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Published in: Social Psychiatry and Psychiatric Epidemiology 6/2012

01-06-2012 | Original Paper

Analysis of an Egyptian study on the socioeconomic distribution of depressive symptoms among undergraduates

Authors: Ahmed K. Ibrahim, Shona J. Kelly, Cris Glazebrook

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 6/2012

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Abstract

Background

Worldwide population surveys show that prevalence of mental disorders in developing countries was as common as in industrialized countries. College life is an important stage in every person’s life; unfortunately, it may be the time to experience depression for the first time. Latterly, there has been a steady increase in the number of university students diagnosed and treated as depressed patients. This paper presents the results of a study carried out on a representative sample of undergraduate students of an Egyptian University, which aimed to study the relationship between social factors and the occurrence of depression. It was assumed that the poorer the socio-economic background the higher the rates of depression.

Method

Data were collected in 2004 from students at Assiut University using the Zagazig Depression scale (ZDS) and an Egyptian socio-economic status measure. This analysis, based on a refined version of the ZDS used STATA (v. 10.1.). Descriptive statistics, univariate and multivariate regression models were used to test for associations with the dimensions of SES and depression.

Result

Thirty-seven percent of the students had symptoms scored above the threshold for moderate depression. In the fully adjusted model: faculty of study, father’s occupation, family income and number of persons per room were associated with depression in this sample.

Conclusion

The high prevalence of depressive symptoms among Egyptian students found in this study call attention to the need for a student counseling service offering mental health support. This service should particularly discover an approach for low affluence students.
Literature
2.
go back to reference Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43(8):667–672PubMedCrossRef Bayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43(8):667–672PubMedCrossRef
3.
go back to reference Feryal C, Unal E (2008) Factors related to depressive symptoms and hopelessness among university students. Arch Neuropsychiatry 45:122–129 Feryal C, Unal E (2008) Factors related to depressive symptoms and hopelessness among university students. Arch Neuropsychiatry 45:122–129
4.
go back to reference Ovuga E, Boardman J, Wasserman D (2006) Undergraduate student mental health at Makerere University, Uganda. World Psychiatry 5(1):51–52PubMed Ovuga E, Boardman J, Wasserman D (2006) Undergraduate student mental health at Makerere University, Uganda. World Psychiatry 5(1):51–52PubMed
5.
go back to reference Young C, Fang D, Zisook S (2010) Depression in Asian-American and Caucasian undergraduate students. J Affect Disord 125:379–382PubMedCrossRef Young C, Fang D, Zisook S (2010) Depression in Asian-American and Caucasian undergraduate students. J Affect Disord 125:379–382PubMedCrossRef
6.
go back to reference Christensson A, Runeson B, Dickman P, Vaez M (2010) Change in depressive symptoms over higher education and professional establishment—a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health 10:343–355PubMedCrossRef Christensson A, Runeson B, Dickman P, Vaez M (2010) Change in depressive symptoms over higher education and professional establishment—a longitudinal investigation in a national cohort of Swedish nursing students. BMC Public Health 10:343–355PubMedCrossRef
7.
go back to reference Goebert D, Thompson D, Takeshita J, Bryson P et al (2009) Depressive symptoms in medical students and residents: a multischool study. USA Acad Med 84:236–241CrossRef Goebert D, Thompson D, Takeshita J, Bryson P et al (2009) Depressive symptoms in medical students and residents: a multischool study. USA Acad Med 84:236–241CrossRef
8.
go back to reference Song Y, Huang Y, Liu D, Kwan J, Zhang F, Sham P et al (2008) Depression in college: depressive symptoms and personality factors in Beijing and Hong Kong college freshmen. Compr Psychiatry 49:496–502PubMedCrossRef Song Y, Huang Y, Liu D, Kwan J, Zhang F, Sham P et al (2008) Depression in college: depressive symptoms and personality factors in Beijing and Hong Kong college freshmen. Compr Psychiatry 49:496–502PubMedCrossRef
9.
go back to reference Dahlin M, Runeson B (2005) Stress and depression among medical students: a cross-sectional study. Med Educ 39:594–604PubMedCrossRef Dahlin M, Runeson B (2005) Stress and depression among medical students: a cross-sectional study. Med Educ 39:594–604PubMedCrossRef
10.
go back to reference Lorant V, Deliege D, Eaton W, Robert A, Philipott P (2003) Socioeconomic inequalities in depression: a metaanalysis. Am J Epidemiol 157:98–112PubMedCrossRef Lorant V, Deliege D, Eaton W, Robert A, Philipott P (2003) Socioeconomic inequalities in depression: a metaanalysis. Am J Epidemiol 157:98–112PubMedCrossRef
11.
go back to reference Archer L, Ross A (2003) Higher education and social class. Routledge Falmer, London Archer L, Ross A (2003) Higher education and social class. Routledge Falmer, London
12.
go back to reference Ritcher J, Warner V, Johnson J, Dohrenwend B (2001) Inter-generational study of social class and depression: a test of social causation and social selection models. Br J Psychiatry 178(40):84–90CrossRef Ritcher J, Warner V, Johnson J, Dohrenwend B (2001) Inter-generational study of social class and depression: a test of social causation and social selection models. Br J Psychiatry 178(40):84–90CrossRef
13.
go back to reference Mikolajczyk R, Maxwell A, El Ansari W, Naydenova V, Stock C (2008) Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Soc Psychiatry Psychiatr Epidemiol 43:105–112PubMedCrossRef Mikolajczyk R, Maxwell A, El Ansari W, Naydenova V, Stock C (2008) Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Soc Psychiatry Psychiatr Epidemiol 43:105–112PubMedCrossRef
14.
go back to reference Steptoe A, Tsuda A, Tanaka Y, Wardle J (2007) Depressive symptoms, Socio-economic background, sense of control, and cultural factors in University students from 23 countries. Int J Behav Med 14(2):97–107PubMedCrossRef Steptoe A, Tsuda A, Tanaka Y, Wardle J (2007) Depressive symptoms, Socio-economic background, sense of control, and cultural factors in University students from 23 countries. Int J Behav Med 14(2):97–107PubMedCrossRef
15.
go back to reference Liberatos P, Link G, Kelsey L (1988) The measurement of social class in epidemiology. The Johns Hopkins University. Epidemiol Rev 10:87–121PubMed Liberatos P, Link G, Kelsey L (1988) The measurement of social class in epidemiology. The Johns Hopkins University. Epidemiol Rev 10:87–121PubMed
16.
go back to reference Lorant V, Croux C, Weich S, Deliege D, Delie J, Ansseau M (2007) Depression and socio-economic risk factors: 7-year longitudinal population study. Br J Psychiatry 190:293–298PubMedCrossRef Lorant V, Croux C, Weich S, Deliege D, Delie J, Ansseau M (2007) Depression and socio-economic risk factors: 7-year longitudinal population study. Br J Psychiatry 190:293–298PubMedCrossRef
17.
go back to reference Ibrahim A, Kelly S, Glazebrook C (2011) Reliability and validity of an Arabic version of Hamilton Depression Scale in an Egyptian University student sample. J Compr Psychiatry (in press) Ibrahim A, Kelly S, Glazebrook C (2011) Reliability and validity of an Arabic version of Hamilton Depression Scale in an Egyptian University student sample. J Compr Psychiatry (in press)
19.
go back to reference Carroll B, Feinberg M, Smouse P, Rawson S, Greden J (1981) The Carroll Rating Scale for depression, development, reliability and validation. Br J Psychiatry 138:194–200PubMedCrossRef Carroll B, Feinberg M, Smouse P, Rawson S, Greden J (1981) The Carroll Rating Scale for depression, development, reliability and validation. Br J Psychiatry 138:194–200PubMedCrossRef
20.
go back to reference Fawzi M, El-Maghraby Z, El-Amin H, Sahloul M (1982) The Zagazig Depression Scale Manual. El-Nahda El-Massriya, Cairo. (Arabic) Fawzi M, El-Maghraby Z, El-Amin H, Sahloul M (1982) The Zagazig Depression Scale Manual. El-Nahda El-Massriya, Cairo. (Arabic)
21.
go back to reference Fawzy M (1982) Depression among the elderly patients of the outpatient psychiatric clinics (Arabic). The international conference of the geriatric mental health Cairo, Egypt Fawzy M (1982) Depression among the elderly patients of the outpatient psychiatric clinics (Arabic). The international conference of the geriatric mental health Cairo, Egypt
22.
go back to reference Shaheen O, Fawzi M (1985) Further assessment of a new self-rating scale for depression: Zagazig Depression Scale (Arabic). Egypt J Mental Health 26(1):73–91 Shaheen O, Fawzi M (1985) Further assessment of a new self-rating scale for depression: Zagazig Depression Scale (Arabic). Egypt J Mental Health 26(1):73–91
23.
go back to reference Ibrahim A, Kelly S, Challenor C, Glazebrook C (2010) Establishing the reliability and validity of the Zagazig Depression Scale in a UK student population: an online pilot study. BMC Psychiatry 10(107):1–20 Ibrahim A, Kelly S, Challenor C, Glazebrook C (2010) Establishing the reliability and validity of the Zagazig Depression Scale in a UK student population: an online pilot study. BMC Psychiatry 10(107):1–20
24.
go back to reference Abd-El-Twab M (1998) Socio-economic scale for family, revised edition. Asyut University, Asyut Abd-El-Twab M (1998) Socio-economic scale for family, revised edition. Asyut University, Asyut
25.
go back to reference El-Sayeh A (1991) Epidemiology and symptomatology of depression in an upper Egyptian community. Assiut University, Assiut, Egypt El-Sayeh A (1991) Epidemiology and symptomatology of depression in an upper Egyptian community. Assiut University, Assiut, Egypt
26.
go back to reference WHO (1994) Sample size and power. In: Wingo P, Higgins J, Rubin S, Zahniser C (eds) An epidemiological approach to reproductive health. WHO, Geneva WHO (1994) Sample size and power. In: Wingo P, Higgins J, Rubin S, Zahniser C (eds) An epidemiological approach to reproductive health. WHO, Geneva
27.
go back to reference STATA (2008) Data analysis and Statistical Software. Ver.10.1, Standard version. In: Copyright © StataCorp LP (eds) STATA (2008) Data analysis and Statistical Software. Ver.10.1, Standard version. In: Copyright © StataCorp LP (eds)
28.
go back to reference Ngui E, Khasakhala L, Ndetei D, Roberts L (2010) Mental disorders, health inequalities and ethics: a global perspective. Int Rev Psychiatry 22(3):235–244PubMedCrossRef Ngui E, Khasakhala L, Ndetei D, Roberts L (2010) Mental disorders, health inequalities and ethics: a global perspective. Int Rev Psychiatry 22(3):235–244PubMedCrossRef
29.
go back to reference Elmahdy M (2008) African higher education: an international reference handbook, vol 1. Boston College Center for International Higher Education and Association of African Universities, Boston, p 584 Elmahdy M (2008) African higher education: an international reference handbook, vol 1. Boston College Center for International Higher Education and Association of African Universities, Boston, p 584
30.
go back to reference El-Gendawy S, Hadhood M, Shams R, Ibrahim A (2005) Epidemiological aspects of depression among Assiut University students. Assiut Med J 29(2):81–89 El-Gendawy S, Hadhood M, Shams R, Ibrahim A (2005) Epidemiological aspects of depression among Assiut University students. Assiut Med J 29(2):81–89
31.
go back to reference Bayati A, Beigi M, Salehi M (2009) Depression prevalence and related factors in Iranian students. Pak J Biol Sci 12:1371–1375PubMedCrossRef Bayati A, Beigi M, Salehi M (2009) Depression prevalence and related factors in Iranian students. Pak J Biol Sci 12:1371–1375PubMedCrossRef
32.
go back to reference Arslan G, Ayranci U, Unsal A, Arslantas D (2009) Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci 114(3):170–177PubMedCrossRef Arslan G, Ayranci U, Unsal A, Arslantas D (2009) Prevalence of depression, its correlates among students, and its effect on health-related quality of life in a Turkish university. Ups J Med Sci 114(3):170–177PubMedCrossRef
33.
go back to reference Hudson C (2005) Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry 75(1):3–18PubMedCrossRef Hudson C (2005) Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry 75(1):3–18PubMedCrossRef
34.
go back to reference Bostanci M, Ozdel O, Oguzhanoglu N, Ozdel L, Ergin A, Ergin N et al (2005) Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates. Croat Med J 46(1):96–100PubMed Bostanci M, Ozdel O, Oguzhanoglu N, Ozdel L, Ergin A, Ergin N et al (2005) Depressive symptomatology among university students in Denizli, Turkey: prevalence and sociodemographic correlates. Croat Med J 46(1):96–100PubMed
35.
go back to reference Huurre T, Rahkonen O, Komulainen E, Aro H (2005) Socioeconomic status as a cause and consequence of psychosomatic symptoms from adolescence to adulthood. Soc Psychiatry Psychiatr Epidemiol 40:580–587PubMedCrossRef Huurre T, Rahkonen O, Komulainen E, Aro H (2005) Socioeconomic status as a cause and consequence of psychosomatic symptoms from adolescence to adulthood. Soc Psychiatry Psychiatr Epidemiol 40:580–587PubMedCrossRef
36.
go back to reference Jamil H, Grzybowski M, Hakim-Larson J, Fakhouri M, Sahutoglu J et al (2008) Factors associated with self-reported depression in Arab, Chaldean, and African Americans. Ethn Dis 18:464–470PubMed Jamil H, Grzybowski M, Hakim-Larson J, Fakhouri M, Sahutoglu J et al (2008) Factors associated with self-reported depression in Arab, Chaldean, and African Americans. Ethn Dis 18:464–470PubMed
37.
go back to reference Roh M, Jeon HMH, Han S, Bong-Jin H (2010) The prevalence and impact of depression among medical students: a nationwide cross-sectional study in South Korea. Acad Med 85(8):1384–1390PubMedCrossRef Roh M, Jeon HMH, Han S, Bong-Jin H (2010) The prevalence and impact of depression among medical students: a nationwide cross-sectional study in South Korea. Acad Med 85(8):1384–1390PubMedCrossRef
38.
go back to reference Ghanem M et al (2009) Development and validation of the Arabic version of the mini international neuropsychiatry interview. East Mediterr Health J 12(1):30–39 Ghanem M et al (2009) Development and validation of the Arabic version of the mini international neuropsychiatry interview. East Mediterr Health J 12(1):30–39
39.
go back to reference Gonzalez O, Berry J, McKnighty L, Strine T et al (2010) Current depression among adults—United States, 2006 and 2008. MMWR 59(38):1229–1235 Gonzalez O, Berry J, McKnighty L, Strine T et al (2010) Current depression among adults—United States, 2006 and 2008. MMWR 59(38):1229–1235
40.
go back to reference Inam S, Saqib A, Alam E (2003) Prevalence of anxiety and depression among medical students of private university. J Pak Med Assoc 53(2):44–47PubMed Inam S, Saqib A, Alam E (2003) Prevalence of anxiety and depression among medical students of private university. J Pak Med Assoc 53(2):44–47PubMed
41.
go back to reference Nicholson A, Pikhart H, Pajak A, Malyutina S, Kubinova R, Peasey A (2008) Socio-economic status over the life-course and depressive symptoms in men and women in Eastern Europe. J Affect Disord 105:125–136PubMedCrossRef Nicholson A, Pikhart H, Pajak A, Malyutina S, Kubinova R, Peasey A (2008) Socio-economic status over the life-course and depressive symptoms in men and women in Eastern Europe. J Affect Disord 105:125–136PubMedCrossRef
42.
go back to reference O’Neil M, Lancee W, Freeman S (1985) Sex differences in depressed university students. Soc Psychiatry Psychiatr Epidemiol 20(4):186–190 O’Neil M, Lancee W, Freeman S (1985) Sex differences in depressed university students. Soc Psychiatry Psychiatr Epidemiol 20(4):186–190
43.
go back to reference Schwenk T, Davis L, Wimsatt L (2010) Depression, stigma, and suicidal ideation in medical students. JAMA 304(11):1181–1190PubMedCrossRef Schwenk T, Davis L, Wimsatt L (2010) Depression, stigma, and suicidal ideation in medical students. JAMA 304(11):1181–1190PubMedCrossRef
44.
go back to reference Jadoon N, Yaqoob R, Raza A, Shehzad M, Zeshan S (2010) Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc 60(8):699–702PubMed Jadoon N, Yaqoob R, Raza A, Shehzad M, Zeshan S (2010) Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc 60(8):699–702PubMed
45.
go back to reference Lin H, Tang T, Yen J, Ko C (2008) Depression and its association with self-esteem, family, peer and school factors in a population of adolescents in southern Taiwan. Psychiatry Clin Neurosci 62:412–420PubMedCrossRef Lin H, Tang T, Yen J, Ko C (2008) Depression and its association with self-esteem, family, peer and school factors in a population of adolescents in southern Taiwan. Psychiatry Clin Neurosci 62:412–420PubMedCrossRef
46.
go back to reference Kaya M, Genç M, Kaya B, Pehlivan E (2007) Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg 18(2):137–146PubMed Kaya M, Genç M, Kaya B, Pehlivan E (2007) Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg 18(2):137–146PubMed
47.
go back to reference Rab F, Mamdou R, Nasir S (2008) Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Health J 14(1):126–133PubMed Rab F, Mamdou R, Nasir S (2008) Rates of depression and anxiety among female medical students in Pakistan. East Mediterr Health J 14(1):126–133PubMed
48.
go back to reference Helmers K, Danoff D, Steinert Y, Leyton M, Young S (1997) Stress and depressed mood in medical students, law students, and graduate students at McGill University. Acad Med 72:708–714PubMedCrossRef Helmers K, Danoff D, Steinert Y, Leyton M, Young S (1997) Stress and depressed mood in medical students, law students, and graduate students at McGill University. Acad Med 72:708–714PubMedCrossRef
49.
go back to reference Curran T, Gawley E, Gill M, Crumlish N (2009) Depression, suicidality and alcohol abuse among medical and business students. Ir Med J 102(8):249–252PubMed Curran T, Gawley E, Gill M, Crumlish N (2009) Depression, suicidality and alcohol abuse among medical and business students. Ir Med J 102(8):249–252PubMed
50.
go back to reference World Bank (2009) World Development Report 2009/2010: Attacking Poverty, Oxford University Press, New York World Bank (2009) World Development Report 2009/2010: Attacking Poverty, Oxford University Press, New York
51.
go back to reference Ghanem M, Gadallah M, Mey F (2009) National Survey of Prevalence of Mental Disorders in Egypt: preliminary survey. East Mediterr Health J 15(1):65–75 Ghanem M, Gadallah M, Mey F (2009) National Survey of Prevalence of Mental Disorders in Egypt: preliminary survey. East Mediterr Health J 15(1):65–75
52.
go back to reference El-Gilany A, Amr M, Hammad S (2008) Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors. Ann Saudi Med 28(6):442–448PubMedCrossRef El-Gilany A, Amr M, Hammad S (2008) Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors. Ann Saudi Med 28(6):442–448PubMedCrossRef
53.
go back to reference Araya A, Lewis G, Rojas G, Fritsch R (2003) Education and income: which is more important for mental health? J Epidemiol Community Health 57:501–505PubMedCrossRef Araya A, Lewis G, Rojas G, Fritsch R (2003) Education and income: which is more important for mental health? J Epidemiol Community Health 57:501–505PubMedCrossRef
Metadata
Title
Analysis of an Egyptian study on the socioeconomic distribution of depressive symptoms among undergraduates
Authors
Ahmed K. Ibrahim
Shona J. Kelly
Cris Glazebrook
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 6/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0400-x

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