Programa de Pós-Graduação em Medicina e Saúde, Universidade Federal da Bahia, Salvador, BA, Brazil.
Braz J Psychiatry. 2010 Mar;32(1):11-9. doi: 10.1590/s1516-44462010000100005.
Estimate the prevalence of common mental disorder and its associated factors among medical students of the Universidade Federal de Sergipe.
A cross-sectional study was carried out, applying Self Reporting Questionnaire-20 to 473 students from the 512 medical students enrolled in 2006 and compared with compared with a structured questionnaire by the authors containing information on the socio-demographic characteristics, the teaching-learning process and the psycho-emotional experiences of the students. Freshmen were excluded after initial comparison with the students already exposed to the medical course. Statistical analysis by multiple logistic regression after calculating simple and adjusted odds ratio (OR).
The general prevalence of common mental disorder was 40% (n = 473); after exclusion of the freshmen it increased to 42.5% among students from the 2nd to the 12th semester. It was higher among those who did not have faith in their acquisition of the skills needed to become a good doctor (OR = 2.82), who felt less comfortable about course activities (OR = 3.75), who considered themselves emotionally stressed (OR = 2.14), among those who did not consider themselves happy (OR = 2.85), who believed that the course did not match their expectations (OR = 1.64) and those who had a prior diagnosis of mental disorder by a psychiatrist (OR = 3.78).
The results suggest the necessity of changes to the teaching-learning process and the establishment of a preventive mental health program for medical students.
估计塞尔希培联邦大学医学生常见精神障碍的患病率及其相关因素。
采用横断面研究,对 2006 年入学的 512 名医学生中的 473 名学生应用自我报告问卷-20 进行调查,并与作者编写的包含社会人口统计学特征、教学过程和学生心理情绪体验信息的结构化问卷进行比较。最初将新生与已接触医学课程的学生进行比较后,将其排除在外。使用多逻辑回归进行统计分析,计算简单和调整后的比值比(OR)。
常见精神障碍的总患病率为 40%(n=473);排除新生后,第 2 至第 12 学期的学生患病率增加到 42.5%。那些对自己获得成为一名好医生所需技能没有信心(OR=2.82)、对课程活动感到不自在(OR=3.75)、认为自己情绪紧张(OR=2.14)、不认为自己快乐的(OR=2.85)、认为课程不符合他们的期望(OR=1.64)以及那些曾被精神科医生诊断为精神障碍的学生(OR=3.78)的患病率更高。
结果表明有必要改变教学过程,并为医学生建立预防心理健康计划。