Gambaran Distress pada Mahasiswa Preklinik Tahun Ketiga Fakultas Kedokteran

https://doi.org/10.22146/jpki.25236

Hardisman Hardisman(1*), Dian Pertiwi(2)

(1) Fakultas Kedokteran Universitas Andalas, Padang
(2) Fakultas Kedokteran Universitas Andalas, Padang
(*) Corresponding Author

Abstract


Background: Learning process in medical school is a big stressor for the students. Many researchers have reported higher distress and related psychological health problems in medical students than in general population and non-medical students. This study explored how distress affects Indonesian medical students in FMAU, and its association with academic performance and demographic factors.

Method: Cross sectional study was conducted on 185 subjects in the third year medical student of FMAU between April-May 2013. Level of stress was measured using Indonesian version of General Health Questionnaire-12 (GHQ-12), with Liker scale indicator (distress is when the score is >15). Demographic variables such as gender, source of finance, and economic status were assessed in the study. Academic performance was measured by cumulative Grade Point Average (GPA) and last semester GPA. Analyses were done using SPSS.

Results: This study identified 35.7% of students were in distress, with average GHQ-12 score 13.42+SD4.97. No association was found between admission pathway, academic performance and distress. However, the study revealed that female students had higher risk of distress (p<0.05).

Conclusion: Risk of distress is relatively high in medical students. However, there is no association between demographic factors, academic performance and distress. Further research needs to be conducted to explore risk factors that cause distress of medical students in Indonesian context.

 


Keywords


Distress, medical student, academic performance

Full Text:

PDF


References

  1. Mills H, Reiss N, Dombeck M. Stress reduction and management. 2008. Available from: http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=1229&cn=117.
  2. Rice PL. Stress and health. New York: Cengage Learning; 1998.
  3. Krohnea HW. Stress and coping theories 2002. Available from: http://userpage.fu-berlin.de/schuez/folien/Krohne_Stress.pdf.
  4. Benton TD, Ifeagwu JA, Aronson SC, Talavera F, Harsch HH, Bienenfeld D. Adjustment disorders 2013. Available from: http://emedicine.medscape.com/article/292759-overview#showall
  5. Richman JA, Flaherty JA. Gender differences in medical student distress: contributions of prior socialization and current role-related stress. Soc Sci Med. 1990;30(7):777-87.
  6. Al-Dabal BK, Koura MR, Rasheed P, Al-Sowielem L, Makki SM. A comparative study of perceived stress among female medical and non-medical university students in Dammam, Saudi Arabia. Sultan Qaboos University Medical Journal. 2010;10(2):231-40.
  7. Fang DZ, Young CB, Golshan S, Fellows I, Moutier C, Zisook S. Depression in premedical undergraduates:a cross-sectional survey. Primary Care Companion Journal of Clinical Psychiatry [serial on the Internet]. 2010; 12(6). Available from: http://www.europepmc.org/articles/PMC3067995.
  8. Ghodasara SL, Davidson MA, Reich MS, Savoie CV, Rodgers SM. Assessing student mental health at the Vanderbilt University School of Medicine. Acad Med. 2011;86(1):116-21.
  9. Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24(3):1-7.
  10. Gomathi KG, Ahmed S, Sreedharan J. Psychological health of first-year health professional students in a medical university in the United arab emirates. Sultan Qaboos University Medical Journal. 2012;12(2):206-13.
  11. Siddiqui EU, Naeem SS, Naqvi H, Ahmed B. Prevalence of body-focused repetitive behaviors in three large medical colleges of Karachi: a cross-sectional study. BMC Research Notes [serial on the Internet]. 2012; 1(5): Available from: http://www.biomedcentral.com/1756-0500/5/614.
  12. Castaldelli-Maia J, Martins S, Bhugra D, Machado M, Andrade A, C A-S, et al. Does ragging play a role in medical student depression - cause or effect?. J Affect Disord. 2012;139(3):291-7.
  13. Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K, et al. Depressive symptoms in medical students and residents: a multischool study. Acad Med. 2009;84(2):236-41.
  14. Universitas Andalas. Peraturan Rektor Universitas Andalas Nomor 7 Tahun 2011 tentang Peraturan Akademik Program Sarjana Universitas Andalas. Padang: Universitas Andalas; 2011.
  15. Zulkefly NS. Using the 12-item General Health Questionnaire (GHQ-12) to assess the psychological health of Malaysian college students. Global Journal of Health Science. 2010;2(2):73-80.
  16. Hankins M. The reliability of the twelve-item general health questionnaire (GHQ-12) under realistic assumptions. BMC Public Health [serial on the Internet]. 2008; 355. Available from: http://www.biomedcentral.com/1471-2458/8/355.
  17. Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and Quality of Life Outcomes [serial on the Internet]. 2003; 66. Available from: http://www.hqlo.com/content/1/1/66.
  18. Pevalin DJ. Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects. Soc Psychiatry Psychiatr Epidemiol. 2000;35(11):508-12.
  19. Schmitz N, Kruse J, Tress W. Psychometric properties of the General Health Questionnaire (GHQ-12) in a German primary care sample. Acta Psychiatr Scand. 1999;100(6):462-8.
  20. Shelton N, Herrick K. Comparison of scoring methods and thresholds of the General Health Questionnaire-12 with the Edinburgh Postnatal Depression Scale in English women. Public Health. 2009;123(11):789 - 93.
  21. Baksheev G, Robinson J, Cosgrave E, Baker K, Yung A. Validity of the 12-item General Health Questionnaire (GHQ-12) in detecting depressive and anxiety disorders among high school students. Psychiatry Res. 2011;15(1-2):291-6.
  22. Idaiani S, Suhardi. Validitas dan reliabilitas General Health Questionnaire untuk skriningdistrespsikologik dan disfungsi sosial di masyarakat. Buletin Penelitian Kesehatan. 2006;34(4):161-73.
  23. Goldberg D, Williams P. A users guide to the General Health Questionnaire. Windsor, Berks: NFER Nelson; 1988.
  24. Gao F, Luo N, Thumboo J, Fones C, Li S-C, Cheung Y-B. Does the 12-item General Health Questionnaire contain multiple factors and do we need them?. Health and Quality of Life Outcomes [serial on the Internet]. 2004; 2. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC534792/pdf/1477-7525-2-63.pdf.
  25. 25. BPS. Jumlah dan Persentase Penduduk Miskin, Garis Kemiskinan, Indeks Kedalaman Kemiskinan (P1), dan Indeks Keparahan Kemiskinan (P2) Menurut Provinsi, September 2012. 2012. Available from: http://www.bps.go.id/tab_sub/view.php?kat=1&tabel=1&daftar=1&id_subyek=23&notab=1.
  26. Singh R, Goyal M, Tiwari S, Ghildiyal A, Nattu SM, Das S. Effect of examination stress on mood, performance and cortisol levels in medical students. Indian J Physiol Pharmacol. 2012;56(1):48-55.
  27. Baldassin S, Silva N, de-Toledo-Ferraz-Alves T, Castaldelli-Maia JM, Bhugra D, Nogueira-Martins MC, et al. Depression in medical students: cluster symptoms and management. J Affect Disord. 2012; In Press.
  28. Wong JG, Patil NG, Beh SL, Cheung EP, Wong V, Chan LC, et al. Cultivating psychological well-being in Hong Kong's future doctors. Medical Teacher. 2005;27(8):715-9.
  29. Artino AR, La-Rochelle JS, Durning SJ. Second-year medical students' motivational beliefs, emotions, and achievement. Med Educ. 2010;44(12):1203-12.
  30. Honney K, Buszewicz M, Coppola W, Griffin M. Comparison of levels of depression in medical and non-medical students. Clinical Teacher. 2010;7(3):180-4.
  31. Wolf TM, Scurria PL, Webster MG. A Four-year Study of Anxiety, Depression, Loneliness, Social Support, and Perceived Mistreatment in Medical Students. Journal of Health Psychology. 1998;3(1):125-36.
  32. Soh N, Ma C, Lampe L, Hunt G, Malhi G, Walter G. Depression, financial problems and other reasons for suspending medical studies, and requested support services: findings from a qualitative study. Australasian Psychiatry. 2012;20(6):518-23.
  33. Enns MW, Cox BJ, Sareen J, Freeman P. Adaptive and maladaptive perfectionism in medical students: a longitudinal investigation. Med Educ. 2001;35(11):1034-42.
  34. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354-73.
  35. Reteguiz JA. Relationship between anxiety and standardized patient test performance in the medicine clerkship. J Gen Intern Med. 2006;21(5):415-8.
  36. Fitriani A, Hidayah N. Kepekaan humor dengan depresi pada remaja ditinjau dari jenis kelamin. Humanitas. 2012;9(1):76-89.



DOI: https://doi.org/10.22146/jpki.25236

Article Metrics

Abstract views : 5182 | views : 4511

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Hardisman Hardisman, Dian Pertiwi

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by:


JPKI Stats