ArticleInternational review of psychiatry (Abingdon, England)
Altitude and risk of depression and anxiety: findings from the intern health study.
Article in International review of psychiatry (Abingdon, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
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Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Is altitude a determinant of the health benefits of nature exposure? A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Personality-Related Traits and Psychological and Cognitive Outcomes Under High-Altitude Hypoxia: A Trait-Process-Outcome Framework.Behavioral sciences (Basel, Switzerland) · 2026Review
- Sex-Specific Epigenetic Patterns in Endocannabinoid System Genes Following High-Altitude Exposure: An Exploratory Study.Brain sciences · 2026Article
- Article
- The correlational study of the 24 solar terms and meteorological factors with the acute exacerbation of bipolar disorder.Comprehensive psychoneuroendocrinology · 2026Article
- Newborn brain development comparison of plateau and plain regions: insights from quantitative EEG.Pediatric research · 2026Article
- The Sleep Quality of Han Chinese and Tibetan Firefighters at High Altitude: A Field Study.Nature and science of sleep · 2026Article
- Association between depressive symptoms and balance disorders in older adults living in 12 high Andean communities.PloS one · 2026Article
- Mental health of children in high-altitude regions: a bibliometric study and visualization analysis from 1979 to 2024.Annals of general psychiatry · 2025Article
- Relationships between intolerance of uncertainty and depression in Chinese high-altitude migrants: the mediating effect of mindfulness.BMC public health · 2025Article
- [Dynamic Effects of High-Altitude Exposure on Sleep and Mood States and the Underlying Neural Mechanisms].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- Plateau Environment, Gut Microbiota, and Depression: A Possible Concealed Connection?Current issues in molecular biology · 2025Review
- Long-Term High-Altitude Exposure, Accelerated Aging, and Multidimensional Aging-Related Changes.JAMA network open · 2025Article
- Effect of stressors on depressive mood among long-term high-altitude workers: a moderated mediation analysis.BMC psychology · 2025Article
- Impacts of Forest Bathing (Shinrin-Yoku) in Female Participants with Depression/Depressive Tendencies.Diseases (Basel, Switzerland) · 2025Article
- Relationship between time perspective and depressive symptoms in young people working in high-altitude environments.BMC psychiatry · 2025Article
- Change in sleep, gastrointestinal symptoms, and mood states at high altitude (4500m) for 6 months.Sleep & breathing = Schlaf & Atmung · 2025Article
- From East to West: Regional Disparities in Depressive and Anxious Symptoms Among Chinese Adolescents.Psychology research and behavior management · 2025Article
- Effects of high-altitude environments on intervertebral disc degeneration and transcriptome profiling of the nucleus pulposus.Frontiers in cell and developmental biology · 2025Article
- The association between sleep quality and anxiety symptoms: a cross-sectional study based on Tibetan university students at high altitude in China.Frontiers in psychology · 2025Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
Multiple studies suggest that the risks of depression and suicide increase with increasing altitude of residence, but no studies have assessed whether changing altitude changes these risks. To address this gap, this study used data from the Intern Health Study, which follows students from the end of medical school through the first year of residency, recording depression via the 9-item Patient Health Questionnaire (PHQ-9), anxiety via the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7), and multiple risk factors for these symptoms. Data from 3764 medical students representing 46 schools and 282 residencies were available. Odds ratios (OR) representing the effects of altitude on psychiatric symptoms were estimated using generalized linear models. After excluding participants with missing altitude data, 3731 medical students were analyzed. High altitude residence (> 900 m) was significantly associated with PHQ-9 total score (OR = 1.32, 95% CI = 1.001-1.75,
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.