Avila-Carrasco Lorena, Díaz-Avila Daisy Lorena, Reyes-López Adrian, Monarrez-Espino Joel, Garza-Veloz Idalia, Velasco-Elizondo Perla, Vázquez-Reyes Sodel, Mauricio-González Alejandro, Solís-Galván Jorge Alfonso, Martinez-Fierro Margarita L
Academic Unit of Human Medicine and Health Sciences, Zacatecas Autonomous University, Zacatecas, Mexico.
Pathology and Molecular Diagnosis Laboratory, Academic Unit of Chemical Sciences, Zacatecas Autonomous University, Zacatecas, Mexico.
Front Psychol. 2023 Jan 11;13:1066673. doi: 10.3389/fpsyg.2022.1066673. eCollection 2022.
The social distancing policies implemented by the health authorities during the COVID-19 pandemic in Mexico and elsewhere led to major changes in teaching strategies for college undergraduates. So far, there is limited data regarding the impact of the lockdown on the academic stress and mental health of these students.
To assess the occurrence of academic difficulties, anxiety, depression, and academic stressors resulting in somatization with subsequent coping strategies linked to the pandemic.
A cross-sectional study was conducted with 728 medical students (years 1-5). A purposely designed questionnaire to assess academic difficulties associated with the pandemic was administered electronically. The validated Goldberg anxiety and depression scale was also used, as well as the SISCO-II inventory on academic stress.
Screening for anxiety and depression led to a prevalence of 67.9 and 81.3%, respectively. Most relevant stressors, reported always or nearly always, included professors' evaluations (63.9%), and reading overload of academic papers (50.6%). Factorial analyses showed that women were more prone to stress than men ( < 0.001). Somatization symptomatology included drowsiness or increased need of sleep, anxiety, anguish, desperation, chronic fatigue, and sleep disorders. Common coping strategies included practicing a hobby, done always or nearly always by 65% of students with high stress, and 34% of those with low stress ( < 0.001).
There was a relevant impact of the mandatory lockdown during COVID-19 pandemic on the mental health of medical students reflected in the high prevalence rates of anxiety, depression, and stressors in the studied population pointing to the need for designing and implementing preventive strategies to deal with the effects of lockdowns.
墨西哥及其他地区在新冠疫情期间卫生当局实施的社交距离政策导致大学生教学策略发生重大变化。到目前为止，关于封锁对这些学生学业压力和心理健康影响的数据有限。
评估学业困难、焦虑、抑郁以及导致躯体化的学业压力源的发生情况，以及与疫情相关的后续应对策略。
对728名医学生（1至5年级）进行了一项横断面研究。通过电子方式发放了一份专门设计的问卷，以评估与疫情相关的学业困难。还使用了经过验证的戈德堡焦虑和抑郁量表，以及关于学业压力的SISCO-II量表。
焦虑和抑郁筛查的患病率分别为67.9%和81.3%。报告总是或几乎总是出现的最相关压力源包括教授的评估（63.9%）和学术论文阅读负担过重（50.6%）。因子分析表明，女性比男性更容易受到压力影响（<0.001）。躯体化症状包括嗜睡或睡眠需求增加、焦虑、痛苦、绝望、慢性疲劳和睡眠障碍。常见的应对策略包括培养一种爱好，65%压力大的学生和34%压力小的学生总是或几乎总是这样做（<0.001）。
新冠疫情期间的强制封锁对医学生的心理健康产生了显著影响，研究人群中焦虑、抑郁和压力源的高患病率表明需要设计和实施预防策略来应对封锁的影响。
