Publication:

Silent struggles in medical education: a cross-sectional study on anxiety and depression among medical interns

Background Medical internship is a demanding transition period characterized by heavy clinical responsibilities, prolonged working hours, emotional strain, and academic pressure, which may adversely affect mental health. The present study aimed to estimate the prevalence and severity of anxiety and depression among medical interns and assess their association with workload characteristics and lifestyle disturbances during internship.

Methods A cross-sectional observational study was conducted among 113 medical interns at a tertiary care teaching hospital. Data were collected using a pre-tested semi-structured questionnaire on socio-demographic details, workload parameters, and lifestyle impact. Anxiety and depression were assessed using the generalized anxiety disorder-7 (GAD-7) and patient health questionnaire-9 (PHQ-9) scales. Data were analyzed using descriptive statistics, Chi-square test, and Pearson’s correlation coefficient.

Results The prevalence of anxiety and depression was 13.3% and 17.7%, respectively. Mild anxiety and depression were observed in 27.4% and 23.0% of interns, while moderate-to-severe symptoms were present in 13.2% and 17.6%, respectively. Female gender was significantly associated with depression (p=0.014). Previous mental illness and current treatment status were significantly associated with both anxiety and depression. Mental and emotional workload showed significant association with anxiety (p=0.022), whereas working hours and night duties did not. Appetite disturbance was significantly associated with anxiety (p=0.041). Anxiety and depression demonstrated a strong positive correlation (r=0.639, p<0.001).

Conclusions Anxiety and depression affect a considerable proportion of medical interns. Routine mental health screening and supportive interventions during internship are essential to promote psychological well-being and safe clinical practice.