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Stress and exhaustion among medical students: a prospective longitudinal study on the impact of the assessment period on medical education.
Santiago, Isabela Silva; de Castro E Castro, Safira; de Brito, Ana Paula Amaral; Sanches, Daniel; Quintanilha, Luiz Fernando; Avena, Katia de Miranda; Andrade, Bruno Bezerril.
Afiliación
  • Santiago IS; Zarns Medical College, Clariens Education, 3230 Luís Viana Filho Avenue, Salvador, Bahia, 41720-200, Brazil.
  • de Castro E Castro S; Zarns Medical College, Clariens Education, 3230 Luís Viana Filho Avenue, Salvador, Bahia, 41720-200, Brazil.
  • de Brito APA; Zarns Medical College, Clariens Education, 3230 Luís Viana Filho Avenue, Salvador, Bahia, 41720-200, Brazil.
  • Sanches D; University of the State of Bahia, 2555 Silveira Martins Street, Salvador, Bahia, 41150-000, Brazil.
  • Quintanilha LF; Natural Sciences Department, Arts and Sciences Division, South Florida State College, 600 West College Drive, Avon Park, FL, USA.
  • Avena KM; Zarns Medical College, Clariens Education, 3230 Luís Viana Filho Avenue, Salvador, Bahia, 41720-200, Brazil.
  • Andrade BB; Laboratory of Clinical and Translational Research, Gonçalo Moniz Institute, Oswaldo Cruz Foundation, 121 Waldemar Falcão Street, Salvador, Bahia, 40296-710, Brazil.
BMC Med Educ ; 24(1): 630, 2024 Jun 06.
Article en En | MEDLINE | ID: mdl-38844948
ABSTRACT

BACKGROUND:

Stress significantly affects both the physical and emotional health of individuals, particularly students in health-related fields. Medical students in Brazil face unique challenges due to the demanding nature of their studies, especially during assessment periods, which heighten academic pressure. These pressures often lead to poor coping strategies and mental health concerns. It is crucial to understand the complex dynamics of stress within medical education to develop strategies that improve student well-being and promote a healthier academic environment. This study aims to investigate the intricate relationship between assessment periods and stress levels among medical students. It seeks to understand how academic demands and sociodemographic factors contribute to stress dynamics during these periods.

METHODS:

An online observational, longitudinal, and prospective study was conducted from February to October 2022. Medical students were recruited through snowball sampling and participated in surveys administered via Google Forms at two timepoints before (T1) and during (T2) assessment periods. The surveys collected sociodemographic data and stress symptoms using Lipp's Inventory of Stress Symptoms for Adults (LSSI).

RESULTS:

The transition from T1 to T2 was defined by a rise in the prevalence of stress from 59.6 to 84.2% (p = 0.001) and a decline in symptom-free students from 40.4 to 15.8% (p = 0.001). There was a significant increase in exhaustion, from 12.3 to 31.6% (p = 0.0001). Higher stress levels were notably more prevalent among younger students (≤ 24 years), females, those from wealthier families, students without scholarships, those without prior degrees, and those in the clinical phase of their studies. However, non significant correlations were found between these sociodemographic and academic factors and the increase in stress.

CONCLUSION:

The findings highlight significant concerns regarding the mental health of medical students during assessment periods, marked by increased stress and exhaustion levels. These results emphasize the need for proactive interventions to manage stress effectively in medical education, considering its profound impact on students' well-being.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estrés Psicológico / Estudiantes de Medicina Límite: Adult / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estrés Psicológico / Estudiantes de Medicina Límite: Adult / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: BMC Med Educ Asunto de la revista: EDUCACAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido