<b>Depression, Among Medical Students and the Role of Academic Stress and Coping Strategies: A Cross-Sectional Study in Bangladesh</b>

<b>Background:</b> Depression is highly prevalent among medical students, where academic stress serves as a prominent contributing factor. This study aimed to examine the associations between academic stress, coping strategies, and depression, while also exploring the influence of behavioral and sociodemographic variables among Bangladeshi medical students.<b>Methods:</b> This cross-sectional study, conducted from October to December 2022, involved 1,072 undergraduate medical students from six public medical colleges in Bangladesh, selected through simple random sampling.<b>Results:</b> More than half of the participants were found to have moderate to severe depression. Inadequate study facilities and feelings of personal inadequacy were associated with higher odds of depression. Passive problem-focused coping increased depression risk, while passive emotional coping reduced it. Clinical insomnia and high anxiety significantly elevated the possibility of depression. In contrast, moderate internet use was associated with a decrease in depression risk. Male gender and rural residence were associated with higher odds of depression, while urban residence and personal income were protective. Additionally, higher maternal education correlated with increased depression risk, possibly due to heightened academic expectations.<b>Conclusion:</b> Effective interventions should focus on stress reduction, developing adaptive coping skills, ensuring equitable access to academic resources, and enhancing mental health screening and support services.

**背景**：医学生群体中抑郁症患病率居高不下，学业压力是其主要诱因之一。本研究旨在探讨孟加拉国医学生的学业压力、应对方式（coping strategies）与抑郁症三者间的关联，并同时分析行为变量与社会人口学变量对抑郁症的影响。
**方法**：本研究为横断面研究（cross-sectional study），于2022年10月至12月期间开展，通过简单随机抽样方法，选取了孟加拉国6所公立医学院校的1072名本科医学生作为研究对象。
**结果**：研究发现超过半数的参与者存在中度至重度抑郁症。学习设施不足以及个人能力不足感与抑郁症的患病风险升高显著相关。被动聚焦问题的应对方式会增加抑郁症风险，而被动情绪应对则可降低该风险。临床失眠与重度焦虑可显著提升抑郁症发生概率。与之相反，适度使用互联网与抑郁症风险降低相关。男性性别与农村居住背景与抑郁症患病风险升高相关，而城市居住背景与个人收入则具有保护作用。此外，母亲受教育程度越高，子女抑郁症风险越高，这可能与更高的学业期望有关。
**结论**：有效的干预措施应聚焦于减轻学业压力、培养适应性应对技能、保障学业资源的公平可及性，以及加强心理健康筛查与支持服务。