Common mental disorders in medical students: A repeated cross-sectional study over six years

Abstract

Summary Introduction: Becoming a medical doctor is a very complex process. Factors related to the student’s personality, the educational process and the daily experience with death contribute to peculiar psycho-emotional experiences, not always properly investigated during medical training. Objective: To estimate the prevalence of common mental disorders (CMD) and associated factors, over six years of medical undergraduate course among all students of a class at a public university in Brazil. Method: Cross-sectional study based on repeated surveys. All 40 students enrolled in 2006 in the first year of our medical school were included and evaluated annually until 2011 using the SRQ-20 and a structured questionnaire prepared by the authors on sociodemographic, personal and educational aspects. We performed logistic regression and correspondence analysis. Results: The 40 freshmen in the first evaluation had a mean age of 20 years (SD=2.4), 57.5% were female, and 41% were approved after taking their third entrance exam. The prevalence of CMD increased over the years: from 12.5% in the first year to 43.2% in the fifth. The following variables were potentially associated with CMD: female sex (PR=1.38), originating from capital cities (PR=1.97), the program was less than they expected (PR=3.20), discomfort with program activities (PR=2.10), dissatisfaction with teaching strategies (PR=1.38), and feeling that the program is not a source of pleasure (PR=2.06), being R2=28.8% and AIC=60.04. Conclusion: The factors potentially associated with the high prevalence of CMD were those related to medical training, showing that it is necessary to implement preventive measures and review the educational process in order to reduce the damages caused by the development of CMD.

Common mental disorders among medical students: systematic review and meta-analysis of Brazilian studies

“…Thus, the synthesis was developed based on the data from 14 original studies. 8,[12][13][14][15][16][17][18][19][20][21][22][23][24] Regarding geographical location, the studies were conducted in ten cities (Aracajú, Blumenau, Botucatu, Jequié, Montes Claros, Ponta Grossa, Salvador, São José do Rio Preto, Vila Velha and Vitória), located in seven Brazilian states (Bahia, Espírito Santo, Minas Gerais, Paraná, Santa Catarina, Sergipe and São Paulo).…”

Transtornos Mentais Comuns, Estresse e Autoestima em universitários da área da saúde do último ano

“…Verifica-se ainda um enorme desgaste decorrente do contato com pessoas doentes que podem apresentar doenças graves, e por vezes, de difícil conduta, onde o estudante muitas vezes se encontra despreparado para atuar de forma plena no atendimento integral dos pacientes e de seus familiares que esperam que ele saiba de tudo e resolva tudo com agilidade (Fabichak, Silva-Junior, & Morrone, 2014). Este fato é descrito em pesquisa realizada com estudantes do curso de medicina de diversos anos, onde a prevalência de TMC aumentou ao longo do curso de 12,5% no primeiro ano, para 43,2% no quinto (Costa, Mendes, & Andrade, 2017).…”

“…No entanto, quanto ao período do curso, na literatura ainda não há um consenso quanto aos resultados, sendo que, alguns estudos apontam que os estudantes em períodos iniciais (primeiro ano ou semestre) são os que adoecem com maior frequência e apresentam taxas maiores de TMC (Carleto et al, 2018), enquanto outros, indicam maior incidência no período final do curso (Costa, Mendes, & Andrade, 2017).…”

Prevalência de Transtorno Mental Comum (TMC) em estudantes de enfermagem decorrente do estilo de vida acadêmica

“…As perguntas estão relacionados à probabilidade de presença de transtorno não psicótico, a pontuação pode ser 0 para nenhuma probabilidade ou 20 forte probabilidade. Os pontos de corte são de 7/8, isto é, as respostas que obterem escore ≥ 7 serão consideradas como indicadores de possível TMC (Costa et al, 2017).…”

“…Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM) e Classificação internacional de Doença (CID), embora possua aspectos importantes de problema de saúde mental, devido às restrições obtidas através do transtorno, atrapalhando o desempenho no cotidiano do indivíduo, causando transtornos mentais graves (Costa, Mendes, & Andrade, 2017).…”