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2023, Number 2

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Salud Mental 2023; 46 (2)

Association between level of anxiety and degree of psychosomatic features in medical students at a private university in Northern Peru

Tocto-Solis K, Muñoz AEC, Fiestas-Cordova J, Rodriguez-Saldaña CA

Language: English
References: 25
Page: 55-59
PDF size: 179.01 Kb.


ABSTRACT

Introduction. University students experience multiple academic and social activities that cause enormous anxiety and stress, affecting them psychologically and physically. In this case, the psychosomatic symptoms, resulting from stress and anxiety, are part of a physical ailment and their emergence can be linked to the setting and time when they occur. Objective. To determine the association between anxiety levels and the degree of psychosomatic features (PF). Method. A study with a cross-sectional analytical design was developed, which included a total of 352 medical students from the city of Piura, Peru, to whom the PHQ-15 test was administered through Google Forms. Those with a previous psychiatric diagnosis were excluded. Results. It was found that PF are influenced by being female (RPa = 1.45, CI 95% = [1.23, 1.71], p ≤ .001), and having mild (RPa = 1.11, CI 95% = [1.20, 1.63], p ≤ .001) and moderate anxiety levels (RPa = 1.7, CI 95% = [1.24, 2.34], p = .001). Discussion and conclusion. The presence of a mental condition is necessary for the presence of PF. These stressors create selective alterations of large-scale brain networks involved in the cognitive control, regulation and processing of emotions, stress, and somatic-visceral perception. The study concludes that psychosomatic features are found in approximately 75% of medical students and anxiety in approximately 15%. Mild and moderate anxiety is an influential factor in psychosomatic features, as is being female.


REFERENCES

  1. Alzahrani, A., Alghamdi, A., Alqarni, T., Alshareef, R., & Alzahrani, A. (2019).Prevalence and predictors of depression, anxiety, and stress symptoms amongpatients with type II diabetes attending primary healthcare centers in the westernregion of Saudi Arabia: a cross-sectional study. International Journal of MentalHealth Systems, 13, 48. doi: 10.1186/s13033-019-0307-6

  2. Anton, N. E., Rendina, M. A., Hennings, J. M., Stambro, R., Stanton-Maxey, K. J., &Stefanidis, D. (2021). Association of Medical Students’ Stress and Coping SkillsWith Simulation Performance. Simulation in Healthcare, 16(5), 327-333. doi:10.1097/sih.0000000000000511

  3. Armas-Elguera, F., Talavera, J. E., Cárdenas, M. M., & de la Cruz-Vargas, J. A.(2021). Trastornos del sueño y ansiedad de estudiantes de Medicina del primery último año en Lima, Perú. FEM: Revista de la Fundación Educación Médica,24(3), 133-138. doi: 10.33588/fem.243.1125

  4. Atta, I. S., & Almilaibary, A. (2022). The Prevalence of Stress Among MedicalStudents Studying an Integrative Curriculum During the COVID-19 Pandemic.Advances in Medical Education and Practice, 13, 35-45. doi: 10.2147/amep.s345330

  5. Bartmann, C., Fischer, L. M., Hübner, T., Müller-Reiter, M., Wöckel, A., McNeill,R. V., ... Diessner, J. (2021). The effects of the COVID-19 pandemic onpsychological stress in breast cancer patients. BMC Cancer, 21(1), 1356. doi:10.1186/s12885-021-09012-y

  6. Bulnes-Bedón, M. S., Alvarez-Taco, C. L., & Morales-Isasi C. (2018). Ansiedadsocial y regulación emocional en adolescentes de Lima metropolitana con ysin presencia de síntomas somáticos. Temática Psicológica, 14(14), 51-68. doi:10.33539/tematpsicol.2018.n14.1810

  7. Cabanach, R. G., Souto-Gestal, A., & Fernández Cervantes, R. (2017). Perfilesde regulación emocional y estrés académico en estudiantes de fisioterapia.European Journal of Education and Psychology, 10(2), 57-67. doi: 10.1016/j.ejeps.2017.07.002

  8. de La Rosa-Rojas, G., Chang-Grozo, S., Delgado-Flores L., Oliveros-Lijap L.,Murillo-Pérez D., Ortiz-Lozada R., … Carreazo, N. Y. (2015). Niveles de estrésy formas de afrontamiento en estudiantes de Medicina en comparación conestudiantes de otras escuelas; lima: Universidad Peruana de Ciencias Aplicadas;2015. Gaceta Médica de México, 151(4), 443-449.

  9. Dunstan, D. A., & Scott, N. (2020). Norms for Zung’s Self-rating Anxiety Scale.BMC Psychiatry, 20(1), 90. doi: 10.1186/s12888-019-2427-6

  10. Galiano-Ramírez, M. de la C., Castellanos-Luna, T., & Moreno-Mora, T. (2016).Manifestaciones somáticas en un grupo de adolescentes con ansiedad. RevistaCubana de Pediatría, 88(2), 195-204.

  11. Gutiérrez-Pastor, I., Quesada-Rico, J. A., Gutiérrez-Pastor, A., Nouni-García, R., &Carratalá-Munuera, M. C. (2021). Depresión, ansiedad y salud autopercibida enestudiantes de Medicina: un estudio transversal. Revista Española de EducaciónMédica, 2(2), 21-31.

  12. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: validity of anew measure for evaluating the severity of somatic symptoms. PsychosomaticMedicine, 64(2), 258-266. doi: 10.1097/00006842-200203000-00008

  13. López-Rodríguez, B., García-Gracia, E., Ponce-Martín, P., Arranz-Ballesteros,B., & Parejo-Aguilera, M. C. (2021). Entorno psicosocial y manifestacionespsicosomáticas en enfermeras de una unidad de quirófano. Revista de laAsociación Española de Enfermería Quirúrgica, 46(1885-2548), 21-27.

  14. Maria-Jereyard, K. G., & Bhuvaneswari, U. (2019). Psychosomatic symptoms andHigher Seondary School students. Indian Journal of Applied Research, 9(11).

  15. Nochaiwong, S., Ruengorn, C., Thavorn, K., Hutton, B., Awiphan, R., Phosuya, C., ...Wongpakaran, T. (2021). Global prevalence of mental health issues among thegeneral population during the coronavirus disease-2019 pandemic: a systematicreview and meta-analysis. Scientific Reports, 11(1), 10173. doi: 10.1038/s41598-021-89700-8

  16. Ordóñez-Galeano, R. A. (2020). Depresión y ansiedad en estudiantes de medicina.Revista Ciencia Multidisciplinaria CUNORI, 4(2), 15-21. doi: 10.36314/cunori.v4i2.123

  17. Quito-Calle, J. V., Tamayo-Piedra, M. del C., Buñay-Barahona, D. P., & Neira-Cardenas, O. S. (2017). Estrés académico en estudiantes de tercero debachillerato de unidades educativas particulares del Ecuador. RevistaElectrónica de Psicología Iztacala, 20(3), 253-276.

  18. Robles-Mariños, R., Angeles, A. I., & Alvarado, G. F. (2022). Factores asociados conla ansiedad por la salud en estudiantes de Medicina de una universidad privadaen Lima, Perú. Revista Colombiana de Psiquiatría, 51(2), 89-98. doi: 10.1016/j.rcp.2020.11.002

  19. Rossetti, M. G., Delvecchio, G., Calati, R., Perlini, C., Bellani, M., & Brambilla,P. (2021). Structural neuroimaging of somatoform disorders: A systematicreview. Neuroscience & Biobehavioral Reviews, 122, 66-78. doi: 10.1016/j.neubiorev.2020.12.017

  20. Sajid, A., Ahmad, T., & Khalid, T. (2015). Stress in medical undergraduates; itsassociation with academic performance. Bangladesh Journal of MedicalScience, 14(2), 135-141. doi: 10.3329/bjms.v14i2.21815

  21. Salam, A., Mahadevan, R., Abdul Rahman, A., Abdullah, N., Abd Harith, A. A.,& Shan, C. P. (2015). Stress among First and Third Year Medical Students atUniversity Kebangsaan Malaysia. Pakistan Journal of Medical Sciences, 31(1),169-173. doi: 10.12669/pjms.311.6473

  22. Saravia-Bartra, M. M., Cazorla-Saravia, P., & Cedillo-Ramirez, L. (2020). Nivel deansiedad de estudiantes de medicina de primer año de una universidad privadadel Perú en tiempos de Covid-19. Revista de la Facultad de Medicina Humana,20(4), 568-573. doi: 10.25176/rfmh.v20i4.3198

  23. Tollos, I., Theodorakopoulou, A., & Christodoulou, G. N. (2021). Stress andpathophysiological mechanisms for the development of psychosomatic disease.Psychiatriki, 32(2), 148-156. doi: 10.22365/jpsych.2021.023

  24. Trebin, E. (2020). Psychosocial and Somatoform Disorders. Deutsches ÄrzteblattInternational, 116(8), 134. doi: 10.3238/arztebl.2020.0134a

  25. Uribe-Prado, J. F. (2020). Riesgos psicosociales, burnout y factores psicosomáticosen servidores públicos. Investigación Administrativa, 49, 125. doi: 10.35426/iav49n125.03




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