Uso de hipnóticos, qualidade do sono e síndrome de Burnout em estudantes de medicina

Autores

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2021.176488

Palavras-chave:

Esgotamento Psicológico, Educação de Graduação em Medicina, Educação Médica, Medicamentos Indutores do Sono, Distúrbios do Início e da Manutenção do Sono, Sono

Resumo

Objetivo: o objetivo deste estudo foi investigar possíveis associações entre Burnout, uso de hipnóticos e qualidade do sono em estudantes de medicina. Método: foi realizado um estudo transversal quantitativo com estudantes de medicina de um centro universitário do nordeste do Brasil, com metodologia de Aprendizagem Baseada em Problemas (ABP). O Maslach Burnout Inventory-Student Survey, o Pittsburgh Sleep Quality Index (PSQI) e um questionário sociodemográfico foram aplicados entre os alunos do pré-internato do curso. Resultados: o estudo incluiu 523 alunos e encontrou 48 (9,2%) com critérios de diagnóstico tridimensional para Síndrome de Burnout (SB). A má qualidade do sono e o uso de hipnóticos para dormir foram associados à SB (p < 0,001 e p = 0,003, respectivamente). Não houve diferenças estatísticas quanto à idade, sexo, religião, estado civil, financiamento escolar e realização de trabalho remunerado, entre indivíduos com e sem SB. Conclusão: houve associação entre SB, uso de hipnóticos e má qualidade do sono em estudantes de medicina pré-internato.

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Referências

Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. Wld Psychiatry. 2016;15(2):103-11. doi: 10.1002/wps.20311

Maslach C, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2:99-113. doi: 10.1002/job.4030020205

Song PP, Walline JH. Physician burnout. Lancet. 2020;1;395(10221):333. doi: 10.1016/S0140-6736(19)32480-8

Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242–5. doi: 10.1111/tct.12014

Cecil J, McHale C, Hart J, Laidlaw A. Behaviour and burnout in medical students. Med Educ Online. 2014;19:25209. doi: 10.3402/meo.v19.25209

Costa EF, Santos SA, Santos AT, Melo EV, Andrade TM. Burnout Syndrome and associated factors among medical students: a cross-sectional study. Clinics. 2012;67(6):573-80. doi: 10.6061/clinics/2012(06)05

Boni RADS, Paiva CE, de Oliveira MA, Lucchetti G, Fregnani JHTG, Paiva BSR. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PLoS One. 2018;13(3):e0191746. doi: 10.1371/journal.pone.0191746

Lin SH, Huang YC. Life stress and academic burnout. Active Learning in Higher Education. 2014;15(1):77-90. doi: 10.1177/1469787413514651

Moreira HA, Souza KN, Yamaguchi MU. Burnout syndrome in physicians: a systematic review. Rev Bras Saude Ocup. 2018;43:e3. doi: 10.1590/2317-6369000013316

Arbabisarjou A, Hashemi SM, Sharif MR, Alizadeh KH, Yarmohammadzadeh P, Feyzollahi Z. The Relationship between Sleep Quality and Social Intimacy, and Academic Burn-Out in Students of Medical Sciences. Glob J Health Sci. 2015;8(5):231-8. doi: 10.5539/gjhs.v8n5p231

Rique GL, Fernandes Filho GM, Ferreira AD, de Sousa-Muñoz RL. Relationship between chronotype and quality of sleep in medical students at the Federal University of Paraiba, Brazil. Sleep Sci. 2014;7(2):96-102. doi: 10.1016/j.slsci.2014.09.004

Söderström M, Jeding K, Ekstedt M, Perski A, Akerstedt T. Insufficient sleep predicts clinical burnout. J Occup Health Psychol. 2012;17(2):175-83. doi: 10.1037/a0027518

Lund HG, Reider BD, Whiting AB, Prichard JR. Sleep patterns and predictors of disturbed sleep in a large population of college students. J Adolesc Health Care. 2010;46(2):124–32. doi: 10.1016/j.jadohealth.2009.06.016

Owens JA. Sleep loss and fatigue in medical training. Curr Opin Pulm Med. 2001;7(6):411-418. doi: 10.1097/00063198-200111000-00009

Seun-Fadipe CT, Mosaku KS. Sleep quality and psychological distress among undergraduate students of a Nigerian university. Sleep Health. 2017;3(3):190-4. doi: 10.1016/j.sleh.2017.02.004

Santos ATA, Grosseman S, Costa EFO, de Andrade TM. Burnout syndrome among internship medical students. Med Educ. 2011;45(11):1146. doi: 10.1111/j.1365-2923.2011.04108.x

Almeida GD, Souza HR, Almeida PC, Almeida BD, Almeida GH. The prevalence of burnout syndrome in medical students. Arch Clin Psychiatry. (São Paulo). 2016;43(1):6-10. doi: 10.1590/0101-60830000000072

Pagnin D, de Queiroz V, Carvalho YT, Dutra AS, Amaral MB, Queiroz TT. The relation between burnout and sleep disorders in medical students. Acad Psychiatry. 2014;38(4):438-44. doi: 10.1007/s40596-014-0093-z

Pagnin D, de Queiroz V. Influence of burnout and sleep difficulties on the quality of life among medical students. Springerplus. 2015;4(1):676. doi: 10.1186/s40064-015-1477-6

Kish L. Methods for design effects. J Off Stat. 1995;11(1):55-77. Available from: https://www.scb.se/contentassets/ca21efb41fee47d293bbee5bf7be7fb3/methods-for-design-effects.pdf

Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Bras J Psychiatry. 2017;39(4):369-78. doi: 10.1590/1516-4446-2017-2223

Campos JA, Maroco J. Maslach Burnout Inventory - Student Survey: Portugal-Brazil cross-cultural adaptation. Rev Saúde Pública. 2012;46(5):816-24. doi: 10.1590/S0034-89102012000500008.

Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo IC, de Barba ME, et al. Barreto SS. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2011;12(1):70-5. doi: 10.1016/j.sleep.2010.04.020

Shad R, Thawani R, Goel A. Burnout and Sleep Quality: A Cross-Sectional Questionnaire-Based Study of Medical and Non-Medical Students in India. Cureus. 2015;7(10):e361. doi: 10.7759/cureus.361

Corrêa CC, Oliveira FK, Pizzamiglio DS, Ortolan EVP, Weber SAT. Sleep quality in medical students: a comparison across the various phases of the medical course. J Bras Pneumol. 2017;43(4):285–9. doi: 10.1590/s1806-37562016000000178

Ribeiro CR, Oliveira SMCD, Silva YMGP. The impact of sleep quality in medical education. Rev Soc Bras Clin Med. 2014;12(1):8-14. Available from: http://files.bvs.br/upload/S/1679-1010/2014/v12n1/a4027.pdf

Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: Relationship with stress and academic performance. Saudi Med J. 2016;37(2):173-82. doi: 10.15537/smj.2016.2.14288

Haghighi M, Gerber M. Does mental toughness buffer the relationship between perceived stress, depression, burnout, anxiety, and sleep? Int J Stress Manage. 2019;26(3):297-305. doi:10.1037/str0000106

Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Acad Psychiatry. 2016;41(2):174–9. doi: 10.1007/s40596-016-0526-y

Johnson KM, Simon N, Wicks M, Barr K, O'Connor K, Schaad D. Amount of Sleep, Daytime Sleepiness, Hazardous Driving, and Quality of Life of Second Year Medical Students. Acad Psychiatry. 2017;41(5):669-73. doi: 10.1007/s40596-017-0668-6

Tavares HHF, da Silva HRS, Miranda IMM, Braga MS, Santos RO, Guerra HS. Factors associated with Burnout Syndrome in medical students. Mundo da Saúde. 2020;44:280-9, e0082020. doi: 10.15343/0104-7809.202044280289

Moura G, Brito M, Pinho L, Reis V, Souza L, Magalhães T. Prevalência e fatores associados à síndrome de burnout entre universitários: revisão de literatura. Psicol Saúde Doenças. 2019;20(2):300-18. doi: 10.15309/19psd200203

Mazurkiewicz R, Korenstein D, Fallar R, Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychol Health Med. 2012;17(2):188-95. doi: 10.1080/13548506.2011.597770

Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006;81(1):82-5. doi: 10.1097/00001888-200601000-00020

Wolf MR, Rosenstock JB. Inadequate Sleep and Exercise Associated with Burnout and Depression Among Medical Students. Acad Psychiatry. 2017;41(2):174-9. doi: 10.1007/s40596-016-0526-y

Fowler LA, Ellis S. The Effect of 12 Hour Shifts, Time of Day, and Sleepiness on Emotional Empathy and Burnout in Medical Students. Clocks Sleep. 2019;1(4):501-9. doi: 10.3390/clockssleep1040038

Brubaker JR, Swan A, Beverly EA. A brief intervention to reduce burnout and improve sleep quality in medical students. BMC Med Educ. 2020;20:345. doi: 10.1186/s12909-020-02263-6

Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among US medical students, residents, and early career physicians relative to the general US population. Acad Med. 2014;89(3):443-51. doi: 10.1097/ACM.0000000000000134

Campos ICM, Pereira SS, Schiavon ICA, Alves M. Maslach burnout inventory - human services survey (Mbi-hss): revisão integrativa de sua utilização em pesquisas brasileiras. Arq Ciências Saúde UNIPAR. 2020;24(3):187-95. doi: 10.25110/arqsaude.v24i3.2020.7875

Hancock J, Mattick K. Tolerance of ambiguity and psychological well-being in medical training: A systematic review. Med Educ. 2020;54:125–37. doi: 10.1111/medu.14031

Publicado

2021-12-31

Como Citar

Chaves, E. P. ., Ximenes, T. M. B., Rocha, P. B. de C., Kubrusly, M., Peixoto, R. A. C., & Peixoto Junior, A. A. (2021). Uso de hipnóticos, qualidade do sono e síndrome de Burnout em estudantes de medicina . SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 17(4), 74-82. https://doi.org/10.11606/issn.1806-6976.smad.2021.176488