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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2019, Number 3

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Salud Mental 2019; 42 (3)

Presence of depressive symptoms in medical students in a Mexican public university

Tadeo-Álvarez MA, Munguía-Ortíz CD, Benítez-López V, Valles-Medina AM, Delgadillo-Ramos G, Flores-Castillo PM, Romo-Guardado M

Language: English
References: 24
Page: 131-136
PDF size: 427.37 Kb.


ABSTRACT

Introduction. During their professional training, medical students are subject to diverse stress-causing factors such as academic demands and a highly competitive environment which may threaten their mental health. Objective. Identify the presence of depressive symptoms in medical students in a public university in Mexico. Method. Descriptive cross-sectional study of a random sample of 203 medical students at the Universidad Autónoma de Baja California from February to April 2018. The PHQ - 9 scale was used, and a cut-off score of ≥ 10 was employed as positive for depressive symptoms. Basic descriptive statistics were utilized to analyze sociodemographic variables such as gender, academic advancement, stage of training (basic science vs. clinical), and the prevalence of the five different categories of the scale. Results. Of the medical students surveyed, 20.2% were found positive for depressive symptoms and 7.9% (16) had severe or moderately severe symptoms. Female gender increased the risk of presenting symptoms (OR = 3.5, 95% CI [1.6, 7.6]). Discussion. Despite the fact that the prevalence of depressive symptoms encountered was similar to that reported worldwide, it is troubling that one fifth of the surveyed students presented depressive symptoms. These results may justify implementation of preventive strategies by academic authorities to improve student mental health, and maybe even for early detection of risk of major depressive disorder.


REFERENCES

  1. Baader-M, T., Molina-F, J. L., Venezian-B, S., Rojas-C, C., Farías-S, R., Fierro- Freixenet, C., ... & Mundt, C. (2012). Validación y utilidad de la encuesta PHQ- 9 (Patient Health Questionnaire) en el diagnóstico de depresión en pacientes usuarios de atención primaria en Chile. Revista Chilena de Neuropsiquiatría, 50(1), 10-22.

  2. Baldassin, S., Alves, T. C., De-Andrade, A. G., & Noqueira-Martínez, L. A. (2008). The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ, 8:60 doi: 10.1186/1472-6920-8-60

  3. Bayram, N. & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc. Psychiatry Psychiatr Epidemiol, 43(8), 667-672. doi: 10.1007/s00127-008- 0345-x

  4. El-Gilany, A.-H., Amr, M., & Hammad, S. (2008). Perceived stress among male medical students in Egypt and Saudi Arabia: Effect of sociodemographic factors. Ann Saudi Med, 28(6), 442-448. doi: 10.5144/0256-4947.2008.442

  5. Eskin, M., Ertekin, K., Harlak, H., & Dereboy, C. (2008). Prevalence and factors related to depression in high school students. Turk Psikiyatri Derg, 19(4), 382- 389.

  6. Fouilloux Morales, C., Barragán Pérez, V., Ortíz León, S., Jaimes Medrano, A., Urrutia Aguilar, M. E., & Guevara-Guzmán, R. (2013). Síntomas depresivos y rendimiento escolar en estudiantes de Medicina. Salud Mental, 36(1), 59-65.

  7. Gollust, S. E., Eisenberg, D., & Golberstein, E. (2008). Prevalence and correlates of self-injury among university students. J Am Coll Health, 56(5), 491-498. doi: 10.3200/JACH.56.5.491-498

  8. Guerrero López, J. B., Heinze Martin, G., Ortiz de-León, S., Cortés Morelos, J., Barragán Pérez, V., & Flores-Ramos, M. (2013). Factores que predicen depresión en estudiantes de medicina. Gaceta Médica de México, 149(6), 598- 604.

  9. Gutiérrez Rodas, J. A., Montoya Vélez, L. P., Toro Isaza, B. E., Briñón Zapata, M. A., Rosas Restrepo, E., & Salazar Quintero, L. E. (2010). Depresión en estudiantes universitarios y su asociación con el estrés académico. Revista CES Medicina, 24(1), 7-17.

  10. Henriques, G. (2014). Today’s college students are suffering from an epidemic of mental illnesses. The College Student Mental Health Crisis. Theory of Knowledge. Retrieved from: https://www.psychologytoday.com/us/blog/ theory-knowledge/201402/the-college-student-mental-health-crisis

  11. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med, 16(9), 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x

  12. Martínez-Martínez, M. C., Muñoz-Zurita, G., Rojas-Valderrama, K., & Sánchez- Hernández, J. A. (2016). Prevalencia de síntomas depresivos en estudiantes de la licenciatura en medicina de Puebla, México. Atención Familiar, 23(4), 145- 149. doi: 10.22201/facmed.14058871p.2016.4.57356

  13. Organización Mundial de la Salud. (2018). Los jóvenes y la salud mental en un mundo en transformación: Día Mundial de la Salud Mental 2018. Retrieved from: http://www.who.int/mental_health/world-mental-health-day/2018/es/

  14. Palmer Morales, Y., Prince Vélez, R., Medina Ramírez, M. C., & López Palmer, D. A. (2017). Frecuencia de rasgos de depresión en médicos internos de pregrado del Instituto Mexicano del Seguro Social en Mexicali, Baja California. Investigación Educación Médica, 6(22), 75-79. doi: 10.1016/j.riem.2016.08.001

  15. Puthran, R., Zhang, M. W., Tam, W. W., & Ho R. C. (2016). Prevalence of depression amongst medical students: A meta‐analysis. Medical Education, 50(4), 456- 468. doi: 10.1111/medu.12962

  16. Riveros, M., Hernández, H., & Riviera, J. (2007). Niveles de depresión y ansiedad en estudiantes universitarios en Lima metropolitana. Rev Investig Psicol, 10(1), 91-102. doi: 10.15381/rinvp.v10i1.3909

  17. Román, C., Ortiz, F., & Hernández, Y. (2008). El estrés académico en estudiantes latinoamericanos de la carrera de medicina. Revista Iberoamericana de Educación, 46(7), 1-8. doi: 10.35362/rie4671911

  18. Romo Nava, F., Tafoya, S., & Heinze, G. (2013). Estudio comparativo sobre depresión y los factores asociados en alumnos del primer año de la Facultad de Medicina y del Internado. Salud Mental, 36(5), 375-379.

  19. Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., … & Mata, D. (2016). Prevalence of depression, depressive symptoms and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21), 2214-2236. doi: 10.1001/jama.2016.17324

  20. Royal College of Psychiatrists. (2011). The mental health of students in higher education. Callender, J., Fagin, L., Jenkins, G., Lester, J., & Smith, E. (Eds.). College Report CR166. Retrieved from: https://www.nightline.ac.uk/sites/ default/files/The%20Mental%20Health%20of%20Students%20in%20 Higher%20Education%20-%20Royal%20College%20Psychiatrists%202011. pdf

  21. Sánchez-Armáss Cappello, O., Muñiz Rojas, L., Sánchez Juárez, C., & Olvera León, G. (2016). Evaluación de un instrumento de tamizaje para la detección de depresión en estudiantes universitarios. Revista Electrónica de Psicología Iztacala, 19(4), 1426-1442.

  22. Sarabia Arce, S. (2017). Sintomatología depresiva según PHQ-9 y rendimiento académico en estudiantes de primero a quinto año de medicina. (Tesis de Maestría), Universidad Peruana Cayetano Heredia, Lima, Perú. Retrieved from: http://repositorio.upch.edu.pe/bitstream/handle/upch/838/Sintomatologia_ SarabiaArce_Silvana.pdf?sequence=1&isAllowed=y

  23. Twenge, J. M. (2017). iGen Why Today’s Super-Connected Kids Are Growing Up Less Rebellious, More Tolerant, Less Happy-and Completely Unprepared for Adulthood. New York: ATRIA Books.

  24. Villacura, L., Irarrázabal, N., & López, I. (2017). Evaluation of depressive and anxiety symptomatology in medical students at the University of Chile. Mental Health & Prevention, 7, 45-49. doi: 10.1016/j.mhp.2017.06.001




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