. Retrieved from https://ijms.pitt.edu/IJMS/article/view/2446

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