Prevalence of depressive symptoms in medical students at a university in northeastern Brazil

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v101i3e-189987

Keywords:

Depression, Mental health, Medical students

Abstract

Introduction: Depression is a complex disease, and its onset and development are influenced by several factors. Medical students represent a group that is vulnerable to the disease, as they deal with daily stressors throughout their undergraduate studies. Objective: To study the prevalence of symptoms of major depressive disorder among medical students at a higher education institution in the state of Alagoas, northeastern Brazil. Methodology: Epidemiological study carried out with the participation of 259 medical students from a higher education institution in the northeast region of the country, from August 2019 to July 2020. The data collection instruments were a socio-demographic questionnaire and the Beck Depression Inventory (BDI). Results: In this study, the prevalence of depressive symptoms was 51.80%. Regarding psychological and psychiatric treatment, most students answered that they had never sought professional help, although 29.3% were using psychotropic drugs. Conclusion: The information collected can contribute to the country’s epidemiological data, enabling improvements in the training of undergraduate students, as the identification of the problem and its associated variables may help in the development of new approaches and raise awareness about this pathology and its proper care.

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References

Murthy RS, Bertolote JM, Jordan JE, et al. Relatório mundial da saúde: saúde mental: nova concepção, nova esperança. Lisboa: Climepsi Editores; 2002 [citado 5 maio 2020]. Disponível em: https://www.who.int/whr/2001/en/whr01_djmessage_po.pdf

Nascimento MI, Machado PH, Garcez RM, Pizzato R, Rosa SM, translators. DSM-5: manual diagnóstico e estatístico de transtornos mentais. 5a ed. rev. Porto Alegre: Artmed; 2014.

World Health Organization. Depression and other common mental disorders: global health estimates. 2th ed. rev. Geneva: World Health Organization; 2017 [cited 2020 May 5]. Available from: http://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf?sequence=1

Fleck MP, Berlim MT, Lafer B, et al. Revisão das diretrizes da Associação Médica Brasileira para tratamento da depressão: Versão integral. Braz J Psychiatry. 2009;31:S7-S17. https://doi.org/10.1590/S1516-44462009000500003.

Coutinho MP, Gonties B, Araújo LF, Sá RC. Depressão, um sofrimento sem fronteira: representações sociais entre crianças e idosos. Psico-USF. 2003;8(2):183-92. Disponível em: https://www.scielo.br/j/pusf/a/9GWMN5Q4ZBXyjWCb6zpdYhJ/?format=pdf&lang=pt

Organização Pan-Americana da Saúde. Depressão. Folha informative [citado 05 maio 2020]. Disponível em: https://www.paho.org/pt/topicos/depressao

Abrão CB, Coelho EP, Passos LB. Prevalência de sintomas depressivos entre estudantes de medicina da Universidade Federal de Uberlândia. Rev Bras Educ Méd. 2008;32(3):315-323. https://doi.org/10.1590/S0100-55022008000300006.

Fiorotti KP, Rossoni RR, Borges LH, Miranda AE. Transtornos mentais comuns entre os estudantes do curso de medicina: prevalência e fatores associados. J Bras Psiquiatr. 2010;59(1):17-23. https://doi.org/10.1590/S0047-20852010000100003.

Buchman BP, Sallis JF, Criqui MH, Dimsdale JE, Kaplan RM. Physical activity, physical fitness, and psychological characteristics of medical students. J Psichosom Res. 2020;35:197-208. https://doi.org/10.1016/0022-3999(91)90074-X.

Sherry S, Notman MT, Nadelson CC, Kanter F, Salt P. Anxiety, depression, and menstrual symptoms among freshman medical students. J Clin Psychiatry. 1988;49(12):490-6. Available from: https://europepmc.org/article/med/3198581

Rotenstein LS, Ramos MA, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214-36. doi: 10.1001/jama.2016.17324.

Esan O, Esan A, Folasire A, Oluwajulugbe P. Mental health and wellbeing of medical students in Nigeria: a systematic review. Int Rev Psychiatry. 2019;7-8:661-72. https://doi.org/10.1080/09540261.2019.1677220.

Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Acad Med. 2006;4:354-73. Available from: https://journals.lww.com/academicmedicine/Fulltext/2006/04000/Decreasing_GME_Training_Stress_to_Foster.9.aspx

Cybulski CA, Mansani FP. Análise da depressão, dos fatores de risco para sintomas depressivos e do uso de antidepressivos entre acadêmicos do curso de medicina da Universidade Estadual de Ponta Grossa. Rev Bras Educ Med. 2016;41(1):92-101. https://doi.org/10.1590/1981-52712015v41n1RB20160034.

Neto FB. As Novas Diretrizes Curriculares e a Cartilha do SUS: alfabetizando professores do curso médico - paradoxos & contradições. Rev Bras Educ Med. 2014;38(1):3-4. https://doi.org/10.1590/S0100-55022014000100001.

Maia HA, Assunção AC, Silva CS, Santos JL, Menezes CJ, Junior JD. Prevalência de sintomas depressivos em estudantes de medicina com currículo de Aprendizagem Baseada em Problemas. Rev Bras Educ Med. 2020;03:1-7. https://doi.org/10.1590/1981-5271v44.3-20200005.

Amaral GF, Gomide LM, Batista MP, et al. Sintomas depressivos em acadêmicos de medicina da Universidade Federal de Goiás: um estudo de prevalência. Rev Psiquiatr Rio Grande do Sul. 2009;2:124-30. https://doi.org/10.1590/S0101-81082008000300008.

Porcu M, Fritzen CV, Helber C. Sintomas depressivos nos estudantes de medicina da Universidade Estadual de Maringá. Psiquiatr Prática Méd. 2001;34:2-6.

Moro A, Valle JB, Lima LP. Sintomas depressivos nos estudantes de medicina da Universidade da Região de Joinville (SC). Rev Bras Educ Méd. 2020;29(2):97-102. https://doi.org/10.1590/1981-5271v29.2-015.

Silva MP, Wendt GW, Argimon II. Inventário de depressão de beck II: análises pela teoria do traço latente. Periódicos Eletr Psicol. 2018;17(3):339-50. http://dx.doi.org/10.15689/ap.2018.1703.14651.07.

Chow WS, Schmidtke J, Loerbroks A, Muth T, Angerer P. The relationship between personality traits with depressive symptoms and suicidal ideation among medical students: a cross-sectional study at one medical school in Germany. Int J Environ Res Public Health. 2018;15(7):2-11. https://doi.org/10.3390/ijerph15071462.

Guedes AF, Rodrigues VR, Pereira CO, Sousa MN. Prevalência e correlatos da depressão com características de saúde e demográficas de universitários de medicina. Arq Cien Saúde. 2019;26(1):47-50. doi: 10.17696/2318-3691.26.1.2019.1039.

AlJaber MI. The prevalence and associated factors of depression among medical students of Saudi Arabia: A systematic review. J Family Med Primary Care. 2020;9(6):2608-14. doi: 10.4103/jfmpc.jfmpc_255_20.

Hofbauer VS, Holzinger A. How to cope with the challenges of medical education? Stress, depression, and coping in undergraduate medical students. Acad Psychiatry. 2020;44:380-7. doi: 10.1007/s40596-020-01193-1.

Kumar B, Shah MA, Kumari R, Kumar A, Kumar J, Tahir A. Depression, Anxiety, and Stress Among Final-year Medical Students. Cureus. 2019;11:e4257. doi: 10.7759/cureus.4257.

Mayer FB, Santos IS, Silveira PS, et al. Factors associated to depression and anxiety in medical students: a multicenter study. BMC Med Educ. 2016;282:1-9. https://doi.org/10.1186/s12909-016-0791-1.

Coentre R, Faravelli C, Figueira ML. Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ. 2016;7:354-63. doi: 10.5116/ijme.57f8.c468.

Roh MS, Jeon HJ, Kim H, Han SK, Hahm BJ. The prevalence and impact of depression among medical students: a nationwide cross-sectional study in South Korea. Acad Med. 2010;85:1384-90. doi: 10.1097/ACM.0b013e3181df5e43.

Pacheco JP, Silveira JB, Ferreira RP, et al. Gender inequality and depression among medical students: a global meta-regression analysis. J Psychiatr Res. 2019;111:36-43. https://doi.org/10.1016/j.jpsychires.2019.01.013.

Bleakley A Gender matters in medical education. In: Bleakley A. Patient-centred medicine in transition. The heart of the mater. Switzerland: Spinger Nature; 2014. p.111-26. (Advances in Medical Education, v.3) [cited 2020 Oct 11]. https://doi.org/10.1007/978-3-319-02487-5_9

Chen JY, Chin WY, Tiwari A, Wong J, Wong ICK, Worsley A, et al. Validation of the perceived stress scale (PSS-10) in medical and health sciences students in Hong Kong. Asia Pacific Scholar Med Health Professions Educ. 2021;6(2):31-7. https://doi.org/10.29060/TAPS.2021-6-2/OA2328.

Noronha Júnior MA, Braga YA, Marques TG, Silva RT, Vieira ST, et al. Depressão em estudantes de medicina. Rev Med Minas Gerais. 2014;25(4):562-67. doi: 10.5935/2238-3182.20150123.

Adewuya AO, Ola BA, Aloba OO, Mapayi BM, Oginni OO. Depression amongst Nigerian university students. Prevalence and sociodemographic correlates. Soc Psychiatry Psychiatr Epidemiol. 2006 Aug;41(8):674-8. doi: 10.1007/s00127-006-0068-9.

Silva RC, Oliveira TM, Casimiro TS, Vieira KA, Tardivo MT, Faria Junior M. Automedicação em acadêmicos do curso de medicina. Medicina (Ribeirão Preto). 2012;45(1):5-11. https://doi.org/10.11606/issn.2176-7262.v45i1p5-11.

Iza AG, Ubillus NXS; Jimenez FL. Los psicotrópicos en estudiantes de Medicina: un peligro latente. Rev Colomb Psiquiatr. 2019;48(2):68-9. Disponível em: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0034-74502019000200068&lng=en.

Behzadifar M, Behzadifar M, Aryankhesal A, Ravaghi H, Baradaran HR, Sajadi HS et al. Prevalence of self-medication in university students: systematic review and meta-analysis. East Mediterr Health J. 2020;26(7):846-57. doi: 10.26719/emhj.20.052.

Mejía MCB, Restrepo ML, Bernal DR. Actitudes, conocimientos y prácticas frente a la automedicación con productos herbales y psicofármacos en estudiantes de medicina de Medellín-Colombia. Medicina UPB. 2018;37(1):17-24. Disponível em: https://www.redalyc.org/articulo.oa?id=159054341002

Aragão JA, Freire MRM, Farias LGN, Diniz SS, Aragão FMS, Aragão ICS, et al. Prevalence of depressive symptoms among medical students taught using problem-based learning versus traditional methods. Int J Pychiatr Clin Pract. 2017;22(2):123-8. doi: 10.1080/13651501.2017.1383438.

Bomfim AMA, Mourão ARC. Um olhar docente sobre a educação em saúde. In: Kochhann A, Costa AS, Mainegra AB, Bomfim AMA, Mourão ARC, Moraes ACM, et al. Educação: diálogos abertos e caminhos percorridos. Goiânia: Scotti; 2019. p.165-74.

Published

2022-05-03

Issue

Section

Artigos Originais/Originals Articles

How to Cite

Melo, B. T. de, Ferreira , J. S., Nunes de Melo, S., Farias Correia, M. L., Carvalho de Mourão, A. R., & Alves Bomfim, A. M. (2022). Prevalence of depressive symptoms in medical students at a university in northeastern Brazil. Revista De Medicina, 101(3), e-189987. https://doi.org/10.11606/issn.1679-9836.v101i3e-189987