Uso de antidepresivos y ansiolíticos de origen vegetal por parte de estudiantes de medicina de una universidad pública del nordeste de Brasil

Autores/as

DOI:

https://doi.org/10.33448/rsd-v11i16.38503

Palabras clave:

Medicamento fitoterápico; Depresión; Ansiedad; Estudiantes.

Resumen

Estudios reportan una íntima relación entre el crecimiento de los trastornos de ansiedad y depresión en la población joven y la rutina académica, especialmente cuando se considera la carrera de medicina. Al mismo tiempo, por la facilidad de acceso y la creencia en la ausencia de daño, hace que los medicamentos a base de hierbas que actúan sobre el sistema nervioso central sean una alternativa muy buscada por este público. Por lo tanto, el objetivo de esta investigación fue rastrear el perfil de consumo de productos naturales de origen vegetal para la acción sobre el sistema nervioso central en estudiantes de medicina en una universidad pública en el noreste de Brasil. Para ello, se recolectó información a través de un cuestionario en línea que contenía preguntas específicas de un abordaje directo a estudiantes de medicina de una universidad pública del nordeste de Brasil, considerando los factores de inclusión y exclusión, siendo registrado en la Plataforma Brasil del Ministerio de Salud – CAAE No 50027121.0.0000.5011. El estudio contó con 125 participantes, donde 59 participantes afirmaron usar o ya usaron medicamentos a base de hierbas para el sistema nervioso central, siendo Passiflora incarnata y Valeriana officinalis las especies más utilizadas. Se encontraron prácticas inadecuadas, como la automedicación y el cambio de recetas. Los problemas con la universidad demostraron ser factores estresantes psicosociales importantes e incentivos para el uso de psicofármacos naturales. Finalmente, la investigación presentó similitudes con la literatura y evidencia un amplio uso, sin el debido asesoramiento profesional, de fitoterápicos entre los estudiantes de medicina.

Citas

Abbas, G., Naqvi, S., Erum, S., Ahmed, S., Rahman, A. & Dar, A. (2013). Potential antidepressant activity of Areca catechu nut via elevation of serotonin and noradrenaline in the hippocampus of rats. Phytotherapy Research, 27(1), 39–45.

Aaker, D. A., Kumar, V., & Day, G. S (2007). Pesquisa de marketing. Atlas, 2.

Andrews, B. & Wilding, J. M. (2004). The relation of depression and anxiety to life-stress and achievement in students. British Journal of Psychology, 95(4), 509-521.

Awad, A. & Al-Shaye, D. (2014). Public awareness, patterns of use and attitudes toward natural health products in Kuwait: a cross-sectional survey. BMC Complementary and Alternative Medicine, 14(105), n.p.

Çelik, N., Ceylan, B., Ünsal, A. & Çağan Ö. (2019). Depression in health college students: relationship factors and sleep quality. Psychology, Health & Medicine, 24(5), 625-630.

Consolini, A. E. & Ragone, M. I. (2010). Patterns of Self-Medication with Medicinal Plants and Related Adverse Events - A South American Survey. Current Drug Safety, 5, 333-341.

Eisenberg, D., Gollust, S.E., Golberstein, E. & Hefner, J.L. (2007). Prevalence and Correlates of Depression, Anxiety, and Suicidality Among University Students. American Journal of Orthopsychiatry, 77(4), 534-542.

Fajemiroye, J.O., da Silva, D.M., de Oliveira, D.R. & Costa E.A. (2016). Treatment of anxiety and depression: medicinal plants in retrospect. Fundamental & Clinical Pharmacology, 30(3), 198–215.

Feldman, R. H & Laura, R. (2004). Alternative Medicine Practices Among Australian University Students. Complementary Health Practice Review, 9(3), 173-179.

Firth, J. (1986). Levels and sources of stress in medical students. British Medical Journal, 292, 1177-1180.

Fond, G., Bourbon, A., Boucekine, M., Messiaen, M., Barrow, V., Auquier, P. …& Boyer, L. First-year French medical students consume antidepressants and anxiolytics while second-years consume non-medical drugs. Journal of Affective Disorders, 265(1), 71–76.

Gaultney, J. F. (2010). The prevalence of sleep disorders in college students: Impact on academic performance. Journal of American College Health, 59(2), 91-97.

Gonçalves, D. I. F. (2008). Pesquisas de marketing pela internet: As percepções sob a ótica dos entrevistados. Revista de Administração Mackenzie, 9, 7.

Jang, S., Kim, K.H., Sun, S.H., Go, H.Y., Lee, E.K., Jang, B.H. … & Ko, S.G. (2017). Characteristics of Herbal Medicine Users and Adverse Events Experienced in South Korea: A Survey Study. Evidence-Based Complementary and Alternative Medicine.

Khairy, W.A., Nasser, H.A., Sarhan, M.D., El Shamy, A.A. & Galal, Y.S. (2021). Prevalence and Predictors of Self-Medication with Antifungal Drugs and Herbal Products Among University Students: A Cross-Sectional Study from Egypt. Risk Management and Healthcare Policy, 14, 2191-2200.

Kim, J., Kim, S.Y., Lee, S. & Jang, C.(2007). Antidepressant like effects of Albizzia julibrissin in mice: involvement of the 5-HT1A receptor system. Pharmacology Biochemistry and Behavior, 87, 41–47.

Lancet. (2022). Ensuring care for people with depression. Lancet, 399(10328), Editorial.

Lun, K. W., Chan, C.K., Ip, P.K., Ma, S.Y., Tsai, W.W., Wong, C.S. …& Yan, D. (2018). Depression and anxiety among university students in Hong Kong. Hong Kong Medical Journal, 24(1), 466–472.

Lund, H. G., Reider, B.D., Whiting, A.B., & Prichard, J.R. (2010). Sleep patterns and predictors of disturbed sleep in a large population of college students. Journal Adolescent Health, 46(2), 124-132.

Machado, D. G., Kaster, M. P., Binfaré, R. W., Dias, M., Santos, A.R.S, Pizzolatti, M. G. ...& Rodrigues, A.L.S. (2017). Antidepressant-like effect of the extract from leaves of Schinus molle L. in mice: evidence for the involvement of the monoaminergic system. Progress in neuro-psychopharmacology & biological psychiatry, 31, 421–428.

Nardoff, M.R., Nazem, S., & Fiske, A. (2011) Insomnia symptoms, nightmares, and suicidal ideation in a college student sample. SLEEP. 34(1), 93–98.

Organização Panamericana Da Saúde - OPAS. Depressão. https://www.paho.org/pt/topicos/depressao.

Ribeiro, A.G, da Cruz, L.P., Marchi, K. C., Tirapelli, C.R., & Miasso, A. I. (2014). Antidepressivos: uso, adesão e conhecimento entre estudantes de medicina. Ciência e Saúde Coletiva, 19(6), 1825-1833

Sarris, J., Panossian, A., Schweitzer, I., Stough, C., & Scholey, A. (2011). Herbal medicine for depression, anxiety and insomnia: A review of psychopharmacology and clinical evidence. European Neuropsychopharmacology, 21(1), 841–860.

Sawalha, A.F., Sweileh, W.M., Zyoud, S.H., & Jabi, S.W. (2008) Self-therapy practices among university students in Palestine: Focus on herbal remedies. Complementary Therapies in Medicine, 16(1), 343-349.

Shao, R., He, P., Ling, B., Tan, L., Xu, L., Hou, Y. …. & Yang, Y. (2020). Prevalence of depression and anxiety and correlations between depression, anxiety, family functioning, social support and coping styles among Chinese medical students. BMC Psychology. 8(38).

Souza, F. G. M., & Menezes, M. G. C. (2005) Estresse nos estudantes de medicina da Universidade Federal do Ceará. Revista Brasileira Educação Médica, 29(2), 91-96.

Taylor, D.J., Gardner, C.E., Bramoweth, A.D., Williams, J.M., Roane, B.M., Grieser, E.A. ... & Tatum, J.I. (2011) Insomnia and mental health in college students. Behavioral Sleep Medicine, 9(2), 107-116.

Tempski, P., Bellodi, P.L., Paro, H.B., Enns, S.C., Martins, M.A., & Schraiber, L.B. (2012). What do medical students think about their quality of life? A qualitative study. BMC Medical Education, 12(106).

Touiti, N., Houssaini, T.S., Iken, I., Benslimane, A. & Achour, S. (2020). Prevalence of herbal medicine use among patients with kidney disease: A cross-sectional study from Morocco. Néphrologie & Thérapeutique, 16(1), 43-49.

Welz, A. N, Emberger-Klein, A & Menrad, K. (2019). What motivates new, established and longterm users of herbal medicine: is there more than push and pull?. BMC Complementary and Alternative Medicine, 19, 170.

Wolf, T.M., Randall, H.M., Von Almen, K., & Tynes, L.L. (1991). Perceived mistreatment and attitude change by graduating medical students: a retrospective study. Medical Education, 25, 182-190.

World Health Organization (WHO). (2017). Depression and other common mental disorders: global health estimates. Geneva: WHO. http://apps.who.int/iris/bitstream/10665/254610/1/WHO-MSD-MER-2017.2-eng.pdf.

Zhai, L., Zhang, Y., & Zhang, D. (2015). Sedentary behaviour and the risk of depression: a meta-analysis. British Journal Sports Medicine. 49(11), 705-709.

Publicado

13/12/2022

Cómo citar

OLIVEIRA JÚNIOR, L. N. de .; CARNAÚBA, A. de A. .; BARBOSA, A. S. L. .; RIBEIRO, M. C.; TEIXEIRA, M. do C.; SILVA, J. C. . Uso de antidepresivos y ansiolíticos de origen vegetal por parte de estudiantes de medicina de una universidad pública del nordeste de Brasil . Research, Society and Development, [S. l.], v. 11, n. 16, p. e421111638503, 2022. DOI: 10.33448/rsd-v11i16.38503. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/38503. Acesso em: 26 sep. 2024.

Número

Sección

Ciencias de la salud