Repercussions of the SARS-CoV-2 pandemic for medical students in Ceará - Brazil
DOI:
https://doi.org/10.33448/rsd-v11i3.26341Keywords:
COVID-19; Internship and residency; Education distance; Stress disorders, post-traumatic.Abstract
Objectives: To assess psychological repercussions and the perception to act in patient care in the Covid-19 pandemic among medical students in Fortaleza-CE, Brazil. Methodology: This was a cross-sectional, analytical study from December 2020 to February 2021. Participants were pre-internship and internship medical students from three Brazilian medical schools and voluntarily completed an online questionnaire about sociodemographic data, perceived risk for the COVID-19 pandemic, and post-traumatic stress symptoms assessed by the Impact of Event Scale (IES) in its Brazilian version. All of them signed an informed consent form, and the study was approved by the Ethics and Research Committee of the institutions. Spearman and Kruskal Wallis tests were used to compare the groups, with alpha error lower than 5%. Results: There were 94 participants, 60.6% female, 86.2% from private universities. 53.3% had a perception of high risk of infection with the virus and 40.2% reported unsatisfactory sleep quality. The mean IES score of the participants was 14.8 +/- 5.78, showing that there was a stressful impact. There was statistical significance related to the IES scores when assessing risk of infection, sleep, university, and psychological follow-up. Conclusion: The Covid-19 pandemic generated a stressful impact on the medical students evaluated, with importance for future psychological interventions in times of pandemics.
References
Amorim, B. B., Moraes, L., Sá, I. C. G., Silva, B. B. G., & Camara Filho, J. W. S. (2018). Saúde mental do estudante de Medicina: psicopatologia, estresse, sono e qualidade de vida. Revista Psicologia, Diversidade E Saúde, 7(2), 245–254. https://doi.org/10.17267/2317-3394rpds.v7i2.1911.
Barbosa, R. R., Martins, M. C. G., Carmo, F. P. T., Jacques, T. M., Serpa, R. G., Calil, A. O., & Barbosa, L. F. M. (2015). Estudo sobre estilos de vida e níveis de estresse em estudantes de medicina. Int J Cardiovasc Sci, 28(4), 313-9. http://www.dx.doi.org/10.5935/2359-4802.20150045.
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry research, 287, 112934. https://doi.org/10.1016/j.psychres.2020.112934
Cardoso, F. D. A. B., Magalhães, J. F., Silva, K. M. L. D., & Pereira, I. S. D. S. D. (2015). Perfil do estudante de Medicina da Universidade do Estado do Rio Grande do Norte (UERN), 2013. Revista Brasileira de Educação Médica, 39, 32-40. http://dx.doi.org/10.1590/1981-52712015v39n1e01092014
Deng, J., Zhou, F., Hou, W., Silver, Z., Wong, C. Y., Chang, O., ... & Huang, E. (2021). The prevalence of depressive symptoms, anxiety symptoms and sleep disturbance in higher education students during the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Research, 113863. https://doi.org/10.1016/j.psychres.2021.113863
Barros, G. M. M. de, Valério , F. C. E. P., Silva, M. H. F. D. da, Pecorelli, D. G., Porto , V. U. da N., & Silva, L. de A. (2021). The impacts of the COVID-19 pandemic on the mental health of students. Research, Society and Development, 10(9), e47210918307. https://doi.org/10.33448/rsd-v10i9.18307
Felippe, T. de O., Spaniol, C. M., Silva , L. A. da ., Calabria, A. C. ., Ferreira, G. ., Carvalho, N. de L. ., Moretti, M., & Bellinati , N. V. da C. (2021). Medical student stress during the COVID-19 pandemic. Research, Society and Development, 10(9), e58310918372. https://doi.org/10.33448/rsd-v10i9.18372
do Rego, R. M., Marques, N. A., da Costa Monteiro, P., de Oliveira, C. L. B., de Almeida Lins, N. A., & Caldas, C. A. M. (2019). O perfil atual do estudante de Medicina e sua repercussão na vivência do curso. Pará Research Medical Journal, 2(1-4), 0-0. http://dx.doi.org/10.4322/prmj.2018.005
Freitas, C. A. D., Arruda, G. F. A. D., Arruda, G. C. F. A. D., & Feitosa, S. F. (2021). Estudantes de Medicina no enfrentamento da pandemia da Covid-19 no Brasil: reflexões éticas. Revista Brasileira de Educação Médica, 45. https://doi.org/10.1590/1981-5271v45.1-20200231
Goularte, J. F., Serafim, S. D., Colombo, R., Hogg, B., Caldieraro, M. A., & Rosa, A. R. (2021). COVID-19 and mental health in Brazil: Psychiatric symptoms in the general population. Journal of psychiatric research, 132, 32–37. https://doi.org/10.1016/j.jpsychires.2020.09.021.
Guanilo, M. E. E. (2005). "Burns Specific Pain Anxiety Scale - BSPAS": adaptação transcultural e validação preliminar. Dissertação de Mestrado, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto. doi:10.11606/D.22.2005.tde-23062005-081623. Recuperado em 2022-01-30, de www.teses.usp.br
Horowitz, M.J., Wilner, N., & Alvarez, W.F. (1979). Impact of Event Scale: A Measure of Subjective Stress. Psychosomatic Medicine, 41, 209–218.
Jassim, G., Jameel, M., Brennan, E., Yusuf, M., Hasan, N., & Alwatani, Y. (2021). Psychological Impact of COVID-19, Isolation, and Quarantine: A Cross-Sectional Study. Neuropsychiatric disease and treatment, 17, 1413–1421. https://doi.org/10.2147/NDT.S311018
Khan, A. H., Sultana, M. S., Hossain, S., Hasan, M. T., Ahmed, H. U., & Sikder, M. T. (2020). The impact of COVID-19 pandemic on mental health & wellbeing among home-quarantined Bangladeshi students: a cross-sectional pilot study. Journal of affective disorders, 277, 121-128. https://doi.org/10.1016/j.jad.2020.07.135
Kubrusly, M, Coelho, RA., Augusto, KL, Peixoto Junior, AA., Santos, DC de O., & Oliveira, CMC de. (2021). Percepção dos docentes sobre a Aprendizagem Baseada em Problemas na educação a distância durante a pandemia COVID-19. Pesquisa, Sociedade e Desenvolvimento, 10 (5), e53510515280. https://doi.org/10.33448/rsd-v10i5.15280
Ornell, F. E. L. I. P. E., Schuch, J. B., Sordi, A. O., & Kessler, F. H. (2020). Pandemia de medo e COVID-19: impacto na saúde mental e possíveis estratégicas. Revista debates in psychiatry, 2020.
Odriozola-González, P., Planchuelo-Gómez, Á., Irurtia, M. J., & de Luis-García, R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry research, 290, 113108. https://doi.org/10.1016/j.psychres.2020.113108
Rose S. (2020). Medical Student Education in the Time of COVID-19. JAMA, 323(21), 2131–2132. https://doi.org/10.1001/jama.2020.5227
Prashanth, N. T., Raghuveer, H. P., Kumar, R. D., Shobha, E. S., Rangan, V., & Hullale, B. (2015). Post-traumatic Stress Disorder in Facial Injuries: A Comparative Study. The journal of contemporary dental practice, 16(2), 118–125. https://doi.org/10.5005/jp-journals-10024-1647
Silva, A. C. D. O., Nardi, A. E., & Horowitz, M. (2010). Brazilian version of the Impact of Event Scale (IES): translation and cross-cultural adaptation. Revista de Psiquiatria do Rio Grande do Sul, 32(3), 86-93. https://doi.org/10.1590/S0101-81082010000300005
Song, Y., Bai, W., Wang, M., Liu, X., Zhang, L., Yu, W., Li, Y., Hua, W., Lew, B., Talib, M.A., & Kou, C. (2019). The association between psychological strain and suicidal behaviors among college students: A mental health survey in Jilin Province, Northeast China. Journal of affective disorders, 259, 195-200. https://doi.org/10.1016/j.jad.2019.08.042
Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Archives of Iranian medicine, 23(4), 249–254. https://doi.org/10.34172/aim.2020.06
Tee, M. L., Tee, C. A., Anlacan, J. P., Aligam, K., Reyes, P., Kuruchittham, V., & Ho, R. C. (2020). Psychological impact of COVID-19 pandemic in the Philippines. Journal of affective disorders, 277, 379–391. https://doi.org/10.1016/j.jad.2020.08.043
Teixeira, L. D. A. C., Costa, R. A., Mattos, R. M. P. R. D., & Pimentel, D. (2021). Saúde mental dos estudantes de Medicina do Brasil durante a pandemia da coronavirus disease 2019. Jornal Brasileiro de Psiquiatria, 70, 21-29. https://doi.org/10.1590/0047-2085000000315
Tolsgaard, M. G., Cleland, J., Wilkinson, T., & Ellaway, R. H. (2020). How we make choices and sacrifices in medical education during the COVID-19 pandemic. Medical teacher, 42(7), 741–743. https://doi.org/10.1080/0142159X.2020.1767769
Torun, F., & Torun, S. D. (2020). The psychological impact of the COVID-19 pandemic on medical students in Turkey. Pakistan journal of medical sciences, 36(6), 1355–1359.
Vanaken, L., Scheveneels, S., Belmans, E., & Hermans, D. (2020). Validation of the Impact of Event Scale with Modifications for COVID-19 (IES-COVID19). Frontiers in psychiatry, 11, 738.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. International journal of environmental research and public health, 17(5), 1729.
Zhang, Y., & Ma, Z. F. (2020). Impact of the COVID-19 Pandemic on Mental Health and Quality of Life among Local Residents in Liaoning Province, China: A Cross-Sectional Study. International journal of environmental research and public health, 17(7), 2381.
Zonta, R., Robles, A. C. C., & Grosseman, S. (2006). Estratégias de enfrentamento do estresse desenvolvidas por estudantes de medicina da Universidade Federal de Santa Catarina. Revista Brasileira de Educação Médica, 30, 147-153.
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Copyright (c) 2022 Bárbara Calisto Campos; Marina Leite de Oliveira; Thaine Mirla Rocha ; Laís Rêgo Borges; Beatriz Calisto Campos; Lucas Fortaleza de Aquino Ferreira; Joyce Rodrigues Façanha; Arnaldo Aires Peixoto Junior; Raquel Autran Coelho Peixoto
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