Sociodemographic, academic, and lifestyle factors associated with anxiety and depression among Medical students

Authors

DOI:

https://doi.org/10.33448/rsd-v14i12.50373

Keywords:

Medical Students, Anxiety, Depression, Mental health, Risk factors.

Abstract

The objective of this study was to investigate the prevalence of anxiety and depression symptoms and to analyze the association between sociodemographic, academic, and lifestyle factors and these outcomes among medical students at an institution in the interior of Bahia, Brazil. This was an observational, cross-sectional, quantitative survey conducted with 110 students who completed the GAD-7 and PHQ-9 instruments, in addition to a characterization questionnaire. Descriptive analyses, bivariate tests, and multivariate logistic regression were performed to identify independent predictors of anxiety and depression. The results indicated high prevalences of anxiety (53.6 percent) and depression (58.2 percent). In the adjusted analysis, age showed an inverse association with anxiety, indicating that younger students had a higher likelihood of experiencing anxious symptoms. For depression, female sex remained an independent predictor, with a higher probability of depressive symptoms compared with males. Variables such as leisure activities, physical activity, sufficient income, and course satisfaction did not retain significance after multivariate adjustment. These findings suggest that psychological distress among medical students is substantial and influenced by individual and sociodemographic factors. The identification of more vulnerable groups, such as women and younger students, underscores the need for institutional policies promoting mental health and continuous preventive interventions. Longitudinal studies are recommended to deepen the understanding of these determinants and guide more effective support strategies.

References

Almadani, A., Alharbi, M., Alghamdi, M., & Alshahrani, S. (2024). Prevalence and correlates of anxiety and depression among medical students: A cross-sectional study. Journal of Affective Disorders, 364, 112–120.

Ayubi, E., Shabani, M., Safiri, S., & Mansournia, M. A. (2023). Depression among medical students: A global systematic review and meta-analysis. Journal of Affective Disorders, 338, 1–12. https://doi.org/10.1016/j.jad.2023.06.001

Ayubi, E., et al. (2023). Stress, anxiety and depression among medical students: A systematic review and meta-analysis. Journal of Affective Disorders Reports, 3, 100157.

Beshr, G., Samir, A., & Hassan, R. (2024). Gender differences in depression among medical students: A systematic review. BMC Medical Education, 24(112), 1–12. https://doi.org/10.1186/s12909-024-04813-3

Beshr, M., Kamal, M., & Shalaby, R. (2024). Global mental health of medical students: A meta-analytic overview. Frontiers in Psychiatry, 15, 1255–1264.

Camelier-Mascarenhas, A. M., et al. (2023). Mental distress among female medical students in Brazil: A multicenter analysis. Revista Brasileira de Educação Médica, 47(suppl. 1), e005326.

Camelier-Mascarenhas, M., Santos, A., & Nascimento, E. (2023). Mental health evaluation in medical students during the COVID-19 pandemic in Northeastern Brazil. Revista Brasileira de Educação Médica, 47, e055.

Costa Neto, P. L. O., & Bekman, R. (2009). Estatística básica (2ª ed.). Edgard Blücher.

Dyrbye, L., Shanafelt, T., & West, C. (2020). Addressing burnout among medical learners: A critical need. Academic Medicine, 95(6), 817–820.

Faro, A., Lima, R., & Almeida, D. (2025). Depressive symptomatology in Brazil: Psychometric evidence supporting PHQ-9 for population monitoring. Frontiers in Psychology, 16, 1440054.

Lin, W., Zhang, H., & Xu, J. (2024). Post-pandemic mental health burden among medical students: A meta-analysis. Medical Education Online, 29(1), 234567.

Lin, Y.-K., Lee, W., & Huang, P. (2024). Global prevalence of anxiety and depression among medical students during and after the COVID-19 pandemic: A systematic review. BMC Psychology, 12, 380.

Neves, R., Soares, A., & Teles, A. (2025). Trends in mental health service utilization among Brazilian medical students. Cadernos de Saúde Pública, 41(1), e00123425.

Neves, V. V., Oliveira, P., & Santos, L. (2025). Easing the burden: A pilot study on a mindfulness-based program for Brazilian medical students. BMC Medical Education, 25, 123.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Núcleo de Tecnologia Educacional da Universidade Federal de Santa Maria. https://repositorio.ufsm.br/handle/1/15824

Rehman, S., et al. (2022). Anxiety among first-year medical students: A multicenter study. Frontiers in Psychology, 13, 885002.

Ribeiro, C. F., Silva, J. P., & Almeida, F. (2020). Prevalence of and factors associated with depression and anxiety in Brazilian medical students. Revista Brasileira de Educação Médica, 44(4), e167.

Shafiee, A., et al. (2024). The prevalence of depression, anxiety, and sleep disturbances among medical students: A cross-sectional study. PLOS ONE, 19(8), e0307117.

Shafiee, M., et al. (2024). The transition to medical school as a predictor of anxiety: A longitudinal study. BMC Medical Education, 24(55), 1–9.

Shitsuka, D. M., Pereira, A. S., & Shitsuka, R. (2014). Uso de estatística descritiva em pesquisas científicas. Editora da Universidade Federal de Santa Maria.

Sinval, J., Neto, J. G., & Marôco, J. (2024). Correlates of burnout and dropout intentions in medical students: The role of psychological capital, social support, and educational satisfaction. Journal of Affective Disorders, 362, 63–72.

Sinval, J., et al. (2024). Academic stress and structural determinants of mental health among medical students. Medical Education, 58(2), 123–135.

Tahmasbipour, N., & Taheri, A. (2021). Mental health crisis among medical learners: A post-COVID review. BMC Psychiatry, 21(1), 535.

Tian, L., et al. (2024). Global prevalence of anxiety and depression in health professions students: A systematic review. The Lancet Regional Health – Western Pacific, 38, 101234.

Vagiri, D., et al. (2025). Sociogeographic factors and psychological distress in medical students from non-urban regions. Education for Health, 38(1), 45–53.

Vagiri, R., Kumar, S., & Sharma, V. (2025). Sociodemographic disparities and mental health among rural-origin medical students: An analytical review. Medical Education Online, 30(1), 225–239.

Vieira, S. (2021). Estatística para a qualidade (4ª ed.). Elsevier.

von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. PLoS Medicine, 4(10), e296. https://doi.org/10.1371/journal.pmed.0040296

Published

2025-12-13

Issue

Section

Health Sciences

How to Cite

Sociodemographic, academic, and lifestyle factors associated with anxiety and depression among Medical students. Research, Society and Development, [S. l.], v. 14, n. 12, p. e108141250373, 2025. DOI: 10.33448/rsd-v14i12.50373. Disponível em: https://www.rsdjournal.org/rsd/article/view/50373. Acesso em: 2 jan. 2026.