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Lu WT, Hu PH, Li N, Wang L, Wang R, Wang Z, Song M, Zhao TY, Guo SJ, Huang FF, Liu BF, Ren RJ, Yang L, Lin Q, Xu YH, Jin N, Chen H, Gao YY, Wu ZF, Shi GY, Liu DP, Pan ZQ, Du CC, An CX, Wang XY. Estimated prevalence and sociodemographic correlates of mental disorders in medical students of Hebei Province, China: A cross-sectional study. World J Psychiatry 2023; 13:215-225. [PMID: 37303927 PMCID: PMC10251358 DOI: 10.5498/wjp.v13.i5.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 04/05/2023] [Accepted: 04/17/2023] [Indexed: 05/19/2023] Open
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.
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Affiliation(s)
- Wen-Ting Lu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Pei-Hua Hu
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Na Li
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Lan Wang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
| | - Ran Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
| | - Zeng Wang
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Mei Song
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Tian-Yu Zhao
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Shi-Jie Guo
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Fan-Fan Huang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Bu-Fan Liu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Ruo-Jia Ren
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Li Yang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Quan Lin
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Yue-Hang Xu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Na Jin
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Huan Chen
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Yuan-Yuan Gao
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Zhi-Feng Wu
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Guang-Yu Shi
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Da-Peng Liu
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Zhong-Qi Pan
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Chun-Chao Du
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Cui-Xia An
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
| | - Xue-Yi Wang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
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Abstract
PURPOSE To review clinical causes for ocular enucleations and the histopathological features of the enucleated globes in a large third-referral centre in China. METHODS The retrospective study included 1375 globes enucleated in the Beijing TongRen Hospital between January 2003 and November 2006. The medical records were reviewed, and the clinical indications for enucleation and histopathological findings were evaluated. RESULTS The enucleated eyes accounted for 0.97% of all operated patients registered in the hospital and for 29.5% of all surgical specimens received in the pathological department. The age distribution showed two peaks at an age group of 0-10 years (main enucleation cause: retinoblastoma) and at an age group of 30-40 years (main cause: trauma). In the whole study group, trauma was the most common clinical diagnosis (62.5%) leading to enucleation, followed by tumours (28.5%), surgically treated or untreated ocular diseases (5.7%), and infectious or inflammatory diseases (1.7%). With respect to the histopathological findings, phthisis bulbi (36.4%) was the most frequent finding followed by ocular malignant tumours (28.5%), and acute severe ocular injury (19.9%). Uveal metastases were the second most common intraocular malignant tumour in adults, in the majority of globes secondary to a primary lung cancer. CONCLUSIONS The rate of 1% of enucleations per patient operated and the relatively high rate of ocular traumata as primary cause for enucleation suggest to improve further safety conditions and primary surgical care. The relatively high rate of ocular tumours as cause for enucleations suggests to promote the wide-spread clinical introduction of chemoradioactive tumour therapy.
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Affiliation(s)
- G Y Cheng
- Beijing Institute of Ophthalmology, Beijing TongRen Eye Centre, Beijing TongRen Hospital, The Capital University of Medical Science, Beijing, China
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