Asociación entre años de estudio y síntomas depresivos y ansiosos durante los primeros meses de confinamiento por la pandemia COVID-19, en una muestra de estudiantes de medicina de una universidad privada en Lima, Perú.

Autores/as

DOI:

https://doi.org/10.20453/rnp.v85i3.4327

Palabras clave:

estudiantes de medicina, depresión, ansiedad, COVID-19, alfabetización en salud

Resumen

Objetivos: Determinar la relación entre años de estudio y síntomas depresivos y ansiosos durante los primeros meses de la pandemia por COVID-19, en una muestra de estudiantes de medicina de Lima, controlando en particular las covariables sexo y enfermedades médicas previas. Material y métodos: Se realizó una encuesta en línea, que recolectó información de 250 estudiantes de medicina incluyendo datos generales, historia médica previa, síntomas de depresión (PHQ-9) y de ansiedad (GAD-7). Los datos se manejaron mediante un análisis multivariado. Resultados: Se encontraron diferencias entre años de estudios y los valores combinados de PHQ-9 y GAD-7 (Lambda de Wilks = 0,86; p = 1,68 x 10-4; η2p = 0,08). La presencia de enfermedades médicas previas mostró diferencias significativas en relación a los valores combinados de PHQ-9 y GAD-7 (Lambda de Wilks = 0,94, p = 4,43 x 10-4, η2p = 0,06). Las muestras univariadas mostraron diferencias en años de estudios para PHQ-9 (F6,241 = 4,12, p = 0,001, η2p = 0,09) y GAD-7 (F6,241 = 2,81, p = 0,01, η2p = 0,07). El análisis post hoc mostró diferencias estadísticamente significativas en los primeros años de estudio. Conclusiones: Estos resultados sugieren que estudiantes de medicina de los primeros años muestran mayores niveles de síntomas depresivos y ansiosos que los participantes de años superiores. Asimismo, la ocurrencia de enfermedades médicas previas explica también los valores altos de depresión y ansiedad.

Citas

Harries AJ, Lee C, Jones L, Rodriguez RM, Davis JA, Boysen-Osborn M, et al. Effects of the COVID-19 pandemic on medical students: a multicenter quantitative study. BMC Med Educ. 2021;21(1):1-8.

Krüger-Malpartida H, Pedraz-Petrozzi B, Arevalo-Flores M, Samalvides-Cuba F, Anculle-Arauco V, Dancuart-Mendoza M. Effects on Mental Health After the COVID-19 Lockdown Period: Results From a Population Survey Study in Lima, Peru. Clin Med Insights Psychiatry. 2020;11:117955732098042.

Varela L. Mensaje del rector de la UPCH sobre el cierre de clases debido a COVID-19. Lima: Universidad Peruana Cayetano Heredia; 2020.

Seetan K, Al-Zubi M, Rubbai Y, Athamneh M, Khamees A, Radaideh T. Impact of COVID-19 on medical students’ mental wellbeing in Jordan. PLOS ONE. 2021;16(6):e0253295.

Loh LC, Ali AM, Ang TH, Chelliah A. Impact of a Spreading Epidemic on Medical Students. Malays J Med Sci MJMS. 2006;13(2):30-6.

Meo SA, Abukhalaf DAA, Alomar AA, Sattar K, Klonoff DC. COVID-19 Pandemic: Impact of Quarantine on Medical Students’ Mental Wellbeing and Learning Behaviors. Pak J Med Sci. 2020;36(COVID19-S4):S43-S48. doi: 10.12669/pjms.36.COVID19-S4.2809

TMS Collaborative, Wanigasooriya K, Beedham W, Laloo R, Karri RS, Darr A, et al. The perceived impact of the Covid-19 pandemic on medical student education and training – an international survey. BMC Med Educ. 2021;21(1):566.

Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev. 2021;8:2382120521991150.

Huarcaya-Victoria J, Elera-Fitzcarrald C, Crisol-Deza D, Villanueva-Zúñiga L, Pacherres A, Torres A, et al. Factors associated with mental health in Peruvian medical students during the COVID-19 pandemic: a multicentre quantitative study. Rev Colomb Psiquiatr (Engl Ed). 2021 ;S0034-7450(21)00108-6. doi: 10.1016/j.rcp.2021.06.002

Osada J, Rojas M, Rosales C, Vega-Dienstmaier JM. Sintomatología ansiosa y depresiva en estudiente de Medicina. Rev Neuropsiquiatr. 2010;73(1):15-9.

Ministerio de Salud. Sala situacional. Lima: Ministerio de Salud; 2021. (Citado el 30 de marzo de 2022). Disponible en: https://covid19.minsa.gob.pe/sala_situacional.asp

Sandoval KD, Morote-Jayacc PV, Moreno-Molina M, Taype-Rondan A. Depresión, estrés y ansiedad en estudiantes de Medicina humana de Ayacucho (Perú) en el contexto de la pandemia por COVID-19. Rev Colomb Psiquiatr. 2021;S0034745021001682. doi: 10.1016/j.rcp.2021.10.005

BBC News Mundo. Coronavirus en Perú: 5 factores que explican por qué es el país con la mayor tasa de mortalidad entre los más afectados por la pandemia. Londres: BBC News Mundo; 2021. (Citado 30 de marzo de 2022). Disponible en: https://www.bbc.com/mundo/noticias-america-latina-53940042

Al-Rahimi JS, Nass NM, Hassoubah SA, Wazqar DY, Alamoudi SA. Levels and predictors of fear and health anxiety during the current outbreak of COVID-19 in immunocompromised and chronic disease patients in Saudi Arabia: A cross-sectional correlational study. PLOS ONE. 2021;16(4):1-13.

Meaklim H, Junge MF, Varma P, Finck WA, Jackson ML. Pre-existing and post-pandemic insomnia symptoms are associated with high levels of stress, anxiety, and depression globally during the COVID-19 pandemic. J Clin Sleep Med. 2021;17(10):2085-97.

Mazza C, Ricci E, Biondi S, Colasanti M, Ferracuti S, Napoli C, et al. A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int J Environ Res Public Health. 2020;17(9):3165.

Zhang SX, Wang Y, Jahanshahi AA, Li J, Schmitt VGH. Early evidence and predictors of mental distress of adults one month in the COVID-19 epidemic in Brazil. J Psychosom Res. 2021;142:110366.

Pedraz-Petrozzi B, Krüger-Malpartida H, Arevalo-Flores M, Salmavides-Cuba F, Anculle-Arauco V, Dancuart-Mendoza M. Emotional Impact on Health Personnel, Medical Students, and General Population Samples During the COVID-19 Pandemic in Lima, Peru. Rev Colomb Psiquiatr. 2021;50(3):189-98.

Villarreal-Zegarra D, Copez-Lonzoy A, Bernabé-Ortiz A, Melendez-Torres GJ, Bazo-Alvarez JC. Valid group comparisons can be made with the Patient Health Questionnaire (PHQ-9): A measurement invariance study across groups by demographic characteristics. PLOS ONE. 2019;14(9):1-15.

Huarcaya-Victoria J, De-Lama-Morán R, Quiros M, Bazán J, López K, Lora D. Propiedades psicométricas del Patient Health Questionnaire (PHQ-9) en estudiantes de medicina en Lima, Perú. Rev Neuropsiquiatr. 2020;83(2):72-8.

Zhong QY, Gelaye B, Zaslavsky AM, Fann JR, Rondon MB, Sánchez SE, et al. Diagnostic Validity of the Generalized Anxiety Disorder - 7 (GAD-7) among Pregnant Women. PLOS ONE. 2015;10(4):1-17.

Morris PE, Fritz CO. Effect sizes in memory research. Memory. 2013; 21(7): 832-42. doi: 10.1080/09658211.2013.763984

University of Cambridge. Rules of thumb on magnitudes of effect sizes. University of Cambridge; 2019. (Citado 21 de febrero de 2020). Disponible en: http://imaging.mrc-cbu.cam.ac.uk/statswiki/FAQ/effectSize

Risal A, Shikhrakar S, Mishra S, Kunwar D, Karki E, Shrestha B, et al. Anxiety and Depression during COVID-19 Pandemic among Medical Students in Nepal. Kathmandu Univ Med J KUMJ. 2020;18(72):333-9.

Ministerio de Salud. Decreto Supremo N° 008-2020-SA. Lima: Diario El Peruano; 2020. (Citado 9 de abril de 2020). Disponible en: https://www.gob.pe/institucion/minsa/normas-legales/459902-008-2020-sa

Perissotto T, Silva TCRP da, Miskulin FPC, Pereira MB, Neves BA, Almeida BC, et al. Mental health in medical students during COVID-19 quarantine: a comprehensive analysis across year-classes. Clinics. 2021;76:e3007.

Yadav RK, Baral S, Khatri E, Pandey S, Pandeya P, Neupane R, et al. Anxiety and Depression Among Health Sciences Students in Home Quarantine During the COVID-19 Pandemic in Selected Provinces of Nepal. Front Public Health. 2021;9:580561.

Abed AE, Razzak RA, Hashim HT. Mental Health Effects of COVID-19 Within the Socioeconomic Crisis and After the Beirut Blast Among Health Care Workers and Medical Students in Lebanon. Prim Care Companion CNS Disord. 2021;23(4):21m02977.

Halperin SJ, Henderson MN, Prenner S, Grauer JN. Prevalence of Anxiety and Depression Among Medical Students During the Covid-19 Pandemic: A Cross-Sectional Study. J Med Educ Curric Dev. 2021;8:238212052199115.

Sharma D, Bhaskar S. Addressing the Covid-19 Burden on Medical Education and Training: The Role of Telemedicine and Tele-Education During and Beyond the Pandemic. Front Public Health. 2020;8:589669.

Pandey A. As Covid disrupts family finances, medical student becomes vegetable vendor in Hyderabad. Hindi: India Today; 2021. (Citado 28 de diciembre de 2021). Disponible en: https://www.indiatoday.in/cities/hyderabad/story/as-covid-disrupts-family-finances-medical-student-becomes-vegetable-vendor-in-hyderabad-1838824-2021-08-09

Smith C. COVID-19 and medical student finance: a crisis during a crisis? Londres: The British Medical Association; 2020. (Citado 28 de diciembre de 2021). Disponible en: https://www.bma.org.uk/news-and-opinion/covid-19-and-medical-student-finance-a-crisis-during-a-crisis

United Nations Educational, Scientific and Cultural Organization. Universities tackle the impact of COVID-19 on disadvantaged students. Paris: UNESCO; 2020. (Citado 28 de diciembre de 2021). Disponible en: https://en.unesco.org/news/universities-tackle-impact-covid-19-disadvantaged-students

Adhikari A, Sujakhu E, Gc S, Zoowa S. Depression among Medical Students of a Medical College in Nepal during COVID-19 Pandemic: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2021;59(239):645-648. doi: 10.31729/jnma.5441

Smith CK, Peterson DF, Degenhardt BF, Johnson JC. Depression, anxiety, and perceived hassles among entering medical students. Psychol Health Med. 2007;12(1):31-9.

Gupta P, B KA, 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.

Arima M, Takamiya Y, Furuta A, Siriratsivawong K, Tsuchiya S, Izumi M. Factors associated with the mental health status of medical students during the COVID-19 pandemic: a cross-sectional study in Japan. BMJ Open. 2020;10(12):e043728.

Nguyen HT, Do BN, Pham KM, Kim GB, Dam HTB, Nguyen TT, et al. Fear of COVID-19 Scale—Associations of Its Scores with Health Literacy and Health-Related Behaviors among Medical Students. Int J Environ Res Public Health. 2020;17(11):4164.

Liu Z, Liu R, Zhang Y, Zhang R, Liang L, Wang Y, et al. Association between perceived stress and depression among medical students during the outbreak of COVID-19: The mediating role of insomnia. J Affect Disord. 2021;292:89-94.

Gruba G, Kasiak PS, Gębarowska J, Adamczyk N, Sikora Z, Jodczyk AM, et al. PaLS Study of Sleep Deprivation and Mental Health Consequences of the COVID-19 Pandemic among University Students: A Cross-Sectional Survey. Int J Environ Res Public Health. 2021;18(18):9581.

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Publicado

2022-10-31

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1.
Krüger-Malpartida H, Arévalo-Flores M, Anculle-Arauco V, Dancuart- Mendoza M, Pedraz-Petrozzi B. Asociación entre años de estudio y síntomas depresivos y ansiosos durante los primeros meses de confinamiento por la pandemia COVID-19, en una muestra de estudiantes de medicina de una universidad privada en Lima, Perú. Rev Neuropsiquiatr [Internet]. 31 de octubre de 2022 [citado 22 de mayo de 2024];85(3):169-82. Disponible en: https://revistas.upch.edu.pe/index.php/RNP/article/view/4327

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