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[在新冠疫情背景下,秘鲁阿亚库乔市医学专业学生的抑郁、压力和焦虑状况]

[Depression, stress and anxiety in students of human medicine in Ayacucho (Peru) in the context of the COVID-19 pandemic].

作者信息

Sandoval Kenyo D, Morote-Jayacc Pilar V, Moreno-Molina Melissa, Taype-Rondan Alvaro

机构信息

Universidad Nacional de San Cristóbal de Huamanga, Ayacucho, Perú.

Sociedad Científica Médico Estudiantil San Cristóbal, Ayacucho, Perú.

出版信息

Rev Colomb Psiquiatr. 2021 Nov 9. doi: 10.1016/j.rcp.2021.10.005.

DOI:10.1016/j.rcp.2021.10.005
PMID:34776545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8576172/
Abstract

OBJECTIVE

To evaluate rates of anxiety, depression and stress, as well as associated factors and changes in habits, among students of human medicine from the Universidad Nacional San Cristóbal de Huamanga [San Cristóbal of Huamanga University] (UNSCH), located in Ayacucho (Peru), in the context of the COVID-19 pandemic.

METHODS

A cross-sectional study was conducted through a virtual survey. The Depression Anxiety Stress Scale-21 (DASS-21) was used. To evaluate associated factors, prevalence ratios (PR) were estimated using Poisson regression with robust variance.

RESULTS

A total of 284 surveys were analysed (48.2% women; median age 22 years). Rates of (at least moderate) depression, anxiety and stress were 24.3%, 28.5% and 13.0%, respectively. Adjusted analyses found that having completed fewer years of study, being Catholic and having a chronic disease were associated with a higher rate of anxiety, while being of a younger age was associated with a higher rate of stress. The students reported mostly decreased physical activity, as well as increased Internet and social media use, hours of sleep, hours spent in front of a screen, food intake, and weight, during the COVID-19 pandemic.

CONCLUSIONS

In the context of the pandemic, despite the changes in habits described, rates of depression, anxiety and stress were lower than in previous studies in students in the health sciences. The higher rate of anxiety was associated with being in an earlier academic year, Catholicism and chronic diseases, while the higher rate of stress was associated with being of a younger age.

摘要

目的

评估位于秘鲁阿亚库乔的华曼加圣克里斯托瓦尔国立大学(UNSCH)人类医学专业学生在新冠疫情背景下的焦虑、抑郁和压力发生率,以及相关因素和习惯变化。

方法

通过虚拟调查开展一项横断面研究。使用抑郁焦虑压力量表21(DASS - 21)。为评估相关因素,采用稳健方差的泊松回归估计患病率比(PR)。

结果

共分析了284份调查问卷(女性占48.2%;中位年龄22岁)。(至少中度)抑郁、焦虑和压力的发生率分别为24.3%、28.5%和13.0%。校正分析发现,学习年限较少、为天主教徒和患有慢性病与较高的焦虑发生率相关,而年龄较小与较高的压力发生率相关。学生们报告称,在新冠疫情期间,他们的身体活动大多减少,而上网和使用社交媒体的时间、睡眠时间、在屏幕前花费的时间、食物摄入量和体重均有所增加。

结论

在疫情背景下,尽管有所述的习惯变化,但抑郁、焦虑和压力的发生率低于此前对健康科学专业学生的研究。较高的焦虑发生率与处于较早学年、天主教信仰和慢性病有关,而较高的压力发生率与年龄较小有关。

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