Mental health and lifestyle-related behaviors in medical students in a Jordanian University, and variations by clerkship status

Anxiety disorders. In Diagnostic and statistical manual of mental disorders (5th ed.) https://doi.org/10.1176/appi.books.9780890425596.dsm05

Organization WH. The ICD-10 Classification of Mental and Behavioural Disorders. Clinical descriptions and diagnostic guidelines. Geneval: World Health Organization; 1993.

Google Scholar

Fusar-Poli P, Correll CU, Arango C, Berk M, Patel V, Ioannidis JPA. Preventive psychiatry: a blueprint for improving the mental health of young people. World Psychiatry. 2021;20(2):200–21.

Google Scholar

Aljuwaiser S, Brazzelli M, Arain I, Poobalan A. Common mental health problems in medical students and junior doctors – an overview of systematic reviews. J Ment Health. 2023:1–37.

Braquehais MD, Vargas-Caceres S. Psychiatric issues among health professionals. Med Clin North Am. 2023;107(1):131–42.

Google Scholar

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735.

Varshney K, Patel H, Panhwar MA: Risks and Warning Signs for Medical Student Suicide Mortality: A Systematic Review. Arch Suicide Res 2024:1–19.

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214–36.

Google Scholar

Sreeramareddy CT, Shankar PR, Binu VS, Mukhopadhyay C, Ray B, Menezes RG. Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal. BMC Med Educ. 2007;7:26.

Google Scholar

Ben Ayed H, Yaich S, Ben Jemaa M, Ben Hmida M, Trigui M, Jedidi J, et al. Lifestyle behaviors and mental health in medical students. J Public Ment Health. 2018;17(4):210–7.

Google Scholar

Terebessy A, Czegledi E, Balla BC, Horvath F, Balazs P. Medical students’ health behaviour and self-reported mental health status by their country of origin: a cross-sectional study. BMC Psychiatry. 2016;16:171.

Google Scholar

Zaman R, Hankir A, Jemni M. Lifestyle factors and mental health. Psychiatr Danub. 2019;31(Suppl 3):217–20.

Google Scholar

Fargen KM, Spiotta AM, Turner RD, Patel S. The importance of exercise in the well-rounded physician: dialogue for the inclusion of a physical fitness program in neurosurgery resident training. World Neurosurg. 2016;90:380–4.

Google Scholar

Mohammed HM, Soliman SM, Abdelrahman AA, Ibrahim AK. Depressive symptoms and its correlates among medical students in Upper Egypt. Middle East Current Psychiatry. 2022;29(1):66.

Google Scholar

Bizri M, Geagea L, Kobeissy F, Talih F. Prevalence of eating disorders among medical students in a Lebanese medical school: a cross-sectional study. Neuropsychiatr Dis Treat. 2020;16:1879–87.

Google Scholar

Shawahna R, Hattab S, Al-Shafei R, Tab’ouni M. Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students. BMC Psychiatry. 2020;20(1):244.

Google Scholar

Masri R, Kadhum M, Farrell SM, Khamees A, Al-Taiar H, Molodynski A. Wellbeing and mental health amongst medical students in Jordan: a descriptive study. Int Rev Psychiatry. 2019;31(7–8):619–25.

Google Scholar

(Petra). JNA: عويس_ 19 ألف طالب طب في الجامعات الوطنية ومثلهم في الخارج. Available from Accessed 02 Aug 2023. In.; 2022.

Elsawy WIH, Sherif AAR, Attia M, El-Nimr NA. Depression among medical students in Alexandria. Egypt Afr Health Sci. 2020;20(3):1416–25.

Google Scholar

Ibrahim MB, Abdelreheem MH. Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University. Alexandria Journal of Medicine. 2019;51(2):167–73.

Google Scholar

Midtgaard M, Ekeberg O, Vaglum P, Tyssen R. Mental health treatment needs for medical students: a national longitudinal study. Eur Psychiatry. 2008;23(7):505–11.

Google Scholar

AlHadi AN, AlAteeq DA, Al-Sharif E, Bawazeer HM, Alanazi H, AlShomrani AT, Shuqdar RM, AlOwaybil R. An arabic translation, reliability, and validation of Patient Health Questionnaire in a Saudi sample. Ann Gen Psychiatry. 2017;16:32.

Google Scholar

Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med. 2002;64(2):258–66.

Google Scholar

Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999;282(18):1737–44.

Google Scholar

Kroenke K, Spitzer RL, Williams JB, Lowe B. The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. Gen Hosp Psychiatry. 2010;32(4):345–59.

Google Scholar

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.

Google Scholar

Spitzer RLKK, Williams JBW, Lo B. A brief measure for assessing generalized anxiety disorder. Arch Intern Med. 2006;166:1092–7. PMID: 16717171.

Article

Google Scholar

Aoun AAJ, Jabbour FE, et al. Validation of the Arabic version of the SCOFF questionnaire for the screening of eating disorders. East Mediterr Health J. 2015;21(5):326–31. Published 2015 Aug 27.

Article

Google Scholar

Littman AJ, White E, Satia JA, Bowen DJ, Kristal AR. Reliability and validity of 2 single-item measures of psychosocial stress. Epidemiology. 2006;17(4):398–403.

Google Scholar

Yusoff MSB, Rahim AFA, Yaacob MJ
. The development and validity of the Medical Student Stressor Questionnaire (MSSQ), ASEAN J Psychiatry. 2010;11(1). Available online at http://www.aseanjournalofpsychiatry.org/oe11105.htm.

Amanya SB, Nakitende J, Ngabirano TD. A cross-sectional study of stress and its sources among health professional students at Makerere University Uganda. Nurs Open. 2018;5(1):70–6.

Google Scholar

Hamdan- Mansour ABT, Haourani E, Marmash L. Depression, psychological distress and coping skills among patients diagnosed with type-II Diabetes Mellitus. Life Sci J. 2013;10:3044–8.

Godwin M, Streight S, Dyachuk E, van den Hooven EC, Ploemacher J, Seguin R, Cuthbertson S. Testing the simple lifestyle indicator questionnaire: initial psychometric study. Canadian family physician Medecin de famille canadien. 2008;54(1):76–7.

Google Scholar

Fagerström KO. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addict Behav. 1978;3(3–4):235–41. PMID: 735910.

Article

Google Scholar

Moul DE ME, Shablesky M et al. The 2-item and 20-item versions of the Pittsburgh Insomnia Rating Scale (PIRS): design, methods and initial modeling. Presented at: the Annual Meeting of the World Psychiatric Association; November 29, 2009; Melbourne. 2009.

Moul DE, Pilkonis PA, Miewald JM, Carey TJ, Buysse DJ. Preliminary study of the test-retest reliability and concurrent validities of the Pittsburgh Insomnia Rating Scale (PIRS). Sleep. 2002;25:A246–7.

Jann B. ESTOUT: Stata module to export estimation results from estimates table. 2004. Available from

StataCorp. Stata Statistical Software: Release 16. College Station, TX: StataCorp LLC; 2019.

Google Scholar

Williams R. Generalized ordered logit/partial proportional odds models for ordinal dependent variables. Stata J. 2006;6(1):58–82 A pre-publication version is available at

Google Scholar

Peterson BFEHJ. Partial proportional odds models for ordinal response variables. J Roy Stat Soc: Ser C (Appl Stat). 1990;39(2):205–17.

Google Scholar

Williams R. Understanding and interpreting generalized ordered logit models. The Journal of Mathematical Sociology. 2016;40(1):7–20.

Google Scholar

Fu V. Estimating generalized ordered logit models. Stata Tech Bull. 1999;8(44):27–30.

Mahroon ZA, Borgan SM, Kamel C, Maddison W, Royston M, Donnellan C. Factors associated with depression and anxiety symptoms among medical students in Bahrain. Acad Psychiatry. 2018;42(1):31–40.

Google Scholar

Puthran R, Zhang MW, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016;50(4):456–68.

Google Scholar

Fawzy M, Hamed SA. Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res. 2017;255:186–94.

Google Scholar

Olum R, Nakwagala FN, Odokonyero R. Prevalence and factors associated with depression among medical students at Makerere university. Uganda Adv Med Educ Pract. 2020;11:853–60.

Google Scholar

Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015;141(3):354–7. PMID: 25963497; PMCID: PMC4442334.

Article

Google Scholar

Baldassin S, Alves TC, de Andrade AG, Nogueira Martins LA. The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ. 2008;8:60.

Google Scholar

Ngasa SN, Sama CB, Dzekem BS, Nforchu KN, Tindong M, Aroke D, Dimala CA. Prevalence and factors associated with depression among medical students in Cameroon: a cross-sectional study. BMC Psychiatry. 2017;17(1):216.

Google Scholar

Arslan M, AydemİR İs, Yabanci Ayhan N. Examining The Level Of Depression Among University Students And Evaluating Its Relationship With Body Mass Index (BMI). Clin Exp Health Sci. 2021;11:175–81.

Al-Khlaiwi T, Habib S. Depression, anxiety, stress, and satisfaction of medical students in relation to income and body mass index. King Khalid University J Health Sci. 2022;7(2):104–10.

Carpenter KM, Hasin DS, Allison DB, Faith MS. Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts: results from a general population study. Am J Public Health. 2000;90(2):251–7. PMID: 10667187; PMCID: PMC1446144.

Article

Google Scholar

Gabal HA, Wahdan MM, Gamal Eldin DA. Prevalence of anxiety, depression and stress among medical students, and associated factors. Egypt J Occup Med. 2022;46(1):55–74.

Google Scholar

Memon AA, Adil SE, Siddiqui EU, Naeem SS, Ali SA, Mehmood K. Eating disorders in medical students of Karachi, Pakistan-a cross-sectional study. BMC Res Notes. 2012;5:84.

Google Scholar

Fekih-Romdhane F, Daher-Nashif S, Alhuwailah AH, Al Gahtani HMS, Hubail SA, Shuwiekh HAM, Khudhair MF, Alhaj OA, Bragazzi NL, Jahrami H. The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression. Eat Weight Disord. 2022;27(6):1991–2010.

Google Scholar

Jahrami H, Sater M, Abdulla A, Faris MA, AlAnsari A. Eating disorders risk among medical students: a global systematic review and meta-analysis. Eat Weight Disord. 2019;24(3):397–410.

Google Scholar

Melisse B, de Beurs E, van Furth EF. Eating disorders in the Arab world: a literature review. J Eat Disord. 2020;8(1):59.

Google Scholar

Abdel Wahed WY, Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria Journal of Medicine. 2019;53(1):77–84.

Google Scholar

KhanMS MS, Badshah A, Ali SU, Jamal Y. Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan. J PakMed Assoc. 2006;56:583–6.

Google Scholar

Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24(3):e1-7.

Google Scholar

Said D, Kypri K, Bowman J. Risk factors for mental disorder among university students in Australia: findings from a web-based cross-sectional survey. Soc Psychiatry Psychiatr Epidemiol. 2013;48(6):935–44.

Google Scholar

El-Gilany AHAM, Hammad S. Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors. Ann Saudi Med. 2008;28(6):442–8. PMID: 19011321; PMCID: PMC6074256.

Article

Google Scholar

Tabalipa FD, Souza M, Pfützenreuter G, Lima VC, Traebert E, Traebert J. Prevalence of anxiety and depression among medical students. Revista Brasileira de Educação Médica. 2015;39(3):388–94.

Google Scholar

Alkhalaf AM. Positive and negative affect, anxiety, and academic achievement among medical students in Saudi Arabia. International Journal of Emergency Mental Health and Human Resilience. 2018;20(2):397.

Google Scholar

Chinawa JM, Nwokocha AR, Manyike PC, Chinawa AT, Aniwada EC, Ndukuba AC. Psychosomatic problems among medical students: a myth or reality? Int J Ment Health Syst. 2016;10:72.

Google Scholar

Goweda R, Alshinawi MA, Janbi BM, Idrees UY, Babukur RM, Alhazmi HA, Aiash H. Somatic Symptom Disorder among medical students in Umm Al-Qura University, Makkah Al-Mukarramah, Kingdom of Saudi Arabia. Middle East J Fam Med. 2022;20(5):6–11.

Abdelaziz AMYAK, Alhurayyis JH, Alqahtani TA, Alghamlas AM, Algahtani HM, Jahrami HA. The association between physical symptoms and depression among medical students in Bahrain. Int J Med Educ. 2017;15(8):423–7. https://doi.org/10.5116/ijme.5a2d.16a3.PMID:29252203;PMCID:PMC5768439.

Article

Google Scholar