Analysis of an Egyptian study on the socioeconomic distribution of depressive symptoms among undergraduates
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Worldwide population surveys show that prevalence of mental disorders in developing countries was as common as in industrialized countries. College life is an important stage in every person’s life; unfortunately, it may be the time to experience depression for the first time. Latterly, there has been a steady increase in the number of university students diagnosed and treated as depressed patients. This paper presents the results of a study carried out on a representative sample of undergraduate students of an Egyptian University, which aimed to study the relationship between social factors and the occurrence of depression. It was assumed that the poorer the socio-economic background the higher the rates of depression.
Data were collected in 2004 from students at Assiut University using the Zagazig Depression scale (ZDS) and an Egyptian socio-economic status measure. This analysis, based on a refined version of the ZDS used STATA (v. 10.1.). Descriptive statistics, univariate and multivariate regression models were used to test for associations with the dimensions of SES and depression.
Thirty-seven percent of the students had symptoms scored above the threshold for moderate depression. In the fully adjusted model: faculty of study, father’s occupation, family income and number of persons per room were associated with depression in this sample.
The high prevalence of depressive symptoms among Egyptian students found in this study call attention to the need for a student counseling service offering mental health support. This service should particularly discover an approach for low affluence students.
KeywordsDepressive symptoms University students Socioeconomic factors
I am very grateful for the Assiut University administration and students for the help and support in this work. Special thanks for my Masters’ study supervisors: Prof. Hossny El-Gendawy, Prof. Mohamed, Hadhood, and Dr. Randa, Shams. It would not have been possible without the help and support of my colleagues in the department of community Health, Medical Faculty, Assiut University.
Conflict of interest
All authors declare that they have no conflicts of interest.
- 1.National Institute of Mental Health (NIMH) (2009) Depression and suicide among college students: a fact sheet for physicians. http://www.nimh.nih.gov. Accessed 10 Oct 2010
- 3.Feryal C, Unal E (2008) Factors related to depressive symptoms and hopelessness among university students. Arch Neuropsychiatry 45:122–129Google Scholar
- 11.Archer L, Ross A (2003) Higher education and social class. Routledge Falmer, LondonGoogle Scholar
- 17.Ibrahim A, Kelly S, Glazebrook C (2011) Reliability and validity of an Arabic version of Hamilton Depression Scale in an Egyptian University student sample. J Compr Psychiatry (in press)Google Scholar
- 20.Fawzi M, El-Maghraby Z, El-Amin H, Sahloul M (1982) The Zagazig Depression Scale Manual. El-Nahda El-Massriya, Cairo. (Arabic)Google Scholar
- 21.Fawzy M (1982) Depression among the elderly patients of the outpatient psychiatric clinics (Arabic). The international conference of the geriatric mental health Cairo, EgyptGoogle Scholar
- 22.Shaheen O, Fawzi M (1985) Further assessment of a new self-rating scale for depression: Zagazig Depression Scale (Arabic). Egypt J Mental Health 26(1):73–91Google Scholar
- 23.Ibrahim A, Kelly S, Challenor C, Glazebrook C (2010) Establishing the reliability and validity of the Zagazig Depression Scale in a UK student population: an online pilot study. BMC Psychiatry 10(107):1–20Google Scholar
- 24.Abd-El-Twab M (1998) Socio-economic scale for family, revised edition. Asyut University, AsyutGoogle Scholar
- 25.El-Sayeh A (1991) Epidemiology and symptomatology of depression in an upper Egyptian community. Assiut University, Assiut, EgyptGoogle Scholar
- 26.WHO (1994) Sample size and power. In: Wingo P, Higgins J, Rubin S, Zahniser C (eds) An epidemiological approach to reproductive health. WHO, GenevaGoogle Scholar
- 27.STATA (2008) Data analysis and Statistical Software. Ver.10.1, Standard version. In: Copyright © StataCorp LP (eds)Google Scholar
- 29.Elmahdy M (2008) African higher education: an international reference handbook, vol 1. Boston College Center for International Higher Education and Association of African Universities, Boston, p 584Google Scholar
- 30.El-Gendawy S, Hadhood M, Shams R, Ibrahim A (2005) Epidemiological aspects of depression among Assiut University students. Assiut Med J 29(2):81–89Google Scholar
- 38.Ghanem M et al (2009) Development and validation of the Arabic version of the mini international neuropsychiatry interview. East Mediterr Health J 12(1):30–39Google Scholar
- 39.Gonzalez O, Berry J, McKnighty L, Strine T et al (2010) Current depression among adults—United States, 2006 and 2008. MMWR 59(38):1229–1235Google Scholar
- 42.O’Neil M, Lancee W, Freeman S (1985) Sex differences in depressed university students. Soc Psychiatry Psychiatr Epidemiol 20(4):186–190Google Scholar
- 50.World Bank (2009) World Development Report 2009/2010: Attacking Poverty, Oxford University Press, New YorkGoogle Scholar
- 51.Ghanem M, Gadallah M, Mey F (2009) National Survey of Prevalence of Mental Disorders in Egypt: preliminary survey. East Mediterr Health J 15(1):65–75Google Scholar