Reduction of the anxiety of medical students after curricular reform

Zuardi, Antônio Waldo; Prota, Fernando Del Guerra; Del-Ben, Cristina Marta

doi:10.1590/s1516-44462008005000006

Cited by 17 publications

(26 citation statements)

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“…Finally, one last limitation refers to the fact that specific aspects of the medical course were not investigated, as well as possible abusive situations to which the students may have been submitted (haze, excessive demand for performance by authoritarian means etc.). A recent study conducted in the medical school of Ribeirão Preto showed that changes in the curricular structure were associated to lower levels of anxiety, when pedagogical strategies more focused on the students were implemented 7 . As to the matter of abuse, Wolf et al 35 had already noticed the association between such situations and depression and anxiety among medical students assessed in the four first years of the course.…”

Section: Discussionmentioning

confidence: 99%

“…Even though it is not exclusive for medical students 2,3 , there is clear prevalence of studies about this population 4 . Several aspects have been mentioned as risk factors for mental distress, from the psychodynamic mechanisms of the individuals who choose this field 5 until factors related to the structure of the course 6,7 , or even the characteristics of the professional practice 8,9 . Most studies conducted in Brazil with populations of medical students investigated distress in the form of the so called common mental disorders (CMD).…”

Section: Introductionmentioning

confidence: 99%

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Social support and common mental disorder among medical students

Silva

Ramos-Cerqueira

Lima

2014

Rev. bras. epidemiol.

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AbstrAct:Introduction: Different kinds of psychological distress have been identified for students in the health field, especially in the medical school. Objective: To estimate the prevalence of mental suffering among medical students in the Southeastern Brazil and asses its association with social support. Methods: It is a cross-sectional study. Structured questionnaires were applied for students from the 1 st up to the 6 th years of the medical school of Universidade Estadual Paulista "Júlio de Mesquita Filho", assessing demographic variables related to aspects of graduation and adaptation to the city. Psychological suffering was defined as a common mental disorder (CMD) assessed by the Self Reporting Questionnaire (SRQ-20). Social support was assessed by the social support scale of the Medical Outcomes Study (MOS). The association between the outcome and explanatory variables was assessed by the χ 2 test and Logistic Regression, for the multivariate analyses, using p ≤ 0.05. Results: The response rate was of 80.7%, with no differences between sample and the population regarding gender (p = 0.78). The average age was 22 years old (standard deviation -SD = 2.2), mainly women (58.2%) and students who were living with friends (62%). The prevalence of CMD was 44.9% (95%CI 40.2 -49.6). After the multivariate analyses, the explanatory variables that were associated with CMD were: feeling rejected in the past year (p < 0.001), thinking about leaving medical school (p < 0.001) and "interaction" in the MOS scale (p = 0.002). Conclusions: The prevalence of CMD among medical students was high and insufficient social support was an important risk factor. Our findings suggest that interventions to improve social interaction among those students could be beneficial, decreasing the prevalence of CMD in this group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Social support and common mental disorder among medical students

Silva

Ramos-Cerqueira

Lima

2014

Rev. bras. epidemiol.

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“…28 The inability to develop the necessary skills to become a good doctor, a variable that remained in the final step of the logistic regression, is associated with an increased risk for CMD and like levels of academic performance it also creates a vicious cycle leading to the potentiation of symptoms consequent on low performance which is reported in other studies. 13,28,29 Among the students surveyed, a few said that they were satisfied with the teaching strategies while more than half felt somewhat uncomfortable or uncomfortable with the school activities, which was associated with the higher prevalence of CMD in univariate analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, several primary care studies 1,8,9 were conducted and researches on CMD related to occupational health are increasing. 5,10 In recent years, our attention has turned to research using medical students as the object of study and on the mental disorders that they may develop during their medical training [11][12][13] This study aims at assessing the prevalence of CMD among Universidade Federal de Sergipe (UFS) medical students, identifying likely risk factors associated with this condition and ascertaining the socio-demographic profile of this population. It is also part of a broader study, 14 which contains a qualitative research using focal groups, to be presented in a future release.…”

Section: Introductionmentioning

confidence: 99%

Common mental disorders among medical students at Universidade Federal de Sergipe: a cross-sectional study

Costa

Andrade

Neto

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: Estimate the prevalence of common mental disorder and its associated factors among medical students of the Universidade Federal de Sergipe. Method: A cross-sectional study was carried out, applying Self Reporting Questionnaire-20 to 473 students from the 512 medical students enrolled in 2006 and compared with compared with a structured questionnaire by the authors containing information on the socio-demographic characteristics, the teaching-learning process and the psycho-emotional experiences of the students. Freshmen were excluded after initial comparison with the students already exposed to the medical course. Statistical analysis by multiple logistic regression after calculating simple and adjusted odds ratio (OR). Results: The general prevalence of common mental disorder was 40% (n = 473); after exclusion of the freshmen it increased to 42.5% among students from the 2 nd to the 12 th semester. It was higher among those who did not have faith in their acquisition of the skills needed to become a good doctor (OR = 2.82), who felt less comfortable about course activities (OR = 3.75), who considered themselves emotionally stressed (OR = 2.14), among those who did not consider themselves happy (OR = 2.85), who believed that the course did not match their expectations (OR = 1.64) and those who had a prior diagnosis of mental disorder by a psychiatrist (OR = 3.78). Conclusion: The results suggest the necessity of changes to the teaching-learning process and the establishment of a preventive mental health program for medical students. (OR = 3,78). Conclusão: Os resultados sugerem a necessidade de mudanças no processo ensino-aprendizagem, bem como estruturação de programas para cuidar da saúde mental dos estudantes. Descriptors

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“…Factors known to be associated with MHPs in medical students include female gender, 9,10 maladaptive personalities, 9 financial difficulties, 10 pre-existing mental health problems, 11 and exposure to an older, fragmented, and more theoretical curricular structure. 12 In a study of 62,728 medical students, the overall prevalence of depression was reported to be 28.0%. 13 Existing systematic reviews and meta-analyses on this issue have been generated for medical students from Asia, 14,15 North America, 9 English-speaking countries outside North America, 16 and more globally.…”

Section: Introductionmentioning

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.

320

202

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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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Reduction of the anxiety of medical students after curricular reform

Abstract: no primeiro (42,9 + 1,08) e segundo (41,9 + 1,1) anos, do que os estudantes sob o novo currículo (38,1 + 1,0 e 37,9 + 1,06, respectivamente

Cited by 17 publications

References 11 publications

Social support and common mental disorder among medical students

Social support and common mental disorder among medical students

Common mental disorders among medical students at Universidade Federal de Sergipe: a cross-sectional study

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

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