Well-being and help-seeking: an exploratory study among final-year medical students

Leao, Paula Bertozzi de Oliveira E. Sousa; Nogueira-Martins, Luiz Antônio; Menezes, Paulo Rossi; Bellodi, Patrícia Lacerda

doi:10.1590/s0104-42302011000400009

Cited by 28 publications

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“…At the same, in order to reduce the impact of clinical training pressures, 5 th year students should benefit the most from assistance throughout their training. Lowering stress will also contribute to a better physician-patient relationship [ 29 ]. Researchers recognized that stressors may induce higher level of stress and anxiety [ 30 ], which may affect students well-being, and therefore affect the quality of care medical professionals should offer [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of stress in Casablanca medical students: a cross-sectional study

Loubir¹,

Serhier²,

Diouny³

et al. 2014

Pan Afr Med J

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IntroductionRecently, an important literature data has reported that medical students experience stress more than students in other disciplines. In contrast, there is a significant shortage of the stress impact on the academic performance. The primary purpose of our study was to determine the prevalence of stress among Casablanca Medical students and to investigate if there is an association between stress and academic skills.MethodsA total of 275 participants studying at Casablanca Medical School were included. The study was conducted using a self-administered, anonymous questionnaire, which included four subscales on academic skills perception (Academic competence, Test competence, Time management and Strategic study habits) and a Test Anxiety scale to assess the degree of stress related to exams among medical students.ResultsThe overall findings showed that 52.7% of respondents were stressed by examinations, and the highest stress prevalence was among the fifth-year medical students. Measures of comparative stress degrees between male and female students did not show any statistical significant differences (p=0.34). Correlation analysis revealed negative association between stress and academic competence (-0.394), test competence (-0.426), time management (-0.240), strategic study (-0.183) respectively (p<0.001).ConclusionMedical educators and psychologists have to increase clinical awareness of stress among medical students, by establishing strategies for stress management.

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Section: Discussionmentioning

confidence: 99%

Prevalence of stress in Casablanca medical students: a cross-sectional study

Loubir¹,

Serhier²,

Diouny³

et al. 2014

Pan Afr Med J

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“…Em relação aos fatores de riscos associados, os resultados encontrados nesta revisão são condizentes com o já levantado pela literatura científica anterior 1,3,7 : gênero feminino 6,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][25][26][27][28][29] ; religiosidade intrínseca; ansiedade; estresse; ausência de atividades de lazer; uso de drogas psicoativas e ilícitas; insatisfação com o desempenho acadêmico; desinteresse e insatisfação com o curso; falta de apoio emocional no ambiente acadêmico; estudantes procedentes do interior do estado; e expostos a métodos de aprendizagem baseado em problemas.…”

Section: Discussionunclassified

“…Teses, dissertações e monografias também foram excluídas da amostra, uma vez que estes trabalhos acadêmicos não passaram pelo processo de validação por pares em periódicos científicos. A análise dos estudos selecionados 6,9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] ratificou o encontrado nas revisões de literatura científica quanto à prevalência de sintomas depressivos entre os estudantes de medicina. [1][2][3]5 Contudo, foi encontrada uma variação muito grande entre os resultados do estudo: a prevalência variou de 5,6% a 79%.…”

Section: C) Critérios De Exclusãounclassified

“…Outros fatores de risco associados foram: religiosidade intrínseca; ansiedade; estresse; ausência de atividades de lazer; uso de drogas psicoativas e ilícitas; insatisfação com o desempenho acadêmico; desinteresse e insatisfação com o curso; falta de apoio emocional no ambiente acadêmico; e estudantes procedentes do interior do estado. 9,10,[12][13][14][15][16][17][18][19]22,23,[27][28][29] Um estudo 6 também encontrou uma prevalência de depressão maior em estudantes expostos ao método de Aprendizagem Baseada em Problemas (PBL) em relação ao método tradicional (29.73% e 22.12%, respectivamente, chegando a taxa de 32,8% e 23,1% no sexo feminino).…”

Section: C) Critérios De Exclusãounclassified

“…Nos três estudos realizados 9,19,20 no estado de Minas Gerais, por exemplo, há índices bastantes altos (de 37,2% a 79%). Enquanto em São Paulo 10,17,18,22,25,27,28 , esses números variam de 7,2% a 30%. No Nordeste, a prevalência variou de 5,6% (sendo 19,3% de falso positivo), em Pernambuco, a 40,5% em Sergipe.…”

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Depressão entre estudantes de medicina no Brasil: uma revisão sistemática

2021

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Revisão de LiteraturaRESUMO | A prevalência geral dos sintomas depressivos entre estudantes de medicina está em torno de 27,2% em nível global e de 30,6% no Brasil. Neste estudo objetivamos investigar o estado da saúde mental nas escolas de medicina do Brasil a partir da identificação dos estudos realizados no Brasil entre 2008 e 2018 sobre a prevalência e fatores de risco de depressão e sintomas depressivos entre estudantes de medicina. Foram poucos os estudos encontrados (21), concentrados nas regiões Sul-Sudeste e que apontam uma prevalência com alto grau de variabilidade (5,6% a 79%). Embora a maior parte dos estudos tenham utilizado o mesmo instrumento Inventário Depressivo de Beck (BDI), as diferenças nas metodologias divergem desde o recorte da análise realizada (de ideação suicida a sintomas depressivos), quanto na amostra e na variabilidade dos métodos utilizados (alguns analisaram os graus dos sintomas depressivos, e outros fizeram ainda um filtro de identificação dos falsos positivos). Nossos achados estão alinhados com outros estudos que relatam a precarização da saúde mental entre estudantes de medicina, o que sugere uma provável ocorrência global problema e uma prevalência elevada entre os futuros médicos brasileiros.

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Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

Rotenstein

Ramos

Torre

et al. 2016

JAMA

1,773

1,409

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IMPORTANCE Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies.OBJECTIVE To estimate the prevalence of depression, depressive symptoms, and suicidal ideation in medical students.DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE, psycARTICLES, and psycINFO without language restriction for studies on the prevalence of depression, depressive symptoms, or suicidal ideation in medical students published before September 17, 2016. Studies that were published in the peer-reviewed literature and used validated assessment methods were included.DATA EXTRACTION AND SYNTHESIS Information on study characteristics; prevalence of depression or depressive symptoms and suicidal ideation; and whether students who screened positive for depression sought treatment was extracted independently by 3 investigators. Estimates were pooled using random-effects meta-analysis. Differences by study-level characteristics were estimated using stratified meta-analysis and meta-regression. MAIN OUTCOMES AND MEASURESPoint or period prevalence of depression, depressive symptoms, or suicidal ideation as assessed by validated questionnaire or structured interview.RESULTS Depression or depressive symptom prevalence data were extracted from 167 cross-sectional studies (n = 116 628) and 16 longitudinal studies (n = 5728) from 43 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of depression or depressive symptoms was 27.2% (37 933/122 356 individuals; 95% CI, 24.7% to 29.9%, I 2 = 98.9%). Summary prevalence estimates ranged across assessment modalities from 9.3% to 55.9%. Depressive symptom prevalence remained relatively constant over the period studied (baseline survey year range of 1982-2015; slope, 0.2% increase per year [95% CI, −0.2% to 0.7%]). In the 9 longitudinal studies that assessed depressive symptoms before and during medical school (n = 2432), the median absolute increase in symptoms was 13.5% (range, 0.6% to 35.3%). Prevalence estimates did not significantly differ between studies of only preclinical students and studies of only clinical students (23.7% [95% CI, 19.5% to 28.5%] vs 22.4% [95% CI, 17.6% to 28.2%]; P = .72). The percentage of medical students screening positive for depression who sought psychiatric treatment was 15.7% (110/954 individuals; 95% CI, 10.2% to 23.4%, I 2 = 70.1%). Suicidal ideation prevalence data were extracted from 24 cross-sectional studies (n = 21 002) from 15 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of suicidal ideation was 11.1% (2043/21 002 individuals; 95% CI, 9.0% to 13.7%, I 2 = 95.8%). Summary prevalence estimates ranged across assessment modalities from 7.4% to 24.2%. CONCLUSIONS AND RELEVANCEIn this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among medical students was 27.2% and that of suicidal ideation was 11.1%. Further research is nee...

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Well-being and help-seeking: an exploratory study among final-year medical students

Abstract: There are different factors involved in help-seeking and identifying specificities in the use of institutional support resources can help to develop strategies to sensitize students about help-seeking during the medical course.

Cited by 28 publications

References 28 publications

Prevalence of stress in Casablanca medical students: a cross-sectional study

Prevalence of stress in Casablanca medical students: a cross-sectional study

Depressão entre estudantes de medicina no Brasil: uma revisão sistemática

Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students

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