Titre:	High prevalence of mental disorder symptoms among medical and other health specialties residents during the COVID-19 pandemic
Auteur(s):	Silva, Nayane Miranda Pinho, Rebeca da Nobrega Lucena Costa, Thais Ferreira Areal, Adriana Ferreira Barros Salles, André de Mattos Oliveira, Andrea Pedrosa Ribeiro Alves Rassi, Carlos Henrique Reis Esselin Valero, Caroline Elizabeth Brero Gomes, Ciro Martins Silva, Dayde Lane Mendonça da Oliveira, Fernando Araujo Rodrigues de Jochims, Isadora Vaz Filho, Ivan Henrique Ranulfo Neves, Juliana de Brito Seixas Oliveira, Lucas Alves de Brito Dantas, Maria Luisa Nogueira Rosal, Marta Alves Soares, Mayra Veloso Ayrimoraes Kurizky, Patrícia Shu Peterle, Viviane Cristina Uliana Faro, Yasmin Furtado Gomides, Ana Paula Monteiro Mota, Licia Maria Henrique da Albuquerque, Cleandro Pires de Simaan, Cezar Kozak Amado, Veronica Moreira
metadata.dc.contributor.affiliation:	University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília State Health Department of the Federal District (SES DF) University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences State Health Department of the Federal District (SES DF) University Hospital of Brasília University Hospital of Brasília University of Brasília University of Brasília Sírio-Libanês Hospital, SGAS 614/615, Postal Code, Asa Sul, Brasília Empresa Brasileira de Serviços Hospitalares (EBSERH) University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília University of Brasília, Center for Tropical Medicine University of Brasília University of Brasília University Hospital of Brasília University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University of Brasília Empresa Brasileira de Serviços Hospitalares (EBSERH) University of Brasília, Faculty of Medicine Empresa Brasileira de Serviços Hospitalares (EBSERH) Federal University of Piauí University Hospital of Brasília University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília School of Health Sciences (ESCS) University Hospital of Brasília Brasília University Centre (Uniceub) University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília University of Brasília, Faculty of Medicine, Graduate Program in Medical Sciences University Hospital of Brasília University of Brasília University of Brasília
Assunto::	Saúde mental Residência médica Residência multiprofissional Covid-19 Stress Ansiedade Depressão mental Profissionais de saúde Estudantes de Medicina
Date de publication:	23-mai-2023
Editeur:	BMC
Référence bibliographique:	SILVA, Nayane Miranda et al. High prevalence of mental disorder symptoms among medical and other health specialties residents during the COVID-19 pandemic. BMC Medical Education, [S. l.], v. 23, Art. n. 361, 2023. DOI: https://doi.org/10.1186/s12909-023-04202-7. Disponível em: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04202-7. Acesso em: 16 jul. 2024.
Abstract:	Background The COVID-19 pandemic put healthcare professionals, including residents (postgraduate trainees of health professions), under intense physical and psychological stress, hence at risk for mental disorders. We evaluated the prevalence of mental disorders among healthcare residents during the pandemic. Methods From July to September 2020, residents in medicine and other healthcare specialties in Brazil were recruited. The participants completed electronic forms with validated questionnaires (DASS-21, PHQ-9, BRCS) to screen for depression, anxiety, and stress, and to evaluate resilience. Data on potential predisposing factors for mental disorders were also collected. Descriptive statistics, chi-squared, students t, correlation and logistic regression models were applied. The study received ethical approval, and all participants provided informed consent. Results We included 1313 participants (51.3% medical; 48.7% nonmedical) from 135 Brazilian hospitals; mean (SD) age: 27.8 (4.4) years; 78.2% females; 59.3% white race. Of all participants, 51.3%, 53.4% and 52.6% presented symptoms consistent with depression, anxiety, and stress, respectively; 61.9% showed low resilience. Nonmedical residents exhibited higher anxiety compared to medical residents (DASS-21 anxiety score, mean difference: 2.26; 95% CI: 1.15–3.37; p < 0.001). In multivariate analyses, having any pre-existent, nonpsychiatric chronic disease was associated with higher prevalence of symptoms indicative of depression (odds ratio, OR: 2.05; 95% CI: 1.47–2.85, on DASS-21 | OR: 2.26; 95% CI: 1.59–3.20, on PHQ-9), anxiety (OR: 2.07; 95% CI: 1.51–2.83, on DASS-21), and stress (OR: 1.53; 95% CI: 1.12–2.09, on DASS-21); other predisposing factors were identified; by contrast, high resilience (BRCS score) was protective against symptoms of depression (OR 0.82; 95% CI: 0.79–0.85, on DASS-21 | OR 0.85; 95% CI: 0.82–0.88, on PHQ-9), anxiety (OR 0.90; 95% CI: 0.87–0.93, on DASS-21), and stress (OR 0.88; 95% CI: 0.85–0.91, on DASS-21); p < 0.05 for all outcomes. Conclusions We found a high prevalence of mental disorder symptoms among healthcare residents during COVID-19 pandemic in Brazil. Nonmedical residents exhibited higher levels of anxiety than medical ones. Some predisposing factors for depression, anxiety and stress among residents were identified.
metadata.dc.description.unidade:	Faculdade de Medicina (FM)
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências Médicas
Licença::	© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
DOI:	https://doi.org/10.1186/s12909-023-04202-7
Collection(s) :	Artigos publicados em periódicos e afins

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