الفهرس 
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Abstract
SUMMARY
Depression and anxiety are important indicators of mental health of an individual; a treatable disorder, widely seen among medical students. It can cause adverse effect on both, mental and physical health leading to impairment in the development of professional, academic and social skills of medical students and hence is considered an important health issue (Abrar et al., 2014).
In this cross-sectional analytical study; the prevalence of depression and anxiety was measured, possible risk factors for depression and anxiety were identified and the relationship between anxiety, depression and quality of life was detected among medical and non-medical students in Beni Suef University. Three hundred (300) medical students were equivalently withdrawn from all scholastic years at FM-BSU and (400) non-medical students were equivalently withdrawn from all scholastic years in faculties of Arts and Law using a multi-stage random sampling technique.
Each student filled a designed self-administered questionnaire including personal data, data about risk factors for depression and anxiety and students’ reactions if they felt depressed or anxious. Assessment of the students was done by social level scoring, BAI, STAI, BDI-II and heath related quality of life SF-36 measurement model.
The current study had observed a higher prevalence of females, urban residence, those living with their family, absent financial problems, high SES and parents with higher level of education and professional work among medical students than among non-medical students.
The current study revealed that medical students were significantly more stressed by long or difficult curriculum, lack of entertainment and difficulties in time management than non-medical students.
It was evident from the current study that medical students had higher prevalence rates of depression, anxiety, anxiety trait and co-morbid depression and anxiety (58.3%, 42.3%, 38.7% and 33.3% respectively) than non-medical students (30%, 30.5%, 25.3% and 20.8% respectively).
The current study found that female medical students have a higher prevalence rates of depression and anxiety than males. The same results were observed among the non-medical students group.
The majority of the included medical students were living in urban areas (69%) and the minority of the medical students were living in rural areas (31%). There was no urban-rural difference in rates for depression and anxiety among medical students. Students having financial or family social problems were more likely to be depressed or anxious than those haven’t.
Most of medical students were among the high social class (78%). However, there was no significant difference between depressed and non depressed nor anxious and non anxious students as regards social class.
Among medical students, those with history of chronic diseases or psychic trauma and those with family history of depression or anxiety were significantly more frequent among students with positive than those with negative depressive scale. No relation between student’s medical or family history and anxiety could be observed.
In the current study, no association could be observed between rates of depression or anxiety and the grade of study. Positive depressive scale medical students were more likely to have lower academic achievement than those with negative depressive scale.
Logistic regression analysis had identified faculty choice against student’s wish, family history of anxiety, presence of anxiety by BAI, family social problems negative attitude towards the faculty and high family expectation as possible risk factors for depression among medical students. In the same time, Logistic regression analysis had identified negative or neutral attitude towards the faculty, female gender, financial problems and high family expectation as possible risk factors for anxiety among medical students.
The current study revealed that, Diminished quality of life is a common feature of depression and anxiety.
Most of the medical students stated that they relieve their anxiety and depression state through seeking friend support (51.7%) or talking with parents (38.3%). (41.7%) reported that they may seek psychiatrist advice in such conditions. Reasons for not counseling a psychiatrist were being unconvinced that depression and anxiety need to be managed by a physician, being shy to discuss their problem in front of psychiatrist and fear of stigmatization.
This study highlighted the severity of the situation, enhancing faculty preventive & curative mental health services is highly recommended.