Comparison of Depression Levels in Early and End Preclinical Students at Pelita Harapan University

Claresta Janice Budianto; Neneng Suryadinata

doi:10.36452/jkdoktmeditek.v31i1.3325

Authors

Claresta Janice Budianto Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia
Neneng Suryadinata Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v31i1.3325

Keywords:

depression, mental health, social support, indonesia, medical student

Abstract

Introduction: Mental health is a crucial concern globally and in Indonesia, especially among medical students who face higher rates of depression than the general population due to academic pressure, high expectations, and social stress. Depression can negatively affect academic performance and future careers. Studies show varying results regarding depression levels between early and end preclinical students. Purpose: This study aims to compare the level of depression in early to end preclinical students at Pelita Harapan University and to see whether there is a relationship between gender and social support and the level of depression. Methods: This cross-sectional study was conducted among 333 preclinical students from the Faculty of Medicine, Pelita Harapan University, in January-March 2024. The data was collected using the Beck Depression Inventory-II and the Multidimensional Scale of Perceived Social Support Questionnaire. Data analysis was performed using SPSS version 26 (chi-square statistical test). Results: The study found no statistically significant difference in depression levels between early and end preclinical students (p-value 0.348). There is a relationship between social support and the level of depression in preclinical students of the UPH Medical Faculty, with a (p-value of 0.001). However, no significant relationship was found between gender and the level of depression in preclinical students, with a p-value of 0.093. Conclusion: Conducted outside major metropolitan areas like Jakarta, the study offers insights into how depression manifests in different geographic and socio-economic contexts. The findings can be used as a consideration for making a faculty or university policy to improve mental health management for medical students, ensuring an effective learning process.

Author Biography

Neneng Suryadinata, Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia

Full-time lecturer at the Faculty of Medicine, Pelita Harapan University.

References

WHO. Depression and Other Common Mental Disorders Global Health Estimates [Internet]. 2017 [cited 2023 Sep 10]. Available from: https://www.who.int/publications/i/item/depression-global-health-estimates

APA Dictionary of Psychology (2nd ed.). [Internet]. VandenBos GR, editor. Washington: American Psychological Association; 2015 [cited 2023 Sep 8]. Available from: https://doi.org/10.1037/14646-000

Moir F, Yielder J, Sanson J, Chen Y. Depression in medical students: Current insights. Advances in Medical Education and Practice. 2018 May;2018(9):323–333. Available from: https://doi.org/10.2147/amep.s137384

Sagud M, Hotujac L, Mihaljević-Peles A, Jakovljević M. Gender differences in depression. Coll Antropol. 2002 Jun;26(1):149–157. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12137295

Albert PR. Why is depression more prevalent in women? Journal of Psychiatry and Neuroscience. 2015 Jul 1;40(4):219–221. Available from: https://doi.org/10.1503/jpn.150205

Goodwin RD, Gotlib IH. Gender differences in depression: the role of personality factors. Psychiatry Research. 2004 Apr 30;126(2):135–142. Available from: https://doi.org/10.1016/J.PSYCHRES.2003.12.024

Papalia DE, Martorell G. Experience human development. New York: McGraw-Hill Education: 2021. p.418-419.

Gariépy G, Honkaniemi H, Quesnel-Vallée A. Social support and protection from depression: Systematic review of current findings in western countries. British Journal of Psychiatry. Royal College of Psychiatrists; 2016 Oct;209(4):284–293. Available from: https://doi.org/10.1192/bjp.bp.115.169094

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis. JAMA. 2016 Dec 6;316(21):2214–2236. Available from: https://doi.org/10.1001/jama.2016.17324

Pokhrel NB, Khadayat R, Tulachan P. Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study. BMC Psychiatry. 2020 Dec 15;20(1):298-316. Available from: https://doi.org/10.1186/s12888-020-02645-6

Guo F, Yi M, Sun L, Luo T, Han R, Zheng L, et al. A novel model to predict mental distress among medical graduate students in China. BMC Psychiatry. 2021 Dec 15;21(1):569-581. Available from: https://doi.org/10.1186/s12888-021-03573-9

Quevedo J, Carvalho AF, Zarate CA. Neurobiology of depression: Road to novel therapeutics. London, United Kingdom: Academic Press, an imprint of Elsevier; 2019. p.9-15.

Khan S, Khan R. Chronic Stress Leads to Anxiety and Depression. Ann Psychiatry Mental Health.2017;5(1):1091-1095. Available from: https://www.jscimedcentral.com/public/assets/articles/psychiatry-5-1091.pdf

Ramadhan AF. Perbedaan Derajat Kecemasan Antara Mahasiswa Tahap Akademik Tingkat Awal Dengan Tingkat Akhir di Fakultas Kedokteran Universitas Lampung [Thesis]. Lampung: Universitas Lampung; 2017.

Maulina B, Sari DR. Derajat Stres Mahasiswa Baru Fakultas Kedokteran Ditinjau Dari Tingkat Penyesuaian Diri Terhadap Tuntutan Akademik. Jurnal Psikologi Pendidikan dan Konseling: Jurnal Kajian Psikologi Pendidikan dan Bimbingan Konseling. 2018 Jun 24;4(1):1-5. Available from: https://doi.org/10.26858/jpkk.v4i1.4753

Jannah R. Perbandingan Tingkat Stres Antara Mahasiswa Semester III Angkatan 2017 dan Semester VII Angkatan 2015 di Fakultas Kedokteran Universitas Syiah Kuala [Thesis]. Aceh: Universitas Syiah Kuala; 2019

Kumar B, Shah MAA, Kumari R, Kumar A, Kumar J, Tahir A. Depression, Anxiety, and Stress Among Final-year Medical Students. Cureus. 2019 Mar 16;11(3):1-8. Available from: https://doi.org/10.7759/cureus.4257

Hamdan AV, Diantamaela M, Suciaty S. Derajat Depresi Mahasiswa Kedokteran Aktif Pada 2 Fase Pendidikan: Semester Awal dan Semester Akhir di Fakultas Akhir di Fakultas Kedokteran Universitas Alkhairaat Palu Tahun 2021. Medika Alkhairaat: Jurnal Penelitian Kedokteran dan Kesehatan. 2021;4(1): 30-34

Lee EH, Lee SJ, Hwang ST, Hong SH, Kim JH. Reliability and Validity of the Beck Depression Inventory-II among Korean Adolescents. Psychiatry Investigation. 2017 Jan 1;14(1):30–36. Available from: https://doi.org/10.4306/pi.2017.14.1.30

Sorayah. Uji Validitas Konstruk Beck Depression Inventory-II (BDI-II). Jurnal Pengukuran Psikologi dan Pendidikan Indonesia. 2015;4(1):1-13. Available from: https://doi.org/10.15408/jp3i.v4i1.9259

Beck AT, Steer RA, Ball R, Ranieri WF. Comparison of Beck Depression Inventories-IA and-II in Psychiatric Outpatients. Journal of Personality Assessment. 2010 Dec;67(3):588–597. Available from: https://doi.org/10.1207/s15327752jpa6703_13

Sierra JC, Haynes SN, Eysenck MW, Buela-Casal G, Ginting H, Näring G, et al. Directores Asociados / Associate Editors: Validating the Beck Depression Inventory-II in Indonesia’s general population and coronary heart disease patients. International Journal of Clinical and Health Psychology. 2013;13(3):235-242. Available from: https://doi.org/10.1016/S1697-2600(13)70028-0

Sulistiani W, Fajrianthi F, Kristiana IF. Validation of the Indonesian Version of the Multidimensional Scale of Perceived Social Support (MSPSS): A Rasch Model Approach. Jurnal Psikologi. 2022 Apr 30;21(1):89–103. Available from: https://doi.org/10.14710/jp.21.1.89-103

Amelia M, Saputri W. Hubungan Antara Dukungan Sosial dengan Depresi pada Lanjut Usia yang Tinggal di Panti Wreda Wening Wardoyo Jawa Tengah. Jurnal Psikologi. 2012;9(1):1-8. Available from: https://doi.org/10.14710/jpu.9.1.

Alrashed FA, Alsubiheen AM, Alshammari H, Mazi SI, Al-Saud SA, Alayoubi S, et al. Stress, Anxiety, and Depression in Pre-Clinical Medical Students: Prevalence and Association with Sleep Disorders. Sustainability. 2022 Sep 9;14(18):11320-11338. Available from: https://doi.org/10.3390/su141811320

Nurrezki S, Irawan R. Hubungan Stress, Cemas, dan Depresi dengan Kejadian Migrain pada Mahasiswa Kedokteran di Jakarta. Damianus: Journal of Medicine. 2020 Jun 29;19(1):1–7. Available from: https://doi.org/10.25170/djm.v19i1.1200

Fteiha M, Awwad N. Emotional intelligence and its relationship with stress coping style. Health Psychology Open. SAGE Publications Inc. 2020;7(2):1-9 Available from: https://doi.org/10.1177/2055102920970416

Sattar K, Yusoff MSB, Arifin WN, Yasin MAM, Nor MZM. Effective coping strategies utilised by medical students for mental health disorders during undergraduate medical education scoping review. BMC Med Education. 2022 Dec 1;22(1):121-134. Available from: https://doi.org/10.1186/s12909-022-03185-1

Clairine SI. Prevalensi Depresi dan Gangguan Cemas Pada Mahasiswa Preklinik Fakultas Kedokteran Universitas Udayana tahun 2020 Dalam Masa Pandemi Covid-19. E-Jurnal Medika Udayana. 2023 May 5;12(4):83-88. Available from: https://doi.org/10.24843/MU.2023.V12.i04.P14

Laoli SE, Nauli FA, Karim D. Gambaran Tingkat Depresi Mahasiswa Dan Faktor Penyebab Depresi Mahasiswa Tingkat Akhir di Universitas Riau. Coping: Community of Publishing in Nursing. 2022 Feb 28;10(1):115-122. Available from: https://doi.org/10.24843/coping.2022.v10.i01.p15

Singh A, Lal A. Prevalence of Depression Among Medical Students of a Private Medical College in India. Online Journal of Health and Allied Science. 2010;9(4):8-11. Available from: http://www.ojhas.org/issue36/2010-4-8.htm

Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Education. 2016 Apr;50(4):456–468. Available from: https://doi.org/10.1111/MEDU.12962

Maulana Z, Soleha T, Saftarina F, Siagian J. Differences in Stress Level Between First-Year and Second-Year Medical Students in Medical Faculty of Lampung University. [internet]. [cited 2023 Oct 9]; Available from: https://www.semanticscholar.org/paper/Perbedaan-Tingkat-Stres-antara-Mahasiswa-Tahun-dan-Maulana-Soleha/3e6f7b176ff5ec7e2628419156a9eb044a66b240#citing-papers?utm_source=direct_link

Zuhana SS. Studi Meta Analisis Social Support And Depression: A Meta-Analytic Study Seminar ASEAN 2nd Psychology & Humanity Dukungan Sosial Dan Depresi: [Internet]. [cited 2023 Oct 9]; Available from: www.britishjournalofpsychiatric.com.

Apollo, Cahyadi A. Konflik Peran Ganda Perempuan Menikah yang Bekerja Ditinjau dari Dukungan Sosial Keluarga dan Penyesuaian Diri. [internet]. [cited 2024 Mar 9]; Available from: https://www.semanticscholar.org/paper/KONFLIK-PERAN-GANDA-PEREMPUAN-MENIKAH-YANG-BEKERJA-Apollo-Cahyadi/50a73b052b393017cf48e1e01dfd6d9be5e4e93e?utm_source=direct_link

Jadoon NA, Yaqoob R, Raza A, Shehzad MA, Zeshan SC. Anxiety and depression among medical students: a cross-sectional study. Journal of the Pakistan Medical Association. 2010 Aug;60(8):699–702. Available from: Anxiety and depression among medical students: a cross-sectional study - PubMed

Yadav R, Gupta S, Malhotra A. A cross sectional study on depression, anxiety and their associated factors among medical students in Jhansi, Uttar Pradesh, India. International Journal of Community Medicine and Public Health. 2016 May;3(5):1209–1214. Available from: https://doi.org/10.18203/2394-6040.ijcmph20161386

Mumang AA, Syamsuddin S, Maria IL, Yusuf I. Gender Differences in Depression in the General Population of Indonesia: Confounding Effects. Depression Research and Treatment. 2021 Jun;2021(1):1–8. Available from: https://doi.org/10.1155/2021/3162445