Common mental disorders among medical students
systematic review and meta-analysis of Brazilian studies
Palavras-chave:
Mental health, Education, medical, undergraduate, Review [publication type], BrazilResumo
BACKGROUND: Common mental disorders (CMDs) have been correlated with consequences in different domains of life. OBJECTIVE: To summarize the prevalence rates of CMDs and factors associated with them among students at Brazilian medical schools. DESIGN AND SETTING: Systematic review and meta-analysis of studies developed in Brazilian medical schools. METHODS: In October 2021, searches were carried out in seven electronic databases, in Google Scholar and in reference lists. Observational studies reporting prevalence rates of CMDs among students at Brazilian medical schools were sought. Variables associated with CMDs arising from multivariate regression models were included in the synthesis. A meta-analysis was developed using a random-effects model and the risk of bias was assessed using an instrument developed from previous references. RESULTS: Fourteen original studies were included. The pooled prevalence rate of CMDs among under-graduate students at Brazilian medical schools was 43.3% (95% confidence interval = 38.9% to 47.6%; I2 = 87%; n = 3,927). Among the nine studies in which multivariate analyses were conducted, five showed risk associations between CMDs and medical school-related dissatisfactions, among which the desire to abandon the medical course can be highlighted (n = 3). In three studies, CMDs were associated with sleep indicators. CONCLUSION: Considering that the prevalence of CMDs among medical students is higher than in the general population, we recommend that Brazilian medical schools should give greater attention to this topic, and should enable expansion of care offerings relating to mental health. SYSTEMATIC REVIEW REGISTRATION: Prospective register of Systematic Reviews (PROSPERO) database (CRD42020142184).
Downloads
Referências
Purim KS, Guimarães AT, Titski AC, Leite N. Sleep deprivation and drowsiness of medical residents and medical students. Rev Col Bras Cir. 2016;43(6):438-44. PMID: 28273216; https://doi.org/10.1590/0100-69912016006005
Vieira JL, Romera LA, Lima MCP. Lazer entre universitários da área da saúde: revisão de literatura [Leisure among university students in the healthcare area: a review of the literature]. Cien Saude Colet. 2018;23(12):4221-9. PMID: 30540005; https://doi.org/10.1590/1413-812320182312.31012016
Santa ND, Cantilino A. Suicídio entre médicos e estudantes de medicina: revisão de literatura [A Review of Literature on Suicide among Doctors and Medical Students]. Rev Bras Educ Med. 2016;40(4):772-80. https://doi.org/10.1590/1981-52712015v40n4e00262015
Lessa RT, Fonseca LANS, Silva VL, et al. A privação do sono e suas implicações na saúde humana: uma revisão sistemática da literatura. Rev Eletr Acervo Saude. 2020;56:e3846. https://doi.org/10.25248/reas.e3845.2020
Pacheco JP, Giacomin HT, Tam WW, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Braz Psychiatry. 2017;39(4):369-78. PMID: 28876408; https://doi.org/10.1590/1516-4446-2017-2223
Goldberg D, Huxley P. Common mental disorders: a bio-social model. Acta Psychiatr Scand Suppl. 1994;385:66-70. PMID: 7740974; https://doi.org/10.1111/j.1600-0447.1994.tb05916.x
Santos GBVD, Alves MCGP, Goldbaum M, Cesar CLG, Gianini RJ. Prevalência de transtornos mentais comuns e fatores associados em moradores da área urbana de São Paulo, Brasil [Prevalence of common mental disorders and associated factors in urban residents of São Paulo, Brazil]. Cad Saude Publica. 2019 Oct 31;35(11):e00236318. PMID: 31691788; https://doi.org/10.1590/0102-311X00236318
Ferreira CMG, Kluthcovsky, ACGC, Cordeiro TMG. Prevalence of Common Mental Disorders and associated factors among Medical students: a Comparative Study. Rev Bras Educ Med. 2016;40(2):268-77. https://doi.org/10.1590/1981-52712015v40n2e02812014
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10(1):89. PMID: 33781348; https://doi.org/10.1186/s13643-021-01626-4
Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs. 2004;1:176-84. PMID: 17163895; https://doi.org/10.1111/j.1524-475X.2004.04006.x
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557-60. PMID: 12958120; https://doi.org/10.1136/bmj.327.7414.557
Almeida ADM, Godinho TM, Bitencourt AGV, et al. Common Mental Disorders among Medical students. Rev Bras Psiquiatr. 2007;56(4):245-251. https://doi.org/10.1590/S0047-20852007000400002
Aragão JCS, Casiraghi B, Mota EM, et al. Saúde mental em estudantes de Medicina [Mental health in medical students]. Rev Estud Investig Psicol Educ. 2014;14:38-41. https://doi.org/10.17979/reipe.2017.0.14.2267
Bellinati YCG, Campos GAL. Avaliação da prevalência de transtornos mentais comuns nos estudantes de medicina em uma faculdade do interior de São Paulo. Rev Corp Hippoc 2020;1(1). Available from: http://revistas.unilago.edu.br/index.php/revista-medicina/article/view/235 Accessed in 2022 (May 24).
Costa, EFO, Andrade TM; Silvany Neto, AM, et al. Common Mental Disorders among medical students at Universidade Federal de Sergipe: a cross-sectional study. Rev Bras Psiquiatr. 2010;32(1):11-9. PMID: 20339730; https://doi.org/10.1590/S1516-44462010000100005
Costa EFO, Mendes CMC, Andrade TM. Common Mental Disorders in Medical students: A repeated cross-sectional study over six years. Rev Assoc Med Bras. 2017;63(9):771-8. https://doi.org/10.1590/1806-9282.63.09.771
Fiorotti KP, Rossoni RR, Borges LH, Miranda AE. Transtornos mentais comuns entre os estudantes do curso de medicina: prevalência e fatores associados [Common mental disorders in medical students: prevalence and associated factors]. J Bras Psiquiatr. 2010;59(1):17-23. https://doi.org/10.1590/S0047-20852010000100003
Grether EO, Becker MC, Menezes HM, Nunes CRDO. Prevalência de Transtornos Mentais Comuns entre estudantes de Medicina da Universidade Regional de Blumenau (SC) [Prevalence of Common Mental Disorders in Medical Students from Universidade Regional de Blumenau – SC]. Rev Bras Educ Med. 2019;43(suppl.1):276-85. https://doi.org/10.1590/1981-5271v43suplemento1-20180260
Lima MCP, Domingues MS, Cerqueira ATAR. Prevalência e fatores de risco para transtornos mentais comuns entre estudantes de medicina [Prevalence and risk factors of common mental disorders among medical students]. Rev Saúde Pública. 2006;40(6):1035-41. PMID: 17173160; https://doi.org/10.1590/S0034-89102006000700011
Lima MCP, Cerqueira AT, Dantas CL, et al. O trote e a saúde mental de estudantes de Medicina [Hazing and the Mental Health of Medical Students]. Rev Bras Educ Med. 2017;41(2):110-20. https://doi.org/10.1590/1981-52712015v41n2rb20160025
Medeiros MRB, Camargo JF, Barbosa LAR, Caldeira AP. Saúde mental de ingressantes no curso médico: uma abordagem segundo o sexo [Mental health of first-year academics in the Medical school: a gender approach]. Rev Bras Educ Med. 2018;42(3):214-21. https://doi.org/10.1590/1981-52712015v42n3rb20170008
Melado ASSG, Vitorino FAC, Szpilman ARM, Poton WL. Prevalence and risk factors associated with Common Mental Disorders among Medical students. Rev Bras Med Fam Comunidade. 2019;14(41):1911. https://doi.org/10.5712/rbmfc14(41)1911
Santos LS, Ribeiro IJS, Boery EM, Boery RNSO. Quality of life and common mental disorders among Medical students. Cogitare Enferm. 2017;22(4):e52126. http://dx.doi.org/10.5380/ce.v22i4.52126
Silva AG, Cerqueira ATAR, Lima MCP. Social support and common mental disorder among medical students. Rev Bras Epidemiol. 2014;17:229-42. PMID: 24896795; https://doi.org/10.1590/1415-790X201400010018ENG
Conselho Federal de Psicologia. Testes Desfavoráveis [Unfavorable tests]. Available from: https://satepsi.cfp.org.br/testesDesfavoraveis.cfm Accessed in 2022 (Jan 14).
Mari JJ, Williams P. A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using Relative Operating Characteristic (ROC) analysis. Psychol Med 1985;15(3):651-9. PMID: 4048323; https://doi.org/10.1017/s0033291700031500
Soares PSM, Meucci RD. Epidemiologia dos Transtornos Mentais Comuns entre mulheres na zona rural de Rio Grande, RS, Brasil [Epidemiology of Common Mental Disorders among women in the rural zones of Rio Grande, RS, Brazil]. Cien Saúde Coletiva. 2020;25(8):3087-3095. PMID: 32785544; https://doi.org/10.1590/1413-81232020258.31582018
Moehlecke M, Blume CA, Cureau FV, Kieling C, Schaan BD. Self-perceived body image, dissatisfaction with body weight and nutritional status of Brazilian adolescents: a nationwide study. J Pediatr (Rio J). 2020;96(1):76-83. PMID: 30098939; https://doi.org/10.1016/j.jped.2018.07.006
Quadros LCM, Quevedo LA, Gonçalves DH, et al. Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort. Rev Bras Enferm. 2020;73(1): e20180162. https://doi.org/10.1590/0034-7167-2018-0162
Santos FS, Maia CRC, Faedo FC, et al. Estresse em Estudantes de Cursos Preparatórios e de Graduação em Medicina [Stress among pre-university and undergraduate Medical students]. Rev Educ Med Bras. 2017;41(2):194-200. https://doi.org/10.1590/1981-52712015v41n2RB20150047
Gomes MJ, Monteiro M, Damasceno AM, Almeida TJS. Evasão acadêmica no ensino superior: estudo na área da saúde [Academic evasion in superior education – study in the area of the health]. Rev Bras Pesq Saúde. 2010;12(1):6-13. Available from: https://periodicos.ufes.br/rbps/article/view/278 Accessed in 2022 (Jan 14).
Ramos-Cerqueira ATA, Lima MCP. A formação da identidade do médico: implicações para o ensino de graduação em Medicina [The establishment of the physician’s identity: implications for undergraduate medical teaching]. Interface. 2002;6(11):107-16. https://doi.org/10.1590/S1414-32832002000200008
Benedetto MAC, Gallian DMC. Narrativas de estudantes de Medicina e Enfermagem: currículo oculto e desumanização em saúde [The narratives of medicine and nursing students: the concealed curriculum and the dehumanization of health care]. Interface. 2018;22(67):1197-1207. https://doi.org/10.1590/1807-57622017.0218
Barnes CM, Drake CL. Prioritizing sleep health: public health policy recommendations. Perspect Psychol Sci. 2015;10(6):733-7. PMID: 26581727; https://doi.org/10.1177/1745691615598509
Morgan HL, Petry AF, Licks PAK, et al. Consumo de estimulantes cerebrais por estudantes de Medicina de uma universidade do extremo sul do Brasil: prevalência, motivação e efeitos percebidos [The consumption of brain stimulants by Medical students at a university in Southern Brazil: prevalence, motivation, and perceived effects]. Rev Bras Educ Med. 2017;41(1):102-9. https://doi.org/10.1590/1981-52712015v41n1rb20160035
Downloads
Publicado
Como Citar
Edição
Seção
Licença

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.