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Investigación en Educación Médica

2024, Number 49

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Inv Ed Med 2024; 13 (49)

Psychological distress and academic performance in medical students: A comparative study by sex

Jaimes-Medrano AL, Aburto-Arciniega MB, Urrutia-Aguilar ME, Caraveo-Anduaga JJ

Language: Spanish
References: 32
Page: 9-17
PDF size: 368.11 Kb.


ABSTRACT

Background: Psychological distress is prevalent among medical students, with a higher incidence observed among female students. This period is characterized by lifestyle changes resulting from the academic demands associated with medical training, which can adversely affect academic performance.
Objective: The objective of this study was to examine the differences among 􀁭rst-year medical students at UNAM School of Medicine with psychological distress and its correlation with academic performance
Method: , observational, and cross-sectional study. The sample consisted of 356 first-year medical students. Psychological discomfort was measured with the General Health Questionnaire (CGS-12). The dependent variable was the academic performance, which was obtained with the average of the grades obtained in midterm exams from de basic sciences courses.
Results: Among the students, 53.9% reported experiencing psychological distress, with women accounting for 70% of this group. Signi􀁭cant differences were found when comparing the average grades of medical students with psychological distress.
Conclusions: It is necessary to implement specific interventions with cognitive-behavioral and/or behavioral- contextual approaches that favor the development of self-efficacy among students with psychological distress, given that in the last decade a higher percentage of women has been observed in undergraduate enrollment of medical school. Likewise, contribute to a better academic performance and reduce the school dropout risk; in addition to promoting their mental and physical well-being.


REFERENCES

  1. Arias-De la Torre J, Fernández-Villa T, Molina AJ, Amezcua-Prieto C, Mateos R, Cancela JM, et al. Psychologicaldistress, family support and employment status in firstyearuniversity students in Spain. Int J Environ Res PublicHealth. 2019;16(7). https://doi.org/10.3390/ijerph16071209.

  2. Moffat KJ, McConnachie A, Ross S, Morrison JM. First yearmedical student stress and coping in a problem-based learningmedical curriculum. Med Educ. 2004;38(5):482-491.http://doi:10.1046/j.1365-2929.2004.01814.x.

  3. McMillan FD. What is distress? A complex answer to a simplequestion. En: Mental health and well-being in animals.CABI Wallingford UK; 2020. p. 140-55.

  4. Drapeau A, Marchand A, Beaulieu-Prevost D. Epidemiologyof Psychological Distress [Internet]. Mental Illnesses- Understanding, Prediction and Control. In Tech. 2012.Disponible en: http://dx.doi.org/10.5772/30872.

  5. Dyrbye LN, Thomas MR, Shanafelt TD. Systematic reviewof depression, anxiety, and other indicators of psychologicaldistress among U.S. and Canadian medical students. AcadMed. 2006;81(4):354-73.

  6. Rafique N, Al-Asoom LI, Latif R, Al Sunni A, Wasi S. Comparinglevels of psychological stress and its inducing factors amongmedical students. J Taibah Univ Med Sci. 2019;14(6):488-94.https://doi.org/10.1016/j.jtumed.2019.11.002.

  7. Dyrbye LN, Harper W, Durning SJ, Moutier C, Thomas MR,Massie FS, et al. Patterns of distress in US medical students.Med Teach. 2011;33(10):834-9.

  8. Lyndon MP, Strom JM, Alyami HM, Yu TC, Wilson NC,Singh PP, et al. The relationship between academic assessmentand psychological distress among medical students:a systematic review. Perspect Med Educ. 2014;3(6):405-18.

  9. Damiano RF, de Oliveira IN, Ezequiel O da S, LucchettiAL, Lucchetti G. The root of the problem: identifying majorsources of stress in Brazilian medical students and developingthe Medical Student Stress Factor Scale. Braz J Psychiatry.2020;43(1):35-42.

  10. Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM.A prospective analysis of stress and academic performancein the first two years of medical school. Med Educ. 1999;33(4):243-50.

  11. Sohail N. Stress and academic performance among medicalstudents. J Coll Physicians Surg Pak. 2013;23(1):67-71.

  12. Fouilloux C, Barragan V, Ortiz S, Jaimes A, Urrutia E, Guevara-Guzmán R. Síntomas depresivos y rendimiento académicoen estudiantes de medicina. Salud Ment. 2013;36:59-65.

  13. Urrutia AME, Ortiz LS, Fouilloux MC, et al. El rendimientoacadémico en el primer año de la carrera de médico cirujano:modelo multivariado explicativo. Gac Med Mex.2014;150(Suppl: 3):324-330.

  14. Dendle C, Baulch J, Pellicano R, Hay M, Lichtwark I,Ayoub S, et al. Medical student psychological distress andacademic performance. Med Teach. 2018;40(12):1257-63.https://doi.org/10.1080/0142159X.2018.1427222.

  15. March-Amengual JM, Cambra Badii I, Casas-Baroy JC,Altarriba C, Comella Company A, Pujol-Farriols R, et al.Psychological Distress, Burnout, and Academic Performancein First Year College Students. Int J Environ ResPublic Health. 2022;19(6):3356.

  16. Maser B, Danilewitz M, Guérin E, Findlay L, Frank E. MedicalStudent Psychological Distress and Mental Illness Relativeto the General Population: A Canadian Cross-SectionalSurvey. Acad Med. 2019;94(11):1781-91.

  17. Abdulghani HM, AlKanhal AA, Mahmoud ES, PonnamperumaGG, Alfaris EA. Stress and Its Effects on MedicalStudents: A Cross-sectional Study at a College of Medicinein Saudi Arabia. J Health Popul Nutr. 2011;29(5):516-22.

  18. Guerrero LJB, Heinze MG, Ortiz LS, et al. Factores quepredicen depresión en estudiantes de medicina. Gac MedMex. 2013;149(6):598-604.

  19. Tadeo-Álvarez MA, Munguía-Ortíz CD, Benítez-López V, etal. Presence of depressive symptoms in medical students in aMexican public university. Salud Ment. 2019;42(3):131-136.

  20. Facultad de Medicina de la UNAM. Informe de labores 2016a 2022. [consultado 8 Jul 2023] Disponible en: http://www.facmed.unam.mx/index.php?_id_=_dir_dir&_id_ab_=7

  21. Gnambs T, Staufenbiel T. The structure of the GeneralHealth Questionnaire (GHQ-12): two meta-analyticfactor analyses. Health Psychol Rev. 2018;12(2):179-194.http://doi:10.1080/17437199.2018.1426484

  22. Caraveo-Anduaga JJ, Martínez NA, Saldívar G, López J. JL,Saltijeral MaT. Performance of the GHQ-12 in relation tocurrent and lifetime CIDI psychiatric diagnoses: GHQ-12in relation to CIDI diagnoses. Salud Ment. 1998;21(4):1-11.

  23. Mendoza MR, Medina-Mora ME. Validez de una versión delCuestionario General de Salud, para detectar psicopatologíaen estudiantes universitarios. Salud Ment. 1987;10(3):90-7.

  24. Yusoff MS, Rahim AF, Baba AA, Ismail SB, Esa AR. A Studyof Psychological Distress in Two Cohorts of First-Year MedicalStudents that Underwent Different Admission SelectionProcesses. Malays J Med Sci. 2012;19(3):29-35.

  25. Heinen I, Bullinger M, Kocalevent RD. Perceived stress infirst year medical students - associations with personal resourcesand emotional distress. BMC Med Educ. 2017;17(1):1-14. https://doi.org/10.1186/s12909-016-0841-8.

  26. Gaceta Facultad de Medicina. Lineamientos para la evaluacióndel alumnado en la primera fase de la Licenciatura deMédico Cirujano [Internet]. Sec. Año II Numero especialsep 14, 2014. Disponible en: https://bit.ly/3RDHI7M.

  27. Idowu OM, Adaramola OG, Aderounmu BS, Olugbamigbe ID,Dada OE, Osifeso AC, et al. A gender comparison of psychologicaldistress among medical students in Nigeria during theCoronavirus pandemic: a cross-sectional survey. Afr HealthSci. 2022;22(1):541-50. https://doi.org/10.4314/ahs.v22i1.63

  28. Auerbach RP, Mortier P, Bruffaerts R, Alonso J, Benjet C,Cuijpers P, et al. WHO world mental health surveys internationalcollege student project: Prevalence and distributionof mental disorders. J Abnorm Psychol. 2018;127(7):623-38.https://doi.org/10.1037/abn0000362.

  29. Riecher-Rössler A. Sex and gender differences in mental disorders.Lancet Psychiatry. 2017;4(1):8-9. https://doi.org/10.1016/S2215-0366(16)30348-0

  30. Kuehner C. Why is depression more common among womenthan among men? Lancet Psychiatry. 2017;4(2):146-58.https://doi.org/10.1016/S2215-0366(16)30263-2

  31. Elias SM, MacDonald S. Using past performance, proxyefficacy, and academic self-efficacy to predict collegeperformance. J Appl Soc Psychol. 2007;37(11):2518-31.http://doi:10.1111/j.1559-1816.2007.00268.x

  32. Honicke T, Broadbent J. The influence of academic self-efficacyon academic performance: a systematic review. Educ Res Rev.2016;17:63-84. https://doi.org/10.1016/j.edurev.2015.11.002




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