Ansiedade e depressão em estudantes de medicina: estudo transversal

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v101i6e-195874

Keywords:

Anxiety, depression, medicine, Students, medicine

Abstract

Introdução: A prevalência de depressão e ansiedade entre universitários vem aumentando nas faculdades de medicina, e o sexo feminino é apontado como um possível fator predisponente ao esgotamento mental. Este estudo visa elucidar fatores associados, bem como a prevalência de sintomas depressivos e ansiosos em estudantes de medicina, contribuindo no estabelecimento de medidas de prevenção e tratamento para futuros médicos. Métodos: Estudo transversal envolvendo 812 estudantes de medicina. Foram aplicados questionários sobre dados sociodemográficos, o Inventário de Depressão de Beck - (BDI-II) e o Inventário de Ansiedade de Beck – (BAI). A análise estatística foi realizada no programa SPSS 22. A normalidade foi testada pelo teste de Shapiro-Wilk e as correlações foram avaliadas pelo teste de correlação de Spearman. Resultados: Foi observada uma prevalência de 34,2% de depressão entre os estudantes, considerando sintomas leves, moderados e graves. Em relação à ansiedade, o nosso estudo observou a prevalência de 46,3%. Entre os participantes com ansiedade, 56,4% apresentaram sintomas de depressão, sendo 22,6% mulheres; 50,3% dos alunos com depressão apresentaram sintomas de ansiedade, sendo 19,6% mulheres. Após análise com regressão logística, os sintomas de depressão estiveram relacionados à ansiedade (OR: 4,3; IC95%: 2,6-6,8; p < 0,001) e ao sexo feminino (OR: 1,7; IC95%: 1,04-2,6; p = 0,0320). Os sintomas de ansiedade, após ajuste de regressão logística, estiveram associados à depressão (OR: 4,3; IC95%: 2,7-6,8; p < 0,001) e ao sexo feminino (OR: 1,6; IC95%: 1,04-2,4; p = 0,039). Conclusão: Neste estudo as estudantes do sexo feminino, foram mais propensas a desenvolver ansiedade e depressão. No entanto, mais estudos são necessários para determinar se esse fenômeno se deve a mecanismos fisiológicos femininos ou a fatores sociais e culturais da sociedade patriarcal.

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Author Biographies

  • Joana Katya Veras Rodrigues Sampaio Nunes, Universidade CEUMA, Faculdade de Psicologia e Medicina, Departamento de Medicina

    Graduated in Psychology from Ceuma University (2002). PhD (2014-2018) and Master (2012) in Health Sciences from the Federal University of Maranhão (Medical Clinic in Mental Health - Depression, Anxiety and Spirituality in Medical Education). Professor of Medical Skills and Medical Psychology in the Medicine course at Ceuma University. She has experience in the field of Clinical Psychology, with emphasis on Subjective States and Emotion, working mainly on the following topics: family, depression, anxiety, spirituality. Technical responsible for the Instituto de Atenção a Pessoa

    Este artigo é parte da tese: “Espiritualidade, religiosidade e morbidades em estudantes de medicina: estudo em duas universidades brasileiras” de Nunes JKVRS. São Luís, [Tese - Doutorado em Ciências da Saúde], Universidade Federal do Maranhão, 2018.

  • Viviane Melo e Silva de Figueiredo, Universidade Federal do Maranhão (UFMA)

    Graduate student in medicine at the Federal University of Maranhão (UFMA). She monitors volunteer Semiology (discipline fundamentals of medical practices). Student coordinator of the Academic League of Transplantation and Heart Failure (LATIC) and effective member of the Academic League of Oncology (LAONC). She participated in the Association of Medical Students of Maranhão in 2019.

  • João Vitor Soares Santos, Universidade Estadual do Maranhão.

    Medical Student at the State University of Maranhão

  • Natale Maria Lindoso da Silva Mendes, Universidade Estadual do Maranhão

    Graduated in Biological Sciences (Bachelor and Licentiate) from the Federal University of Maranhão (2016). She worked as a researcher at the Botanical Laboratory in the area of Germination and Dormancy in Invasive Plant Seeds (2009-20016). She did an internship at the Center for Basic and Applied Immunology-NIBA, in the line of "Schistosomiasis in the Periphery Neighborhoods of São Luís do Maranhão". He was a fellow of PIBID (Institutional Scholarship Program for Teaching Initiation/2012-2014) and a fellow for the international student mobility program Sciences without Borders, studying at Humboldt State University, United States of America (2014-2015), being a CAPES fellow in both occasions. She developed her final thesis on "Variation in Somatic Polymorphism in Seeds from Coastal Populations of Crotalaria retusa L.".

  • José Albuquerque de Figueiredo Neto, Universidade Federal do Maranhão (UFMA)

    Graduated in Medicine from the Federal University of Paraíba (1987), Residency in Internal Medicine at Hospital das Clínicas, FMUSP; Residency in Cardiology at the Heart Institute of FMUSP; Specialization in Graphic Methods at Instituto do Coração of FMUSP; PhD in Cardiology from the University of São Paulo (2002). Post-Doctorate at Escola Paulista de Medicina; Specialist in Cardiology by the Brazilian Society of Cardiology; Specialist in Intensive Care by the Brazilian Society of Intensive Care; Specialist in Echocardiography by the Brazilian Society of Cardiology; Fellow of the American College of Cardiology; Fellow of the European Society of Cardiology; Fellow of the American Heart Association and Fellow of the SOCIEDAD INTERAMERICANA DE CARDIOLOGIA. He is currently Full Professor of Cardiology at the Federal University of Maranhão. He teaches cardiology, History of Medicine, Spirituality and Health classes at the Federal University of Maranhão; he is Professor of the Post-Graduate Programs in Health Sciences and the Post-Graduate Program in Adult Health at the Federal University of Maranhão; Effective member of the Regional Council of Medicine of Maranhão, Member of the Academia Maranhão de Medicina. Executive MBA in Health Management-FGV; Gestão em Saude-Einstein,,certification CBEXs Medportal in Healthcare E-leadership Has experience in Medicine, with emphasis on Cardiology, working mainly on the following subjects: heart failure, arterial hypertension and women's health.

References

American Psychiatric Association. DSM-5 Manual Diagnóstico e Estatístico de Transtornos Mentais. 5a ed. Porto Alegre: Artmed; 2014.

Organização Mundial da Saúde. CID-10 Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde. 7. Ed. São Paulo: EDUSP; 2008.

World Health Organization. Depression and other common mental disorders: global health estimates. Geneve: WHO; 2017. Available from: https://apps.who.int/iris/handle/10665/254610

Nunes MA, Pinheiro AP, Bessel M, Brunoni AR, Kemp AH, Bensenor IM, Chor D, Barreto S, Schmidt MI. Common mental disorders and sociodemographic characteristics: baseline findings of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Braz J Psychiatry. 2016;38(2):91-97. doi: https://doi.org/10.1590/1516-4446-2015-1714

Santomauro DF, Herrera AMM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, et al. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398(10312):1700-1712. doi: https://doi.org/10.1016/S0140-6736(21)02143-7

Brasil. Ministério da Saúde. Depressão. Brasília; 2021. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/d/depressao-1/depressao

Pagnin D, Queiroz V. Comparison of quality of life between medical students and young general populations. Educ Health. 2015;28(3):209. doi: https://doi.org/10.4103/1357-6283.178599

Mayer FB. A prevalência de sintomas de depressão e ansiedade entre os estudantes de medicina: um estudo multicêntrico no Brasil [dissertação]. São Paulo: Faculdade de Medicina de São Paulo, Universidade de São Paulo; 2017. doi: https://doi.org/10.11606/T.5.2017.tde-13112017-154429

Cunha DHF, Moraes MA, Benjamin MR, Santos AMN. Percepção da qualidade de vida e fatores associados aos escores de qualidade de vida de alunos de uma escola de Medicina. J Bras Psiquiatr. 2017;66(4):189-96. doi: https://doi.org/0.1590/0047-2085000000170

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians a systematic review and meta-analysis. JAMA. 2015;314(22):2373. doi: https://doi.org/10.1001/jama.2015.15845

Tyssen R, Vaglum P. Mental Health Problems among Young Doctors: An Updated Review of Prospective Studies. Harv Rev Psychiatry. 2002;10(3):154–65. doi: https://doi.org/10.1080/10673220216218

West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC, Habermann TM, et al. Association of perceived medical errors with resident distress and empathy. JAMA 2006;296(9):1071. doi: https://doi.org/10.1001/jama.296.9.1071

Dyrbye LN, Thomas MR, Shanafelt TD. Medical Student Distress: Causes, Consequences, and Proposed Solutions. Mayo Clin. Proc. 2005;80:1613-22. doi: https://doi.org/10.4065/80.12.1613

Santa ND, Amaury C. Suicídio entre médicos e estudantes de medicina: revisão de literatura. Rev Bras Educ Med. 2016;40(4):772-780. doi: https://doi.org/10.1590/1981-52712015v40n4e00262015

Rotenstein, LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, Sen S, Mata DA. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review and meta-analysis. JAMA. 2016;316(21):2214-2236. doi: https://doi.org/10.1001/jama.2016.17324

Yahaya SN, Wahab SFA, Yusoff MSB, Yasin MAM, Rahman MAA. Prevalence and associated factors of stress, anxiety and depression among emergency medical officers in Malaysian hospitals. World J Emerg Med. 2018; 9(3):178-186. doi: https://doi.org/10.5847/wjem.j.1920-8642.2018.03.003

Beck AT, Steer RA, Brown GK. BDI-II–Inventário de Depressão de Beck. Adaptação de Clarice Gorenstein, et al. v. 5. São Paulo: Casa do Psicólogo; 2011.

Cunha JÁ. Manual da versão em português das Escalas Beck. São Paulo: Casa do Psicólogo; 2001.

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. J Bras Psiquiatr. 2017;39(4):369-378. doi: https://doi.org/10.1590/1516-4446-2017-2223

Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: A meta-analysis. Med Educ. 2016;50(4):456-468. doi: https://doi.org/10.1111/medu.12962

Mahroon ZA., Borgan SM, Kamel C, Maddison W, Royston M, Donnellan C. Factors associated with depression and anxiety symptoms among medical students in Bahrain. Acad Psychiatry. 2018;42(1):31-40. doi: https://doi.org/10.1001/s40596-017-0733-1

Alvi T, Assad F, Ramzan M, Khan FA. Depression, anxiety and their associated factors among medical students. J Coll Phys Surg Pak. 2010;20(2):122-6.

Jadoon NA, Yaqoob R, Raza A, Shehzad MA, Zeshan SC. Anxiety and depression among medical students: a cross-sectional study. J Pak Med Assoc. 2010;60(8):699-702.

Costa EFO, Rocha MMV, Santos ATRA, Melo EV, Martins LAN, Andrade TM. Common mental disorders and associated factors among final-year healthcare students. Rev Assoc Med Bras. 2014;60(6):525-30. doi: https://doi.org/10.1590/1806-9282.60.06.009

Andrade LH, Wang Y-P, Andreoni S, Silveira CM, Alexandrino-Silva C, Siu R, et al. Mental Disorders in Megacities: Findings from the São Paulo Megacity Mental Health Survey, Brazil. PloS ONE. 2012;7(2):e31879. doi: https://doi.org/10.1371/journal.pone.0031879

Scheffer M, coordenador. Demografia médica no Brasil 2020. São Paulo: FMUSP, CFM; 2020. Disponível em: https://www.fm.usp.br/fmusp/conteudo/DemografiaMedica2020_9DEZ.pdf

McKinstry B. Are there too many female medical graduates? Yes. BMJ. 2018;336(7647):748. doi: https://doi.org/10.1136/bmj.39505.491065.94.

Shi M, Liu L, Wang ZY, Wang L. The mediating role of resilience in the relationship between big five personality and anxiety among Chinese medical students: a cross-sectional study. PLoS ONE. 2015;10(3):e0119916. doi: https://doi.org/10.1371/journal.pone.0119916.

Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB. Gender comparisons of medical students’ psychosocial profiles. Med Educ. 1999;33(5):342-9. doi: https://doi.org/10.1046/j.1365-2923.1999.00331.x.

Enns SC, Perotta B, Paro HB, Gannam S, Peleias M, Mayer FB, et al. Medical students’ perception of their educational environment and quality of life. Acad Med. 2016;91(3):409-17. doi: https://doi.org/10.1097/ACM.0000000000000952.

Pacheco JPG, Silveira JB, Ferreira RPC, Lo K, Schineider JR, Giacomin HTA, et al. Gender inequality and depression among medical students: A global meta-regression analysis. J Psychiatr Res. 2019;111:36-43. doi: https://doi.org/10.1016/j.jpsychires.2019.01.013

Moutinho ILD, Maddalena NCP, Roland RK, Lucchetti ALG, Tibiriçá SHC, Ezequiel OS, et al. Depression, stress and anxiety in medical students: a cross-sectional comparison between students from different semesters. Rev Assoc Med Bras. 2017;63(1):21-8. doi: https://doi.org/10.1590/1806-9282.63.01.21

Ediz B, Ozcakir A, Bilgel N, Walla P. Depression and anxiety among medical students: Examining scores of the beck depression and anxiety inventory and the depression anxiety and stress scale with student characteristics. Cogent Psychol. 2017;4:1. doi: https://doi.org/10.1080/23311908.2017.1283829

Ribeiro CF, Lemos CMC, Alt NN, Marins RLT, Corbiceiro WCH, Nascimento MI do. Prevalence of and factors associated with depression and anxiety in brazilian medical students. Rev Bras Educ Med. 2020;44(1):e021. https://doi.org/10.1590/1981-5271v44.1-20190102.ING

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Published

2022-11-29

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Artigos Originais/Originals Articles

How to Cite

Nunes, J. K. V. R. S., Figueiredo, V. M. e S. de, Santos, J. V. S. ., Mendes, N. M. L. da S. ., & Figueiredo Neto, J. A. de . (2022). Ansiedade e depressão em estudantes de medicina: estudo transversal. Revista De Medicina, 101(6), e-195874. https://doi.org/10.11606/issn.1679-9836.v101i6e-195874