Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. May 19, 2023; 13(5): 215-225
Published online May 19, 2023. doi: 10.5498/wjp.v13.i5.215
Estimated prevalence and sociodemographic correlates of mental disorders in medical students of Hebei Province, China: A cross-sectional study
Wen-Ting Lu, Pei-Hua Hu, Na Li, Lan Wang, Ran Wang, Zeng Wang, Mei Song, Tian-Yu Zhao, Shi-Jie Guo, Fan-Fan Huang, Bu-Fan Liu, Ruo-Jia Ren, Li Yang, Quan Lin, Yue-Hang Xu, Na Jin, Huan Chen, Yuan-Yuan Gao, Zhi-Feng Wu, Guang-Yu Shi, Da-Peng Liu, Zhong-Qi Pan, Chun-Chao Du, Cui-Xia An, Xue-Yi Wang
Wen-Ting Lu, Na Li, Lan Wang, Mei Song, Tian-Yu Zhao, Shi-Jie Guo, Fan-Fan Huang, Bu-Fan Liu, Ruo-Jia Ren, Li Yang, Quan Lin, Yue-Hang Xu, Na Jin, Huan Chen, Yuan-Yuan Gao, Xue-Yi Wang, Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
Wen-Ting Lu, Pei-Hua Hu, Na Li, Ran Wang, Mei Song, Yuan-Yuan Gao, Xue-Yi Wang, Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
Lan Wang, Cui-Xia An, Xue-Yi Wang, Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
Ran Wang, Cui-Xia An, Xue-Yi Wang, Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
Zeng Wang, Zhi-Feng Wu, Guang-Yu Shi, Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
Da-Peng Liu, Zhong-Qi Pan, Chun-Chao Du, Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
Author contributions: Wang XY was the guarantor and designed the study; Lu WT and Hu PH participated in the acquisition, analysis, and interpretation of the data, and drafted the initial manuscript; An CX, Li N, Wang L, Wang R, Song M revised the article critically for important intellectual content; Zhao TY, Guo SJ, Huang FF, Liu BF, Ren RJ, Yang L, Lin Q, Xu YH, Jin N, Chen H and Gao YY participated in the acquisition of the data; Wang Z, Wu ZF and Shi GY involved in organizing the students to conduct the test and participated in the acquisition of the data; Liu DP, Pan ZQ and Du CC were responsible for software technical support and participated in the acquisition of the data.
Supported by S&T Program of Hebei, No. SG2021189; Project of Clinical Medical Research Center for Psychiatric and Psychological Disorders of Hebei Province, No. 199776245D; Medical Science Research Project, No. 20230167; Provincial Science and Technology Program of Hebei Province, No. 21377711D; Hebei Medical University Clinical Research Innovation Team, No. 2022LCTD-A1 and Introduce Foreign Intellectual Projects of Finance Department in Hebei Province, No. YZ202204.
Institutional review board statement: This study was approved by the Ethics Committee of the First Hospital of Hebei Medical University (approval No: 20210354).
Informed consent statement: All study participants provided informed electronic consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Yi Wang, PhD, Chief Physician, Department of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang 050031, Hebei Province, China. ydyywxy@163.com
Received: February 21, 2023
Peer-review started: February 21, 2023
First decision: March 24, 2023
Revised: April 5, 2023
Accepted: April 17, 2023
Article in press: April 17, 2023
Published online: May 19, 2023
Processing time: 86 Days and 1.3 Hours
Abstract
BACKGROUND

In China, the identification rate and treatment rate of mental disorders are low, and there are few surveys on the prevalence of mental disorders among college students using diagnostic tools such as Mini-International Neuropsychiatric Interview (MINI), so the prevalence and treatment of mental disorders among college students are unclear.

AIM

To estimate prevalence of mental disorders among medical students in Hebei Province, and provide guidance for improving their mental health.

METHODS

This was a cross-sectional study based on an Internet-based survey. Three levels of medical students in Hebei Province were randomly selected (by cluster sampling) for screening. Using the information network assessment system, the subjects scanned the 2D code with their mobile phones, clicked to sign the informed consent, and answered a scale. A self-designed general status questionnaire was used to collect information about age, gender, ethnicity, grade, and origin of students. The MINI 5.0. was used to investigate mental disorders. Data analysis was performed with SPSS software. Statistically significant findings were determined using a two-tailed P value of 0.05.

RESULTS

A total of 7117 subjects completed the survey between October 11 and November 7, 2021. The estimated prevalence of any mental disorders within 12 mo was 7.4%. Mood disorders were the most common category (4.3%), followed by anxiety disorders (3.9%); 15.0% had been to psychological counseling, while only 5.7% had been to a psychiatric consultation, and only 10% had received drug therapy in the past 12 mo.

CONCLUSION

Although the estimated prevalence of mental disorders in medical students is lower than in the general population, the rate of adequate treatment is low. We determined that improving the mental health of medical students is an urgent matter.

Keywords: Medical students; Estimated prevalence survey; Mental disorders; Mood disorders; Treatment rate

Core Tip: College students’ mental health is important to national mental health. In most previous studies of medical students, there have been few investigations using Mini-International Neuropsychiatric Interview (MINI) as a diagnostic tool to assess the prevalence of mental disorders. In this study, MINI 5.0 was used to investigate the prevalence of mental disorders among medical students in Hebei province, representing the largest series of mental disorders among medical students in China ever reported. Based on these data, the prevalence and treatment of mental disorders among medical students in Hebei were introduced.