A saúde física e mental do profissional médico: uma revisão sistemática

Gracino, Mariana Evangelista; Zitta, Ana Laura Lima; Mangili, Otávio Celeste; Massuda, Ely Mitie

doi:10.1590/0103-1104201611019

Cited by 29 publications

(39 citation statements)

References 56 publications

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“…However, studies that combine the use of an inventory, such as the Maslach Burnout Inventory—Student Survey (MBI-SS), with other specific variables linked to the daily life of medical students to determine which students are more prone to burnout symptoms are still scarce. Among professionally active physicians, Gracino et al [ 14 ] postulated that the dimensions of burnout syndrome manifest themselves sequentially, developing emotional exhaustion first, followed by depersonalization in the attempt to deal with exhaustion; finally, the ability to resist the demands of work diminishes, resulting in feelings of anguish and low professional productivity. According to the NEJM report and members of the Catalyst Insights Council, burnout is a growing problem and difficult to solve; experts have cited that approximately ¼ of physicians have burnout [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors

et al. 2018

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ObjectiveTo evaluate the prevalence and possible factors associated with the development of burnout among medical students in the first years of undergraduate school.MethodA cross-sectional study was conducted at the Barretos School of Health Sciences, Dr. Paulo Prata. A total of 330 students in the first four years of medical undergraduate school were invited to participate in responding to the sociodemographic and Maslach Burnout Inventory-Student Survey (MBI-SS) questionnaires. The first-year group consisted of 150 students, followed by the second-, third-, and fourth-year groups, with 60 students each.ResultsData from 265 students who answered at least the sociodemographic questionnaire and the MBI-SS were analyzed (response rate = 80.3%). One (n = 1, 0.3%) potential participant viewed the Informed Consent Form but did not agree to participate in the study. A total of 187 students (187/265, 70.6%) presented high levels of emotional exhaustion, 140 (140/265, 52.8%) had high cynicism, and 129 (129/265, 48.7%) had low academic efficacy. The two-dimensional criterion indicated that 119 (44.9%) students experienced burnout. Based on the three-dimensional criterion, 70 students (26.4%) presented with burnout. The year with the highest frequency of affected students for both criteria was the first year (p = 0.001). Personal attributes were able to explain 11% (ΔR = 0.11) of the variability of burnout under the two-dimensional criterion and 14.4% (R2 = 0.144) under the three-dimensional criterion.ConclusionThis study showed a high prevalence of burnout among medical students in a private school using active teaching methodologies. In the first years of graduation, students’ personal attributes (optimism and self-perception of health) and school attributes (motivation and routine of the exhaustive study) were associated with higher levels of burnout. These findings reinforce the need to establish preventive measures focused on the personal attributes of first-year students, providing better performance, motivation, optimism, and empathy in the subsequent stages of the course.

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Section: Introductionmentioning

confidence: 99%

Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors

et al. 2018

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“…Anxiety is characterized by an inappropriately excessive and/or persistent worry that is often accompanied by symptoms like tachycardia, tremors, restlessness, fatigue, poor concentration, irritability, and disturbances in sleep pattern [32]. Coexistence of depression and anxiety can be highly disabling and might result in severe detrimental consequences to the physical, mental and social wellbeing of the affected populations [33,34]. Depression and anxiety might have severe adverse consequences on the academic performance of medical students, their reported quality of life, contribute to substance abuse, decrease empathy, and academic dishonesty [1,35,36].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students

et al. 2020

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Background: Coexistence of depression and anxiety can be associated with severe detrimental consequences to the physical, mental and social wellbeing of the affected populations. This study was conducted to determine prevalence of depressive and anxiety symptoms among Palestinian medical students and to investigate associations between sociodemographic factors of the students with depressive and anxiety symptoms. Methods: This study was conducted in a cross-sectional observational design using a questionnaire in the period between September 2018 and April 2019 in a major university in the West Bank of Palestine. Depressive symptoms were assessed using the Beck Depression Inventory-II (BDI-II) and anxiety symptoms were assessed using the Beck Anxiety Inventory (BAI). The questionnaire also collected the sociodemographic characteristics of the students. Reliability of the questionnaire was tested using the test re-test method. A total of 425 medical students were invited to participate in the study. Results: Of those invited, 286 students completed the questionnaire, giving a response rate of 67.3%. More than half (56.6%) of the students had minimal depression, 20.3% had mild depression, 14.0% had moderate depression, 9.1% had severe depression, 23.4% had no anxiety, 29.7% had mild to moderate anxiety, 25.5% had moderate to severe anxiety, and 21.3% had severe anxiety. Multiple linear regression analysis showed that academic stage (pvalue < 0.01), Grade Point Average (p-value < 0.01), mental health status (p-value < 0.001), ever attempted suicide (p-value < 0.05), and religious commitment (p-value < 0.01) were predictors of BDI-II scores. Multiple linear regression analysis showed that academic stage (p-value < 0.05) and mental health status (p-value < 0.001) were predictors of BAI scores. Conclusions: Depressive and anxiety symptoms were prevalent among Palestinian medical students in a major university in the West Bank of Palestine. Interventions might be designed to improve self-rated mental health of medical students in their academic years, ameliorate study conditions, and provision of counseling services to improve spirituality might be effective in reducing symptoms of depression and anxiety among medical students in Palestine. Future studies are still needed to investigate if these interventions could be useful in reducing depressive and anxiety symptoms among Palestinian medical students.

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“…Esse vínculo também foi abordado em estudo realizado por Aldrees et al 9 , o qual demonstrou que 86% dos médicos avaliados eram acometidos pela privação do sono Sabe-se que a prática da medicina requer dedicação de tempo; responsabilidade; gerenciamento de emoções pessoais dos pacientes e seus familiares. Além disso, pesquisas demonstraram longas jornadas de trabalho, múltiplos vínculos empregatícios e condições insatisfatórias de exercício da profissão, tais como, baixa remuneração, falta de reconhecimento e autonomia, infraestrutura inadequada 10,11,12 .…”

Section: Introductionunclassified

A Prevalência da insônia no meio médico e o uso de substâncias relacionadas

Schumann¹,

Falco²,

Pires³

et al. 2020

R. Saúde

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A insônia é o distúrbio do sono mais frequente da população geral, sabe-se que ela é perpetuada por fatores de condicionamento, como poucas horas dormidas e alternância entre sono noturno e diurno. Essa é uma realidade vivenciada no meio médico. Nesse contexto, o debate dessa temática é relevante frente a esses profissionais, visto que, além de prejudicar a qualidade de vida, o distúrbio pode proporcionar a adoção de hábitos inadequados. Este trabalho visa demonstrar a prevalência da insônia entre os médicos e do uso de substâncias relacionadas através de estudo observacional transversal, desenvolvido a partir de um questionário de aplicado a médicos especialistas da Universidade de Taubaté. Dos 34 médicos avaliado, 47,06% são insones, valor superior ao descrito por estudos que avaliaram a recorrência desse transtorno na população geral. Ademais, foi constatado que o sintoma mais relatado e relacionado à insônia foi a fadiga. Quanto ao uso de substâncias, verificou-se que 62,5% da amostra informou ingerir cafeína com a finalidade de promover a vigília, ao passo que 43% referiu fazer uso do álcool como indutor do sono. Outras substâncias utilizadas para proporcionar a vigília ou o sono foram relatadas, tais como Anfetaminas, fármacos e drogas fitoterápicas. Portanto, é válido discutir a insônia e o uso de substâncias associadas a ela no meio médico, uma vez que esse transtorno do sono tem impacto estatístico, além de afetar a saúde física e mental desses indivíduos, acarretando prejuízos no exercício da profissão. Palavras chave: Insônia; Sono; Médicos; Substâncias; Fadiga.

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A saúde física e mental do profissional médico: uma revisão sistemática

Cited by 29 publications

References 56 publications

Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors

Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors

Prevalence and factors associated with depressive and anxiety symptoms among Palestinian medical students

A Prevalência da insônia no meio médico e o uso de substâncias relacionadas

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