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Depresión y ansiedad en estudiantes de medicina en la educación virtual durante la pandemia por COVID-19 / Depression and anxiety among medical students in virtual education during COVID-19 pandemic
Resumen
Resumen
Introducción: el confinamiento derivado de la declaración de pandemia por SARS-CoV-2 en marzo de 2020 por la Organización Mundial de la Salud alteró las actividades diarias, incluidas las académicas, que se adaptaron a la virtualidad. En Ecuador, la nueva modalidad de estudio tuvo un aumento del uso de dispositivos electrónicos que desencadenó nuevos problemas.
Objetivo: determinar la prevalencia de depresión y ansiedad en estudiantes de medicina de la Universidad Central del Ecuador en el ciclo de educación virtual durante la pandemia por COVID-19.
Material y métodos: estudio analítico transversal realizado entre junio y julio de 2021 en estudiantes de medicina de primero a décimo semestre durante la educación virtual. Por medio de una encuesta electrónica enviada a todos los sujetos de estudio, se evaluaron las variables depresión y ansiedad mediante las escalas BDI-II y GAD-7 respectivamente. Además, se recopilaron datos sociodemográficos, incluido el APGAR familiar. Se obtuvo una tasa de respuesta del 63.3% (1528 estudiantes).
Resultados: la prevalencia de depresión fue de 37.8% y la de ansiedad 30.3%. Los estudiantes de años inferiores fueron los más afectados. Los factores protectores fueron la actividad física y el apoyo psicológico en la religión, mientras que los factores de riesgo fueron tener una familia disfuncional, la ausencia de un espacio exclusivo de estudio y un bajo rendimiento académico. Asimismo, la frecuencia de depresión y ansiedad fue significativamente superior en mujeres.
Conclusión: durante la modalidad virtual se observó una alta prevalencia de sintomatología de depresión y ansiedad en estudiantes de medicina.
Abstract
Background: The lockdown derived from the declaration of a pandemic due to SARS-CoV-2 in March 2020 by the World Health Organization altered daily activities, including the academic ones, which were adapted to virtuality. In Ecuador, the new modality of study had an increase in the use of electronic devices that triggered new problems.
Objective: To stablish the prevalence of depression and anxiety among medical students from the Universidad Central del Ecuador (Central University of Ecuador) in virtual education during the COVID-19 pandemic.
Material and methods: Cross-sectional analytic study conducted between June and July of 2021 in students from first to tenth semester during virtual education. All studied subjects were evaluated using an electronic survey, depression and anxiety variables were assessed with the BDI-II and GAD-7 scales, respectively. In addition, sociodemographic data were collected, including the family APGAR. A response rate of 63.3% (1528 students) was obtained.
Results: Overall prevalence of depression was 37.8% and the prevalence of anxiety 30.3%. Lower-years students were the most affected by these pathologies. The protective factors found were physical activity and psychological support in religion, whereas the main risk factors found were a dysfunctional family, lack of an exclusive study space and low academic performance. Furthermore, the frequency of depression and anxiety was significantly higher in women.
Conclusion: The virtual modality showed a high prevalence of depression and anxiety in medical students.
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Lovón M, Cisneros S. Repercusiones de las clases virtuales en los estudiantes universitarios en el contexto de la cuarentena por COVID-19: El caso de la PUCP. Propos y Represent. 2020;8(3). doi:10.20511/pyr2020.v8nSPE3.588.
Ruiz R, Sierra J, García-Miguel M, et al. Teachers and students opinions about a comprehensive online program in medicine during COVID-19 lockdown. Educ Medica. 2021;22(4):206-14. doi: 10.1016/j.edumed.2021.01.011.
Nakhostin-Ansari A, Sherafati A, Aghajani F, et al. Depression and anxiety among iranian medical students during COVID-19 pandemic. Iran J Psychiatry. 2020;15(3):228-35. doi: 10.18502/ijps.v15i3.3815.
Giusti L, Mammarella S, Salza A, et al. Predictors of academic performance during the covid-19 outbreak: impact of distance education on mental health, social cognition and memory abilities in an Italian university student sample. BMC Psychol. 2021;9(1). doi: 10.1186/s40359-021-00649-9.
Rotenstein L, Ramos M, Torre M, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students a systematic review and meta-analysis. JAMA Health Forum. 2016;316(21):2214-36. doi: 10.1001/jama.2016.17324.
Quek T, Tam W, Tran B, et al. The global prevalence of anxiety among medical students: A meta-analysis. Int J Environ Res Public Health. 2019; 16(15):2735. doi: 10.3390/ijerph16152735.
Bergmann C, Muth T, Loerbroks A. Medical students’ perceptions of stress due to academic studies and its interrelationships with other domains of life: a qualitative study. Med Educ Online. 2019;24(1). doi: 10.1080/10872981.2019.1603526.
Islam A, Barna S, Raihan H, et al. Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey. PLoS One. 2020;15(8):1-12. doi: 10.1371/journal.pone.0238162.
Halperin S, Henderson M, Prenner S, et al. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev. 2021;8. doi: 10.1177/2382120521991150.
Essadek A, Gressier F, Robin M, et al. Mental health of medical students during the COVID19: Impact of studies years. J Affect Disord Reports. 2022;8. doi: 10.1016/j.jadr.2022.100318.
Ministerio de Salud Pública. Reglamento de proyectos en investigación de salud. Ecuador: Ministerio de Salud Pública; 11 de marzo de 2008. Disponible en: https://www.salud.gob.ec/normativa-aprobacion-de-investigaciones-en-salud/
Ministerio de Salud Pública. Acuerdo Ministerial No 00038-2021. Ecuador: Ministerio de Salud Pública; 23 de diciembre de 2021. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2022/02/AM-00038-2021-23-Dic-Reforma-Reglamento-observacionales.pdf.
Qi T, Hu T, Ge QQ, et al. COVID-19 pandemic related long-term chronic stress on the prevalence of depression and anxiety in the general population. BMC Psychiatry. 2021;21(1). doi: 10.1186/s12888-021-03385-x.
Zhang Y, Zhang H, Ma X, et al. Mental health problems during the COVID-19 pandemics and the mitigation effects of exercise: A longitudinal study of college students in China. Int J Environ Res Public Health. 2020;17(10). doi: 10.3390/ijerph17103722.
Wegner M, Helmich I, Machado S, et al. Effects of Exercise on Anxiety and Depression Disorders: Review of Meta-Analyses and Neurobiological Mechanisms. CNS Neurol Disord Targets. 2014;13:1002-14. doi: 10.2174/1871527313666140612102841.
Forouhari S, Hosseini Teshnizi S, Ehrampoush M, et al. Relationship between religious orientation, anxiety, and depression among college students: A systematic review and meta-analysis. Iran J Public Health. 2019;48(1):43-52. doi: 10.18502/ijph.v48i1.781.
Che Rahimi A, Bakar RS, Mohd Yasin MA. Psychological Well-Being of Malaysian University Students during COVID-19 Pandemic: Do Religiosity and Religious Coping Matter? Healthcare (Basel). 2021;9(11):1535. doi: 10.3390/healthcare9111535.
Mao Y, Zhang N, Liu J, et al. A systematic review of depression and anxiety in medical students in China. BMC Med Educ. 2019;19(1). doi: 10.1186/s12909-019-1744-2.
Zhang W, Wang K, Yin L, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-50. doi: 10.1159/000507639.
Guo J, Fu M, Liu D, et al. Is the psychological impact of exposure to COVID-19 stronger in adolescents with pre-pandemic maltreatment experiences? A survey of rural Chinese adolescents. Child Abuse & Neglect. 2020;110. doi: 10.1016/j.chiabu.2020.104667.
UNESCO. Sistematización de respuestas de los sistemas educativos de América Latina a la crisis de la COVID-19. Disponible en: https://www.siteal.iiep.unesco.org/respuestas_educativas_covid_19.
Sahu P. Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus. 2020;12(4). doi: 10.7759/cureus.7541.
Wurth S, Sader J, Cerutti B, et al. Medical students' perceptions and coping strategies during the first wave of the COVID-19 pandemic: studies, clinical implication, and professional identity. BMC Med Educ. 2021;21(1):620. doi: 10.1186/s12909-021-03053-4. Erratum in: BMC Med Educ. 2022;22(1):232.
Sindiani A, Obeidat N, Alshdaifat E, et al. Distance education during the COVID-19 outbreak: A cross-sectional study among medical students in North of Jordan. Ann Med Surg. 2020;59:186. doi: 10.1016/j.amsu.2020.09.036.
Gaur U, Majumder M, Sa B, et al. Challenges and Opportunities of Preclinical Medical Education: COVID-19 Crisis and Beyond. SN Compr Clin Med. 2020;2(11):1992-7. doi: 10.1007/s42399-020-00528-1.
Alonso J, Castaño J, Ceron Y, et al. Frecuencia de depresión, según cuestionario de Beck, en estudiantes de medicina de la ciudad de Manizales (Colombia), 2014: estudio de corte transversal. Archivos de Medicina (Col). 2015;15(1):9-24. doi: 10.30554/archmed.15.1.717.2015.
Guerrero J, Martin G, León S, et al. Factores que predicen depresión en estudiantes de medicina. Gac Med Mex. 2013;149(6):673-9. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4508824.
Da Silva F, Neto M. Psychiatric symptomatology associated with depression, anxiety, distress, and insomnia in health professionals working in patients affected by COVID-19: A systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry. 2021;104. doi: 10.1016/j.pnpbp.2020.110057.
Palmer Y, Morales P, Ramirez M, et al. Prevalencia de depresión durante la COVID-19 en estudiantes de medicina de una universidad privada mexicana. MEDISAN. 2021;25(3):637-46. Disponible en: https://www.redalyc.org/revista.oa?id=3684&numero=67867&tipo=coleccion.
Gupta P, Anupama B, Ramakrishna K. Prevalence of Depression and Anxiety Among Medical Students and House Staff During the COVID-19 Health-Care Crisis. Acad Psychiatry. 2021;45(5):575-80. doi: 10.1007/s40596-021-01454-7.
Moutinho I, Pecci N, Roland K, et al. Depression, stress and anxiety in medical students: A cross-sectional comparison between students from different semesters. Rev Assoc Med Bras. 2017;63(1):21-8. doi: 10.1590/1806-9282.63.01.21.
Saraswathi I, Saikarthik J, Kumar K, et al. Impact of COVID-19 outbreak on the mental health status of undergraduate medical students in a COVID-19 treating medical college: A prospective longitudinal study. PeerJ. 2020;8. doi: 10.7717/peerj.10164.
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