Depression affects medical students more than it does others, and unfortunately, it is considered a stigma more by them than others, states U-M research.
Depression affects medical students more than it does others, and unfortunately, it is considered a stigma more by them than others, states U-M research. The study showed that 53.3 percent of medical students who reported high levels of depressive symptoms were worried that revealing their illness would be risky. Almost 62 percent of the same students said asking for help would mean the student's coping skills were inadequate.
Those with moderate to severe depression also agreed that revealing depression would mean others would find them unable to handle medical school responsibilities and that fellow students would respect them less.
The study showed 14.3 percent of the students reported moderate to severe depression, which is higher than the 10 to 12 percent usually found in the general population, says Thomas L. Schwenk, M.D., the lead author on the paper and the George A. Dean, M.D. Chair of U-M's Department of Family Medicine.
"These results show that students who are depressed feel highly stigmatized by their fellow students and faculty members," says Schwenk, who also is a professor of Family Medicine.
"Medical students are under extraordinary demands. They feel they are making life and death decisions and that they can never be wrong. There is such tremendous pressure to be perfect that any sense of falling short makes them very anxious."
What's worrisome about these results is they may indicate students will be less likely to get treated if they are suffering from depression, Schwenk says. Across the board, the results showed that medical students viewed depressed students as less valuable, Schwenk adds.
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"We want to provide a medical education environment in which depression is treated like any other medical problem, worthy of treatment, detection and prevention. Most importantly, we want the medical students to be comfortable seeking help."From the public's perspective, the results are disturbing because they may indicate intolerance toward patients with depressive symptoms.
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"Somehow we have to change the environment in which we are teaching future physicians."
Schwenk says that at U-M and many other medical schools, students have access to confidential treatment and services related to depression. Students need to be encouraged to take advantage of those resources.
Schwenk says he plans to continue the research by continuing to follow the students studied as they progress through their training. This study involved students enrolled at the University of Michigan Medical School in September to November 2009.
Source-Eurekalert