Major depressive disorder in Mexican medical students and associated factors: A focus on current and past abuse experiences

Romo‐Nava, Francisco; Bobadilla-Espinosa, Rosa I.; Tafoya, Silvia A.; Guízar-Sánchez, Diana; Gutiérrez-Soriano, Joaquín; Carriedo, Pilar; Heinze, Gerhard

doi:10.1016/j.jad.2018.11.083

Cited by 20 publications

(22 citation statements)

References 61 publications

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“…Some studies indicate that the prevalence of burnout increases throughout training (Becker, Milad, & Klock, 2006;Dyrbye et al, 2014;Dyrbye & Shanafelt, 2016), and may be higher than in other university degrees (Shanafelt, Sinsky, Dyrbye, Trockel, & West, 2019). Residents are exposed to a high workload, academic pressure, peer competition, discrimination based on sex, age and academic rank, lack of sleep, fatigue, interpersonal conflicts, and inability to meet personal needs; factors that have been associated to occupational stress and the onset of psychiatric disorders (Romo-Nava et al, 2019;Veldenz, Scott, Dennis, Tepas, & Schinco, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have reported a higher prevalence of psychopathology among doctors compared to the general population (Melo-Carrillo, Van Oudenhove, & Lopez-Avila, 2012;Romo-Nava et al, 2019;Schwenk, Davis, & Wimsatt, 2010;Dyrbye, Thomas, & Shanafelt, 2006;Quince, Wood, Parker, & Benson, 2012), where depression, anxiety (Olagunju, Ogundipe, Lasebikan, Coker, & Asoegwu, 2016), substance use (Cottler et al, 2013), and suicidal risk prevail (Dutheil et al, 2019). As a consequence, poor academic performance, attrition, deterioration in patient care, and suicide are documented (Coentre & Figueira, 2015;Coentre, Faravelli, & Figueira, 2016;Dyrbye et al, 2006;Quince et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…As a consequence, poor academic performance, attrition, deterioration in patient care, and suicide are documented (Coentre & Figueira, 2015;Coentre, Faravelli, & Figueira, 2016;Dyrbye et al, 2006;Quince et al, 2012). In medical students and resident physicians, the prevalence of depression and anxiety has a wide range (Jiménez-López, Arenas-Osuna, & Angeles-Garay, 2015;Melo-Carrillo et al, 2012;Romo-Nava et al, 2019). In the United States, a prevalence of depression of 48.5% is reported, while in the United Kingdom it goes from 5.7 to 10.6%, depending on the academic year (Romo-Nava et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…In medical students and resident physicians, the prevalence of depression and anxiety has a wide range (Jiménez-López, Arenas-Osuna, & Angeles-Garay, 2015;Melo-Carrillo et al, 2012;Romo-Nava et al, 2019). In the United States, a prevalence of depression of 48.5% is reported, while in the United Kingdom it goes from 5.7 to 10.6%, depending on the academic year (Romo-Nava et al, 2019). In Mexico, reports in resident medical units range from 25% to 79.6% for depression and 39% to 69.9% for anxiety, with the highest prevalence in second year residents (Jiménez-López et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…In Mexico, reports in resident medical units range from 25% to 79.6% for depression and 39% to 69.9% for anxiety, with the highest prevalence in second year residents (Jiménez-López et al, 2015). Likewise, a systematic review that included 17,560 residents, found that 28.8% had depression (range 20.9% -43.2%) (Mata et al, 2015); while a study published in 2019 reported a prevalence of depression of 16.2% (Romo-Nava et al, 2019). Among physicians, the life time prevalence of alcohol and illegal drug use shows similar levels to those in the general population (10-12% versus 7-15%, respectively) (DuPont, McLellan, Carr, Gendel, & Skipper, 2009;Elliot, Tan, & Norris, 2010).…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of mental health and occupational stress in Mexican medical residents

et al. 2020

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Introduction. Since mental health disorders are an emerging problem in medical residents, its detection and attention must be a priority. Objetive. To compare the frequency of psychopathology in residents according to sociodemographic and clinical characteristics. Method. We conducted a cross-sectional study evaluating the presence of psychopathology, as well as sociodemographic and clinical characteristics in 644 residents through online questionnaires. Results. Among participants, 55.7% reported a psychiatric disorder at some point and 29.2% a current one; only 41.5% were under treatment. Additionally, 8.1% had attempted suicide, of which 32.4% attempted it during residency. We found that 6.5% of women and 3.3% of men presented “risk of psychopathology,” with a higher percentage of men presenting “severe psychopathology.” Individuals with “risk of psychopathology” presented significantly higher scores on all of the questionnaires, compared to those with “absence of psychopathology.” Discussion and conclusion. Residents with occupational stress also presented higher risks of psychopathology, suicide, and substance use. Being under psychiatric treatment significantly improved the scores on the different scales. Because residency is a period that may increase the probability of suffering psychopathology, interventions should be aimed at reducing occupational stress and bringing specialized care.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of mental health and occupational stress in Mexican medical residents

et al. 2020

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Advances and challenges in the detection of academic stress and anxiety in the classroom: A literature review and recommendations

et al. 2022

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In recent years, stress and anxiety have been identified as two of the leading causes of academic underachievement and dropout. However, there is little work on the detection of stress and anxiety in academic settings and/or its impact on the performance of undergraduate students. Moreover, there is a gap in the literature in terms of identifying any computing, information technologies, or technological platforms that help educational institutions to identify students with mental health problems. This paper aims to systematically review the literature to identify the advances, limitations, challenges, and possible lines of research for detecting academic stress and anxiety in the classroom. Forty-four recent articles on the topic of detecting stress and anxiety in academic settings were analyzed. The results show that the main tools used for detecting anxiety and stress are psychological instruments such as self-questionnaires. The second most used method is acquiring and analyzing biological signals and biomarkers using commercial measurement instruments. Data analysis is mainly performed using descriptive statistical tools and pattern recognition techniques. Specifically, physiological signals are combined with classification algorithms. The results of this method for detecting anxiety and academic stress in students are encouraging. Using physiological signals reduces some of the limitations of psychological instruments, such as response time and self-report bias. Finally, the main challenge in the detection of academic anxiety and stress is to bring detection systems into the classroom. Doing so, requires the use of non-invasive sensors and wearable systems to reduce the intrinsic stress caused by instrumentation.

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Medical Students’ Experience of Harassment and Its Impact on Quality of Life: a Scoping Review

et al. 2021

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Major depressive disorder in Mexican medical students and associated factors: A focus on current and past abuse experiences

Cited by 20 publications

References 61 publications

Evaluation of mental health and occupational stress in Mexican medical residents

Evaluation of mental health and occupational stress in Mexican medical residents

Advances and challenges in the detection of academic stress and anxiety in the classroom: A literature review and recommendations

Medical Students’ Experience of Harassment and Its Impact on Quality of Life: a Scoping Review

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