Impactos na saúde mental de estudantes de medicina na pandemia por Coronavírus: revisão integrativa

Autores

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2023.194326

Palavras-chave:

Pandemia, Coronavirus, COVID-19, Transtornos Mentais, Universidade, Saúde do Estudante

Resumo

Objetivo: identificar os impactos na saúde mental dos estudantes de medicina e sua prevalência diante da pandemia pelo coronavírus. Metodologia: revisão integrativa nas bases de dados Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online e Literatura Latino-Americana e do Caribe em Ciências da Saúde, utilizando-se os descritores “Mental health”, “Medical students” e sigla pertinente para a doença por Coronavírus 2019. Resultados: a  mostra final deste estudo foi composta por 21 artigos discorrendo sobre depressão, ansiedade, estresse, sofrimento psicológico e mudanças psicológicas ou comportamentais. Conclusão: a pandemia causada pela doença do coronavírus repercutiu de diferentes maneiras na saúde mental dos estudantes de medicina, sendo observados transtornos de ansiedade e depressão, alterações de humor, estresse, sofrimento psicológico e dificuldade no engajamento universitário. Este estudo contribui com a identificação dos principais impactos da realidade imposta pelo novo coronavírus, estimulando a implementação de futuras estratégias de apoio à saúde mental no decorrer da formação médica.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Organização Pan-Americana da Saúde; Organização Mundial da Saúde. Histórico da pandemia de COVID-19 [Homepage]. c2021 [cited 2021 Nov 05]. Available from: https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19

Jané-Llopis E, Anderson P, Segura L, Zabaleta E, Muñoz R, Ruiz G, et al. Mental ill-health during COVID-19 confinement. BMC Psychiatry. 2021;21(1):194. https://doi.org/10.1186/s12888-021-03191-5

Rahman MA, Islam SMS, Tungpunkom P, Sultana F, Alif SM, Banik B, et al. COVID-19: Factors associated with psychological distress, fear, and coping strategies among community members across 17 countries. Global Health. 2021;17(1):117. https://doi.org/10.1186/s12992-021-00768-3.

Ribeiro LS, Bragé EG, Ramos DB, Fialho IR, Vinholes DB, Lacchini AJ. COVID-19 pandemic effects on the mental health of an academic community. Acta Paul. Enferm. 2021;34:eAPE03423. https://doi.org/10.37689/acta-ape/2021AO03423

Chen RN, Liang SW, Peng Y, Li XG, Chen JB, Tang SY, et al. Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. J Psychosom Res. 2020;137:110219. https://doi.org/10.1016/j.jpsychores.2020.110219

Browning MHEM, Larson LR, Sharaievska I, Rigolon A, McAnirlin O, Mullenbach L, et al. Psychological impacts from COVID-19 among university students: Risk factors across seven states in the United States. PLoS ONE. 2021;16(1):e0245327. https://doi.org/10.1371/journal.pone.0245327

Karagöl A. Levels of Depression, Anxiety and Quality of Life of Medical Students. Psychiatr Danub [Internet]. 2021 [cited 2021 Dec 30];33(Suppl 4):732-7. Available from: https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol33_noSuppl%204/dnb_vol33_noSuppl%204_732.pdf

Teixeira LAC, Costa RA, Mattos RMPR, Pimentel D. Brazilian medical students’ mental health during coronavirus disease 2019 pandemic. J Bras Psiquiatr. 2021;70(1):21-9. https://doi.org/10.1590/0047-2085000000315

Huarcaya-Victoria J, Elera-Fitzcarrald C, Crisol-Deza D, Villanueva-Zúñiga L, Pacherres A, Torres A, et al. Factors associated with mental health in Peruvian medical students during the COVID-19 pandemic: a multicentre quantitative study. Rev Colomb Psiquiatr. 2021:S0034-7450(21)00108-6. https://doi.org/10.1016/j.rcp.2021.06.002

Ottawa Hospital Research Institute; University of Oxford; Monash University. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) [Homepage]. c2022 [cited 2022 Jan 12]. Available from: http://www.prisma-statement.org

Botelho LLR, Cunha CCA, Macedo M. The integrative review method in organizational studies. Gestão Soc [Internet]. 2011 [cited 2022 Jan 22];5(11):121-36. Available from: https://www.gestaoesociedade.org/gestaoesociedade/article/view/1220/906

Batais MA, Temsah MH, AlGhofili H, AlRuwayshid N, Alsohime F, Almigbal TH, et al. The coronavirus disease of 2019 pandemic-associated stress among medical students in middle east respiratory syndrome-CoV endemic area: An observational study. Medicine (Baltimore). 2021;100(3):e23690. https://doi.org/10.1097/MD.0000000000023690

Saravia-Bartra MM, Cazorla-Saravia P, Cedillo-Ramirez L. Anxiety level of first-year medical students in a private university in Peru during Covid-19. Rev Fac Med Hum. 2020;20(4):568-73. https://doi.org/10.25176/RFMH.v20i4.3198

Zhao L, Sznajder K, Cheng D, Wang S, Cui C, Yang X. Coping Styles for Mediating the Effect of Resilience on Depression Among Medical Students in Web-Based Classes During the COVID-19 Pandemic: Cross-sectional Questionnaire Study. J Med Internet Res. 2021;23(6):e25259. https://doi.org/10.2196/25259

Xiao H, Shu W, Li M, Li Z, Tao F, Wu X, et al. Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities. Int J Environ Res Public Health. 2020;17(14):5047. https://doi.org/10.3390/ijerph17145047

Yun JY, Kim JW, Myung SJ, Yoon HB, Moon SH, Ryu H, et al. Impact of COVID-19 on Lifestyle, Personal Attitudes, and Mental Health Among Korean Medical Students: Network Analysis of Associated Patterns. Front Psychiatry. 2021;12:702092. https://doi.org/10.3389/fpsyt.2021.702092

Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev. 2021;8:2382120521991150. https://doi.org/10.1177/2382120521991150

Saeed N, Javed N. Lessons from the COVID-19 pandemic: Perspectives of medical students. Pak J Med Sci. 2021;37(5):1402-7. https://doi.org/10.12669/pjms.37.5.4177

Yin Y, Yang X, Gao L, Zhang S, Qi M, Zhang L, et al. The Association Between Social Support, COVID-19 Exposure, and Medical Students' Mental Health. Front Psychiatry. 2021;12:555893. https://doi.org/10.3389/fpsyt.2021.555893

Gupta P, Anupama BK, Ramakrishna K. Prevalence of Depression and Anxiety Among Medical Students and House Staff During the COVID-19 Health-Care Crisis. Acad Psychiatry. 2021 Oct;45(5):575-80. https://doi.org/10.1007/s40596-021-01454-7

Essangri H, Sabir M, Benkabbou A, Majbar MA, Amrani L, Ghannam A, et al. Predictive Factors for Impaired Mental Health among Medical Students during the Early Stage of the COVID-19 Pandemic in Morocco. Am J Trop Med Hyg. 2021;104(1):95-102. https://doi.org/10.4269/ajtmh.20-1302

Arima M, Takamiya Y, Furuta A, Siriratsivawong K, Tsuchiya S, Izumi M. Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan. BMJ Open. 2020;10(12):e043728. https://doi.org/10.1136/bmjopen-2020-043728

Seetan K, Al-Zubi M, Rubbai Y, Athamneh M, Khamees A, Radaideh T. Impact of COVID-19 on medical students' mental wellbeing in Jordan. PLoS ONE. 2021;16(6):e0253295. https://doi.org/10.1371/journal.pone.0253295

Vahedian-Azimi A, Moayed MS, Rahimibashar F, Shojaei S, Ashtari S, Pourhoseingholi MA. Comparison of the severity of psychological distress among four groups of an Iranian population regarding COVID-19 pandemic. BMC Psychiatry. 2020;20(1):402. https://doi.org/10.1186/s12888-020-02804-9

Shailaja B, Singh H, Chaudhury S, Thyloth M. COVID-19 pandemic and its aftermath: Knowledge, attitude, behavior, and mental health-care needs of medical undergraduates. Ind Psychiatry J. 2020;29(1):51-60. https://doi.org/10.4103/ipj.ipj_117_20

Zis P, Artemiadis A, Bargiotas P, Nteveros A, Hadjigeorgiou GM. Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students' Burnout and Mental Health. Int J Environ Res Public Health. 2021;18(1):349. https://doi.org/10.3390/ijerph18010349

Al-Husban N, Alkhayat A, Aljweesri M, Alharbi R, Aljazzaf Z, Al-Husban N, et al. Effects of COVID-19 pandemic on medical students in Jordanian universities: A multi-center cross-sectional study. Ann Med Surg (Lond). 2021;67:102466. https://doi.org/10.1016/j.amsu.2021.102466

ElHawary H, Salimi A, Barone N, Alam P, Thibaudeau S. The effect of COVID-19 on medical students' education and wellbeing: a cross-sectional survey. Can Med Educ J. 2021;12(3):92-9. https://doi.org/10.36834/cmej.71261

Pokryszko-Dragan A, Marschollek K, Nowakowska-Kotas M, Aitken G. What can we learn from the online learning experiences of medical students in Poland during the SARS-CoV-2 pandemic? BMC Med Educ. 2021;21(1):450. https://doi.org/10.1186/s12909-021-02884-5

Meo SA, Abukhalaf AA, Alomar AA, Sattar K, Klonoff DC. COVID-19 Pandemic: Impact of Quarantine on Medical Students' Mental Wellbeing and Learning Behaviors. Pak J Med Sci. 2020;36(COVID19-S4):S43-S48. https://doi.org/10.12669/pjms.36.COVID19-S4.2809

Šimić Š, Černy Obrdalj E, Bevanda M, Bevanda D, Rizikalo A, Marijanović I. Impact of COVID-19 Pandemic on Mental Health of Medical Students at the University of Mostar. Psychiatr Danub [Internet]. 2021 [cited 2022 Jan 22];33(Suppl 10):114-9. Available from: https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol33_noSuppl%2010/dnb_vol33_noSuppl%2010_114.pdf

Sousa TV, Viveiros V, Chai MV, Vicente FL, Jesus G, Carnot MJ, et al. Reliability and validity of the Portuguese version of the Generalized Anxiety Disorder (GAD-7) scale. Health Qual Life Outcomes. 2015;13:50. https://doi.org/10.1186/s12955-015-0244-2

Yang KH, Wang L, Liu H, Li LX, Jiang XL. Impact of coronavirus disease 2019 on the mental health of university students in Sichuan Province, China: An online cross-sectional study. Int J Ment Health Nurs. 2021;30(4):875-84. https://doi.org/10.1111/inm.12828

Perissotto T, Silva TCRPD, Miskulin FPC, Pereira MB, Neves BA, Almeida BC, et al. Mental health in medical students during COVID-19 quarantine: a comprehensive analysis across year-classes. Clinics (Sao Paulo). 2021;76:e3007. https://doi.org/10.6061/clinics/2021/e3007

Liu J, Zhu Q, Fan W, Makamure J, Zheng C, Wang J. Online Mental Health Survey in a Medical College in China During the COVID-19 Outbreak. Front Psychiatry. 2020;11:459. https://doi.org/10.3389/fpsyt.2020.00459

Volker D, Zijlstra-Vlasveld MC, Brouwers EP, Homans WA, Emons WH, van der Feltz-Cornelis CM. Validation of the Patient Health Questionnaire-9 for Major Depressive Disorder in the Occupational Health Setting. J Occup Rehabil. 2016;26(2):237-44. https://doi.org/10.1007/s10926-015-9607-0

Shehata WM, Abdeldaim DE. Internet addiction among medical and non-medical students during COVID-19 pandemic, Tanta University, Egypt. Environ Sci Pollut Res Int. 2021;28(42):59945-52. https://doi.org/10.1007/s11356-021-14961-9

Easton SD, Safadi NS, Wang Y, Hasson RG 3rd. The Kessler psychological distress scale: translation and validation of an Arabic version. Health Qual Life Outcomes. 2017;15(1):215. https://doi.org/10.1186/s12955-017-0783-9

Guo K, Zhang X, Bai S, Minhat HS, Nazan AINM, Feng J, et al. Assessing social support impact on depression, anxiety, and stress among undergraduate students in Shaanxi province during the COVID-19 pandemic of China. PLoS ONE. 2021;16(7):e0253891. https://doi.org/10.1371/journal.pone.0253891

Gomez R, Stavropoulos V, Griffiths MD. Confirmatory factor analysis and exploratory structural equation modelling of the factor structure of the Depression Anxiety and Stress Scales-21. PLoS ONE. 2020;15(6):e0233998. https://doi.org/10.1371/journal.pone.0233998

Abuhamdah SMA, Naser AY, Abdelwahab GM, AlQatawneh A. The Prevalence of Mental Distress and Social Support among University Students in Jordan: A Cross-Sectional Study. Int J Environ Res Public Health. 2021;18(21):11622. https://doi.org/10.3390/ijerph182111622

Oró P, Esquerda M, Mas B, Viñas J, Yuguero O, Pifarré J. Effectiveness of a Mindfulness-Based Programme on Perceived Stress, Psychopathological Symptomatology and Burnout in Medical Students. Mindfulness (N Y). 2021:1-10. https://doi.org/10.1007/s12671-020-01582-5

Meng N, Liu Z, Wang Y, Feng Y, Liu Q, Huang J, et al. Beyond Sociodemographic and COVID-19-Related Factors: The Association Between the Need for Psychological and Information Support from School and Anxiety and Depression. Med Sci Monit. 2021;27:e929280. https://doi.org/10.12659/MSM.929280

Publicado

2023-06-07

Como Citar

Garcia, A. C. de O., Carvalho, H. E. de, Florêncio, A. B., Fernandes, B. A., Queiroz, C. A. de, Pereira, R. C., Silva, V. L. Q., & Alves, M. G. (2023). Impactos na saúde mental de estudantes de medicina na pandemia por Coronavírus: revisão integrativa. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 19(2), 108-19. https://doi.org/10.11606/issn.1806-6976.smad.2023.194326