Abstract
The aim was to examine social, university, health-related differences among heterosexual and Sexual Minority Medical students (SM-Meds), and explore predictors of help-seeking behavior (i.e., current psychological support and hypothetical university counseling use). A multicenter cross-sectional study was conducted in Italy (2018). Questionnaires included socio-demographic items and Beck Depression Inventory-II (BDI-II). Chi-squared tests and multivariable regressions adjusted for BDI-II score were performed (sample size = 2513).
SM-Meds were 13.9%. SM-Meds with depressive symptoms were 40.5%. Both considering overall and non-depressed students, SM-Meds exercised less and had worst relationships with family and classmates. Psychological support was reported by 6.1% (SM-Meds: 12.8%) and hypothetical counseling use by 42.7% (SM-Meds: 47.1%). Multivariable models showed SM-Meds had significant higher likelihood of psychological support. Therefore, SM-Meds reported higher help-seeking behavior, lower physical activity and social support. Universities should promote more inclusive learning climate and activities to increase exercise, especially among SM-Meds.
Data Availability
Data cannot be shared publicly because of Ethics Committee restriction. All relevant data are within the paper.
References
Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., Kessler, R. C., & WHO WMH-ICS Collaborators. (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362.
Baams, L., De Luca, S. M., & Brownson, C. (2018). Use of mental health services among college students by sexual orientation. LGBT Health, 5(7), 421–430. https://doi.org/10.1089/lgbt.2017.0225.
Beck, A., Steer, R., & Brown, G. (1996). Beck depression inventory-II. San Antonio, TX: The Psychological Corporation Harcourt Brace & Company.
Bert, F., Lo Moro, G., Corradi, A., et al. (2020). Prevalence of depressive symptoms among Italian medical students: The multicentre cross-sectional “PRIMES” study. PLoS One, 15(4), e0231845. https://doi.org/10.1371/journal.pone.0231845.
Bitonte, R. A., & DeSanto, D. J. (2014). Mandatory physical exercise for the prevention of mental illness in medical students. Mental Illness, 6(2). https://doi.org/10.4081/mi.2014.5549.
Brooks, S. K., Gerada, C., & Chalder, T. (2011). Review of literature on the mental health of doctors: Are specialist services needed? Journal of Mental Health (Abingdon, England), 20(2), 146–156. https://doi.org/10.3109/09638237.2010.541300.
Ciro, D., Surko, M., Bhandarkar, K., Helfgott, N., Peake, K., & Epstein, I. (2005). Lesbian, gay, bisexual, sexual-orientation questioning adolescents seeking mental health services: Risk factors, worries, and desire to talk about them. Social Work in Mental Health, 3(3), 213–234. https://doi.org/10.1300/J200v03n03_01.
Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71(1), 53–61. https://doi.org/10.1037/0022-006X.71.1.53.
Doull, M., Watson, R. J., Smith, A., Homma, Y., & Saewyc, E. (2018). Are we leveling the playing field? Trends and disparities in sports participation among sexual minority youth in Canada. Journal of Sport and Health Science, 7(2), 218–226. https://doi.org/10.1016/j.jshs.2016.10.006.
Mereish, E. H., & Poteat, V. P. (2015). Let’s get physical: Sexual orientation disparities in physical activity, sports involvement, and obesity among a population-based sample of adolescents. American Journal of Public Health, 105(9), 1842–1848. https://doi.org/10.2105/AJPH.2015.302682.
Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27(5), 367–385. https://doi.org/10.3109/09540261.2015.1083949.
Przedworski, J. M., Dovidio, J. F., Hardeman, R. R., Phelan, S. M., Burke, S. E., Ruben, M. A., Perry, S. P., Burgess, D. J., Nelson, D. B., Yeazel, M. W., Knudsen, J. M., & van Ryn, M. (2015). A comparison of the mental health and well-being of sexual minority and heterosexual first-year medical students: A report from the medical student CHANGE study. Academic Medicine, 90(5), 652–659. https://doi.org/10.1097/ACM.0000000000000658.
Puthran, R., Zhang, M. W. B., Tam, W. W., & Ho, R. C. (2016). Prevalence of depression amongst medical students: A meta-analysis. Medical Education, 50(4), 456–468. https://doi.org/10.1111/medu.12962.
Risdon, C., Cook, D., & Willms, D. (2000). Gay and lesbian physicians in training: A qualitative study. CMAJ., 162(3), 331–334.
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students a systematic review and meta-analysis. Journal of the American Medical Association, 316(21), 2214–2236. https://doi.org/10.1001/jama.2016.17324.
Slavin, S. J., Schindler, D. L., & Chibnall, J. T. (2014). Medical student mental health 3.0: Improving student wellness through curricular changes. Academic Medicine, 89(4), 573–577. https://doi.org/10.1097/ACM.0000000000000166.
Toman, L. (2019). Navigating medical culture and LGBTQ identity. The Clinical Teacher, 16(4), 335–338. https://doi.org/10.1111/tct.13078.
Wang, Y. P., & Gorenstein, C. (2013). Psychometric properties of the Beck depression inventory-II: A comprehensive review. Brazilian Journal of Psychiatry, 35(4), 416–431. https://doi.org/10.1590/1516-4446-2012-1048.
Funding
The authors did not receive support from any organization for the submitted work.
Author information
Authors and Affiliations
Consortia
Contributions
Conceptualization: Giuseppina Lo Moro, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini; Methodology: Giuseppina Lo Moro, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini; Formal analysis and investigation: Giuseppina Lo Moro, Paolo Leombruni, Fabrizio Bert; Writing - original draft preparation: Giuseppina Lo Moro, Paolo Leombruni, Fabrizio Bert; Writing - review and editing: Giuseppina Lo Moro, Paolo Leombruni, Fabrizio Bert, Roberta Siliquini; Resources: Roberta Siliquini & PRIMES Collaborating Group; Supervision: Paolo Leombruni, Fabrizio Bert, Roberta Siliquini.
Corresponding author
Ethics declarations
Conflict of Interest
The authors have no relevant financial or non-financial interests to disclose.
Ethics Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Ethics Committee of University of Turin approved the protocol (Prot. 420,112, 12/10/2018).
Consent to Participate
Written informed consent was obtained from all participants.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Giuseppina Lo Moro and Paolo Leombruni are the co-first Authors
Supplementary Information
ESM 1
(DOCX 17 kb)
Rights and permissions
About this article
Cite this article
Lo Moro, G., Leombruni, P., Bert, F. et al. Mental health of medical students belonging to sexual minorities: A focus on help-seeking behavior in an Italian multicenter survey. Curr Psychol 42, 4336–4340 (2023). https://doi.org/10.1007/s12144-021-01541-w
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12144-021-01541-w