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Medical Residents’ Levels of Stress, Anxiety, and Depression: A Multicentric Cross-Sectional Survey

Int J Soc Psychiatry. 2026 Feb 20:207640251411971. doi: 10.1177/00207640251411971. Online ahead of print.

ABSTRACT

BACKGROUND: This study aimed to assess the prevalence and predictors of depression, anxiety, and stress among medical residents in Tehran, Iran.

METHODS: This cross-sectional study was conducted from January 1 to February 28, 2022, as part of a broader investigation into mental health among medical residents A total of 353 medical residents from various universities in Tehran participated. Data were collected via an online questionnaire, including the Depression, Anxiety, Stress Scale-21 (DASS-21) and demographic variables. Statistical analyses, including Pearson’s Chi-square test and linear regression, were used to identify significant mental health predictors.

RESULTS: The prevalence of depression, anxiety, and stress was 69.3%, 63.2%, and 64.6%, respectively. Significant predictors included marital status, gender, number of children, housing situation, specialty type, and workload. First-year residents reported higher psychological distress than senior residents. Surgical residents exhibited the highest levels of depression, anxiety, and stress, followed by medical and paramedical specialties.

CONCLUSION: Our findings highlight the urgent need for targeted mental health interventions for medical residents in Tehran, addressing specific risk factors across specialties and residency years to enhance well-being and healthcare quality.

PMID:41717738 | DOI:10.1177/00207640251411971

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