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Factors associated with depression, anxiety, and stress in Mexican medical students

A cross-sectional study

Bibliographic Data

ID21627985
AuthorsKarina Robles-Rivera (0009-0005-3920-5980, Universidad Nacional Autonoma de Mexico, corresponding author), Ana Elena Limón-Rojas (0000-0003-4017-2272, Universidad Nacional Autonoma de Mexico), Guillermo Hideo Wakida-Kuzunoki (0000-0003-4465-9918, Universidad Nacional Autonoma de Mexico), Laura Moreno-Altamirano (0000-0001-5533-9982, Universidad Nacional Autonoma de Mexico), Mirella Vázquez-Rivera (0000-0002-7840-0149, Universidad Nacional Autonoma de Mexico), Enrique Romero-Romero (0009-0006-4702-5418, Universidad Nacional Autonoma de Mexico), María Teresa Rojas-Hernández (0000-0002-0607-4188, Universidad Nacional Autonoma de Mexico), Ricardo Octavio Morales-Carmona (0009-0003-6535-3392, Universidad Nacional Autonoma de Mexico)
Year2025
Volume44
Issue10
Pages9252-9264
Publication date2025-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCurrent Psychology (JOURNAL)
Journal identifiersISSN: 1046-1310 • E-ISSN: 1936-4733
PublisherSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s12144-025-07742-x
OpenAlexW4409118496
LanguageEN
Citations received1
References cited45

Introduction: Compared to the general population, medical students are at greater risk of suffering from mental health problems, which can also affect their academic performance and professional future. Objectives: To evaluate the factors associated with depression, anxiety, and stress in medical students in Mexico. Methods: This was a cross-sectional study. A self-administered questionnaire was used to obtain sociodemographic, behavioral, and grade point average data, including the Depression, Anxiety, and Stress Scale-21 (DASS-21) screening instrument. Analysis: Measures of central tendency, dispersion, frequency, and proportion were used. The Wilcoxon rank-sum and immediate proportions tests were used to determine differences between the sexes, and the chi-square and Fisher’s exact tests were used between the scholar years. Logistic and linear regression models were performed to evaluate factors associated with depression, stress, and anxiety. Results: Depression affected 49% of students and was more common during the third year (60.1%). Anxiety was found in 66.1% of students and was also more common in third year (74.7%). Stress affected 73.2% of students, with greater severity and frequency in women. Low perception of social support and adverse childhood experiences were found to be associated with increased risk of depression, anxiety, and stress. However, in all cases, physical activity was found to be a protective factor. Conclusions: Studying mental health in medical students in Mexico is crucial to improving their well-being and academic performance, preventing burnout, and optimizing medical care. Adapting interventions to local and cultural factors can strengthen the health system and support the training of better professionals

Anxiety · Cross-sectional study · Psychiatry · Clinical Psychology · Health and Well-being Studies · Healthcare professionals’ stress and burnout · Medicine · Psychology · Stress and Burnout Research

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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