Аннотация

Резюме

To study the prevalence of depressive syndrome and identify the main risk factors for its development among medical university students in the Republic of Tajikistan.

Материал и методы

An analytical cross-sectional epidemiological study was conducted at the Avicenna Tajik State Medical University (TSMU) in 2024–2026. The study included 1847 students (812 males, 1035 females; mean age 21.3 ± 2.8 years) from 5 faculties. Instruments: Beck Depression Inventory-II (BDI-II), Perceived Stress Scale (PSS-10), Multidimensional Scale of Perceived Social Support (MSPSS), and a sociodemographic questionnaire. Statistical analysis included descriptive statistics, χ² test, t-test, ANOVA, correlation analysis, and binary logistic regression (IBM SPSS 26.0).

Результаты

Overall prevalence of depressive syndrome (BDI-II ≥ 14) was 28.9% (534/1847). Mild depression predominated (25.0%), moderate was found in 3.8%, severe in 0.05%. Females were more affected than males (31.8% vs 25.1%; χ² = 10.72; p = 0.001). The highest prevalence was in 3rd–4th year students (34.2% and 33.8%; p < 0.001). Logistic regression identified independent predictors: high perceived stress (OR = 3.42; 95% CI: 2.68–4.37), low social support (OR = 2.18; 95% CI: 1.72–2.76), poor financial status (OR = 1.87; 95% CI: 1.48–2.36), insufficient sleep (OR = 1.71; 95% CI: 1.35–2.17), foreign citizenship (OR = 1.62; 95% CI: 1.15–2.28). Only 13.2% of affected students sought help. AUC = 0.782.

Заключение

The prevalence of depressive syndrome among TSMU students is consistent with global data (27.2%) and exceeds the general population rate by 5.8 times. The identified risk factor hierarchy supports the need for systematic screening, stress management programs, and psychological support services in medical universities.

Ключевые слова

depressive syndrome medical students epidemiology risk factors BDI-II PSS-10 MSPSS Republic of Tajikistan

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