Assessment of mental health status of MBBS students by Global Mental Health Assessment Tool

[Speaker] Lokendra Kumar Sharma:1
[Co-author] Shivangi Sharma:2, Ramesh Kumar Mishra:1, Vinayak Kapoor:1
1:PHARMACOLOGY, SMS Medical College Jaipur, India, 2:Jhalawar Medical College, India

 Mental health is a neglected public health problem in our country. Medical students are at a higher risk of depression and suicidal ideation than age matched peers and general population.
Objectives - To find out the prevalence of different types of psychological morbidity in first MBBS students so that necessary steps can be taken to eliminate them while the students are in their foundation years of medical education.
Settings and Design- The present study was carried out among first year undergraduate students of SMS Medical College, Jaipur. Fifty students who gave their informed consent were enrolled and assessed for any psychological morbidity using Global Mental Health Assessment Tool (GMHAT). Each of them was asked to fill the first part of the pre-designed performa consisting of 6 questions independently. The second part of performa was filled by the assessor based on the interview which consisted of 25 questions, each focusing on different types of psycho- morbidity. Each question was given rating as 0, 1, 2 and 3 by the assessor based on the student's answer. The collected data was analyzed using (SPSS for Windows, version 16.0 Chicago, SPSS Inc.), Excel 2007. Significance of difference in proportion was inferred by Chi-square Test of significance. Significance of difference in mean scores was inferred by unpaired student t-Test of significance. For significance P value equal to or less than 0.05 was considered as significant.

Results: 80% of the participating students had some or other kind of psychological morbidity. Depression was the most prevalent psychological morbidity, followed by obsessions/compulsions and anxiety respectively. Psychological morbidity showed a significant change based on the type of residence. Depression was significantly associated with type of residence and family history of mental health problem. Obsessions/compulsions were evenly distributed among all groups of students while anxiety was associated significantly with the history of stressful events.
Conclusion: Medical students face a tremendous amount of stress which can lead to serious mental health problems and substance abuse to cope up with stressors. Such studies should be done regularly to keep a check on the students and to overcome them.

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