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Depression among medical students.

M Zoccolillo, G E Murphy, R D Wetzel

    Journal of Affective Disorders
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Medical students experience higher rates of depression, with 12% incidence during the first two years. Pre-existing depression and family history indicate a predisposition, not solely caused by medical school.

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    Area of Science:

    • Psychiatry
    • Medical Education
    • Epidemiology

    Background:

    • Medical school is a high-stress environment.
    • Depression is a significant public health concern.
    • Understanding mental health in medical students is crucial.

    Purpose of the Study:

    • To determine the incidence and prevalence of major depression in first- and second-year medical students.
    • To explore factors associated with depression in this population.
    • To investigate whether the medical school environment alone contributes to elevated depression rates.

    Main Methods:

    • Prospective assessment of 304 medical students using the Beck Depression Inventory (BDI) monthly.
    • Diagnostic interviews using the NIMH Diagnostic Interview Schedule for students with elevated BDI scores and a control group.

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  • DSM-III criteria were used for diagnosis.

    • Main Results:

    • The incidence of major depression or probable major depression was 12% during the first two years of medical school.
    • The lifetime prevalence of depression was 15%, three times higher than the general population.
    • Depressed students had a significantly higher history of prior depression (69% vs. 8%) and family history of treated depression (46% vs. 21%).

    Conclusions:

    • The elevated rate of depression among medical students is not solely attributable to the medical school experience.
    • A predisposition to depression, possibly influenced by selection bias, appears to play a significant role.
    • Early identification and support for students with a history of depression are warranted.