@article{ref1,
title="Prevalence and incidence of mental health problems among Dutch medical students and the study-related and personal risk factors: a longitudinal study",
journal="International journal of adolescent medicine and health",
year="2015",
author="Borst, Jorien M. and Frings-Dresen, Monique H. W. and Sluiter, Judith K.",
volume="28",
number="4",
pages="349-355",
abstract="BACKGROUND: A high prevalence of mental health problems (i.e. depression and/or anxiety) has been found in medical students in comparison with the general population. Therefore, the objective was first to study the prevalence and 1-year incidence of symptoms of depression, anxiety and any mental health problems among Dutch medical students and, second, to study which study-related and personal factors present a risk of these mental health problems. <br><br>METHODS: A 1-year prospective longitudinal study was performed among medical students of two medical faculties in the Netherlands (n=951). Health problems and study-related and personal factors were measured with an online questionnaire. Mental health problems were assessed by depression and/or anxiety symptoms (BSI-DEP and BSI-ANG). Univariate and multivariate hierarchical logistic regression analyses were performed to examine which of the study-related and personal factors predict mental health problems. <br><br>RESULTS: At follow-up, 36%, 28% and 48% of the medical students reported symptoms of depression, anxiety and mental health problems, respectively. The incidence between 2010 and 2011 for depression was 20%, 17% for anxiety and 25% for mental health problems. Students who are worried about their own health during medical education are at an increased risk of future mental health problems (OR 2.0 [1.3-2.9], p=0.00). Excessive drinking behavior is a protective factor in this study (OR 0.7 [0.5-0.9], p=0.02). <br><br>CONCLUSION: This study shows that only two out of nine factors are significantly associated with mental health problems among Dutch medical students, one risk factor and one protective factor.<p /> <p>Language: en</p>",
language="en",
issn="0334-0139",
doi="10.1515/ijamh-2015-0021",
url="http://dx.doi.org/10.1515/ijamh-2015-0021"
}