The relationship between emotional exhaust with possible psychiatric disorders in medical students: Anxiety, Depression and Burnout
DOI:
https://doi.org/10.33448/rsd-v12i12.44052Keywords:
Burnout; Students; Anxiety.Abstract
The Faculty of Medicine is recognized as an environment exposed to diverse and constant conditions that cause excessive stress, self-demand, demands from parents and impositions from the job market, regarding the quality of service and theoretical and practical knowledge. As a result, students in the health field, especially medicine, are more likely to develop symptoms of anxiety and depression during their studies. The percentage of the studied population that was affected by at least one form of Burnout was approximately 48.8%. Therefore, the present study aims to understand the spectrum of psychiatric manifestations in medical students and the consequences related to emotional exhaustion, based on searches in electronic databases. In students in the pre-clinical period, the prevalence of burnout was higher, due to the high level of stress perceived in the phase prior to entering medical school, due to the post-admission process, in which they experience a totally new environment, with competitiveness, lack of time or leisure activities and other factors that lead to emotional exhaustion. Students' negative perceptions of balance and personal life during clinical rotations were related to high levels of burnout among students during their internships. However, the student's gender did not influence this relationship. Therefore, there is a need for programs to enhance the student's mental health throughout the entire training period, at different times of the year, so that there is early detection and interventions carried out.
References
Aragão, J. Á., Santos, I. S., Pimentel, J. V. A., Nunes, M. S. F., Cruz, M. L. A., Silva, W. M. L., & Reis, F. P. (2021). Ansiedade, depressão e outros transtornos mentais no estudante de medicina durante a pandemia da COVID-19. Saúde em foco: doenças emergentes e reemergente, 2.
Barbosa-Medeiros, M. R., & Caldeira, A. P. (2021). Mental health in medical students: longitudinal study. Rev bras educ med, 45 (3), 1-9.
Calcides, D. A. P., Didou, R. N., Melo, E. V., & Oliva-Costa, E. D. (2019). Burnout Syndrome in medical internship students and its prevention with Balint Group. Rev Assoc Med Bras, 65 (11), 1362-1367.
Carro, A. C., & Nunes, R. D. (2021). Suicidal ideation as a factor associated with Burnout syndrome in medical students. J bras psiquiatr, 70 (2), 91-98.
Cassol, M., Garcia C. M., Garcia, E. F., Ferreira, J. A. R. B., Tagawa, G. S. G., & Garcia, L. C. (2021). Transtornos psiquiátricos nos acadêmicos de medicina. Brazilian Journal of Development, 7 (2), 19471-19475
Espinosa Pire, L., Hernández Bandera, N., Tapia Salinas, J. M., Hernández Coromoto, Y., & Rodríguez Placencia, A. (2020). Prevalencia del síndrome de burnout en estudiantes de medicina. Rev cuba reumatol, 22 (1), 1-14.
Lin, Y. K., Lin, F. Y. J., Lin, C. D., & Chen, D. Y. (2021). Relationship between medical students' negative perceptions of colleagues' work-life and burn-out during clerkships: a longitudinal observational cohort study. BMJ Open, 11 (10), 1-7.
Machado, S. M. L., Sirico, N. S., Barbosa, P. B., & Rosa, R. R. M. (2019). Ansiedade e depressão em estudantes de medicina. Revista saúde multidisciplinar, 2 (6), 1-5.
Macedo, L. C., Larocca, L. B., Chaves, M. M. N., & Mazza, V. A. (2008). Analysis of speech: a reflection on health research. Interface, 4, 1-13.
Maia, H. A. A. S. (2020). Prevalência de sintomas depressivos em estudantes de medicina com currículo de aprendizagem baseada em problemas. Rev. bras. educ. med. 44 (3), 1-7.
March-Amengual, J. M., Badii, I. C., Casas-Baroy, J. C., Altarriba, C., Comella, C. A., Pujol-Farriols, R., Banõs, J. E., Galbany-Estragués, P., & Cayuela, A. C. (2022). Psychological distress, burnout, and academic performance in first year college studentes. Int J Enverion Res Public Health, 19 (6), 3356.
Medeiros, P. P., & Bittencourt, F. O. (2017). Fatores associados à ansiedade em estudantes de uma faculdade particular. Revista de psicologia 10 (33), 43-56.
Meneghel, M., Kock, K. S., Guerra, L. A., & Machado, M. O. (2019). Prevalência de fatores associados aos episódios depressivos no curso de Medicina da Unisul – Pedra Branca. Revista da AMRIGS, 63 (3), 301-306.
Nassar, L. M., & Carvalho, J. P. (2021). Síndrome de Burnout em estudantes de graduação de medicina no Brasil: uma revisão do panorama brasileiro. Espac saúde, 22, 1-12.
Oliveira, S. M. D., Hasse, M., & Teixeira, F. B. (2021). Fluxo de esgotamento: interrogando o processo de produção do tempo/cansaço no internato médico. Rev bras educ med, 45 (1), 1-9.
Prata, T. S. C., Calcides, D. A. P., Vasconcelos, E. L., Carvalho, A. A., Melo, E. V., & Oliva-Costa, E. F. (2021). Prevalence of Burnout Syndrome and associated factors in medical students under different educational models. Rev Assoc Med Bras, 67 (5), 667-674.
Rajapuram, N., Langness, S., Marshal, M., Sammann, A. (2020). Medical students in distress: the impact of gender, race, debt, and disability. PLoS One, 15 (12), 1-13.
Rojas, B., Catalão, E., Diez, G., & Roca, P. (2023). A compassion-based program to reduce psychological distress in medical students: A pilot randomized clinical trial. PLoS One, 18 (6), 1-17.
Shrestha, D. B., Katuwal, N., Tamang, A., Paudel, A., Gautama, A., Sharma, M., Bhusal U., & Budhathoki, P. (2021). Burnout among medical students of a medical college in Kathmandu: A cross-sectional study. PLoS One, 16 (6), 1-10.
Vale, T. C. B., Paiva, J. H. H. G. L., Medeiros, V. N., Gomes, P. I. O., Bezerra H. C. B., Bachur, T. P. R., & Castro, D. B. (2021). Factors behind burnout increase in medical students. Are the criteria so important? Rev bras educ méd, 45 (2), 1-7.
Zuñiga, D., Torres-Sahli, M., Nitsche, P., Echeverría, G., Pedrals, N., Grassi, B., Cisternas, M., Rigotti, A., & Bitran, M. (2021). Reduced burnout and higher mindfulness in medical students after a self-care program during the COVID-19 pandemic. Rev Med Chil, 149 (6), 846-855.
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