Depression among medical students

Zoccolillo, Mark; Murphy, George E.; Wetzel, Richard

doi:10.1016/0165-0327(86)90065-0

Cited by 133 publications

(93 citation statements)

References 10 publications

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“…Diversos autores reportam que a prevalência de depressão em estudantes de Medicina está acima das estimativas de índices documentados na população em geral (Kumar, Jain, & Hegde, 2012;Roberts et al, 2001;Zoccolillo, Murphy, & Wetzel, 1986).…”

Section: Introductionunclassified

Antecedente de Ansiedade, Síndrome do Pânico ou Depressão e Análise do Impacto na Qualidade de Vida em Estudantes de Medicina

Serinolli

Oliva²,

El-Mafarjeh

2015

RGSS

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Alta competição por resultados, muitas horas de estudo, carga horária acadêmica elevada, entre outros motivos, são apontadas como causa do elevado índice de ansiedade, pânico e depressão nos estudantes de Medicina. Avalia-se o impacto do histórico diagnosticado pelo médico dessas patologias na qualidade de vida dos estudantes de Medicina por meio de pesquisa transversal com aplicação do questionário da Organização Mundial da Saúde para avaliação da qualidade de vida -formato curto (WHOQOL-BREF), acrescido de um questionário com perguntas relacionadas a histórico de ansiedade, síndrome do pânico ou depressão anterior, religião e onde residem seus familiares em 405 alunos de Medicina da cidade de São Paulo, Brasil. Nos resultados, os alunos com histórico prévio de ansiedade, pânico ou depressão (34,57%) obtiveram pior índice de qualidade de vida demonstrado nos domínios físico, psicológico, relação social e ambiental, quando comparados ao grupo sem histórico prévio de depressão (p < 0,005). Alunos que relatam ter religião têm melhor qualidade de vida, com índices superiores no domínio psicológico (p < 0,005). Estudantes cujas famílias residem em outras cidades têm histórico mais elevado de ansiedade, síndrome do pânico ou depressão (teste exato de Fisher = 0.014). Conclusão: neste trabalho, história de ansiedade, pânico ou depressão e alunos sem religião apresentam piores índices de qualidade de vida e devem ser monitorados por programas especiais para melhorar o bem-estar, com ênfase para os alunos provenientes de outras cidades.Palavras-chave: qualidade de vida; estudantes de medicina; estresse; ansiedade; pânico; depressão; qualidade; religião; formação médica. HISTORY OF ANXIETY, PANIC ATTACKS OR DEPRESSION AND ANALYSIS OF THE IMPACT ON QUALITY OF LIFE IN MEDICAL STUDENTS. ABSTRACTHigh competition for results, too many study hours, courses with a huge hours total, among other reasons, are pointed out as causes for the high rate of anxiety and depression in medical students. This work aims to evaluate the impact of previous doctor-diagnosed history of anxiety, panic syndrome or depression on quality of life of medical students and religion through a cross-section study with application of the World Health Organization questionnaire to assess quality of life in its short format (WHOQOL-BREF), plus a questionnaire with questions related to the history of previous anxiety, panic syndrome or depression, religion and where their families reside in 405 medical students from São Paulo, Brazil. The results showed that students with prior history of anxiety, panic syndrome or depression diagnosed by doctors (34.57%) had lower quality of life, an index demonstrated in the four domains: physical, psychological, social and environmental, when compared to the group without prior history of depression (p <0.005). Students who have religion have better quality of life with higher rates in the psychological domain (p <0.005). Students whose families live in other cities have a higher history of depression (Fisher exact test = ...

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Section: Introductionunclassified

Antecedente de Ansiedade, Síndrome do Pânico ou Depressão e Análise do Impacto na Qualidade de Vida em Estudantes de Medicina

Serinolli

Oliva²,

El-Mafarjeh

2015

RGSS

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“…Being married or having a stable and supportive family were found to be protective factors. [5][6][7] Reported levels of stress among medical students range anywhere from 25% to 75%. 8,9 In the United States, a survey of 9 medical schools found that 47% of student respondents had at least 1 major issue related to mental health or substance use and that stress affected 26% within this group.…”

mentioning

confidence: 99%

“…Other studies have reported incidences of depression among medical students in the range of 20% to 25%. 5,6 Predictors of depression identified in these studies included previous depression or other mental health problems, perceived medical school stress, intensity and vulnerability traits, and a family history of depression. Being married or having a stable and supportive family were found to be protective factors.…”

mentioning

confidence: 99%

Supporting the well-being of medical students

Yiu¹

2005

Canadian Medical Association Journal

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Commentary CommentaireM edical school has long been recognized as involving numerous stressors that can affect the wellbeing of students. 1,2 In addition to coping with the normal stressors of everyday life, medical students must deal with stressors specific to medical school, which include information and input overload, financial indebtedness, lack of leisure time, and pressures of work, work relationships and career choices. [1][2][3] Comparisons between medical students and other undergraduate student groups have shown a higher level of stress and depression among medical students. 2,4 Moreover, the results of a study of 304 first-and second-year medical students revealed a 12% incidence of major depression and a lifetime prevalence of 15%; 5 the latter is 3 times higher than that of the average population. Other studies have reported incidences of depression among medical students in the range of 20% to 25%. 5,6 Predictors of depression identified in these studies included previous depression or other mental health problems, perceived medical school stress, intensity and vulnerability traits, and a family history of depression. Being married or having a stable and supportive family were found to be protective factors. [5][6][7] Reported levels of stress among medical students range anywhere from 25% to 75%. 8,9 In the United States, a survey of 9 medical schools found that 47% of student respondents had at least 1 major issue related to mental health or substance use and that stress affected 26% within this group. 9 What is equally disturbing in this study is that 70% of students indicated concerns about confidentiality and the potential impact of having stress-related issues appear on their academic record.Medical students themselves tend toward certain characteristics that place them at increased risk of stress. A study at the University of Manitoba 10 found that although medical students had high personal standards, which gave them an advantage on entry to a highly competitive profession, these standards were associated with maladaptive perfectionism leading to excessive concerns about academic performance. These characteristics were significantly correlated with baseline symptoms of neuroticism and were predictive of depression and feelings of hopelessness at follow-up.Coping strategies have also been studied in medical students. 11 Although no specific coping strategies have been identified as common to medical students, support from family and friends, exercise, recreational activities and spirituality are all reported to promote a greater sense of wellbeing. A study of 140 medical students at Hong Kong University found, not surprisingly, that optimism and a positive outlook had the strongest negative correlations with depression and anxiety. 11 One of the difficulties with stress in medical school is that students tend not to seek help from the support services available to them.The results of a survey from the University of Pennsylvania showed that although 24% of their medical students identified t...

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“…The incidence of distress such as the symptoms of depression is found to be high (3,4), leading to an increased tendency to commit suicide (5,6). The performance of students in the classroom as well as in clinical practice is greatly affected in the presence of emotional distress, leading to stressrelated disorders (7,8).…”

Section: Introductionmentioning

confidence: 99%

Effect of Galvanic Skin Resistance-Aided Biofeedback Training in Reducing the Pulse Rate, Respiratory Rate, and Blood Pressure Due to Perceived Stress in Physiotherapy Students

Palekar¹,

Mokashi²,

Anwer³

et al. 2015

Turk J Phys Med Rehab

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Objective: To investigate the effectiveness of galvanic skin resistance-aided biofeedback (GSRBF) training in reducing the pulse rate, respiratory rate, and blood pressure (BP) due to perceived stress in physiotherapy students. Material and Methods: Forty-three students, those having a perceived stress scale (PSS) score of 20 or more out of 40, were subjected to GSRBF training 5 days a week for 3 weeks. The outcome measures of this study were pulse rate, respiratory rate, BP, and perceived stress. Perceived stress was assessed using PSS 10. Paired t-test was used to study the changes in dependent variables over time. Results:The reduction of the pulse rate, respiratory rate, BP, and perceived stress was found to be statistically significant at the end of the trial (p<0.001). Conclusion: The GSRBF training was found to produce a significant reduction in the physiological response and perceived stress in physiotherapy students. Further, controlled research should be conducted to verify these findings and to identify the most effective stress-reducing training protocol.

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Depression among medical students

Cited by 133 publications

References 10 publications

Antecedente de Ansiedade, Síndrome do Pânico ou Depressão e Análise do Impacto na Qualidade de Vida em Estudantes de Medicina

Antecedente de Ansiedade, Síndrome do Pânico ou Depressão e Análise do Impacto na Qualidade de Vida em Estudantes de Medicina

Supporting the well-being of medical students

Effect of Galvanic Skin Resistance-Aided Biofeedback Training in Reducing the Pulse Rate, Respiratory Rate, and Blood Pressure Due to Perceived Stress in Physiotherapy Students

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