Stressors, psychological distress, and mental health problems amongst Brazilian medical students

Castaldelli-Maia, João Maurício; Lewis, Thomas H.; Santos, Natália Marques Dos; Picon, Felipe Almeida; Kadhum, Murtaza; Farrell, Sarah; Molodynski, Andrew; Ventriglio, Antonio

doi:10.1080/09540261.2019.1669335

Cited by 45 publications

(46 citation statements)

References 29 publications

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“…In contrast, “alcohol/drug abuse” was the leading stressor of Nepal and Brazilian medical students. 11 , 52 The occurrence of stressors may vary due to the differences in national cultures and students’ character traits. Thus, the number and distribution of stressors varied with the various cultural backgrounds and survey contexts.…”

Section: Discussionmentioning

confidence: 99%

Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Wang¹,

Liu²,

Zhang³

et al. 2021

PRBM

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After a year of the COVID-19 pandemic, countries have repeatedly imposed strict quarantine regimes as the virus mutates and becomes more contagious. Medical undergraduate education has been disrupted and transformed into prolonged home isolation and online learning. Although studies have reported that the COVID-19 pandemic tends to increase perceived stress (PS) and affect the mental health of medical students, the influencing factors are unclear. Therefore, based on the stress process model, this study will comprehensively evaluate the distribution of stressors of medical students and explore the personal and environmental predictors of PS during the epidemic. Participants and Methods: An online survey was conducted among medical students (n=369) from three medical universities in western China who engaged in online learning. A stress process conceptual framework was formed to explore the influencing factors of PS. The survey items contained four sections: (a) the potential stressors derived from academic, psychosocial and health-related demands; coping resources such as (b) online learning environment support and (c) personal resilience, including online learning behavior and individual characteristics; and (d) PS, perception of imbalanced demands and coping resources. Results: The mean PS score was 17.39 (SD=4.58), and over four-fifths (82.3%) of the students had moderate to high levels of stress. The average item scores of academic, psychosocial and health-related stressors were 2.72 (SD=0.55), 2.31 (SD=0.55) and 2.07 (SD=0.50), respectively. Gender, grade, psychosocial stressors, health-related stressors, specific online learning behavior (persistence, attitude and flexibility), and the online learning environment (teaching, social and cognitive presence) were predictors of PS. Conclusion:Our results specify that a reduction in psychological and health-related stressor stimulation, specific online learning behavior promotion, and well-established online learning environment support could be considered essential for alleviating the negative impacts of COVID-19 on the psychosocial health of medical undergraduates.

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Section: Discussionmentioning

confidence: 99%

Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Wang¹,

Liu²,

Zhang³

et al. 2021

PRBM

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“…Hill et al (2018) described the stressors facing medical students in the millennial generation: medical school workload, performance pressure, financial problems, time constraints, and lack of balance [ 21 ]. Several other American [ 22 , 23 ], European [ 24 , 25 ], and Asian [ 26 – 28 ] studies have also noted these as stressors among medical students.…”

Section: Discussionmentioning

confidence: 99%

Stress among Portuguese Medical Students: A National Cross-Sectional Study

Oura

Moreira

Santos

2020

Journal of Environmental and Public Health

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Introduction. The medical course is extremely stimulating but also demanding, and it can interfere with students’ mental health. Stress leads to lower life quality, academic performance, and ultimately to a lower quality of patient care delivered. Objective. To analyse stress levels of sixth-year medical students who attend Portuguese colleges. Methodology. This observational cross-sectional study involved Portuguese medical students attending the sixth year of all Portuguese faculties. We applied an online self-response questionnaire, including the 10 items Perceived Stress Scale (PSS) to assess stress levels and sociodemographic variables. Logistic regression was used to estimate the weight of the studied determinants on stress levels. Results. A total of 501 participants were included for analysis (69.5% females), with a median age of 24 years old. We found significant levels of stress in 49.9% (95% CI: 45.5–54.3%), with 20.8% of total students presenting extremely high levels, irrespective of age, gender, and faculty. Stress was higher when students presented bad sleeping and eating habits, lack of ability to manage time, dissatisfaction with social life and academic experience, and low family support. Also, these students are more worried about their future and present a higher degree of concern about their graduation test performance. Conclusion. This study found high stress levels among Portuguese medical students, associated with social determinants and the intrinsic complexity of the course. This is worrying, and it elucidates the importance of coping strategies to make students deal with stress and be healthier, currently and in the future.

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“…Num estudo realizado com estudantes de medicina em quatro universidades do estado de São Paulo, 15,5% relataram uso prévio de antidepressivos, enquanto que 11,6% admitiram o uso atual de antidepressivos (Castaldelli-Maia et al, 2019).…”

Section: Prevalência Sobre O Uso Dos Antidepressivos Por Estudantes Da áRea Da Saúdeunclassified

Prevalência do uso de drogas antidepressivas por estudantes da área da saúde no Brasil

Oliveira¹,

Oliveira²,

Cezário³

et al. 2021

RSD

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Objetivo: Investigar a prevalência do uso de antidepressivos entre os estudantes da área da saúde no Brasil e os fatores que contribuem para a manutenção desse hábito. Metodologia: Trata-se de uma revisão integrativa da literatura, na qual foram buscados artigos nas bases de dados indexadas na PubMed e na Biblioteca Virtual em Saúde (BVS), dentre elas: LILACS, MEDLINE e BDENF. Foram selecionados, após a análise dos critérios de inclusão e exclusão, uma amostra de 7 artigos. Resultados E Discussão: A maioria dos estudos apresentaram dados relevantes acerca da quantidade de estudantes da área de saúde que utilizam antidepressivos, sendo os Inibidores Seletivos de Recaptação da Serotonina (ISRS) os mais utilizados. Além disso, é apontado que a enorme carga horária, o distanciamento familiar, a dificuldade de fazer novos vínculos de amizade e o pouco tempo para o lazer como fatores motivadores para o consumo desses medicamentos. Conclusão: Frente a essa importante prevalência do uso de medicações antidepressivas pelos universitários da área da saúde no Brasil, infere-se a necessidade de desenvolver medidas de prevenção a fim de minimizar os impactos causados pelos altos níveis de estresse e impedir o desenvolvimento dos sintomas depressivos.

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Stressors, psychological distress, and mental health problems amongst Brazilian medical students

Cited by 45 publications

References 29 publications

Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19

Stress among Portuguese Medical Students: A National Cross-Sectional Study

Prevalência do uso de drogas antidepressivas por estudantes da área da saúde no Brasil

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