Mental health in medical students during COVID-19 quarantine: a comprehensive analysis across year-classes

Perissotto, Thais; Silva, Thamires Clair Rodrigues Pereira da; Miskulin, Fabricio Petermann Choueiri; Pereira, Mariana Berwerth; Neves, Beatriz Astolfi; Almeida, Beatriz Cantieri; Casagrande, Amanda Victória; Ribeiz, Salma Rose Imanari; Nunes, Paula

doi:10.6061/clinics/2021/e3007

Cited by 23 publications

(28 citation statements)

References 36 publications

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“…Freshmen and younger students may have seen greater negative impact from COVID-19 and had higher levels of mental health symptoms and this level of concern and fear can be highly disabling. This is in line with other studies that have also observed similar results [37,[40][41][42][43][44]46], indicating that medical students experienced significant impacts due to the stress added by the pandemic (here measured by the fear of COVID-19 and negative impacts of COVID-19) and have high levels of somatization, anxiety, and depression at the time of data collection.…”

Section: Predictors Of Overall Mental Symptomssupporting

confidence: 91%

“…Factors associated with higher age and higher year of training were associated with lower FCV-19S and lower mental health symptoms. Other studies have also found similar evidence [43][44][45][46], and this may be related to the fact that younger and students of first years of training are still adapting to the university demands, exhibiting less productive coping mechanisms, and exposing higher levels of stress. On the other hand, older students may be already adapted to the university life and possess more scientific knowledge regarding specific pathologies (including COVID-19) which allows them to be in control, thus, exhibiting lower fear and higher mental health functioning.…”

Section: Correlation Between Variablessupporting

confidence: 57%

“…Anxiety symptoms were also higher in the first year of training among our sample and decreased in the fourth and fifth years of training. We found several studies that had statistically significant differences between year of training for anxiety symptoms, even though the years of training with the highest levels of anxiety differed from study to study [18,23,24,[42][43][44][45][46].…”

Section: Comparison Of Results By Year Of Trainingmentioning

confidence: 99%

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Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Campos¹,

Pinto²,

Alves³

et al. 2021

JPM

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(1) Background: The purpose of this article is to assess the impact of the COVID-19 pandemic on the mental health of medical students in Portugal in the period after returning to face-to-face classes during the COVID-19 pandemic, in the 2020/2021 academic year. (2) Methods: We conducted an observational, descriptive, and cross-sectional study, between December 2020 and February 2021 with a representative sample of Portuguese medical students (n = 649), applying an anonymous questionnaire which was composed by a sociodemographic characterization, The Brief Symptoms Inventory–18, The Fear of COVID-19 Scale and the Negative Impact Assessment Scale. For statistical processing, Statistical Package for Social Sciences (SPSS ©) was used. (3) Results: 65.3% of participants said that self-perceived relevant anxiety symptoms, and around 10% said that they had a physical or a mental illness diagnosis. Significant differences (p < 0.05) were found for Fear of COVID-19, Somatization, Anxiety and Overall Mental Health, indicating that women, students from the 1st and last years of training had higher scores. Age, year of training, Fear of COVID-19 and Negative Impact of COVID-19 were significant predictors of overall mental health. (4) Conclusion: In our sample of Portuguese medical students, age, year of training, but mostly fear of COVID-19 and the negative impact of COVID-19 contributed to mental health symptoms.

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Section: Predictors Of Overall Mental Symptomssupporting

confidence: 91%

Section: Correlation Between Variablessupporting

confidence: 57%

Section: Comparison Of Results By Year Of Trainingmentioning

confidence: 99%

See 1 more Smart Citation

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Campos¹,

Pinto²,

Alves³

et al. 2021

JPM

View full text Add to dashboard Cite

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“…However, despite the observed stability or even improvement in symptom severity, when considering data from all surveys, the mean prevalence of SRQ-20 scores above the cut-off point for relevant severity of common mental disorders was high (60.5%). Another survey conducted on the same institution in 2020 compared data from all school years, and SRQ-20 results were similar to our results in 2018, with the worst results in the first-year class [ 16 ].…”

Section: Discussionsupporting

confidence: 80%

Mental Health of Medical Students Before and During COVID-19 Pandemic: a 3-Year Prospective Study

et al. 2022

Self Cite

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Background Very few studies prospectively analyzed medical students’ mental health before and during the COVID-19 pandemic. This study aimed to prospectively evaluate mental health in medical students in 2018, 2019, and 2020 during the COVID-19 pandemic lockdown. Methods All students from first to fourth year were invited to participate in 2018. These students were also invited to participate in the same period in 2019 and 2020 (during the peak of the COVID-19 lockdown). The Self-Reporting Questionnaire (SRQ-20), created by the WHO to investigate 20 nonpsychotic psychiatric symptoms, was used to evaluate common mental disorders. The cut-off for relevant symptom severity for mental distress is seven (SRQ-20 ≥ 7). Results In the years 2018, 2019, and 2020, a total of 860 SRQ-20 questionnaires were completed. Overall, mean SRQ-20 scores were 8.2 ± 4.6, and SRQ-20 ≥ 7 frequency was 60.5%. When comparing the years 2018, 2019, and 2020, no differences were found for either SRQ-20 scores (8.4 ± 4.7, 8.2 ± 4.6, and 7.8 ± 4.4, respectively; p = 0.351) or SRQ-20 ≥ 7 frequency (62.2%, 60.9%, and 59.2%, respectively; p = 0.762). Conclusion In contrast to our initial hypothesis, stable results on mental health measures were found even during the 2020 COVID-19 lockdown. Maintenance of daily routines through distance learning and the continuation of adapted clerkship activities with strict safety measures could have contributed to these results. However, this study points to high overall levels of common mental disorders, especially among women. Further studies should be conducted to understand all the factors responsible for such stability, such as social and economic support, resilience, or even previous high levels of common mental disorders.

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“…Table 1 shows the overall characteristics of the 41 included studies ( Elhadi et al, 2020 ; Jindal et al, 2020 ; Liu et al, 2020 ; Medeiros et al, 2020 ; Muhammad Alfareed Zafar et al, 2020 ; Nadeem et al, 2020 ; Nakhostin-Ansari et al, 2020 ; Nihmath Nisha et al, 2020 ; Sartorao Filho Carlos et al, 2020 ; Sun et al, 2020 ; Adhikari et al, 2021 ; Banstola et al, 2021 ; Basheti et al, 2021 ; Bilgi et al, 2021 ; Gao et al, 2021 ; Guo et al, 2021 ; Gupta et al, 2021 ; Halperin et al, 2021 ; Kalkan Uğurlu et al, 2021 ; Kaplan Serin and Doğan, 2021 ; Keskin, 2021 ; Kuman Tunçel et al, 2021 ; Li et al, 2021 ; Mekhemar et al, 2021 ; Meng et al, 2021 ; Nishimura et al, 2021 ; Patelarou et al, 2021 ; Pavan et al, 2021 ; Pelaccia et al, 2021 ; Perissotto et al, 2021 ; Saeed and Javed, 2021 ; Safa et al, 2021 ; Song et al, 2021 ; Xiao et al, 2021 ; Xie et al, 2021 ; Yadav et al, 2021 ; Yang et al, 2021 ; Yin et al, 2021 ; Zhang et al, 2021a ; Zheng et al, 2021 ; Zhu et al, 2021 ). On the whole, 40 cross-sectional studies and 1 longitudinal study were included in our study.…”

Section: Resultsmentioning

confidence: 99%

Mental Health Among Medical Students During COVID-19: A Systematic Review and Meta-Analysis

Jia

Sun

et al. 2022

Front. Psychol.

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BackgroundThe mental health of medical students is an issue worthy of attention, especially during COVID-19. Many studies have shown that depression and anxiety are the main problems faced by medical students. To assess the pooled prevalence of depression and anxiety among medical students worldwide, we conducted this meta-analysis.MethodsAccording to PRISMA, we used a computerized strategy to search studies in EMBASE, PubMed, PsycArticles, Web of Science, and China Biology Medicine disc. The pooled prevalence of depression and anxiety was calculated by a random-effects model. Heterogeneity was explored by subgroup analysis. Sensitivity analysis and publication bias were also carried out in this meta-analysis.ResultsOf 1316 studies, 41 studies were selected based on 36608 medical students. The pooled depression prevalence was 37.9% (95% CI: 30.7–45.4%), and pooled anxiety prevalence was 33.7% (95% CI: 26.8–41.1%). The prevalence of depression and anxiety among medical students varied by gender, country, and continent.ConclusionThe data reported that the prevalence of depression and anxiety among medical students during COVID-19 was relatively higher than those of the general population and the healthcare workers. The impact of COVID-19 on medical students and how to protect the mental health of medical students are needed to determine through further research.Systematic Review Registration[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021274015], identifier [CRD42021274015].

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Mental health in medical students during COVID-19 quarantine: a comprehensive analysis across year-classes

Cited by 23 publications

References 36 publications

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Impact of COVID-19 on the Mental Health of Medical Students in Portugal

Mental Health of Medical Students Before and During COVID-19 Pandemic: a 3-Year Prospective Study

Mental Health Among Medical Students During COVID-19: A Systematic Review and Meta-Analysis

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