Effect of an Educational Booklet on Knowledge and Attitude Regarding Major Depressive Disorder in Medical Students in Delhi
DOI:
https://doi.org/10.5195/ijms.2013.17Keywords:
Depressive Disorder, Pamphlets, Health Knowledge, Attitudes, Practice, Students, MedicalAbstract
Background: Depression is one of the most common mental disorders affecting people in the world. It is also a growing concern in younger population particularly medical students. There are many pharmaceutical interventions for treatment of depression but there is paucity of data to determine the effect of educational intervention on the knowledge, attitude and help seeking behaviour regarding depression among medical students.
Methods: An interventional study was carried out among randomly selected 100 medical students except interns over a period of 6 months from March-August 2011 in a medical college in Delhi to assess the effect of educational booklet on knowledge and attitude about depression. Data was collected using pre-tested questionnaire and analyzed using SPSS version 16 software. Statistical significance in pre and post intervention proportions was determined using Mc Nemar test (MN) and for other proportions Chi-square test.
Results: The study shown that only 71% of subjects knew that depression is a disease in pre intervention phase, which rose to 88% in post intervention phase (p=0.01). Knowledge of symptoms and treatment significantly improved such as trouble falling asleep or too much sleep (p=0.03), feeling tired or decreased energy (MN=17.6, p=0.01), feeling bad about self (MN=21.8, p=0.01), speaking slowly other can notice (MN=19.1, p=0.01) and can be treated by improving awareness (MN=8.6, p=0.03), and anti-depressants do not cause much of side effects (MN=17.3, p=0.01). Most common reasons for not seeking help were thinking that there is lack of understanding by other people about the depression (63%), ...
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References
2. WHO 2011. Mental health: a state of well-being. Geneva: WHO. Available from http://www.who.int/features/factfiles/mental_health/en/index.html
3. Andrade L, Caraveo-Anduaga JJ, Berglund P, Bijl RV, De Graaf R, Vollebergh W et al 2003. The epidemiology of major depressive episodes: results
from the International Consortium of Psychiatric Epidemiology (ICPE) Surveys. Int J Meth Psy Res. 12(1):3-21.
4. Lopez A, Mathers C, Ezzati M, Jamison D, Murray C 2006. Global burden of disease and risk factors. Washington DC, Oxford University Press and World Bank.
5. Patel V 1999. The epidemiology of Common Mental Disorders in South Asia. NIMHANS Journal. 17: 307–327.
6. Poongothai S et al 2009. Prevalence of depression in a large urban South Indian population - The Chennai Urban Rural Epidemiology Study (CURES-70). ploS One. 4(9): e7185.
7. Niemi PM, Vainiomaki PT 2006. Medical students’ distress--quality, continuity and gender differences during a six-year medical programme. Med Teac. 28:136-141.
8. Dyrbye LN, Thomas MR, Shanafelt TD 2006. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 81:354-373.
9. Dahlin M, Joneborg N, Runeson B 2005. Stress and depression among medical students: a cross-sectional study. Med Educ. 39: 594-604.
10. Firth-Cozens J 1989. Stress in medical undergraduates and house officers. Bri J Hosp Med. 41: 161-164.
11. Rosal MC et al 1997. A longitudinal study of student’s depression at one medical school. Acad Med. 72: 542-546.
12. Goyal A, Kishore J, Anand T, Rathi A 2012. Suicidal Ideation among medical students in Delhi. J Ment Health Human Behavior . 17 (1): 60-69.
13. Thompson D et al 2010. A program for reducing depressive symptoms and suicidal ideation in medical students. Acad Med J Asso Am Med Col. 85: 1635-1639.
14. Vaidya M, Mulgaonkar K 2007. Prevalence of depression, anxiety and stress in undergraduate medical students and its correlation with their academic performance. Ind J Occu Therap. 39(1): 7-10.
15. Sidana S, Kishore J, Ghosh V, Gulati D, Jiloha RC, Anand T 2012. Depression in students in a medical college in New Delhi: A Cross sectional study. Aus Med J. 5 (5): 247-250.
16. Jafri MA, Minhas FA, Tamiz-Ud-Din A, Slatch MA, Mujeeb F 2011. Knowledge of depression among community members and health care providers in two selected areas of district Rawalpindi. J Col Physicians Surg Pak. 21(12): 756-759.
17. Mukherjee R, Kishore J, Jiloha RC 2006. Attitude towards psychiatry and psychiatric illness among medical professionals. Delhi Psychiatry Society.
9 (1): 34-38.
18. Kishore J, Gupta A, Jiloha RC, Bantman T 2011. Myths, beliefs and perception about mental disorders and health seeking behaviour in Delhi, India. Ind J Psychiatry. 53(4): 324-329.
19. Sadock BJ, Sadock VA. Kaplan & Sadock’s Comprehensive Textbook of Psychiatry 2(vols). 7th edition. Philadelphia. Lippincott Williams & Wilkins 2008.
20. Kishore J et al 2007. Beliefs and attitudes towards mental health among health professionals in Delhi. Ind J Commun Med. 32(3): 198-200.
21. Chawla JM et al 2012. Undergraduate medical students’ attitude towards psychiatry: A cross sectional study. Ind J Psy. 54:37-40.
22. Hickie I et al 2007. The assessment of depression awareness and helpseeking behaviour: experiences with the International Depression Literacy Survey. BMC Psychiatry. 7(48): 1-12.
23. Dowrick C, Gask L, Perry R, Dixon C, Usherwood T 2000. Do general practitioners’ attitudes towards depression predict their clinical behaviour? Psychol Med; 30(2):413-419.
24. Givens JL, Tjia J 2002. Depressed medical students’ use of mental health services and barriers to use. Acad Med. 77(9) 918-921.
25. Shaikh B et al 2004. Students, stress and coping strategies: a case of Pakistani medical school. Educ health. 17(3) 346-353.
26. Thompson D, Goebert D, Takeshita J 2010. A program for reducing depressive symptoms and suicidal ideation in medical students. Acad Med J Assoc Am Med Col. 85:1635-1639.
27. Rong Y, Glozier N, Luscombe GM, Davenport TA, Huang Y, Hickie IB 2011. Improving knowledge and attitudes towards depression: a controlled trial among Chinese medical students. BMC Psychiatry. 8(11):36.
28. Simard AA, Henry M 2009. Impact of a short yoga intervention on medical students’ health: a pilot study. Med Teaching. 31(10):950-952.
29. Merritt RK, Price JR, Mollison J, Geddes JR 2007. A cluster randomized controlled trial to assess the effectiveness of an intervention to educate students about depression. Psychol Med. 37(3):363-372.
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