Presence of depressive symptoms in medical students in a Mexican public university

Tadeo-Álvarez, Marco Antonio; Munguía-Ortíz, Claudia Daniela; Benítez-López, Valeria; Valles-Medina, Ana María; Delgadillo-Ramos, Guadalupe; Flores-Castillo, Paola Michelle; Romo-Guardado, Marcela

doi:10.17711/sm.0185-3325.2019.017

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…The depression rate was higher in women than in men in both surveys, in women, it went from 20.67% in April to 42.6% in December; in the case of men, it went from 11.54% in April to 34.62%. These results confirm the higher prevalence of depression in women, which has been observed in the general population ( Lim et al., 2018 ), in college students ( Auerbach et al., 2018 ), and particularly in medical students ( Pacheco et al., 2019 ; Tadeo-Álvarez et al., 2019 ), which manifests itself in pre-pandemic studies and is confirmed during the pandemic by COVID-19 ( Wathelet et al., 2020 ).…”

Section: Discussionsupporting

confidence: 83%

Depression and suicidal ideation in Mexican medical students during COVID-19 outbreak. A longitudinal study

Domínguez-González

Guzmán-Valdivia

Ángeles-Téllez

et al. 2022

Heliyon

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Introduction The COVID-19 pandemic has been particularly difficult for populations at risk for mental health problems, such as healthcare professionals and medical students. In the present study, we evaluated the effect of the pandemic on mental health in a sample of Mexican medical students with and without a mental health diagnosis. Method Longitudinal and descriptive study based on scales of suicidal ideation, depressive symptoms and risk of alcohol consumption, conducted in April and December 2020. Results Sample includes 247 medical students, 64.4% are women. Prevalence of depression increased between April and December from 19.84% to 40.08%. In the case of women from 23.67% to 42.60% (χ2 = 0.000) and in men from 11.54% to 34.62% (χ2 = 0.001). In April 16.92% of healthy students presented some sign of depression and in December the percentage increased to 40.80% (χ2 = 0.000). Regarding medicated students, the prevalence in April was 32.61% and in December it was 36.96% (χ2 = 0.662). In April, the medicated students with risk of suicidal ideation were 17 out of 46 (36.96%), compared to the students without a diagnosis of psychiatric illness were 29 out of 201 (13.43%) (χ2 = 0.000). For December, the non-medicated students at risk of suicidal ideation were 34 out of 201 (16.91%), and the medicated students were 12 out of 46 (26.09%) (χ2 = 0.149). Conclusions The pandemic has increase the rate of depression in medical students, being more severe in women. Students under psychiatric treatment showed a higher prevalence of depression; however, the fact of being under treatment resulted in a protective factor for the increase in the prevalence of depression. It is important to deepen the understanding of the causes of depression and to disseminate among the university community the benefits of early detection and treatment of people with socio-emotional disorders.

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Section: Discussionsupporting

confidence: 83%

Depression and suicidal ideation in Mexican medical students during COVID-19 outbreak. A longitudinal study

Domínguez-González

Guzmán-Valdivia

Ángeles-Téllez

et al. 2022

Heliyon

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“…Our finding that depression was more likely to affect young women is consistent with other reports [ 9 , 13 – 15 ]. The association between gender and depression is compatible with young women being more likely to report insomnia, recurrent pain, sadness, nervousness, anxiety, anguish and depression [ 50 ].…”

Section: Discussionsupporting

confidence: 93%

Depression and associated factors in medical students in Acapulco during the COVID-19 pandemic: A cross-sectional study

Juanico-Morales,

Nava-Aguilera,

Morales-Pérez

et al. 2023

PLoS ONE

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Background Depression is common in medical students and the Mexican state of Guerrero has the highest rates of depression in the country. Acapulco, the seat of the state medical school, is a tourist destination that experienced early high rates of COVID-19. The COVID-19 pandemic closed all schools in Mexico, obliging a shift from face-to-face to virtual education. In this new context, medical students faced challenges of online teaching including inadequate connectivity and access technologies. Prolonged isolation during the pandemic may have had additional mental health implications. Aim Assess depression prevalence and its associated factors affecting medical students in Acapulco, Mexico during the COVID-19 pandemic. Methods A cross-sectional survey of students of the Faculty of Medicine of the Universidad Autónoma de Guerrero, in November 2020. After informed consent, students completed a self-administered questionnaire collating socio-demographic, academic and clinical variables, major life events and changes in mood. The Beck inventory provided an assessment of depression. Bivariate and multivariate analyses relied on the Mantel-Haenszel procedure to identify factors associated with depression. We estimated the odds ratio (OR) and 95% confidence intervals. Results 33.8% (435/1288) of student questionnaires showed evidence of depression in the two weeks prior to the study, with 39.9% (326/817) of young women affected. Factors associated with depression included female sex (OR 1.95; 95%CI 1.48–2.60), age 18–20 years (OR 1.36; 95%CI 1.05–1.77), perceived academic performance (OR 2.97; 95%CI 2.16–4.08), perceived economic hardship (OR 2.18; 95%CI 1.57–3.02), and a family history of depression (OR 1.85; 95%CI 10.35–2.54). Covid-19 specific factors included a life event during the pandemic (OR 1.99; 95%CI 1.54–2.59), connectivity problems during virtual classes and difficulties accessing teaching materials (OR 1.75; 95%CI 1.33–2.30). Conclusions The high risk of depression in medical students during the COVID-19 pandemic was associated with perceived academic performance and technical barriers to distance learning, in addition to known individual and family factors. This evidence may be useful for the improvement of programs on prevention and control of depression in university students.

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“…Depression and anxiety were measured using a validated Spanish version of the nine-item Patient Health Questionnaire depression scale (PHQ-9) and seven-item Generalized Anxiety Disorder scale (GAD-7). 13 –15 To measure QoL, we used a validated version of the MOS/RAND 36-item Short Form Health Survey (SF-36) in Spanish for the Mexican population. 16 The characteristics of SF-36 measurement have been extensively studied to assess its reliability and validity.…”

Section: Methodsmentioning

confidence: 99%

Quality of life and persistence of COVID-19 symptoms 90 days after hospital discharge

Muñoz-Corona¹,

Gutiérrez-Canales

Ortiz-Ledesma

et al. 2022

J Int Med Res

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Objective We aimed to describe the persistence of symptoms in coronavirus disease 2019 (COVID-19) and quality of life (QoL) among patients 90 days after their discharge from the hospital for infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to determine differences in QoL domains concerning the absence or presence of persistent symptoms. Methods To measure QoL, we used a validated Spanish version of the 36-item Short Form Health Survey (SF-36). Results We included 141 patients. Ninety days after discharge, COVID-19 symptoms persisted in 107 patients (75.9%), with fatigue (55.3%) and joint pain (46.8%) being the most frequent. According to the SF-36, the role-physical score was the dimension with the lowest values (median score, 25; interquartile range, 0–75). Patients with joint pain, fatigue, and dyspnea had lower scores than patients without those symptoms, with 10 of the 13 evaluated SF-36 scales showing lower levels. Conclusion Ninety days after hospital discharge from COVID-19 reference centers, most patients had persistent symptoms and had lower SF-36 scores than patients without symptoms. It is important to follow-up patients discharged from the hospital after SARS-CoV-2 infection, ideally through a post-COVID-19 health care clinic and rehabilitation program, to improve QoL in these patients.

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Presence of depressive symptoms in medical students in a Mexican public university

Cited by 12 publications

References 15 publications

Depression and suicidal ideation in Mexican medical students during COVID-19 outbreak. A longitudinal study

Depression and suicidal ideation in Mexican medical students during COVID-19 outbreak. A longitudinal study

Depression and associated factors in medical students in Acapulco during the COVID-19 pandemic: A cross-sectional study

Quality of life and persistence of COVID-19 symptoms 90 days after hospital discharge

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