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

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.