ASSESSMENT OF THE MENTAL HEALTH OF STUDENTS OF NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY BY SELFSURVEY METHOD
DOI:
https://doi.org/10.32689/2663-0672-2024-4-7Keywords:
autonomic nervous system, primary headache, anxiety, depression, sleep disordersAbstract
Given the frequent stressful situations that have become almost familiar companions of modern Ukrainians today, especially in war conditions, the load on the psycho-emotional state of the population has increased significantly. Accordingly, various neurological disorders are growing and intensifying, in particular neurodegenerative ones, leading to irreversible death of neurons and disability of people exposed to constant stress factors. It is important to conduct timely diagnostics and treatment of this pathology in the early stages, while there is an opportunity to prevent serious complications and consequences The purpose of the study: to assess the psycho-emotional state of medical students of the M.I. Pirogov VNMU using methods that are easily accessible and financially unburdensome. Methodology: 79 4th-year students of the M.I. Pirogov VNMU, aged 18 to 23, took part in a longitudinal prospective study. To obtain information about the psycho-emotional state of young doctors, their questionnaire was conducted. Situational anxiety was assessed using the Spielberg-Hanin test, depression was assessed using the Beck Depression Inventory, sleep quality scale (SQS) was used to assess sleep disturbance, and primary headache was assessed using the MIDAS questionnaire. Statistical analysis of the study results was performed using the SPSS20 program (© SPSS Inc.). Scientific novelty: the average level of anxiety prevailed among the subjects, with a low level being more typical for men, a medium level for women, and a high level being equally typical for both subjects. According to the data obtained from the Beck Depression Inventory, the general emotional state of the subjects was good, and depressive tendencies were not observed. 21-yearold students had moderate sleep quality, unlike 23-year-olds, who described their sleep as «good». According to the MIDAS test, it was found that girls had a 3-fold higher frequency of headaches compared to boys. Conclusions. To ensure the greatest coverage of the population with the diagnosis of disorders at early stages, it is necessary to choose methods that are easily accessible and financially unburdensome for the population, such as self-questionnaires for assessing anxiety, depression, sleep quality and headache. The self-questionnaires we used make it possible to prevent and suspect autonomic dysfunctions at early stages.
References
Леженко Г. О., Пашкова О. Є. Вегетативні дисфункції у дітей. Патогенез, діагностика і терапевтична тактика. Дитячий лікар. 2011. 4 (11). 20–32.
Молотокас А. А., Діденко С. В. Вплив психотравмуючих подій на виникнення депресії. Габітус. 2022. 44, 214–218. DOI https://doi. org/10.32782/2663-5208.2022.44.36
Черненко М. Є. Проблема нейрогенезу в умовах терапії нейрозапального/нейродегенеративного процесу. Міжнародний медичний журнал. 2019. 2, 53–56.
Ясточкіна І. А. Прояви тривожності серед студентської молоді. Вісник Запорізького національного університету. Педагогічні науки. 2014. 1, 173–180.
Ana Gabriella Camelo Oliveira, Victor da Silva Teixeira, Weslley Medeiros Gois, Lívia Cristina Rodrigues Ferreira Lins. Prevalence, phenotype, and academic impact of headache among undergraduate health sciences students: a crosssectional study. Revista Brasileira de Neurologia. 2022. 58 (3), 11–16.
Evans-Lacko S., Aguilar-Gaxiola S., Al-Hamzawi A., et al. Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys. Psychol Med. 2018. 48 (9), 1560–1571.
Nofzinger E. Functional Neuroimaging Evidence for Hyperarousal in Insomnia. American Journal of Psychiatry. 2004. 161 (11), 2126–2128. doi: 10.1176/appi.ajp.161.11.2126.
Snyder E., Cai B., DeMuro C., Morrison M. F., Ball W. A New Single-Item Sleep Quality Scale: Results of Psychometric Evaluation in Patients With Chronic PrimaryI nsomnia and Depression. J Clin Sleep Med. 2018. 14 (11), 1849–1857. https://doi.org/10.5664/jcsm.7478
Stewart W. F., et al. An international study to assess reliability of the Migraine Disability Assessment (MIDAS) score. Neurology. 1999. 53 (5), 988–994.
Stovner L. J., Hagen K., Linde M. et al. The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. J Headache Pain. 2022, 34. https://doi.org/10.1186/s10194-022-01402-2
World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. Geneva: World Health Organization; 2017, 14. URL: https://www.who.int/publications/i/item/depression-global-health-estimates