Psychological Distress and Lifestyle of Malay Medical Students

Zafirah Hani Ramli; Salwa Hanim Mohd Saifuddin; Nur Farah Liyana Kamaruddin; Muhammad Wafiuddin Ahmad; Nurzhafri Zakaria; Nor Aini Mohd Noor; Eizwan Hamdie Yusoff; Salmi Razali

doi:10.22037/jme.v15i2.10243

Journal of Medical Education for Future Demands

Former Title: Journal of Medical Education | The Official Journal of School of Medical Education and Learning Technologies

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https://doi.org/10.22037/jme.v15i2.10243

Psychological Distress and Lifestyle of Malay Medical Students

Author(s):

Zafirah Hani Ramli¹,

Salwa Hanim Mohd Saifuddin¹,

Nur Farah Liyana Kamaruddin¹,

Muhammad Wafiuddin Ahmad¹,

Nurzhafri Zakaria¹,

Nor Aini Mohd Noor²,

Eizwan Hamdie Yusoff³,

Salmi Razali^3,*

1Faculty of Medicine, Universiti Teknologi MARA (UiTM), Batu Caves, Selangor, Malaysia

2Discipline of Population Health and Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Batu Caves, Selangor, Malaysia

3Discipline of Psychological and Behavioural Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Batu Caves, Selangor, Malaysia

Journal of Medical Education for Future Demands:Vol. 15, issue 2; e105490

Published online:Jul 20, 2016

Article type:Research Article

Received:Oct 12, 2015

Accepted:Jun 28, 2016

How to Cite:Hani Ramli Z, Hanim Mohd Saifuddin S, Liyana Kamaruddin N F, Wafiuddin Ahmad M, Zakaria N, et al. Psychological Distress and Lifestyle of Malay Medical Students.J Med Edu.2016;15(2):e105490.https://doi.org/10.22037/jme.v15i2.10243.

Abstract

Background and Purpose: Medical education is a laborious program which may give negative consequences on the physical and psychological health of medical students. The aims of this study were to evaluate psychological distress among Malay medical students and to assess its relationship with their lifestyle.Methods: A cross-sectional study was conducted among 221 Malay medical students. Psychological distress and lifestyle were assessed using Depression, Anxiety and Stress Scale (DASS-21) and Health-Promoting Lifestyle Profile II (HPLPII) respectively.Results: About 30.8% of Malay medical students had mild to extremely severe depressive symptoms, 62.9 % showed mild to extremely severe anxiety symptoms, and 34.9% of them had mild to extremely severe stress. The depressive subscale was significantly higher among female than male students (Z=-2.613, P=0.009). There was a significant negative correlation between total psychological distress and spiritual growth (r=-0.217, P=0.001). Depression was found not only negatively correlated with spiritual growth (r =-0.328, P=0.000) but also interpersonal relationship (r=-0.161, P=0.016). Stress was inversely correlated with physical activity (r =-0.172, P=0.011). Preclinical students had significantly better scores in health responsibility (Z=-2.301, P=0.021), interpersonal relationship (Z=-2.840, P=0.005), stress management (Z=-2.339, P=0.019), spiritual growth (Z=-2.483, P=0.013) and nutrition and diet (Z =-2.456, P=0.014) than clinical students.Conclusions: Malay medical students had significant symptoms that indicate psychological distress that related to their lifestyle. This warrants further psychiatric evaluation and management for them to be good and safe future doctors.

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Author(s):

Zafirah Hani Ramli:[PubMed][Scholar]
Salwa Hanim Mohd Saifuddin:[PubMed][Scholar]
Nur Farah Liyana Kamaruddin:[PubMed][Scholar]
Muhammad Wafiuddin Ahmad:[PubMed][Scholar]
Nurzhafri Zakaria:[PubMed][Scholar]
Nor Aini Mohd Noor:[PubMed][Scholar]
Eizwan Hamdie Yusoff:[PubMed][Scholar]
Salmi Razali:[PubMed][Scholar]