Ansiedade e insegurança em estudantes de medicina no internato: o impacto da pandemia da COVID-19

Autores

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2022.191222

Palavras-chave:

COVID-19, Pandemia, Estudantes de medicina, Saúde mental, Ansiedade

Resumo

Objetivo: Objetivou-se avaliar a ansiedade de estudantes de medicina – internos e identificar mudanças em relação à perspectiva sobre a profissão durante o período pandêmico no Brasil, entre novembro de 2020 e fevereiro de 2021. Métodos: Trata-se de um estudo transversal descritivo no qual os estudantes internos responderam a um questionário de pesquisa online. A avaliação foi realizada por meio do questionário validado General Anxiety Disorder Scale (GAD-7). Resultados: Participaram 162 estudantes, com média de idade de 24,9 anos, maioria do sexo feminino (66,7%); 83,3% tiveram a opção de retornar ao atendimento prático. Destes, 35% afirmaram ter tido contato com pacientes suspeitos para COVID-19 e 13% tiveram teste positivo para COVID-19. Os escores do GAD-7 mostraram que 37% apresentaram sintomas de ansiedade leve, 22,8% moderado, e 6,8% grave. Um escore GAD-7 positivo para TAG foi encontrado em 29,6% deles. A ansiedade associou-se significativamente (p = 0,013) ao questionamento da escolha da Medicina como profissão.
Conclusões: Encontramos alta frequência de internos com sintomas de ansiedade, superior à observada em estudos semelhantes anteriores à pandemia. Além disso, os acadêmicos com ansiedade foram os que mais questionaram a escolha da profissão.

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Referências

Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. Covid-19 pandemia and public and global mental health from the perspective of global health security. Psychiatr Danub. 2020;32(1):6–14.DOI: 10.24869/psyd.2020.6.

Dubey S, Biswas P, Ghosh R, Chatterjee S. Psychosocial impact of COVID-19. Diabetes Metab Syndr Clin Res Rev. 2020;14(5):19–21.DOI:10.1016/j.dsx.2020.05.035.

WHO. World Health Organisation Director General’s opening remarks at the media briefing on COVID-19—11th March 2020. https://wwwwhoint/dg/speeches/detail/who-director- general-s-opening-remarks-at-the-media-briefing-on-covid-19—11- march-2020. Updated March 1, 2020. Accessed December 3, 2020.

Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA, et al. Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. MedRxiv. 2020;13:2395-2406. doi: 10.2147/RMHP.S273333.

Alkwai HM. Graduating from Medical School amid a Pandemic: A Study of Graduates’ Mental Health and Concerns. Educ Res Int. 2021;20211–5.DOI: 10.1155/2021/8854587.

Marsilli LRB, Smecellato FB, De Castro E Silva O. Medical education in COVID-19 pandemic: Medical students’ point of view. Med. 2020;53(4):490–4. DOI: 10.1590/1981-5271v45.1-20200231.

Amaral ACA, Pereira BL, Henrique E, Ribeiro S, Neto MFDA, Cunha TL, et al. Problemas mentais nos estudantes de medicina: prevalência e fatores associados. Rev Bras Educ Médica. 2019;7(1):209–23.

Spitzer RL, Kroenke K, Williams JW, Löwe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med. 2006; 166(10):1092–7. DOI: 10.1001/archinte.166.10.1092.

Sousa TV, Viveiros V, Chai MV, et al. Reliability and validity of the Portuguese version of the Generalized Anxiety Disorder (GAD-7) scale. Health Qual Life Outcomes. 2015;13:50. DOI: 10.1186/s12955-015-0244-2.

Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735. DOI: 10.3390/ijerph16152735.

Pandey U, Corbett G, Mohan S, et al. Anxiety, Depression and Behavioural Changes in Junior Doctors and Medical Students Associated with the Coronavirus Pandemic: A Cross-Sectional Survey. J Obstet Gynaecol India. 2020;71(1):1-5.

DOI: 10.1007/s13224-020-01366-w.

Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev. 2021; 8:238212052199115.

DOI: 10.1177/2382120521991150.

Bassols AM, Okabayashi LS, da Silva AB, Carneiro BB, Feijó F, Guimarães GC, et al. First- and last-year medical students: Is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Rev Bras Psiquiatr. 2014;36(3):233–40.DOI: 10.1590/1516-4446-2013-1183.

Ibrayeva Z, Aldyngurov D, Myssayev A, Meirmanov S, Zhanaspayev M; et al. Depression, Anxiety and Somatic Distress in Domestic and International Undergraduate Medical Students in Kazakhstan. Iran. J. Public Health. 2018;47, 919–921.

Bahrami F, Yousefi N. Females are more anxious than males: A metacognitive perspective. Iran J Psychiatry Behav Sci. 2011;5(2):83–90.

Nguyen HT, Do BN, Pham KM, Kim GB, Dam HTB, Nguyen TT, et al. Fear of COVID-19 scale—associations of its scores with health literacy and health-related behaviors among medical students. Int J Environ Res Public Health. 2020;17(11):1–14. DOI: 10.3390/ijerph17114164.

Loda T, Löffler T, Erschens R, Zipfel S, Herrmann-Werner A. Medical education in times of COVID-19: German students’ expectations – A cross-sectional study. PLoS One. 2020;15:1–11. DOI: 10.1371/journal.pone.0241660.

Mousa OY, Dhamoon MS, Lander S, Dhamoon AS. The MD Blues: Under-Recognized Depression and Anxiety in Medical Trainees. PLoS One. 2016, 11, e0156554. DOI: 10.1371/journal.pone.0156554.

Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;1–11.

DOI: 10.1186/s12909-020-02117-1.

Knipe D, Maughan C, Gilbert J, Dymock D, Moran P, Gunnell D. Mental health in medical, dentistry and veterinary students: Cross-sectional online survey. BJPsych Open. 2018, 4, 441–446.DOI: 10.1192/bjo.2018.61.

Talih F, Daher M, Daou D, Ajaltouni J. Examining Burnout, Depression, and Attitudes Regarding Drug Use Among Lebanese Medical Students During the 4 Years of Medical School. Acad Psychiatry. 2018;42(2):288-296.

DOI: 10.1007/s40596-017-0879-x.

Hope V, Henderson M. Medical student depression, anxiety and distress outside North America: a systematic review. Med Educ. 2014;48(10):963-79. DOI: 10.1111/medu.12512.

Puccinelli PJ, Costa TS, Seffrin A, de Lira CAB, Vancini RL, Knechtle B, et al. Physical activity levels and mental health during the covid-19 pandemic: Preliminary results of a comparative study between convenience samples from Brazil and Switzerland. Med. 2021;57(1):1–10. DOI: 10.3390/medicina57010048.

Hope V, Henderson M. Medical student depression, anxiety and distress outside North America: a systematic review. Med Educ. 2014;48(10):963-79.DOI: 10.1111/medu.12512.

Elhadi M, Buzreg A, Bouhuwaish A, Khaled A, Alhadi A, Msherghi A, et al. Psychological Impact of the Civil War and COVID-19 on Libyan Medical Students: A Cross-Sectional Study. Front Psychol. 2020;11:1–7.

DOI: 10.3389/fpsyg.2020.570435

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2022-07-04 — Atualizado em 2022-07-06

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1.
Dziedzic DM, Dell’Agnelo GS, Schindler Junior E, Lindstron OA, Andrade FA, Nisihara R. Ansiedade e insegurança em estudantes de medicina no internato: o impacto da pandemia da COVID-19. Medicina (Ribeirão Preto) [Internet]. 6º de julho de 2022 [citado 25º de abril de 2024];55(2):e-191222. Disponível em: https://www.revistas.usp.br/rmrp/article/view/191222