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General health dysfunction is highly prevalent among medical residents at Tehran University of Medical Sciences

A cross-sectional study of 349 residents at TUMS in 2016 found that 54.7% (95% CI, 49.4-59.8) exhibited general health dysfunction as measured by the GHQ. The prevalence of anxiety was 57.6%, depression 51.5%, somatic symptoms 44.1%, and social dysfunction 23.8%.

Last updated: Jul 30, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score32/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★☆☆☆☆
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Determining the Mental Health of Tehran University of Medical Sciences Residents, According to the General Health Questionnaire.

observational

Pishgahi G, Shirbache K, Abdshah A, Hashemi MS, Shirani F, Sheikh Motahar Vahedi H, Jahanshir A · Medical journal of the Islamic Republic of Iran (2026)

Participants: N/A
Duration: N/A (cross-sectional, single time point in 2016)
Intervention: N/A (observational study; no intervention tested)
Outcome: General health dysfunction (GHQ total score), prevalence of somatic symptoms, anxiety, social dysfunction, and depression
Effect Size: N/A
Population: 349 residents at Tehran University of Medical Sciences (TUMS) in 2016

Result:

PubMed: 42516631DOI: 10.47176/mjiri.40.13

Mechanism Graph

N/A

Limitations

  • ⚠Cross-sectional design prevents causal inference
  • ⚠Reliance on self-reported GHQ screening tool rather than clinical diagnostic interviews
  • ⚠Single-center study at TUMS limits generalizability to other institutions or countries

Frequently Asked Questions

What percentage of residents had general health dysfunction?▼

54.7% of residents (95% CI, 49.4-59.8) showed general health dysfunction on the GHQ.

Which mental health domain was most common among residents?▼

Anxiety was the most prevalent domain at 57.6%, followed by depression at 51.5%.

What factors were associated with worse mental health in residents?▼

General health dysfunction was significantly associated with sex, marital status, lack of interest in the field, poor exercise habits, dissatisfaction with leisure time and curriculum, use of sleep-aid medications, smoking, residency level, and living arrangements.

Is this study based on clinical diagnoses or a screening questionnaire?▼

It used the General Health Questionnaire (GHQ), a validated screening tool, not clinical diagnostic interviews.

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References

  1. 1.Pishgahi G, Shirbache K, Abdshah A, Hashemi MS, Shirani F, Sheikh Motahar Vahedi H, Jahanshir A. "Determining the Mental Health of Tehran University of Medical Sciences Residents, According to the General Health Questionnaire.." Medical journal of the Islamic Republic of Iran, 2026. PMID: 42516631 DOI: 10.47176/mjiri.40.13
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.