Common mental disorders and associated factors among final-year healthcare students

Costa, Edméa Fontes de Oliva; Rocha, Margleice Marinho Vieira; Santos, Ana Teresa Rodrigues de Abreu; Melo, Enaldo Vieira de; Nogueira-Martins, Luiz Antônio; Andrade, Tarcísio Matos de

doi:10.1590/1806-9282.60.06.009

Cited by 42 publications

(58 citation statements)

References 33 publications

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“…We included 59 studies in the qualitative analysis, and 57 [28][29][30][31][32][33][34][35][36][37][39][40][41][42][43][44][45][46][47][48][49][50][51][52] studies involving a total of 18,015 medical students in the quantitative analysis (Table 1). All forest plots are available on request from the authors.…”

Section: Resultsmentioning

confidence: 99%

Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Pacheco

Giacomin

Tam

et al. 2017

Rev. Bras. Psiquiatr.

374

214

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Objective: To provide a comprehensive picture of mental health problems (MHPs) in Brazilian medical students by documenting their prevalence and association with co-factors. Methods: We systematically searched the MEDLINE/PubMed, SciELO, LILACS, and PsycINFO databases for cross-sectional studies on the prevalence of MHPs among medical students in Brazil published before September 29, 2016. We pooled prevalences using a random-effects meta-analysis, and summarized factors associated with MHP. Results: We included 59 studies in the analysis. For meta-analyses, we identified the summary prevalence of different MHPs, including depression (25 studies, prevalence 30.6%), common mental disorders (13 studies, prevalence 31.5%), burnout (three studies, prevalence 13.1%), problematic alcohol use (three studies, prevalence 32.9%), stress (six studies, prevalence 49.9%), low sleep quality (four studies, prevalence 51.5%), excessive daytime sleepiness (four studies, prevalence 46.1%), and anxiety (six studies, prevalence 32.9%). Signs of lack of motivation, emotional support, and academic overload correlated with MHPs. Conclusion: Several MHPs are highly prevalent among future physicians in Brazil. Evidence-based interventions and psychosocial support are needed to promote mental health among Brazilian medical students.

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Section: Resultsmentioning

confidence: 99%

Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Pacheco

Giacomin

Tam

et al. 2017

Rev. Bras. Psiquiatr.

374

214

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“…Undertaking integrated evidence-based intervention focusing on students with poor sleep quality, poor physical health, and who drank alcohol is essential if the present finding confirmed by a longitudinal study. The high prevalence of CMD suggests that immediate preventive and curative measures should be implemented, such as the setting up of psycho-pedagogic support and counseling services to build students resilience [53]. Life skill training is also required to openly discuss and actively address the problems during university education [55].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the prevalence of CMD among Dutch university medical students was 48–54% [52]. Another cross-sectional study conducted at the public university in Northeast Brazil reported that the prevalence of CMD was 33.7%; the risk factors were gender, lack of good expectations regarding the future, course as not a source of pleasure, and feeling emotionally tense [53]. …”

Section: Introductionmentioning

confidence: 99%

Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia

Haile

Alemu

2017

Int J Ment Health Syst

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BackgroundCommon mental disorder (CMD) is prevalent in industrialized and non-industrialized countries. The prevalence of CMD among university students was 28.8–44.7% and attributed to several risk factors, such as schooling. The aim of this study was to assess the prevalence and risk factors of CMD. In addition, the association between CMD and academic performance was tested.MethodsInstitution based cross-sectional study was conducted with 422 students at Debre Berhan university from March to April 2015. CMD was the primary outcome variable whereas academic performance was the secondary outcome variable. Kessler psychological distress (K10) scale was used to assess CMD. Bivariate and multiple logistic regression analysis were performed for modeling the primary outcome variable; independent samples T test and linear regression analysis were carried out for modeling the secondary outcome variable. The strength of association was interpreted using odds ratio and regression coefficient (β) and decision on statistical significance was made at a p value of 0.05. Data were entered using EPI-data version 3.1 software and analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.01 software.ResultsThe prevalence of CMD was 63.1%. Field of study (p = 0.008, OR = 0.2, 95% CI 0.04–0.61), worshiping (p = 0.04, OR = 1.8, 95% CI 1.02–3.35), insomnia (p < 0.001, OR = 3.8, 95% CI 2.21–6.57), alcohol drinking (p = 0.006, OR = 2.7, 95% CI 1.33–5.66), and headache (p = 0.02, OR = 2.1, 95% CI 1.10–3.86) were identified risk factors for CMD. The mean cumulative grade point average of students with CMD was lower by 0.02 compared to those without CMD, but not statistically significant (p = 0.70, β = −0.02, 95% CI −0.15 to 0.10). CMD explained only 0.8% (r2 = 0.008) of the difference in academic performance between students.ConclusionsAt least three out of five students fulfilled CMD diagnostic criteria. The statistically significant risk factors were field of study, worshiping, insomnia, alcohol drinking, and headache. Moreover, there was no statistically significant association between CMD and academic performance. Undertaking integrated evidence-based intervention focusing on students with poor sleep quality, poor physical health, and who drink alcohol is essential if the present finding confirmed by a longitudinal study.

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“…No Brasil, as prevalências combinadas de depressão, ansiedade, transtornos mentais comuns e uso problemático de álcool entre estudantes de medicina no Brasil variaram de 30,6% a 32,9% (Pacheco et al, 2017). Em um estudo desenvolvido por Costa et al (2014) utilizando o BDI com internos de medicina em uma universidade pública, a prevalência geral de depressão foi de 40,5%. Um estudo da Universidade de Pernambuco (UPE) entre estudantes de alguns cursos de saúde encontrou uma prevalência geral de depressão de 34,1%.…”

Section: Introductionunclassified

Prevalência da Depressão nos Acadêmicos da Área de Saúde

Lima

Barros

et al. 2019

Psicol. cienc. prof.

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Resumo Os transtornos psiquiátricos possuem grande morbidade entre estudantes universitários da área da saúde. A depressão e ansiedade são os mais frequentes. O artigo se propõe a analisar os diferentes graus da depressão nos cursos da área de saúde e correlacionar esse transtorno ao gênero e à idade. O trabalho foi qualiquantitativo, desenvolvido com os acadêmicos de medicina, enfermagem e odontologia submetidos ao Inventário de Depressão de Beck (BDI). Fizeram parte da amostra 383 acadêmicos; a quantidade de alunos matriculados em medicina foi de 44 (11,62%), odontologia, 94 (24,50%) e enfermagem, 245 (63,87%). Desses, 273 (71,3%) eram mulheres e 110 (28,70%) homens com um intervalo na faixa etária de 26 a 33 anos. Identificou-se que não houve associação entre a variável depressão e gênero; a depressão grave foi constatada em 5,40% dos estudantes de odontologia, 8,60% dos de enfermagem e a depressão moderada a grave em 3,60% dos de medicina. Nota-se pelo BDI que os sintomas depressivos entre estudantes da área da saúde têm-se mostrado superior a outras populações de idade correspondente. A depressão é um fator de risco para a sociedade sendo importante a formulação de políticas de saúde mental, adotando-se medidas de apoio emocional, reestruturação da grade curricular e implementação de atividades psicológicas de autocontrole com criação de grupos de assistência psicológica ao aluno visando a prevenção de transtornos psíquicos nesses futuros profissionais da saúde.

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Common mental disorders and associated factors among final-year healthcare students

Cited by 42 publications

References 33 publications

Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia

Prevalência da Depressão nos Acadêmicos da Área de Saúde

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