Wellbeing and mental health among medical students in Paraguay

被引:19
作者
Torales, Julio [1 ]
Kadhum, Murtaza [2 ]
Zarate, Gabriel [1 ]
Barrios, Ivan [1 ]
Gonzalez, Israel [1 ]
Farrell, Sarah Marie [3 ]
Ventriglio, Antonio [4 ]
Arce, Andres [1 ]
机构
[1] Natl Univ Asuncion, Sch Med Sci, Dept Psychiat, San Lorenzo, Paraguay
[2] Univ Oxford, Oxford Univ Clin Acad, Grad Sch, Oxford, England
[3] Univ Oxford, John Radcliffe Hosp, Nuffield Dept Surg Sci, Oxford, England
[4] Univ Foggia, Dept Clin & Expt Med, Foggia, Italy
关键词
Mental health; wellbeing; medical students; Paraguay; alcohol; SUICIDAL IDEATION; US; DEPRESSION; DRUGS; PERFORMANCE; PREVALENCE; ALCOHOL; BURNOUT; STRESS; SAMPLE;
D O I
10.1080/09540261.2019.1667172
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Medical students' wellbeing and mental health are of extreme importance. Studies from around the world have shown that the rates of burnout appear to be high. It is also well recognized that individuals with mental illnesses frequently avoid seeking help for fear of stigma, affecting their careers and being rejected or treated differently by their peers, or due to the perception that they will be deemed unfit for practice or rejected from their preferred specialty. Students who are open about their mental health conditions are often ostracized by their own peers and dismissed or even mistreated by teachers who consider mental 'toughness' to be a requirement for success in the medical arena. The impact of socioeconomic conditions cannot be under-estimated. We carried out a survey of mental health and wellbeing of medical students in the National University of Asuncion. A sample of 180 students across different years showed that 21% had sought help and 4% had been diagnosed with a mental condition before entering medical school; 3% had been previously diagnosed with Attention Deficit Hyperactivity Disorder or Autism Spectrum Disorders; 14% currently consult with a health professional specifically about their mental health; and 8% reported currently taking medication for their mental health. The most common medication was Escitalopram at 21%, followed by Sertraline with 11%. Various sources of stress were identified, all of which were noted to be concerning four specific domains: financial difficulties, familial issues, housing issues, and difficulties surrounding studies. Of these students, 20% were CAGE positive and 9.4% reported using substances to feel better. These findings indicate that medical students need better support to ensure that they function better. They require in-depth exploration of the potential causes of their illnesses.
引用
收藏
页码:598 / 602
页数:5
相关论文
共 30 条
  • [1] PERSONALITY, LIFE-STYLES, ALCOHOL AND DRUG CONSUMPTION IN A SAMPLE OF BRITISH MEDICAL-STUDENTS
    ASHTON, CH
    KAMALI, F
    [J]. MEDICAL EDUCATION, 1995, 29 (03) : 187 - 192
  • [2] Barrios I, 2015, An. Fac. Cienc. Méd. (Asunción), V48, P59, DOI 10.18004/anales/2015.048(01)59-068
  • [3] Candido FJ, 2018, REV ASSOC MED BRAS, V64, P462
  • [4] Burnout and suicidal ideation among US medical students
    Dyrbye, Liselotte N.
    Thomas, Matthew R.
    Massie, F. Stanford
    Power, David V.
    Eacker, Anne
    Harper, William
    Durning, Steven
    Moutier, Christine
    Szydlo, Daniel W.
    Novotny, Paul J.
    Sloan, Jeff A.
    Shanafelt, Tait D.
    [J]. ANNALS OF INTERNAL MEDICINE, 2008, 149 (05) : 334 - W70
  • [5] Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students
    Dyrbye, LN
    Thomas, MR
    Shanafelt, TD
    [J]. ACADEMIC MEDICINE, 2006, 81 (04) : 354 - 373
  • [6] Use of methylphenidate among medical students: a systematic review
    Finger, Guilherme
    da Silva, Emerson Rodrigues
    Falavigna, Asdrubal
    [J]. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA, 2013, 59 (03): : 285 - 289
  • [7] Gaviria-Criollo Camilo Andrés, 2015, Salud, Barranquilla, V31, P458, DOI 10.14482/sun.31.3.5800
  • [8] Gonzalez-Urbieta I., 2019, MED CLIN SOC, V3, P2
  • [9] Comparison of two self-rating scales to detect depression: HADS and PHQ-9
    Hansson, Maja
    Chotai, Jayanti
    Nordstoem, Annika
    Bodlund, Owe
    [J]. BRITISH JOURNAL OF GENERAL PRACTICE, 2009, 59 (566) : 650 - 654
  • [10] Burnout in medical students: a systematic review
    Ishak, Waguih
    Nikravesh, Rose
    Lederer, Sara
    Perry, Robert
    Ogunyemi, Dotun
    Bernstein, Carol
    [J]. CLINICAL TEACHER, 2013, 10 (04) : 242 - 245