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Mental health in three generations of Iranian medical students and doctors

A cross-sectional study
  • Seyed Mohammad AssadiEmail author
  • Mohammad Reza Nakhaei
  • Fatima Najafi
  • Seena Fazel
ORIGINAL PAPER

Abstract

Objective

Despite research in Western countries finding high levels of psychological morbidity in medical students and doctors, little is known about difficulties faced by medical staff in the Middle East. The aim of the present study was to assess emotional disturbance and interpersonal attitudes in a representative sample of Iranian medical students and practitioners.

Method

A total of 82 medical students, 92 interns and 89 general practitioners (GPs) participated in the study. Participants rated the 28-item version of the General Health Questionnaire (GHQ-28) and a measure of interpersonal attitudes.

Results

A total of 44% of participants scored above the threshold of the GHQ-28, indicating probable psychiatric disorder. The GHQ-28 scores were higher in students than interns or GPs and in women compared with men. Medical students and doctors had high levels of indifference and cynicism.

Conclusions

This study suggests that psychological morbidity was common in Iranian medical students and practitioners, particularly women. Women were at particular risk. A high prevalence of emotional disturbance among health care practitioners is likely to compound existing problems of health care provision.

Keywords

occupational health medical students psychiatry mental disorders neurotic disorders 

Notes

Acknowledgements

We thank the medical students and practitioners who participated in this study. No funding was received for this project.

References

  1. 1.
    Akvardar Y, Demiral Y, Ergor G, Ergor A (2004) Substance use among medical students and physicians in a medical school in Turkey. Soc Psychiatry Psychiatr Epidemiol 39:502–506PubMedCrossRefGoogle Scholar
  2. 2.
    Bakir B, Ozer M, Ucar M, Gulec M, Demir C, Hasde M (2003) Relation between Machiavellianism and job satisfaction in a sample of Turkish physicians. Psychol Rep 92:1169–1175PubMedCrossRefGoogle Scholar
  3. 3.
    Bakir B, Yilmaz UR, Yavas I (1996) Relating depressive symptoms to Machiavellianism in a Turkish sample. Psychol Rep 78:1011–1014PubMedGoogle Scholar
  4. 4.
    Bellini LM, Baime M, Shea JA (2002) Variation of mood and empathy during internship. JAMA 287:3143–3146PubMedCrossRefGoogle Scholar
  5. 5.
    Borenstein D (1985) Should physician training centers offer formal psychiatric assistance to house officers? a report on the major findings of a prototype program. Am J Psychiatry 142:1053–1057PubMedGoogle Scholar
  6. 6.
    Christie R, Geis F (1970) Studies in Machiavellianism. Academic Press, New YorkGoogle Scholar
  7. 7.
    El-Islam F (1968) Mental health of students receiving clinical psychiatric training. Lancet 2:1184–1185PubMedCrossRefGoogle Scholar
  8. 8.
    Firth J (1986) Levels and sources of stress in medical students. BMJ 292:1177–1178PubMedCrossRefGoogle Scholar
  9. 9.
    Goldberg D, Hillier VF (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:131–145CrossRefGoogle Scholar
  10. 10.
    Grassi L, Magnani K (2000) Psychiatric morbidity and burnout in the medical profession: an Italian study of general practitioners and hospital physicians. Psychother Psychosom 69:329–334PubMedCrossRefGoogle Scholar
  11. 11.
    Guthrie EA, Black D, Shaw CM, Hamilton J, Creed FH, Tomenson B (1995) Embarking upon a medical career: psychological morbidity in first year medical students. Med Educ 29:337–341PubMedCrossRefGoogle Scholar
  12. 12.
    Houston DM, Allt SK (1997) Psychological distress and error making among junior house officers. Br J Health Psychol 2:141–151Google Scholar
  13. 13.
    Inam SN, Saqib A, Alam E (2003) Prevalence of anxiety and depression among medical students of private university. J Pak Med Assoc 53:44–47PubMedGoogle Scholar
  14. 14.
    Kapur N, Borrill C, Stride C (1998) Psychological morbidity and job satisfaction in hospital consultants and junior house officers: multicentre, cross sectional survey. BMJ 317:511–512PubMedGoogle Scholar
  15. 15.
    Khuwaja AK, Qureshi R, Azam SI (2004) Prevalence and factors associated with anxiety and depression among family practitioners in Karachi, Pakistan. J Pak Med Assoc 54:45–49PubMedGoogle Scholar
  16. 16.
    Kopelman L (1983) Cynicism among medical students. JAMA 250:2006–2010PubMedCrossRefGoogle Scholar
  17. 17.
    Lloyd C, Gartrell NK (1984) Psychiatric symptoms in medical students. Compr Psychiatry 25:552–565PubMedCrossRefGoogle Scholar
  18. 18.
    Merrill JM, Camacho Z, Laux LF, Thornby JI, Vallbona C (1993) Machiavellianism in medical students. Am J Med Sci 305:285–288PubMedCrossRefGoogle Scholar
  19. 19.
    Noorbala AA, Bagheri Yazdi SA, Yasami MT, Mohammad K (2004) Mental health survey of the adult population in Iran. Br J Psychiatry 184:70–73PubMedCrossRefGoogle Scholar
  20. 20.
    Pitt E, Rosenthal MM, Gay TL, Lewton E (2004) Mental health services for residents: more important than ever. Acad Med 79:840–844PubMedCrossRefGoogle Scholar
  21. 21.
    Okanes MM, Murray LW (1982) Machiavellian and achievement orientation among foreign and American master’s students in business administration. Psychol Rep 50:519–526Google Scholar
  22. 22.
    Rowe AK, de Savigny D, Lanata CF, Victora CG (2005) How can we achieve and maintain high-quality performance of health workers in low-resource settings? Lancet 366:1026–1035PubMedCrossRefGoogle Scholar
  23. 23.
    Shanafelt T, Bradley K, Wipf J, Back A (2002) Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 136:358–367PubMedGoogle Scholar
  24. 24.
    Verghese A (2002) Physicians and addiction. N Engl J Med 346:1510–1511PubMedCrossRefGoogle Scholar
  25. 25.
    Willcock SM, Daly MG, Tennant CC, Allard BJ (2004) Burnout and psychiatric morbidity in new medical graduates. Med J Aust 181:357–360PubMedGoogle Scholar
  26. 26.
    Webb E, Ashton CH, Kelly P, Kamali F (1996) Alcohol and drug use in UK university students. Lancet 348:922–925PubMedCrossRefGoogle Scholar
  27. 27.
    World Health Organization (2001) World Health Report 2001. WHO, GenevaGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Seyed Mohammad Assadi
    • 1
    • 2
    • 3
    Email author
  • Mohammad Reza Nakhaei
    • 1
  • Fatima Najafi
    • 4
  • Seena Fazel
    • 5
  1. 1.Dept. of PsychiatryTehran University of Medical SciencesTehranIran
  2. 2.Psychiatry and Psychology Research CenterTehran University of Medical SciencesTehranIran
  3. 3.Roozbeh Psychiatric HospitalTehranIran
  4. 4.University of TehranTehranIran
  5. 5.Dept. of PsychiatryUniversity of OxfordOxfordUK

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