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. 2025 Jan 3;104(1):e41185.
doi: 10.1097/MD.0000000000041185.

Prevalence of depressive, anxiety, and stress symptoms and barriers to mental health services among medical students at Jazan University, Saudi Arabia: A cross-sectional study

Osama Albasheer  1 , Essam Al Ageeli  2 , Turki I Aljezani  3 , Khalid A Bakri  3 , Salman M Jathmi  3 , Abdullah Maashi  3 , Ahmad Abo Khirat  3 , Ali W Hakami  3 , Arif A Haddadi  3 , Suhaila Ali  1 , Amani Abdelmola  4 , Anas Ahmed  4
Affiliations

Prevalence of depressive, anxiety, and stress symptoms and barriers to mental health services among medical students at Jazan University, Saudi Arabia: A cross-sectional study

Osama Albasheer et al. Medicine (Baltimore). .

Abstract

Medical students represent the future of the healthcare workforce. However, the demanding nature of medical education places them at an increased risk of mental health issues. Ensuring their mental well-being is crucial for maintaining a competent and compassionate healthcare system. This study aims to determine the prevalence of depression, anxiety, and stress, along with barriers to accessing mental health services among medical students. A cross-sectional self-administered online survey conducted among medical students of Jazan University, Saudi Arabia, from September 2023 to March 2024. Descriptive and inferential statistical analyses were conducted using International Business Machines Corporation Statistical Package for the Social Sciences version 27.0.1 (Chicago). The study included 390 participants. Median scores for depression, anxiety, and stress were 14.00, 12.00, and 16.00, respectively, with interquartile ranges of 4.00 to 22.00, 4.00 to 20.00, and 6.00 to 24.00. Depression severity categories showed that 38.2% were normal, while 11.5%, 31.8%, 13.6%, and 4.9% experienced mild, moderate, severe, and extremely severe symptoms, respectively. Anxiety severity classifications revealed 37.4% as normal, with 6.2%, 17.4%, 10.0%, and 29.0% falling into mild, moderate, severe, and extremely severe categories, respectively. For stress, 49.2% were normal, while 11.0%, 16.7%, 14.1%, and 9.0% experienced mild, moderate, severe, and extremely severe levels, respectively. Barriers to accessing mental health care included a preference for self-management, confidentiality concerns, societal judgment, and fears of career-related repercussions. This study highlights a high prevalence of depression, anxiety, and stress among medical students at Jazan University, with notable gender differences and symptom severity. Addressing barriers to mental health care, such as confidentiality concerns and societal stigma, is essential to improving service utilization and student well-being.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Prevalence of depression, anxiety and stress among the participants.
Figure 2.
Figure 2.
Barriers against seeking mental health services among the participants.
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