Medicine Course, Faculty of Health Sciences, Federal University of Rondonópolis, Rondonópolis, Brazil.
Psychology Course, Institute of Human and Natural Sciences, Federal University of Rondonópolis, Rondonópolis, Brazil.
BMC Med Educ. 2022 Sep 19;22(1):684. doi: 10.1186/s12909-022-03752-6.
Medical students have a considerable prevalence of anxiety and substance use disorders. Our aim was to assess the presence of anxiety disorders and the use of alcohol and licit and illicit substances, and their influence on the academic performance of medical students.
This is a cross-sectional, non-experimental pilot study, with quantitative analyses, in which 67 medical students at the Federal University of Rondonópolis, Mato Grosso, Brazil (UFR), were evaluated through the application of non-invasive anxiety assessment instruments, screening for involvement with tobacco, alcohol and other substances, related to school performance coefficient, between June 2019 and March 2020.
Worse academic performance was associated with frequent use of tobacco and its derivatives (p = 0.0022), marijuana (p = 0.0020), hypnotics and sedatives (p = 0.0138). Also, the performance was negatively correlated with the use of tobacco (p = 0.0004), alcoholic beverages (p = 0.0261), cannabis (p = 0.0075), sedatives (p = 0.0116) and trait anxiety (p = 0.0036). Greater trait anxiety intensity was associated with previous use of tobacco (p = 0.0276), marijuana (p = 0.0466), amphetamines/ecstasy (p = 0.0151), and hypnotics/sedatives (p = 0.0103). State anxiety was positively correlated with heavy alcohol use (p = 0.0434). Higher state anxiety intensity was related to needing intervention due to the use of amphetamines/ecstasy (p = 0.00379). Students from the intermediate classes of the course (3rd and 4th years) had a higher frequency and intensity of use of tobacco and its derivatives (p = 0.0133), amphetamines or ecstasy (p = 0.0006), and inhalants (p = 0.0256).
Worse academic performance in medical students was correlated with licit and illicit substances use and anxiety disorders. Mid-course students had a higher frequency and intensity of substance use.
医学生中焦虑症和物质使用障碍的发生率相当高。我们旨在评估焦虑症的存在以及酒精和合法及非法物质的使用情况，及其对医学生学业成绩的影响。
这是一项横断面、非实验性的试点研究，采用定量分析方法，于 2019 年 6 月至 2020 年 3 月期间，对巴西朗多尼亚联邦大学（UFR）的 67 名医学生进行了非侵入性焦虑评估工具的应用、烟草、酒精和其他物质的使用情况筛查，与学业成绩系数相关。
较差的学业成绩与频繁使用烟草及其衍生物（p=0.0022）、大麻（p=0.0020）、催眠镇静剂（p=0.0138）有关。此外，成绩与使用烟草（p=0.0004）、含酒精饮料（p=0.0261）、大麻（p=0.0075）、镇静剂（p=0.0116）和特质焦虑（p=0.0036）呈负相关。较高的特质焦虑强度与之前使用烟草（p=0.0276）、大麻（p=0.0466）、苯丙胺/摇头丸（p=0.0151）和催眠镇静剂（p=0.0103）有关。状态焦虑与大量饮酒呈正相关（p=0.0434）。较高的状态焦虑强度与因使用苯丙胺/摇头丸而需要干预有关（p=0.00379）。课程中间阶段（3 年级和 4 年级）的学生更频繁和高强度地使用烟草及其衍生物（p=0.0133）、苯丙胺或摇头丸（p=0.0006）和吸入剂（p=0.0256）。
医学生较差的学业成绩与合法和非法物质的使用以及焦虑症有关。中年级学生更频繁和高强度地使用物质。
