Inventário de Fontes de Estresse Acadêmico no Curso de Medicina (IFSAM)

Abstract

RESUMO O Inventário de Fontes de Estresse Acadêmico no Curso de Medicina (IFSAM) foi desenvolvido para caracterizar as principais fontes de estresse acadêmico dos estudantes da Faculdade de Medicina da-Medical students.-Medical education.-Burnout.-Psychometrics. ABSTRACT The Inventory of Academic Sources of Stress in Medical Education (IASSME) was developed to characterize the main sources of academic stress for students at the School of Medicine, University of Porto (FMUP), as well as the intensity with which they experience such stress. The 31-item inventoryresulted from semi-structured interviews with students (n = 80) from all six years of medical school. The inventory's psychometric properties were tested on 251 students from the six years (160 females and 91 males). Construct validity was assessed by means of factor analysis, resulting in a five-factorsolution ("course demands", "human demands", "lifestyle", "academic competition", and "academic adjustment"), with a total of 54.8% of the total variance explained as well as good representation of the construct. The total inventory showed good reliability and internal consistency of 0.88. Based on the findings, the IASSME displayed good psychometric characteristics in this sample and can be a useful instrument for assessing sources of academic stress and their intensity in other medical schools.

Estresse em Estudantes de Cursos Preparatórios e de Graduação em Medicina

“…Verifica-se, portanto, a necessidade de acompanhamento psicológico dos estudantes de Medicina e de cursos preparatórios para essa carreira a fim de evitar a instalação de comorbidades que afetem o desempenho escolar e profissional, bem como a qualidade de vida desses alunos. É certo que a maioria dos estudantes de Medicina lida com sucesso com as exigências de suas vidas, mas também é um fato que cerca de 30% deles desenvolvem problemas psicológicos 15 . Entre os acadêmicos de Medicina, houve baixa prevalência de fases avançadas de estresse.…”

“…Salienta-se, ainda, o tédio que advém da rotina de memorização de informação, a solidão, o medo do insucesso e a dependência prolongada dos pais. Por outro lado, no âmbito dos anos clínicos, evidenciam-se conflitos interpessoais com colegas, receio do aumento de responsabilidades, solidão, confronto com o sofrimento, desconforto sentido na realização de exames físicos e discussão de assuntos pessoais e sexuais com os pacientes 15 . Outros estudos mostram que acadêmicos de Medicina são mais susceptíveis a desenvolver o estresse e sugerem que estes se encontram, frequentemente, na fase de resistência 7,17 .…”

The root of the problem: identifying major sources of stress in Brazilian medical students and developing the Medical Student Stress Factor Scale

“…Although many studies and instruments around the world have evaluated stress symptoms in clinical, academic, and non-clinical populations, few have been specific to medical education, 11,12 and even fewer have been designed to understand and weigh which stressors have the greatest impact on the mental health and quality of life of medical students. 13 To our knowledge, few Brazilian studies have assessed the ''root of the problem,'' 10,[14][15][16][17][18][19][20][21] and no instruments have been designed to evaluate which specific life situations might be stressful and to what degree they impact the mental health of medical students. The only instrument available in Portuguese for assessing such stressors was developed at the University of Porto, Portugal, 13 whose conditions differ from those in Brazil.…”

“…13 To our knowledge, few Brazilian studies have assessed the ''root of the problem,'' 10,[14][15][16][17][18][19][20][21] and no instruments have been designed to evaluate which specific life situations might be stressful and to what degree they impact the mental health of medical students. The only instrument available in Portuguese for assessing such stressors was developed at the University of Porto, Portugal, 13 whose conditions differ from those in Brazil. Therefore, an investigation of the main stressors in Brazilian medical students and, consequently, the development of a new instrument to investigate these stressors are necessary.…”

ESTRESSE ACADÊMICO: adaptação e evidências psicométricas de uma medida

“…No Brasil, as buscas via método integrado foram efetuadas no Portal de Periódicos Capes e no Scientific Eletronic Library Online (SCIELO) Brazil (descritores "estresse acadêmico", "escala" e "validação"). Constataram-se, no total, 40 registros com apenas dois registros referente à temática Costa e Polak (2009) e Loureiro, McIntyre, Mota-Cardoso e Ferreira (2009), consistindo em instrumentos para avaliação do estresse em estudantes de enfermagem e medicina, respectivamente.…”