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2023, Number 2

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Salud Mental 2023; 46 (2)

An assessment of mental health of Mexican and Colombian medical students during the COVID-19 pandemic

Pacheco-Tobón DX, Bautista-Soto E, Arellano-Ramírez C, Orozco-García D, Ramos-Ruiz l, Herbales-Martinez E, Porchia LM, Pérez-Fuentes R, Gonzalez-Mejia ME

Language: English
References: 35
Page: 69-82
PDF size: 272.22 Kb.


ABSTRACT

Introduction. The COVID-19 pandemic caused the cessation of academic activities from the face-to-face format to confinement and virtual classes, in which little is studied about its effect on mental health. Objective. Determine levels of depression, anxiety, and stress in medical students in Mexico and Colombia during the COVID-19 pandemic. Furthermore, depression, anxiety, and stress were compared by gender, education status, and country. Method. A cross-sectional study was carried out with 426 medical students. Data was collected using an online survey containing the Depression, Anxiety, Stress Scale (DASS-21) questionnaire. Results. Overall scores for depression, anxiety, and stress were 6.7 ± 1.2, 8.8 ± 1.2, and 5.6 ± 1.2, respectively. Females had significantly higher overall scores for depression (.24-fold increase), anxiety (.25-fold increase), and stress (.40-fold increase) than males (p ≤ .01). The risk for anxiety and stress by school year showed that basic years were associated with higher scores than advanced years (.25 and .38-fold increase, respectively). For females, starting medical school did show an increased risk of depression when compared to male students in their basic years (.38-fold increase). Lastly, students from Mexico had an increased risk for depression and anxiety (p ≤ .022 and p ≤ .004, respectively) but not for stress (p ≤ .402), when compared to students from Colombia. Discussion and conclusion. Significant anxiety and depression were observed in medical students from Mexico and Colombia. Factors associated with an increased risk of depression and anxiety are students in their basic years as well as being female.


REFERENCES

  1. Al-Rabiaah, A., Temsah, M.-H., Al-Eyadhy, A. A., Hasan, G. M., Al-Zamil, F., Al-Subaie, S., ... Somily, A. M. (2020). Middle East Respiratory Syndrome-CoronaVirus (MERS-CoV) associated stress among medical students at a universityteaching hospital in Saudi Arabia. Journal of Infection and Public Health, 13(5),687-691. doi: 10.1016/j.jiph.2020.01.005

  2. Berenzon, S., Lara, M. A., Robles, R., & Medina-Mora, M. E. (2013). Depression:state of the art and the need for public policy and action plans in Mexico. SaludPública de México, 55(1), 74-80.

  3. Berryman, C., Ferguson, C. J., & Negy, C. (2018). Social Media Use and MentalHealth among Young Adults. Psychiatric Quarterly, 89(2), 307-314. doi:10.1007/s11126-017-9535-6

  4. Bibi, A., Lin, M., Zhang, X. C., & Margraf, J. (2020). Psychometric properties andmeasurement invariance of Depression, Anxiety and Stress Scales (DASS-21) across cultures. International Journal of Psychology, 55(6), 916-925. doi:10.1002/ijop.12671

  5. Brenneisen Mayer, F., Souza Santos, I., Silveira, P. S., Itaqui Lopes, M. H., de Souza,A. R., Campos, E. P., ... Tempski, P. (2016). Factors associated to depressionand anxiety in medical students: a multicenter study. BMC Medical Education,16(1), 282. doi: 10.1186/s12909-016-0791-1

  6. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg,N., & Rubin, G. J. (2020). The psychological impact of quarantine and how toreduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. doi:10.1016/S0140-6736(20)30460-8

  7. Cheung, K., Tam, K. Y., Tsang, M. H., Zhang, L. W., & Lit, S. W. (2020). Depression,anxiety and stress in different subgroups of first-year university students from4-year cohort data. Journal of Affective Disorders, 274, 305-314. doi: 10.1016/j.jad.2020.05.041

  8. Diario Oficial de la Federación. (2020). ACUERDO número 23/08/21. Retrievedfrom https://www.dof.gob.mx/nota_detalle.php?codigo=5627244&fecha=20/08/2021

  9. Dyrbye, L. N., Thomas, M. R., & Shanafelt, T. D. (2006). Systematic review ofdepression, anxiety, and other indicators of psychological distress among U.S.and Canadian medical students. Academic Medicine, 81(4), 354-373. doi:

  10. 10.1097/00001888-200604000-0000910. Eysenbach, G. (2004). Improving the quality of Web surveys: the Checklist forReporting Results of Internet E-Surveys (CHERRIES). Journal of MedicalInternet Research, 6(3), e34. doi: 10.2196/jmir.6.3.e34

  11. Fares, J., Al Tabosh, H., Saadeddin, Z., El Mouhayyar, C., & Aridi, H. (2016). Stress,Burnout and Coping Strategies in Preclinical Medical Students. North AmericanJournal of Medical Sciences, 8(2), 75-81. doi: 10.4103/1947-2714.177299

  12. Granados Cosme, J. A., Gómez Landeros, O., Islas Ramírez, M. I., Maldonado Pérez,G., Martínez Mendoza, H. F., & Pineda Torres, A. M. (2020). Depression,Anxiety and Suicidal Behavior in Medical Training at a University in Mexico.Investigación en Educación Médica, 9(35), 65-74. Retrieved from https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=95036

  13. INEGI. (2021). Resultados de la primera encuesta nacional de bienestar autorreportado(ENBIARE). Comunicado de prensa núm. 772/21. Retrieved from: https://www.inegi.org.mx/contenidos/saladeprensa/boletines/2021/EstSociodemo/ENBIARE_2021.pdf

  14. Karim, F., Oyewande, A. A., Abdalla, L. F., Ehsanullah, R. C., & Khan, S. (2020).Social media use and its connection to mental health: asystematic review.Cureus, 12(6), e8627. doi: 10.7759/cureus.8627

  15. Kumar, S. G., Kattimani, S., Sarkar, S., & Kar, S. S. (2017). Prevalence of depressionand its relation to stress level among medical students in Puducherry, India.Industrial Psychiatry Journal, 26(1), 86-90. doi: 10.4103/ipj.ipj_45_15

  16. Loh, L.-C., Ali, A. M., Ang, T.-H., & Chelliah, A. (2006). Impact of a spreadingepidemic on medical students. The Malaysian Journal of Medical Sciences:MJMS, 13(2), 30-36.

  17. Mao, Y., Zhang, N., Liu, J., Zhu, B., He, R., & Wang, X. (2019). A systematicreview of depression and anxiety in medical students in China. BMC MedicalEducation, 19(1), 327. doi: 10.1186/s12909-019-1744-2

  18. Martínez-Martínez, M., Muñoz-Zurita, G., Rojas-Valderrama, K., & Sánchez-Hernández, J. A. (2016). Prevalence of Depressive Symptoms of UndergraduateMedicine Students from Puebla, Mexico. Atención Familiar, 23(4), 145-149.

  19. Ministerio de Salud y Protección Social. (2017). Observatorio nacional de saludmental, ONSM Colombia Guía Metodológica Actualización. Bogotá: Ministeriode Salud. Retrieved from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/guia-ross-salud-mental.pdf

  20. Ministerio de Salud y Protección Social. (2020). Decreto 476 de la República deColombia. Colombia: Presidencia de la República, Secretaría Jurídica deColombia. Retrieved from: https://coronaviruscolombia.gov.co/Covid19/docs/decretos/minsalud/113_decreto_476.pdf

  21. Organisation for Economic Co-operation and Development [OECD]. (2022).Medical Graduates. Retrieved from https://data.oecd.org/healthres/medicalgraduates.htm

  22. Pabón, J. B., Espinosa, J. F. S., Correa, Y. M., Ríos, D. A. V., & Gutiérrez, U. R.(2018). Prevalencia de Sintomatología Depresiva en estudiantes del programade Medicina de la Universidad de Caldas, Manizales-Colombia. Revista Médicade Risaralda, 24(1), 20-23.

  23. Pai, D. R., Ram, S., Madan, S. S., Soe, H. H., & Barua, A. (2014). Causes of stressand their change with repeated sessions as perceived by undergraduate medicalstudents during high-fidelity trauma simulation. The National Medical Journalof India, 27(4), 192-197. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25668162

  24. Ripley, B. D. (2001). The R project in statistical computing. MSOR Connections. TheNewsletter of the LTSN Maths, Stats & OR Network, 1(1), 23-25.

  25. Rubin, G. J., & Wessely, S. (2020). The psychological effects of quarantining a city.BMJ, 368, m313. doi: 10.1136/bmj.m313

  26. Ruiz, F. J., Martín, M. B. G., Falcón, J. C. S., & González, P. O. (2017). The hierarchicalfactor structure of the Spanish version of Depression Anxiety and Stress Scale-21.International Journal of Psychology and Psychological Therapy, 17(1), 97-105.

  27. Saldaña Orozco, C., De Loera Soto, L. A., & Madrigal Torres, B. E. (2017). Evaluationof stress academic levels of medical students of The South University Center.Case: Ciudad Guzmán. Ciencia & Trabajo, 19(58), 31-34. Retrieved fromhttps://www.scielo.cl/pdf/cyt/v19n58/0718-2449-cyt-19-58-00031.pdf

  28. Shigemura, J., Ursano, R. J., Morganstein, J. C., Kurosawa, M., & Benedek, D. M.(2020). Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan:Mental health consequences and target populations. Psychiatry and ClinicalNeurosciences, 74(4), 281-282. doi: 10.1111/pcn.12988

  29. Suárez, V. G., & Fernández, M. d. R. C. (2020). Revolución, saludy humanidad.Revista Cubana deSalud Pública, 46(1), 1-6.

  30. Taylor, M. R., Agho, K. E., Stevens, G. J., & Raphael, B. (2008). Factors influencingpsychological distress during a disease epidemic: Data from Australiaʼs firstoutbreak of equine influenza. BMC Public Health, 8(1), 1-13. doi: 10.1186/1471-2458-8-347

  31. Tsao, S.-F., Chen, H., Tisseverasinghe, T., Yang, Y., Li, L., & Butt, Z. A. (2021). Whatsocial media told us in the time of COVID-19: a scoping review. The LancetDigital Health, 3(3), e175-e194. doi: 10.1016/S2589-7500(20)30315-0

  32. Valencia, P. D. (2022). ¿Es incorrecta la prevalencia de síntomas depresivospresentada en el informe de la Ensanut 2018-19? Salud Pública de México,64(5), 451-452. Retrieved from https://saludpublica.mx/index.php/spm/article/view/13774

  33. Wheaton, M. G., Abramowitz, J. S., Berman, N. C., Fabricant, L. E., & Olatunji, B.O. (2012). Psychological predictors of anxiety in response to the H1N1 (swineflu) pandemic. Cognitive Therapy and Research, 36(3), 210-218. doi: 10.1007/s10608-011-9353-3

  34. World Health Organization. (2020). WHO Director-Generalʼs opening remarks atthe media briefing on COVID-19 - 11 March 2020. Retrieved from https://www.who.int/director-general/speeches/detail/who-director-general-s-openingremarks-at-the-media-briefing-on-covid-19---11-march-2020

  35. Yohannes, A. M., Dryden, S., & Hanania, N. A. (2019). Validity and Responsivenessof the Depression Anxiety Stress Scales-21 (DASS-21) in COPD. Chest, 155(6),1166-1177. doi: 10.1016/j.chest.2018.12.010




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