The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis
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Dyrbye, 2006, Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students, Acad. Med., 81, 354, 10.1097/00001888-200604000-00009
Wolf, 1994, Stress, coping and health: Enhancing well-being during medical school, Med. Educ., 28, 8, 10.1111/j.1365-2923.1994.tb02679.x
Mosley, 1994, Stress, coping, and well-being among third-year medical students, Acad. Med., 69, 765, 10.1097/00001888-199409000-00024
Aktekin, 2001, Anxiety, depression and stressful life events among medical students: A prospective study in Antalya, Turkey, Med. Educ., 35, 12, 10.1046/j.1365-2923.2001.00726.x
Weiller, 1998, Prevalence and recognition of anxiety syndromes in five European primary care settings. A report from the WHO study on Psychological Problems in General Health Care, Br. J. Psychiatry Suppl., 34, 18, 10.1192/S0007125000293471
Kroenke, 2007, Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection, Ann. Intern. Med., 146, 317, 10.7326/0003-4819-146-5-200703060-00004
Rynn, 2004, Generalized anxiety disorder: Acute and chronic treatment, CNS Spectr, 9, 716, 10.1017/S1092852900022367
Testa, 2013, Psychiatric emergencies (part I): Psychiatric disorders causing organic symptoms, Eur. Rev. Med. Pharmacol. Sci., 17, 55
Eysenck, 2007, Anxiety and cognitive performance: Attentional control theory, Emotion, 7, 336, 10.1037/1528-3542.7.2.336
Moran, 2016, Anxiety and working memory capacity: A meta-analysis and narrative review, Psychol. Bull., 142, 831, 10.1037/bul0000051
Runswick, 2018, The effects of anxiety and situation-specific context on perceptual-motor skill: A multi-level investigation, Psychol. Res., 82, 708, 10.1007/s00426-017-0856-8
Hope, 2014, Medical student depression, anxiety and distress outside North America: A systematic review, Med. Educ., 48, 963, 10.1111/medu.12512
Khuwaja, 2004, Prevalence and factors associated with anxiety and depression among family practitioners in Karachi, Pakistan, J. Pak. Med. Assoc., 54, 45
Al Saadi, T., Zaher Addeen, S., Turk, T., Abbas, F., and Alkhatib, M. (2017). Psychological distress among medical students in conflicts: A cross-sectional study from Syria. BMC Med. Educ., 17.
Carter, 2016, Predictors of psychological resilience amongst medical students following major earthquakes, N. Z. Med. J., 129, 17
Loh, 2005, Impact of a spreading epidemic on medical students, Malays, 12, 43
Wong, 2007, Anxiety among university students during the SARS epidemic in Hong Kong, Stress Health: J. Int. Soc. Investig. Stress, 23, 31, 10.1002/smi.1116
Moher, D., Liberati, A., Tetzlaff, J., Altman, D.G., and Group, P. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med., 6.
Herzog, R., Alvarez-Pasquin, M.J., Diaz, C., Del Barrio, J.L., Estrada, J.M., and Gil, A. (2013). Are healthcare workers intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health, 13.
Hedges, 1998, Fixed-and random-effects models in meta-analysis, Psychol. Methods, 3, 486, 10.1037/1082-989X.3.4.486
Ho, R.C., Zhang, M.W., Tsang, T.Y., Toh, A.H., Pan, F., Lu, Y., Cheng, C., Yip, P.S., Lam, L.T., and Lai, C.M. (2014). The association between internet addiction and psychiatric co-morbidity: A meta-analysis. BMC Psychiatry, 14.
Egger, 1997, Bias in meta-analysis detected by a simple, graphical test, BMJ, 315, 629, 10.1136/bmj.315.7109.629
UN Statistics Division (2010). Standard Country or Area Codes for Statistical Use, UN Statistics Division.
Beck, 1988, An inventory for measuring clinical anxiety: Psychometric properties, J. Consult. Clin. Psychol., 56, 893, 10.1037/0022-006X.56.6.893
Zigmond, 1983, The hospital anxiety and depression scale, Acta Psychiatr. Scand., 67, 361, 10.1111/j.1600-0447.1983.tb09716.x
Lovibond, S.H., and Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales, Psychology Foundation.
Spitzer, 2006, A brief measure for assessing generalized anxiety disorder: The GAD-7, Arch. Intern. Med., 166, 1092, 10.1001/archinte.166.10.1092
Abdallah, 2014, Depression, anxiety and stress among first year medical students in an Egyptian public university, Int. Res. J. Med. Sci., 2, 11
Ahmed, 2009, Cognitive emotions: Depression and anxiety in medical students and staff, J. Crit. Care, 24, e1, 10.1016/j.jcrc.2009.06.003
Akhtar, 2019, Depression and Anxiety among International Medical Students in Germany: The Predictive Role of Coping Styles, JPMA J. Pak. Med. Assoc., 69, 230
Akvardar, 2003, Substance use in a sample of Turkish medical students, Drug Alcohol Depend., 72, 117, 10.1016/S0376-8716(03)00192-3
Alaqeel, 2017, Prevalence of Irritable Bowel Syndrome and Its Association with Anxiety among Medical Students at King Saud bin Abdulaziz University for Health Sciences in Riyadh, Pak. J. Med. Sci., 33, 33, 10.12669/pjms.331.12572
Alvi, 2010, Depression, anxiety and their associated factors among medical students, J. Coll. Physicians Surg. Pak., 20, 122
Amr, 2008, Does gender predict medical students’ stress in Mansoura, Egypt?, Med. Educ. Online, 13, 12, 10.3402/meo.v13i.4481
Ashton, 1995, Personality, lifestyles, alcohol and drug consumption in a sample of British medical students, Med. Educ., 29, 187, 10.1111/j.1365-2923.1995.tb02828.x
Azad, 2017, Anxiety And Depression in Medical Students of a Private Medical College, J. Ayub Med. Coll. Abbottabad, 29, 123
Bassols, 2014, First- and last-year medical students: Is there a difference in the prevalence and intensity of anxiety and depressive symptoms?, Braz J. Psychiatry, 36, 233, 10.1590/1516-4446-2013-1183
Baykan, 2012, Depression, anxiety, and stress among last-year students at Erciyes University Medical School, Acad. Psychiatry, 36, 64, 10.1176/appi.ap.11060125
Bogowicz, 2018, Alcohol and other substance use among medical and law students at a UK university: A cross-sectional questionnaire survey, Postgrad. Med. J., 94, 131, 10.1136/postgradmedj-2017-135136
Casey, 2016, Graduate-entry medical students: Older and wiser but not less distressed, Australas. Psychiatry, 24, 88, 10.1177/1039856215612991
Chandavarkar, 2007, Anxiety symptoms and perceived performance in medical students, Depress. Anxiety, 24, 103, 10.1002/da.20185
Chen, 2018, Harm avoidance and depression, anxiety, insomnia, and migraine in fifth-year medical students in Taiwan, Neuropsychiatr. Dis. Treat., 14, 1273, 10.2147/NDT.S163021
Coentre, 2016, Assessment of depression and suicidal behaviour among medical students in Portugal, Int. J. Med. Educ., 7, 354, 10.5116/ijme.57f8.c468
Moreira, 2018, Anxiety, Depression and Academic Performance: A Study Amongst Portuguese Medical Students Versus Non-Medical Students, Acta Med. Port., 31, 454, 10.20344/amp.9996
Machado, 2013, Relationship between academic performance and affective changes during the first year at medical school, Med. Teach., 35, 404, 10.3109/0142159X.2013.769675
Ediz, 2017, Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics, Cogent Psychol., 4, 1283829, 10.1080/23311908.2017.1283829
Amr, 2008, Perceived stress among male medical students in Egypt and Saudi Arabia: Effect of sociodemographic factors, Ann. Saudi Med., 28, 442
Eller, 2006, Symptoms of anxiety and depression in Estonian medical students with sleep problems, Depress. Anxiety, 23, 250, 10.1002/da.20166
Fawzy, 2017, Prevalence of psychological stress, depression and anxiety among medical students in Egypt, Psychiatry Res., 255, 186, 10.1016/j.psychres.2017.05.027
Francis, B., Gill, J.S., Yit Han, N., Petrus, C.F., Azhar, F.L., Ahmad Sabki, Z., Said, M.A., Ong Hui, K., Chong Guan, N., and Sulaiman, A.H. (2019). Religious Coping, Religiosity, Depression and Anxiety among Medical Students in a Multi-Religious Setting. Int. J. Environ. Res. Public Health, 16.
Gan, 2019, Anxiety, depression and quality of life of medical students in Malaysia, Med. J. Malays., 74, 57
Garcia, 2017, Acute effects of energy drinks in medical students, Eur. J. Nutr., 56, 2081, 10.1007/s00394-016-1246-5
Ghodasara, 2011, Assessing student mental health at the Vanderbilt University School of Medicine, Acad. Med., 86, 116, 10.1097/ACM.0b013e3181ffb056
Haghighi, M., and Gerber, M. (2018). Does mental toughness buffer the relationship between perceived stress, depression, burnout, anxiety, and sleep?. Int. J. Stress Manag.
Hu, 2019, Maladaptive perfectionism, impostorism, and cognitive distortions: Threats to the mental health of pre-clinical medical students, Acad. Psychiatry, 43, 381, 10.1007/s40596-019-01031-z
Ibrahim, 2013, Prevalence and Predictors of Anxiety and Depression among Female Medical Students in King Abdulaziz University, Jeddah, Saudi Arabia, Iran. J. Public Health, 42, 726
Ibrahim, 2015, Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University, Alex. J. Med., 51, 167
Ibrayeva, 2018, Depression, Anxiety and Somatic Distress in Domestic and International Undergraduate Medical Students in Kazakhstan, Iran. J. Public Health, 47, 919
Iqbal, 2015, Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates, Indian J. Med. Res., 141, 354, 10.4103/0971-5916.156571
Jafari, 2017, Measurement invariance of the Depression Anxiety Stress Scales-21 across medical student genders, Int. J. Med. Educ., 8, 116, 10.5116/ijme.58ba.7d8b
James, 2017, Psychosocial correlates of perceived stress among undergraduate medical students in Nigeria, Int. J. Med. Educ., 8, 382, 10.5116/ijme.59c6.3075
Karaoglu, 2010, Anxiety and depression in medical students related to desire for and expectations from a medical career, West Indian Med. J., 59, 196
Knipe, 2018, Mental health in medical, dentistry and veterinary students: Cross-sectional online survey, BJPsych Open, 4, 441, 10.1192/bjo.2018.61
Kulsoom, 2015, Stress, anxiety, and depression among medical students in a multiethnic setting, Neuropsychiatr. Dis. Treat., 11, 1713
Kunwar, 2016, Study of Depression, Anxiety and Stress among the Medical Students in two Medical Colleges of Nepal, Kathmandu Univ. Med. J., 14, 22
Leao, 2011, Well-being and help-seeking: An exploratory study among final-year medical students, Rev. Assoc. Med. Bras., 57, 379, 10.1590/S0104-42302011000400009
Liu, 1997, Life events and anxiety in Chinese medical students, Soc. Psychiatry Psychiatr. Epidemiol., 32, 63, 10.1007/BF00788922
Lupo, 2011, Religiosity, anxiety and depression among Israeli medical students, Isr. Med. Assoc. J., 13, 613
Mahroon, 2018, Factors associated with depression and anxiety symptoms among medical students in Bahrain, Acad. Psychiatry, 42, 31, 10.1007/s40596-017-0733-1
Manchevska, 2014, The prevalence of high anxiety and substance use in university students in the Republic of Macedonia, Pril (Makedon Akad Nauk Umet Odd Med. Nauki), 35, 67
Brenneisen Mayer, F., Souza Santos, I., Silveira, P.S., Itaqui Lopes, M.H., de Souza, A.R., Campos, E.P., de Abreu, B.A., Hoffman Ii, I., Magalhaes, C.R., and Lima, M.C. (2016). Factors associated to depression and anxiety in medical students: A multicenter study. BMC Med. Educ., 16.
Mousa, O.Y., Dhamoon, M.S., Lander, S., and Dhamoon, A.S. (2016). The MD Blues: Under-Recognized Depression and Anxiety in Medical Trainees. PLoS ONE, 11.
Moutinho, 2017, Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters, Rev. Assoc. Med. Bras. (1992), 63, 21, 10.1590/1806-9282.63.01.21
Moutinho, 2019, Mental health and quality of life of Brazilian medical students: Incidence, prevalence, and associated factors within two years of follow-up, Psychiatry Res., 274, 306, 10.1016/j.psychres.2019.02.041
White, 2000, Factors influencing alcohol and illicit drug use amongst medical students, Drug Alcohol Depend., 59, 125, 10.1016/S0376-8716(99)00108-8
Dinan, 2018, Examining stress: An investigation of stress, mood and exercise in medical students, Ir. J. Psychol. Med., 35, 63, 10.1017/ipm.2017.54
Pagnin, 2014, The relation between burnout and sleep disorders in medical students, Acad. Psychiatry, 38, 438
Pickard, 2000, Alcohol and drug use in second-year medical students at the University of Leeds, Med. Educ., 34, 148, 10.1046/j.1365-2923.2000.00491.x
Prinz, 2012, Burnout, depression and depersonalisation--psychological factors and coping strategies in dental and medical students, GMS Z Med. Ausbild, 29, Doc10
Rab, 2008, Rates of depression and anxiety among female medical students in Pakistan, East Mediterr Health J., 14, 126
Rezaei, 2018, Sleep quality and its association with psychological distress and sleep hygiene: A cross-sectional study among pre-clinical medical students, Sleep Sci., 11, 274, 10.5935/1984-0063.20180043
Samaranayake, 2011, Satisfaction with life and depression among medical students in Auckland, New Zealand, N. Z. Med. J., 124, 12
Saravanan, 2014, Medical students’ experience of and reaction to stress: The role of depression and anxiety, Sci. World J., 2014, 737382, 10.1155/2014/737382
Serra, 2015, Prevalence of depressive and anxiety symptoms in medical students in the city of Santos, J. Bras. Psiquiatr., 64, 213, 10.1590/0047-2085000000081
Shi, M., Liu, L., Wang, Z.Y., and Wang, L. (2015). The mediating role of resilience in the relationship between big five personality and anxiety among Chinese medical students: A cross-sectional study. PLoS ONE, 10.
Sun, 2011, Correlations between psychological symptoms and social relationships among medical undergraduates in Anhui Province of China, Int. J. Psychiatry Med., 42, 29, 10.2190/PM.42.1.c
Talih, F., Daher, M., Daou, D., and Ajaltouni, J. (2018). Examining burnout, depression, and attitudes regarding drug use among lebanese medical students during the 4 years of medical school. Acad. Psychiatry.
Tempski, P., Santos, I.S., Mayer, F.B., Enns, S.C., Perotta, B., Paro, H.B., Gannam, S., Peleias, M., Garcia, V.L., and Baldassin, S. (2015). Relationship among Medical Student Resilience, Educational Environment and Quality of Life. PLoS ONE, 10.
van Venrooij, L.T., Barnhoorn, P.C., Giltay, E.J., and van Noorden, M.S. (2015). Burnout, depression and anxiety in preclinical medical students: A cross-sectional survey. Int. J. Adolesc. Med. Health, 29.
Villacura, 2017, Evaluation of depressive and anxiety symptomatology in medical students at the University of Chile, Ment. Health Prev., 7, 45, 10.1016/j.mhp.2017.06.001
Wahed, 2017, Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students, Alex. J. Med., 53, 77
Waqas, 2015, Association of Ego Defense Mechanisms with Academic Performance, Anxiety and Depression in Medical Students: A Mixed Methods Study, Cureus, 7, e337
Waqas, A., Naveed, S., Aedma, K.K., Tariq, M., and Afzaal, T. (2018). Exploring clusters of defense styles, psychiatric symptoms and academic achievements among medical students: A cross-sectional study in Pakistan. BMC Res. Notes, 11.
Wolf, 1998, A four-year study of anxiety, depression, loneliness, social support, and perceived mistreatment in medical students, J. Health Psychol., 3, 125, 10.1177/135910539800300110
Zhang, Y., Xiong, Y., Dong, J., Guo, T., Tang, X., and Zhao, Y. (2018). Caffeinated Drinks Intake, Late Chronotype, and Increased Body Mass Index among Medical Students in Chongqing, China: A Multiple Mediation Model. Int. J. Environ. Res. Public Health, 15.
Henry, 2005, The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample, Br. J. Clin. Psychol., 44, 227, 10.1348/014466505X29657
Kader Maideen, S.F., Mohd Sidik, S., Rampal, L., and Mukhtar, F. (2015). Prevalence, associated factors and predictors of anxiety: A community survey in Selangor, Malaysia. BMC Psychiatry, 15.
Gillis, 1995, Normative values for the Beck Anxiety Inventory, Fear Questionnaire, Penn State Worry Questionnaire, and Social Phobia and Anxiety Inventory, Psychol. Assess., 7, 450, 10.1037/1040-3590.7.4.450
Lisspers, 1997, Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample, Acta Psychiatr. Scand., 96, 281, 10.1111/j.1600-0447.1997.tb10164.x
Enns, 2001, Adaptive and maladaptive perfectionism in medical students: A longitudinal investigation, Med. Educ., 35, 1034, 10.1046/j.1365-2923.2001.01044.x
Kawamura, 2001, Perfectionism, anxiety, and depression: Are the relationships independent?, Cognit. Ther. Res., 25, 291, 10.1023/A:1010736529013
Guthrie, 1995, Embarking upon a medical career: Psychological morbidity in first year medical students, Med. Educ., 29, 337, 10.1111/j.1365-2923.1995.tb00022.x
Wolf, 1988, Graduating medical students’ ratings of stresses, pleasures, and coping strategies, J. Med. Educ., 63, 636
Williams, 2005, Dying, death, and medical education: Student voices, J. Palliat. Med., 8, 372, 10.1089/jpm.2005.8.372
Richman, 1992, Mental health consequences and correlates of reported medical student abuse, JAMA, 267, 692, 10.1001/jama.1992.03480050096032
Abdullah, 2011, Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review, Clin. Psychol. Rev., 31, 934, 10.1016/j.cpr.2011.05.003
Littlewood, 2007, A cross-national study of the stigmatization of severe psychiatric illness: Historical review, methodological considerations and development of the questionnaire, Transcult. Psychiatry, 44, 171, 10.1177/1363461507077720
Rao, 2007, Racial and ethnic disparities in mental illness stigma, J. Nerv. Ment. Dis., 195, 1020, 10.1097/NMD.0b013e31815c046e
Baxter, 2013, Global prevalence of anxiety disorders: A systematic review and meta-regression, Psychol. Med., 43, 897, 10.1017/S003329171200147X
Wolf, 1986, Lifestyle characteristics during medical school: A four-year cross-sectional study, Psychol. Rep., 59, 179, 10.2466/pr0.1986.59.1.179
Niemi, 2006, Medical students’ distress–quality, continuity and gender differences during a six-year medical programme, Med. Teach., 28, 136, 10.1080/01421590600607088
Roberts, 2001, Perceptions of academic vulnerability associated with personal illness: A study of 1027 students at nine medical schools. Collaborative Research Group on Medical Student Health, Compr. Psychiatry, 42, 1, 10.1053/comp.2001.19747
Rogers, 2003, I wouldn’t want it on my CV or their records: Medical students’ experiences of help-seeking for mental health problems, Med. Educ., 37, 873, 10.1046/j.1365-2923.2003.01627.x
Rapaport, 2005, Quality-of-life impairment in depressive and anxiety disorders, Am. J. Psychiatry, 162, 1171, 10.1176/appi.ajp.162.6.1171
Sarnoff, 1961, Anxiety, fear, and social isolation, J. Abnorm. Soc.Psychol., 62, 356, 10.1037/h0046506
Sartorius, 1996, Depression comorbid with anxiety: Results from the WHO study on psychological disorders in primary health care, Br. J. Psychiatry, 168, 38, 10.1192/S0007125000298395
Vorspan, 2015, Anxiety and substance use disorders: Co-occurrence and clinical issues, Curr. Psychiatry Rep., 17, 4, 10.1007/s11920-014-0544-y
Krag, 1994, A blinded, controlled evaluation of anxiety and depressive symptoms in patients with fibromyalgia, as measured by standardized psychometric interview scales, Acta Psychiatr. Scand., 89, 370, 10.1111/j.1600-0447.1994.tb01531.x
Thieme, 2004, Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial variables, Psychosom. Med., 66, 837, 10.1097/01.psy.0000146329.63158.40
Wu, 2014, Misophonia: Incidence, phenomenology, and clinical correlates in an undergraduate student sample, J. Clin. Psychol., 70, 994, 10.1002/jclp.22098
Quek, T.C., Ho, C.S., Choo, C.C., Nguyen, L.H., Tran, B.X., and Ho, R.C. (2018). Misophonia in Singaporean Psychiatric Patients: A Cross-Sectional Study. Int. J. Environ. Res. Public Health, 15.
Lydiard, 2001, Irritable bowel syndrome, anxiety, and depression: What are the links?, J. Clin. Psychiatry, 62, 38
Fond, 2014, Anxiety and depression comorbidities in irritable bowel syndrome (IBS): A systematic review and meta-analysis, Eur. Arch. Psychiatry Clin. Neurosci., 264, 651, 10.1007/s00406-014-0502-z
Schroeder, 2009, Do state medical board applications violate the americans with disabilities act?, Acad. Med., 84, 776, 10.1097/ACM.0b013e3181a43bb2
Givens, 2002, Depressed medical students’ use of mental health services and barriers to use, Acad. Med., 77, 918, 10.1097/00001888-200209000-00024
Aaronson, 2018, Mental Health During Residency Training: Assessing the Barriers to Seeking Care, Acad. Psychiatry, 42, 469, 10.1007/s40596-017-0881-3
Puthran, 2016, Prevalence of depression amongst medical students: A meta-analysis, Med. Educ., 50, 456, 10.1111/medu.12962
Li, 2014, Efficacy of Williams LifeSkills training for improving psychological health: A pilot comparison study of Chinese medical students, Asia Pac. Psychiatry, 6, 161, 10.1111/appy.12084
Warnecke, 2011, A randomised controlled trial of the effects of mindfulness practice on medical student stress levels, Med. Educ., 45, 381, 10.1111/j.1365-2923.2010.03877.x
Vonnegut, M. (2019, June 15). A Doctor Shares His Story about Overcoming Mental Illness. Available online: KevinMD.com.