Academic stress and binge eating disorder in medicine students during the coronavirus pandemic
Estresse acadêmico e compulsão alimentar em estudantes de medicina
DOI:
https://doi.org/10.11606/issn.1679-9836.v103i6e-212544Keywords:
Binge eating disorder, Eating behavior, Psychologival stress, Emotional stressAbstract
Introduction: medical students have high levels of stress due to being exposed to intense responsibilities and direct contact with human suffering. These factors predispose to the occurrence of eating disorders, commonly binge eating disorder. Objective: to highlight academic stress factors and maladaptive eating behaviors in medical students at Faculdade Pernambucana de Saúde (FPS), as well as the influence of the experienced pandemic scenario. Method: this is a cross-sectional study. Medical students from all FPS periods were invited to participate in this research, which was approved by the Research Ethics Committee with CAAE: 53687821.6.0000.5569. Information was obtained through a sociodemographic questionnaire that included validated scales for assessing academic stress (NISESTE) and binge eating (ECAP/BES). Data were correlated by Kendall's correlation coefficient in addition to the Kolmogorov-Smirnov Normality test for quantitative variables. A value of p < 0.05 was considered. Results: data was obtained from 230 students and more than 90% of them had severe or moderate binge eating (AB), with half (50.9%) reporting the occurrence of compulsive eating episodes during the coronavirus pandemic. Difficulty concentrating in class/teacher and concern with internships (Factors 4 and 5) were the most common academic stress factors, and the perception of inferiority (factor 6) was statistically correlated (P<0.05) with the occurrence of HERE. Conclusion: it was identified that AC occurred in most medical students and was correlated with academic stress factors. It was also suggested that the social isolation imposed by the COVID-19 pandemic had an influence on the manifestation of episodes of compulsive eating.
Downloads
References
Chiavenato I. Recursos humanos na empresa [Internet]. 1ª ed. 1989. p. 523. http://bibcentral.ufpa.br/arquivos/30000/33100/19_33156.htm
Lipp MEN. Stress e suas implicações. Estudos de Psicologia. 1984;1:5–19.
Meyer C, Coutinho AGA, Machado Z, Sílvia I, Parcias R. Qualidade de Vida e Estresse Ocupacional em Estudantes de Medicina. Rev Bras Educ Med. 2012;36(4):1-14. https://www.scielo.br/pdf/rbem/v36n4/07
Pacheco JPG, 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 [Internet]. Rev Bras Psiquiatr. 2017;39(4):369-78. Doi: https://doi.org/10.1590/1516-4446-2017-2223
Costa DS, Medeiros NSB, Cordeiro RA, Frutuoso ES, Lopes JM, Moreira SNT. Sintomas de Depressão, Ansiedade e Estresse em Estudantes de Medicina e Estratégias Institucionais de Enfrentamento. Rev Bras Educ Med. 2020;44(1). Doi: https://doi.org/10.1590/1981-5271v44.1-20190069
Aragão J, Casiraghi B, Mota É, Abrahão M, Almeida T, Baylão A, et al. Saúde mental em estudantes de medicina. Rev Estudios Invest Psicol Educacion. 2017;14(vol. Extr). Doi: https://doi.org/10.17979/reipe.2017.0.14.2267
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/10.1590/0047-2085000000170
Trindade AP, Appolinario JC, Mattos P, Treasure J, Nazar BP. Eating disorder symptoms in brazilian university students: A systematic review and meta-analysis. Rev Bras Psiquiatr. 2019;41(2):179–87. Doi: https://doi.org/10.1590/1516-4446-2019-0335
Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38(5):482-91. Doi: https://doi.org/10.1046/j.1365-2929.2004.01814.x
Litwin R, Goldbacher EM, Cardaciotto LA, Gambrel LE. Negative emotions and emotional eating: the mediating role of experiential avoidance. Eat Weight Disord. 2017;22(1):97-104. Doi: https://doi.org/10.1007/s40519-016-0301-9
Cardi V, Leppanen J, Treasure J. The effects of negative and positive mood induction on eating behaviour: A meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neurosci Biobehav Rev. 2015;57:299-309. Doi: https://doi.org/10.1016/j.neubiorev.2015.08.011
Haedt-Matt AA, Keel PK, Racine SE, Burt SA, Hu JY, Boker S, et al. Do emotional eating urges regulate affect? Concurrent and prospective associations and implications for risk models of binge eating. Int J Eat Disord. 2014;47(8):874-7. Doi: https://doi.org/10.1002/eat.22247
Deroost N, Cserjési R. Attentional avoidance of emotional information in emotional eating. Psychiatry Res. 2018;269:172-7. Doi: https://doi.org/10.1016/j.psychres.2018.08.053
van Strien T. Causes of emotional eating and matched treatment of obesity [Internet]. Curr Diab Rep. 2018;18(5):43. Doi: https://doi.org/10.1007/s11892-018-1000-x
Spoor STP, Bekker MHJ, Van Strien T, van Heck GL. Relations between negative affect, coping, and emotional eating. Appetite. 2007;48(3):368-76. Doi: https://doi.org/10.1016/j.appet.2006.10.005
Position of the American Dietetic Association: Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders. J Am Diet Assoc. 2006;106(12):2073-82. http://jandonline.org/article/S000282230602089X/fulltext
Kelly SD, Howe CJ, Hendler JP, Lipman TH. Disordered eating behaviors in youth with type 1 diabetes. Diabetes Educator. 2005;31(4):572-83. Doi: https://doi.org/10.1177/0145721705279049
Sischo L, Taylor J, Yancey Martin P. Carrying the weight of self-derogation? Disordered eating practices as social deviance in young adults. Deviant Behav. 2006;27(1):1-30. https://www.tandfonline.com/doi/abs/10.1080/016396290968371
Neumark-Sztainer D, Wall M, Story M, Fulkerson JA. Are family meal patterns associated with disordered eating behaviors among adolescents? J Adolesc Health. 2004;35(5):350-9. Doi: https://doi.org/10.1016/j.jadohealth.2004.01.004
Shisslak CM, Crago M, Estes LS. The spectrum of eating disturbances. Int J Eat Disord. 1995;18(3):209-19. Doi: https://doi.org/10.1002/1098-108X(199510)18:3<209::AID-EAT2260180302>3.0.CO;2-P
Silva PS, de Faria Júnior AA, Lima CM, Moreira KP, Silva AM. Ansiedade e depressão em estudantes de medicina: prevalência e fatores associados. Rev Bras Educ Med. 2019;43(4):48-56. Doi: https://doi.org/10.1590/1981-52712015v43n4e03352019
Macedo L, Braga L, Santos G, Barbosa G. Aspectos da saúde mental e do autocuidado entre os estudantes de medicina. Rev Bras Med. 2018;75(3):193-8. https://revistabr.org/artigos/aspectos-da-saude-mental-e-do-autocuidado-entre-os-estudantes-de-medicina
Lisboa G, Lima M, Mendes R, Alves R. Estudo de prevalência de transtornos alimentares em estudantes universitários. Rev Bras Nutrição. 2020;33(4):230-5. https://www.scielo.br/j/rbnut/a/xJhrKZy3Bjr4WvTb7vLFzyG/?lang=pt
White AJ, Muirhead J, Johnson T. Stress and eating behaviors in medical students: A longitudinal study. J Med Educ. 2019;57(6):382-5. Doi: https://doi.org/10.1136/jmededuc-2018-010973
Geng Z, Shao X, Xie Z, Zhang W, Wu Y. Psychological distress and its influencing factors among medical students in China: A cross-sectional study. BMC Med Educ. 2020;20(1):373. Doi: https://doi.org/10.1186/s12909-020-02258-2
Cox S, Byerley A. Effects of lifestyle habits on medical student wellness. Am J Lifestyle Med. 2020;14(4):404-10. Doi: https://doi.org/10.1177/1559827620917659
Dutta D, Choudhury S, Rao P, Radhakrishnan A. Perceived stress and coping strategies among medical students. J Educ Psychol. 2017;109(11):331-9. Doi: https://doi.org/10.1037/edu0000223
Young D, Smith H, Edwards J. Mindfulness interventions for medical students: A systematic review. Med Educ. 2018;52(8):808-19. Doi: https://doi.org/10.1111/medu.13643
Kitzinger J, Ussher J, Frost N. Eating disorders in medical students: A gendered analysis. Sex Roles. 2020;82(5):312-25. Doi: https://doi.org/10.1007/s11199-019-01045-9
Bae H, Lee J, Kwon S. Mental health and academic stress among students in medical school. Psychiatry Investig. 2021;18(1):22-7. Doi: https://doi.org/10.30773/pi.2020.0149
Lima ER, Matos TB, Anjos LA dos, Santos CS dos, Brazil JM, Santana J da M, et al. Mudanças alimentares de universitários brasileiros durante a pandemia da COVID-19. Res Soc Dev. 2022;11(7). Doi: https://doi.org/10.33448/rsd-v11i7.29733
Flaudias V, Iceta S, Zerhouni O, Rodgers RF, Billieux J, Llorca PM, et al. COVID-19 pandemic lockdown and problematic eating behaviors in a student population. J Behav Addict. 2020;9(3):826-35. Doi: https://doi.org/10.1556/2006.2020.00053
Freitas S, Lopes CS, Coutinho W, Appolinario JC. Tradução e adaptação para o português da Escala de Compulsão Alimentar Periódica. Rev Bras Psiquiatr. 2001;23(4):215-20. Doi: https://doi.org/10.1590/S1516-44462001000400008
Filho PRTS, Câmara SG. Evidências de validade da Escala de Estresse em Estudantes para universitários brasileiros. Rev Psicol. 2020;38(1):65-86. Doi: https://doi.org/10.18800/psico.202001.003
Memon AA, Ezz-E-Rukhshan Adil S, Siddiqui EU, Naeem SS, Ali SA, Mehmood K. Eating disorders in medical students of Karachi, Pakistan—a cross-sectional study. BMC Res Notes. 2012;5:84. Doi: https://doi.org/10.1186/1756-0500-5-84
Pengpid S, Peltzer K, Ahsan GU. Risk of eating disorders among university students in Bangladesh. Int J Adolesc Med Health. 2015;27(1):93-100. Doi: https://doi.org/10.1515/ijamh-2014-0013
Ngan SW, Chern BCK, Rajarathnam DD, Balan J, Hong TS, Tiang K-P, et al. The Relationship between Eating Disorders and Stress among Medical Undergraduates: A Cross-Sectional Study. Open J Epidemiol. 2017;7(2):85-95. Doi: https://doi.org/10.4236/ojepi.2017.72008
Serra R, Kiekens G, Vanderlinden J, Vrieze E, Auerbach RP, Benjet C, et al. Binge eating and purging in first-year college students: Prevalence, psychiatric comorbidity, and academic performance. Int J Eat Disord. 2020;53(3):339-48. Doi: https://doi.org/10.1002/eat.23211
Martins ACF, Costa AP, Foresto Del Col DR. Nível de estresse e estratégias de coping dos universitários do 5º ano de enfermagem. Ciências da Saúde e Biológicas. 2020;3(6):1-13. Doi: https://doi.org/10.24980/ucsb.v3i6.3412
Giannopoulou I, Kotopoulea-Nikolaidi M, Daskou S, Martyn K, Patel A. Mindfulness in Eating Is Inversely Related to Binge Eating and Mood Disturbances in University Students in Health-Related Disciplines. Nutrients. 2020;12(2):396. Doi: https://doi.org/10.3390/nu12020396
Herzog DB, Pepose M, Norman DK, Rigotti NA. Eating disorders and social maladjustment in female medical students. J Nerv Ment Dis. 1985;173(12):734-7. https://pubmed.ncbi.nlm.nih.gov/3864930/.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Nathallya Thamyres dos Santos Melo, Luiza Freire de Almeida Barros dos Santos, Maria Eduarda Barbosa Abrantes Santos, Tânia Flaiane de Santana, Thawane Maria Pereira de Morais, Alberto Gorayeb Ferreira

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.