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Oliveira HF, Azevedo MRD, Silva JRS, Figueira HA, Wandalsen NF, Sarni ROS. Teaching and mental health in medical students. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2024; 70:e20231423. [PMID: 38747878 PMCID: PMC11095969 DOI: 10.1590/1806-9282.20231423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 11/30/2023] [Indexed: 05/18/2024]
Abstract
OBJECTIVE The objective of this study was to evaluate the relationship between quality of life, perceived stress, anxiety, and depression in medical students and the university teaching method: traditional method versus active methodology. METHODS Four questionnaires were administered to volunteer students (n=361) enrolled in two institutions that employ active (Universidade Tiradentes) or traditional (Faculdade de Medicina do ABC) teaching methodology: socioeconomic level; brief quality of life (World Health Organization Quality of Life-Bref); perceived stress scale (PSS10); and depression and anxiety scale (hospital anxiety and depression scale). RESULTS Of the students who responded to the questionnaires (226 UNIT and 135 FMABC), 70% were female and 67% were White. The majority did not use medication for depression (90%), anxiety (81%), and stress management (91%). Regarding anxiety, it was found: absence in the traditional method and moderate anxiety in the active methodology (26% UNIT×13% FMABC) (p<0.001). Regarding quality of life, it was found to be better quality of life in the environment domain at FMABC (78.12%) versus 71.88% at the UNIT (p<0.001). There was no difference between the institutions in relation to depression and perceived stress, and in quality of lifethere was only a difference in the environmental domain (p<0.001). In relation to gender, stress was higher in females (93.7%) than males (79.6%) with p<0.001. CONCLUSION Differences were recorded between the groups regarding anxiety, with a predominance in UNIT students (active methodology), and no differences were recorded in relation to depression, perceived stress, and quality of life in all domains, except for the environment domain, which was higher in the traditional methodology, although about one-third of participants used medication for anxiety/depression.
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Affiliation(s)
- Halley Ferraro Oliveira
- Centro Universitário Faculdade de Medicina do ABC – Santo André (SP), Brazil
- Universidade Federal de Sergipe – São Cristóvão (SE), Brazil
| | | | | | - Helena Andrade Figueira
- Universidade Federal do Rio de Janeiro, Human Motor Bioscience Laboratory – Rio de Janeiro (RJ), Brazil
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Baca KJ, Derby DC, Salsbury SA. Resilient responses to stressful events among chiropractic students: A cross-sectional survey. THE JOURNAL OF CHIROPRACTIC EDUCATION 2024; 38:82-95. [PMID: 38258467 PMCID: PMC11097215 DOI: 10.7899/jce-23-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 08/10/2023] [Accepted: 09/02/2023] [Indexed: 01/24/2024]
Abstract
OBJECTIVE Resilient students may better navigate the challenges of chiropractic training. This study explored the relationships between response to stressful experiences, perceived stress, and quality of life among students at 1 US chiropractic college campus. METHODS A cross-sectional survey was conducted with 873 students. The anonymous online questionnaire included demographics, quality of life, perceived stress, and the Response to Stressful Events Scale (RSES). Hierarchical multiple regression analyses assessed for significant relationships among variables. RESULTS A sample of 221 students (60% female) completed the survey (25% response rate). Male respondents reported greater psychological health. Participants reporting high quality of life exhibited higher resiliency on the RSES flat score and many RSES domains. Respondents who rated greater psychological health and social relationships exhibited greater spiritual resiliency. Respondents reporting higher psychological health and lower levels of perceived stress exhibited higher self-efficacy resilience. Psychological health was the most important predictor for RSES flat score and domains, except for spiritual resilience, for which social relationships were most important. Male gender was predictive of 3 RSES domains: meaning making, active coping, and cognitive flexibility. CONCLUSION More resilient responses to stressful events were reported by male chiropractic students and those who reported greater psychological health, higher quality of life, or lower perceived stress. Female students and those experiencing psychological challenges or lower quality of life might consider resilience training to increase the use of protective coping strategies. These findings may permit academic institutions to identify students at highest risk and employ interventions to prevent program withdrawal.
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da Silva CCM, Beretta VS, Gil FS, Delfino LD, Leite EGF, Ferrari G, Tebar WR, Christofaro DGD. High workload is related to lower quality of life in public school teachers: A cross-sectional study. Work 2024; 77:1023-1029. [PMID: 37781852 DOI: 10.3233/wor-230187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023] Open
Abstract
BACKGROUND People with long work hours, as evidenced by teachers, were more likely to present health problems that impact their quality of life (QoL). The reduced physical activity (PA) level or higher sedentary behavior in public school teachers was related to obesity. Although PA seems to improve the QoL in other professions, assessing whether the PA level could influence the relationship between workload and QoL in public school teachers is necessary. OBJECTIVE To analyze whether the high workload was related to worse QoL in teachers considered less active and more active. METHODS Two hundred forty-three teachers from public schools participated in this study. The domains of QoL and PA levels were assessed by SF-36 and Baecke questionnaires, respectively. Workload perception was assessed by a Likert scale. Binary logistic regression analyzed the association between high workload and QoL domains in teachers considering the PA level in a model adjusted by confounding factors (i.e., sex, age, and socioeconomic condition). RESULTS Heavy workload was associated with less chances of having better physical limitation domain of both less and more physically active teachers. Less active teachers with heavy workloads were 53%, 61%, and 56% less likely to have better vitality, social functioning, and mental health, respectively. No such associations were observed in the more physically active teachers. CONCLUSION Less active teachers with a heavy workload demonstrate lower QoL. Although the PA practice eliminated this relationship, both active and less active teachers with a heavy workload demonstrated lower QoL in physical limitation domain.
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Affiliation(s)
- Claudiele C M da Silva
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Victor S Beretta
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Fernanda S Gil
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Leandro D Delfino
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Enrique G F Leite
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
| | - William R Tebar
- School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
- Centre of Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, São Paulo, Brazil
| | - Diego G D Christofaro
- Graduate Program in Movement Sciences, Physical Education Department, School of Technology and Sciences, São Paulo State University (Unesp), São Paulo, Brazil
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Tan Y, Wang J, Chen H, Yang M, Zhu N, Yuan Y. Exploring the cultivation of psychological resilience in medical students from the perspective of doctor-patient relationship. MEDICAL TEACHER 2023:1-5. [PMID: 38146748 DOI: 10.1080/0142159x.2023.2295793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 12/13/2023] [Indexed: 12/27/2023]
Abstract
The current medical model has transitioned from the original biomedical treatment model to a bio-psycho-social model, where patients now have higher demands for service awareness. Consequently, doctor-patient relationships have become a crucial aspect of the contemporary medical process. Currently, psychological resilience among medical students in China tends to be at a moderately lower level. Medical students often exhibit poor psychological qualities in handling contradictions in doctor-patient relationships. Moreover, there is a lack of emphasis on the education of corresponding psychological qualities for medical students during the teaching process. This deficiency is highly disadvantageous for medical students in their future management of doctor-patient relationships. The article explores how to cultivate psychological resilience in medical students and enhance their ability to handle conflicts in doctor-patient relationships from the perspective of doctor-patient relationships. The author suggests that schools should place greater emphasis on the psychological resilience of medical students, change teaching methods, incorporate online education to enhance the mentalization level of medical students, and propose an eight-week mindfulness cognitive therapy program to improve psychological resilience. The intervention process should consider establishing positive coping mechanisms, promoting good interpersonal relationships among medical students, and regulating individual negative emotions. Through simulating doctor-patient scenarios, teachers should consciously train the psychological resilience of medical students, improve their cognition and thinking abilities, and accelerate their psychological health recovery.
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Affiliation(s)
- Yinuo Tan
- Department of Medical Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Cancer Center, Zhejiang University, Hangzhou, PR China
| | - Juan Wang
- Department of Medical Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Cancer Center, Zhejiang University, Hangzhou, PR China
| | - Haiyan Chen
- Cancer Center, Zhejiang University, Hangzhou, PR China
- Department of Radiation Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
| | - Mengyuan Yang
- Department of Medical Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Cancer Center, Zhejiang University, Hangzhou, PR China
| | - Ning Zhu
- Department of Medical Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Cancer Center, Zhejiang University, Hangzhou, PR China
| | - Ying Yuan
- Department of Medical Oncology, Key Laboratory of Cancer Prevention and Intervention, Ministry of Education, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China
- Cancer Center, Zhejiang University, Hangzhou, PR China
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Freitas PHBD, Meireles AL, Abreu MNS, Barbosa BCR, Paula WD, Cardoso CS. Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic. Rev Bras Enferm 2023; 76Suppl 1:e20230068. [PMID: 38055432 DOI: 10.1590/0034-7167-2023-0068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 08/14/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic. METHODS A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods. RESULTS A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029). CONCLUSION The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.
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Affiliation(s)
| | | | | | | | - Waléria de Paula
- Universidade Federal de Ouro Preto. Ouro Preto, Minas Gerais, Brazil
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dos Santos de Brito L, Pereira TN, dos Santos ER, de Barros TG, Martinez WD, dos Santos LL, Brienze VMS, de Abreu Lima AR, Bizotto TSG, André JC. Impact of students assistance policies on quality of life and mental health. Front Psychol 2023; 14:1266366. [PMID: 38034297 PMCID: PMC10682892 DOI: 10.3389/fpsyg.2023.1266366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 10/24/2023] [Indexed: 12/02/2023] Open
Abstract
Introduction Student assistance policies in higher education, in their various modalities, seek to reduce the dropout of a new profile of students, non-traditional, with socioeconomic weaknesses, promoting quality of life (QoL) and mental health during the university journey. In this context, the Student Social Support Center (C.A.S.A) promotes assistance to students who need personal and/or economic support. Objectives To evaluate the QoL and the presence of minor mental disorders (MMD) in students from the 1st to the 4th year of medicine at a public college in Brazil, comparing C.A.S.A beneficiaries and non-beneficiaries. Materials and methods Cross-sectional study with 283 students. SRQ-20 and WHOQOL-BREF questionnaires were used, in addition to a questionnaire addressing sociodemographic data. Results The general average of QoL was regular in the four evaluated domains (physical, psychological, social relationships, environment) and 55.5% of the students have evidence of MMD, in which the QoL scores are lower in all domains. The environment domain, which discusses socioeconomic conditions, has the worst score among C.A.S.A beneficiaries and the best among C.A.S.A non-beneficiaries. Discussion The data corroborate the fragile situation of mental health and QoL of medical students. The student assistance modality of the analyzed program possibly presents vulnerabilities in its performance since the environment domain, the one with the lowest score among the program beneficiaries, precisely encompasses financial resources, access to goods and leisure and the individual's physical environment.
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Affiliation(s)
- Lara dos Santos de Brito
- Center for Studies and Development of Health Education – CEDES, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brazil
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Chauca Bajaña LA, Campos Lascano L, Jaramillo Castellon L, Carpio Cevallos C, Cevallos-Pozo G, Velasquez Ron B, Vieira e Silva FF, Perez-Sayans M. The Prevalence of the Burnout Syndrome and Factors Associated in the Students of Dentistry in Integral Clinic: A Cross-Sectional Study. Int J Dent 2023; 2023:5576835. [PMID: 37645692 PMCID: PMC10462438 DOI: 10.1155/2023/5576835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 06/22/2023] [Accepted: 07/28/2023] [Indexed: 08/31/2023] Open
Abstract
Background Burnout syndrome (BS) is composed of three interrelated dimensions (emotional exhaustion, depersonalization, and personal fulfillment), and it has been documented that it affects health professionals from an early age. Aims Determine the prevalence of BS and associated factors in the integral clinic of the Dentistry Pilot School. Material and Methods. Two instruments were applied: (1) Maslach Burnout Inventory, which measures the degree of professional burnout through 22 items that describe the professional's attitudes and feelings toward work, as well as symptoms associated with this phenomenon; (2) the second questionnaire determines the possible symptoms of BS and consists of 14 questions that describe tiredness, sleep problems, digestive problems, respiratory problems and headaches, temporomandibular joint (TMJ), neck pain, back pain, and upper and lower extremity pain. The instruments were answered anonymously by a total of 300 students who participated in the study. Results The emotional exhaustion of the participants was 48.3% at a higher level, the depersonalization was 46.7% at a higher level, and the low perception of personal fulfillment was 73%. In addition, it was shown that BS is significantly related to marital status (p < 0.001∗), with single people reporting being more exhausted, with the 6-month level (p = 0.011) and with the following symptoms: non-neck pain, head, TMJ, back, waist, upper and lower body pain. Conclusion It was found that the BS had a prevalence of high levels of exhaustion and depersonalization correlated with the marital status and level of preparation (academic degree) of the person, finding a prevalence of symptoms such as pain in the neck, head, TMJ, and back.
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Affiliation(s)
- Luis Alberto Chauca Bajaña
- Periodontics and Implantology Oral Research Unit, College Dentistry, University of Guayaquil, Guayaquil, Ecuador
| | | | | | | | | | - Byron Velasquez Ron
- Dental Prosthesis Department Research, College Dentistry, University of the Americas (UDLA), Quito, Av. Colon y 6 de diciembre, Colón Campus, Quito, Ecuador
| | - Fábio França Vieira e Silva
- Faculty of Medicine and Dentistry, Oral Medicine, Oral Surgery and Implantology Unit, Health Research Institute of Santiago de Compostela (IDIS), University of Santiago of Compostela, Santiago of Compostela, A Coruña, Spain
| | - Mario Perez-Sayans
- Faculty of Medicine and Dentistry, Oral Medicine, Oral Surgery and Implantology Unit, Health Research Institute of Santiago de Compostela (IDIS), University of Santiago of Compostela, Santiago of Compostela, A Coruña, Spain
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Bou-Hamad I, Hoteit R, Hijazi S, Ayna D, Romani M, El Morr C. Coping with the COVID-19 pandemic: A cross-sectional study to investigate how mental health, lifestyle, and socio-demographic factors shape students' quality of life. PLoS One 2023; 18:e0288358. [PMID: 37471388 PMCID: PMC10358926 DOI: 10.1371/journal.pone.0288358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Accepted: 06/25/2023] [Indexed: 07/22/2023] Open
Abstract
PURPOSE The high prevalence of COVID-19 has had an impact on the Quality of Life (QOL) of people across the world, particularly students. The purpose of this study was to investigate the social, lifestyle, and mental health aspects that are associated with QOL among university students in Lebanon. METHODS A cross-sectional study design was implemented using a convenience sampling approach. Data collection took place between November 2021 and February 2022, involving 329 undergraduate and graduate students from private and public universities. Quality of life was assessed using the Quality-of-Life Scale (QOLS). Descriptive statistics, Cronbach's alpha, and linear regression-based methods were used to analyze the association between QOL and socio-demographic, health-related, lifestyle, and mental health factors. The significance level for statistical analysis was predetermined at α = 0.05. RESULTS The study participants' average (SD) QOL score was 76.03 (15.6) with a Cronbach alpha of 0.911. QOL was positively associated with importance of religion in daily decisions (β = 6.40, p = 0.006), household income (β = 5.25, p = 0.017), general health ratings (β Excellent/poor = 23.52, p <0.001), access to private counseling (β = 4.05, p = 0.020), physical exercise (β = 6.67, p <0.001), and a healthy diet (β = 4.62, p = 0.026); and negatively associated with cigarette smoking (β increased = -6.25, p = 0.030), internet use (β ≥4 hours = -7.01, p = 0.005), depression (β = -0.56, p = 0.002) and stress (β = -0.93, p <0.001). CONCLUSION In conclusion, this study reveals the key factors that positively and negatively influence students' quality of life (QOL). Factors such as religion, higher income, and a healthy diet improve QOL, while depression, stress, excessive internet use, and cigarette smoking negatively impact it. Universities should prioritize initiatives like physical activity promotion, affordable nutritious options, destigmatizing mental health, counseling services, and self-help interventions to support student well-being and enhance their QOL.
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Affiliation(s)
- Imad Bou-Hamad
- Department of Business Information and Decision Systems, Suliman S. Olayan School of Business, American University of Beirut, Beirut, Lebanon
| | - Reem Hoteit
- Department of Internal Medicine, Clinical Research Institute, American University of Beirut, Beirut, Lebanon
| | - Sahar Hijazi
- Faculty of Social Sciences, Lebanese University, Saida, Lebanon
| | - Dinah Ayna
- Faculty of Medicine, Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Maya Romani
- Faculty of Medicine, Department of Family Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Christo El Morr
- School of Health Policy and Management, York University, Toronto, Canada
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Fernandes MDSV, Mendonça CR, da Silva TMV, Noll PRES, de Abreu LC, Noll M. Relationship between depression and quality of life among students: a systematic review and meta-analysis. Sci Rep 2023; 13:6715. [PMID: 37185375 PMCID: PMC10126541 DOI: 10.1038/s41598-023-33584-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 04/15/2023] [Indexed: 05/17/2023] Open
Abstract
The objectives of this systematic review were to estimate the prevalence of depression and to identify the relationship between depression and quality of life (QOL) among high school and university students. Literature search was performed in the Scopus, Embase, PubMed, Scielo, CINAHL and Web of Science databases, following the PRISMA methodology. The results were presented through descriptive approaches and meta-analysis. Thirty-six studies met the eligibility criteria, and twenty-six were included in the meta-analysis. The prevalence of depressive symptoms was 27% (95% CI 0.21-0.33) among students, being high school and university students was 25% (95% CI 0.14-0.37) and 27% (95% CI 0.20-0.34), respectively, and most studies have shown that depression was associated with low QOL. Among the limitations of the study is the difficulty of generalizing the results found, considering the large sample of health students. New studies should be conducted considering the severity, duration, and patterns of depressive symptoms in high school and university students, to better understand the relationship between depression and QOL.
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Affiliation(s)
- Michele da Silva Valadão Fernandes
- Instituto Federal de Educação, Ciência e Tecnologia Goiano, GO-154, Km 03, Ceres, Goiás, 76300-000, Brazil.
- Rede Estadual e Municipal de Educação de São Luís de Montes Belos, Ceres, Goiás, Brazil.
| | | | | | - Priscilla Rayanne E Silva Noll
- Instituto Federal de Educação, Ciência e Tecnologia Goiano, GO-154, Km 03, Ceres, Goiás, 76300-000, Brazil
- Universidade de São Paulo, São Paulo, Brazil
| | | | - Matias Noll
- Instituto Federal de Educação, Ciência e Tecnologia Goiano, GO-154, Km 03, Ceres, Goiás, 76300-000, Brazil.
- Universidade Federal de Goiás, Goiânia, Brazil.
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de Freitas PHB, Meireles AL, Ribeiro IKDS, Abreu MNS, de Paula W, Cardoso CS. Symptoms of depression, anxiety and stress in health students and impact on quality of life. Rev Lat Am Enfermagem 2023; 31:e3884. [PMID: 37075384 PMCID: PMC10208634 DOI: 10.1590/1518-8345.6315.3884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 11/06/2022] [Indexed: 04/21/2023] Open
Abstract
OBJECTIVE to evaluate the association between quality of life and presence of symptoms of depression, anxiety, and stress in college students in the health area. METHOD cross-sectional study that included 321 students from undergraduate courses in the health area. Quality of life was measured using the World Health Organization scale, abbreviated version, in the physical, psychological, social relations and environment domains, and symptoms were assessed by the depression, anxiety and stress scale. Multivariate analysis was performed using robust linear regression to evaluate the association between quality of life and symptoms. RESULTS a negative association was observed between the quality of life and depression symptoms in all domains, while anxiety symptoms showed a negative association in the environment domain, and stress symptoms had a negative association in the psychological domain. Symptom severity was unfavorably associated with quality of life, that is, the greater the symptom severity, the lower the mean scores in all domains. CONCLUSION symptoms of depression, anxiety, and stress were prevalent and had a negative impact on students' quality of life, especially in the presence of depressive symptoms. The decrease in scores was significantly associated with the severity of symptoms.
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Affiliation(s)
| | - Adriana Lúcia Meireles
- Universidade Federal de Ouro Preto, Departamento de Nutrição Clínica e Social, Ouro Preto, MG, Brasil
| | | | - Mery Natali Silva Abreu
- Universidade Federal de Minas Gerais, Departamento de Gestão em Saúde, Belo Horizonte, MG, Brasil
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Hooli EM, Corral-Robles S, Ortega-Martín JL, Baena-Extremera A, Ruiz-Montero PJ. The Impact of Service Learning on Academic, Professional and Physical Wellbeing Competences of EFL Teacher Education Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4852. [PMID: 36981760 PMCID: PMC10048890 DOI: 10.3390/ijerph20064852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 02/28/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
In response to the challenges of the 21st century, the European Higher Education Area (EHEA) has been committed to the development of a training model that focuses on the acquisition of cognitive, physical, and social competences, among others, rather than the mere acquisition of knowledge. This approach has gained momentum in recent years, where the learners are the protagonists of their own learning process. This change of approach requires a change in methodology and involves a renewal of the methodological approach in Spanish universities. Service learning (S-L) is an active methodology that is gaining ground across universities due to its experiential, community-based and reflective characteristics. The present study aimed to provide an overview of the impact of S-L by active programs (physical activities, movement games, active tasks, etc.) on the acquisition of professional, linguistic, pedagogical or intercultural competencies, as well as physical wellbeing skills, on English as a foreign language (EFL) teacher education students. Fourteen Spanish EFL university students carried out an S-L active intervention with a migrant group from the Migrant Temporary Stay Centre in the autonomous city of Melilla (Spain). A qualitative study was designed to evaluate the achievement of these competencies. The results show that even though S-L is a challenging methodology, it favours the development of academic, professional, and physical wellbeing competences to succeed in a competitive and changing world, as well as the improvement of the participant students.
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Affiliation(s)
- Eeva-Maria Hooli
- Department of Didactics of Language and Literature, Faculty of Education, University of Granada, 18071 Granada, Spain
| | - Silvia Corral-Robles
- Department of Didactics of Language and Literature, Faculty of Education, University of Granada, 18071 Granada, Spain
| | - José Luis Ortega-Martín
- Department of Didactics of Language and Literature, Faculty of Education, University of Granada, 18071 Granada, Spain
| | - Antonio Baena-Extremera
- Department of Didactics of Musical, Plastic and Body Expression, Faculty of Education, University of Granada, 18071 Granada, Spain
| | - Pedro Jesús Ruiz-Montero
- Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, 18011 Granada, Spain
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Achak D, El-Ammari A, Azizi A, Youlyouz-Marfak I, Saad E, Nejjari C, Hilali A, Marfak A. Lifestyle Habits Determinants of Health-Related Quality of Life in Moroccan College Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2394. [PMID: 36767760 PMCID: PMC9915387 DOI: 10.3390/ijerph20032394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Revised: 01/23/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
The transition to university is a critical period during which considerable life changes arise. Useful national data to design tailored interventions aimed at promoting health-related quality of life (HRQoL) among Moroccan students are lacking. The present study is aimed at filling this gap by investigating the levels and associated factors of HRQoL among a national sample of Moroccan university students. HRQoL was assessed using the EQ-5D-5L instrument. Data from 2759 university students were collected in a large, cross-sectional, web-based survey. All statistical analyses were conducted using the R software. The EQ-5D-5L findings showed that the majority of students rated level 1 (no problems) and level 2 (slight problems) for the "Mobility", "Self-Care", "Usual Activities", and "Pain/Discomfort" HRQoL dimensions. However, the "Anxiety/Depression" dimension was the exception; more than half (57.1%) of the students were slightly to extremely anxious or depressed. The levels of lifestyle habits were of concern among participants of this study. With respect to sedentary behaviors and physical activity, we found that approximately 80% of participants spent ≥2 h/day on different screen-based sedentary behaviors, and 60% were physically inactive. Lifestyle habits that were found to be associated with HRQoL are sleeping time, physical activity, leisure, hygiene, household activities, homework, and social media time. The multiple regression model explained 93% of the EQ-VAS score variance. The findings could be of great importance for researchers and policymakers interested in promoting health of university students.
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Affiliation(s)
- Doha Achak
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
| | | | - Asmaa Azizi
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
| | - Ibtissam Youlyouz-Marfak
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
| | - Elmadani Saad
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
| | - Chakib Nejjari
- International School of Public Health, Mohammed VI University of Health Sciences, Casablanca 82403, Morocco
| | - Abderraouf Hilali
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
| | - Abdelghafour Marfak
- Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco
- National School of Public Health, Ministry of Health, Rabat 10000, Morocco
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13
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Valla L, Telle Hjellset V, Cvancarova Småstuen M, Sparboe-Nilsen B. Quality of life and associated factors among Norwegian public health nurse students during the first months of the COVID-19 pandemic: A cross-sectional study. PLoS One 2023; 18:e0282653. [PMID: 36928254 PMCID: PMC10019636 DOI: 10.1371/journal.pone.0282653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 02/20/2023] [Indexed: 03/18/2023] Open
Abstract
The main objective of this study was to investigate the association between quality of life (QOL) and civil status, self-efficacy, loneliness, and physical and mental health among public health nurse (PHN) students during the COVID-19 pandemic in April 2020. PHN students were recruited from eight universities and university colleges in Norway. A range of potential predictive factors were entered into a model using a stepwise linear regression approach. In general, the PHN students reported a high level of QOL during the first month of the pandemic. The students' civil status, perceived physical health, self-efficacy and loneliness were all significantly correlated with QOL. Among these, the strongest predictive factors for QOL were found to be perceived loneliness and self-efficacy. Our results provide insight into the QOL of PHN students, which managers in the higher education sector can use to outline specific coping strategies that can help students during a pandemic.
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Affiliation(s)
- Lisbeth Valla
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP), Oslo, Norway
- * E-mail:
| | - Victoria Telle Hjellset
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Milada Cvancarova Småstuen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Bente Sparboe-Nilsen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
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14
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da Silva AN, Lucietto DA, Bastos MVDS, do Nascimento TQ, Vettore MV. The relationship of dental students’ characteristics to social support, psychosocial factors, lifestyle, and quality of life. Health Psychol Behav Med 2022; 10:596-616. [PMID: 35898595 PMCID: PMC9310912 DOI: 10.1080/21642850.2022.2102017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Objective To examine the relationships between sociodemographic characteristics, student academic information, social support, sense of coherence, anxiety, lifestyle, and quality of life among dental students. Methods: A cross-sectional study among 233 dental students in Brazil. We captured data on sociodemographic and socioeconomic characteristics, social support through Social Support Appraisal, psychosocial factors (sense of coherence and anxiety based on SOC-13 and Depression, Anxiety and Stress Scale-21 – anxiety subscale, respectively), lifestyle as per individual Lifestyle Profile and quality of life based on VERAS-Q. Data was analysed through Structural Equation Modelling. Results: Greater social support, higher sense of coherence, lower anxiety, better lifestyle directly predicted better quality of life. Male gender, city of origin did not differ from the city of the campus, higher social support and greater sense of coherence were indirectly linked with better quality of life via better lifestyle. Lower academic semester and higher social support indirectly predicted better quality of life via lower anxiety. Conclusion: Social support, sense of coherence, anxiety, and lifestyle were relevant factors directly associated with dental student’s quality of life. Indirect pathways were observed between gender, moved home to attend dental course, academic semester, social support, sense of coherence, and quality of life.
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Affiliation(s)
- Andréa Neiva da Silva
- Department of Health and Society, Institute of Collective Health, Fluminense Federal University (UFF), Niterói, Brazil
| | - Deison Alencar Lucietto
- Department of Health and Society, Institute of Collective Health, Fluminense Federal University (UFF), Niterói, Brazil
| | | | | | - Mario Vianna Vettore
- Department of Health and Nursing Sciences, University of Agder (UiA), Kristiansand, Norway
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15
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Minh LD, Phan HH, Le Mai DN, Dat NT, Tri NM, Ha NV, Tu NH, Foster K, Giang KB, Pham TT. Pattern and perceived changes in quality of life of Vietnamese medical and nursing students during the COVID-19 pandemic. PLoS One 2022; 17:e0279446. [PMID: 36548356 PMCID: PMC9778935 DOI: 10.1371/journal.pone.0279446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic and governments' response lead to dramatical change in quality of life worldwide. However, the extent of this change in Vietnamese medical and nursing students has not been documented. OBJECTIVES The study aims to describe the quality of life and changes in quality of life of medical and nursing students during the COVID-19 pandemic and examine the association of quality of life and changes in quality of life with fear of COVID-19 and other socio-economic and demographic factors. METHODS The study was a cross-sectional study on all students of Hanoi Medical University from 3 majors: General Medicine, Preventive Medicine, Nursing (3672 invited students); from 7th to 29th of April 2020; using an online questionnaire that included demographic and academic information, the Vietnamese version of the SF-36 Quality of Life questionnaire and the Fear of COVID-19 Scale (FCV-19S). Linear and modified Poisson regression was used to examine the association between quality of life, changes in quality of life and other factors. RESULTS The number of participants was 1583 (response rate 43%). Among 8 dimensions of the SF-36 (ranged 0-100), Vitality had the lowest score with a median score of 46. The median physical composite score (PCS) of the sample was 40.6 (IQR:20.8-53.2), 33.5% of the sample had an above-population average PCS score. The median mental composite score (MCS) of the sample was 20.3 (IQR:3.8-31.7), and 98.2% had an MCS score below average. 9.9% (95%CI:8.5%-11.4%) of the population reported a significant negative change in the quality of life. Fear of COVID-19 was not associated with significant changes in quality of life, nor MCS while having some association with PCS (Coef:-5.39;95%CI:-3to-7.8). Perceived reduction in quality of life was also associated with: being on clinical rotation COVID-19 (PR:1.5;95%CI:1.05-2.2), difficulties affording health services (PR:1.4;95%CI:1.02-1.95), obesity (PR:2.38;95%CI:1.08-5.25) and chronic disease (PR:1.92;95%CI:1.23-3), typical symptoms (PR:1.85; 95%CI:1.23-2.78) and atypical symptoms of COVID-19 (PR:2.32;95%CI:1.41-3.81). CONCLUSION The majority of medical and nursing students had below average quality of life, with lower vitality and mental composite health score in the settings of COVID-19. Perceived decrease in quality of life was associated with clinical rotation, difficulties affording healthcare services and was not associated with Fear of COVID-19.
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Affiliation(s)
- Le Dai Minh
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Hoang Huy Phan
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Duong Ngoc Le Mai
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Nguyen Tien Dat
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Ngo Minh Tri
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Nguyen Viet Ha
- Doctor of Medicine Program, Hanoi Medical University, Hanoi, Vietnam
| | - Nguyen Huu Tu
- Department of Anesthesia, Hanoi Medical University, Hanoi, Vietnam
| | - Kirsty Foster
- Academy for Medical Education, Faculty of Medicine, University of Queensland, Brisbane, Australia
| | - Kim Bao Giang
- School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Tung Thanh Pham
- Department of Physiology, Hanoi Medical University, Hanoi, Vietnam
- * E-mail:
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16
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Uso de ansiolíticos e antidepressivos entre estudantes de medicina de uma universidade. PSICO 2022. [DOI: 10.15448/1980-8623.2022.1.38105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Objetivou-se identificar o uso de medicamento ansiolítico e/ou antidepressivo e associá-lo às características dos estudantes de medicina de uma universidade. Trata-se de um estudo com 449 estudantes de medicina no interior do estado de São Paulo. O uso de medicamento antidepressivo e/ou ansiolítico era feito por 24,3% dos estudantes, sendo a maior parte do sexo feminino e cursando os dois primeiros anos da faculdade. Não houve associação entre o uso de medicamento e os fatores como: idade, renda, morar com a família, horas de sono, relação com docentes e ter pai e mãe vivos. Observou-se maior chance de fazer terapia entre os estudantes que usavam medicamento (β=1,12, OR=3,07, p<0,001) e uma menor chance de realizar exercício físico (β=-0,051, OR=0,60, p=0,03). Estratégias para o manejo da depressão e da ansiedade devem ser incentivadas e ações para reduzir o estresse durante o curso devem fazer parte de um programa de apoio das universidades.
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17
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Milošević Marković M, Latas MB, Milovanović S, Poznanović ST, Lazarević MM, Karišik MJ, Đorđević J, Mandinić Z, Jovanović S. Mental Health and Quality of Life among Dental Students during COVID-19 Pandemic: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192114061. [PMID: 36360939 PMCID: PMC9656808 DOI: 10.3390/ijerph192114061] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 10/22/2022] [Accepted: 10/25/2022] [Indexed: 05/28/2023]
Abstract
Students are particularly vulnerable from the mental health aspect, which was especially recognized during the COVID-19 pandemic. This study aimed to reveal the impact of COVID-19 on quality of life (QoL) and mental health among dental students. The study was conducted on a sample of 797 students (207 male and 592 female) with an average age of 21.7 ± 2.4, from the School of Dental Medicine, University of Belgrade. The measurements used in the study were the Demographic and Academic Questionnaire, Questionnaire about exposure to COVID-19, COVID-19-Impact on QoL Questionnaire (COV19-QoL), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire (PHQ-9). The mean total score for COV19-QoL was 2.9 ± 0.9, while the diagnostic criteria of GAD-7 and depression met 19.9% and 31.4% of students, respectively. There was a positive and strong correlation between QoL, anxiety, and depression. During COVID-19, predictors for lower perceptions of QoL were female gender and death of close relatives (p = 0.049, p = 0.005, respectively). At the same time, predictors for GAD were female gender, living in dormitories, and death of close relatives (p = 0.019, p = 0.011, p = 0.028, respectively), while for depression they were year of study, living with parents, and death of close relatives due to COVID-19 (p = 0.012, p = 0.008, p = 0.029, respectively). The study showed that students' QoL and mental health during the pandemic were at high risk.
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Affiliation(s)
- Maja Milošević Marković
- Department of Public Health, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Milan B. Latas
- Faculty of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia
- Clinic for Psychiatry, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia
| | - Srđan Milovanović
- Faculty of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia
- Clinic for Psychiatry, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia
| | - Sanja Totić Poznanović
- Faculty of Medicine, University of Belgrade, Dr Subotica 8, 11000 Belgrade, Serbia
- Clinic for Psychiatry, University Clinical Center of Serbia, Pasterova 2, 11000 Belgrade, Serbia
| | - Miloš M. Lazarević
- Department of Public Health, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Milica Jakšić Karišik
- Department of Public Health, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Jana Đorđević
- Department of Public Health, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Zoran Mandinić
- Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Dr Subotica 11, 11000 Belgrade, Serbia
| | - Svetlana Jovanović
- Department of Public Health, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
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18
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Ramón-Arbués E, Echániz-Serrano E, Martínez-Abadía B, Antón-Solanas I, Cobos-Rincón A, Santolalla-Arnedo I, Juárez-Vela R, Adam Jerue B. Predictors of the Quality of Life of University Students: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912043. [PMID: 36231345 PMCID: PMC9564890 DOI: 10.3390/ijerph191912043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/12/2022] [Accepted: 09/19/2022] [Indexed: 05/06/2023]
Abstract
UNLABELLED Quality of life (QOL) is a complex and multifaceted concept that has been used to study different aspects of people's lives, including physical and psychological wellbeing, financial independence, social relationships, personal beliefs and living situation. In this study, we aimed to assess the QOL of a group of Spanish university students and identify associated factors. METHOD We completed a cross-sectional study of the QOL of 868 university students using the WHOQOL-BREF questionnaire. In addition, data regarding sociodemographic information and self-esteem (Rosenberg Self-Esteem Scale), physical activity (International Physical Activity Questionnaire-Short version), diet (Spanish Index of Healthy Eating), alcohol consumption (CAGE questionnaire) and sleep quality (Pittsburgh Sleep Quality Index) were collected. RESULTS A total of 66.2% of participants assessed their QOL positively, while 58.8% favorably evaluated their overall health. Students reported the highest scores for the physical health domain of QOL, whereas they gave the lowest scores for the psychological health domain. Age was inversely associated with QOL. Higher self-esteem and satisfaction with academic performance, as well as sleep and diet quality, were directly associated with higher QOL. The physical health domain of QOL was scored more highly by participants who had a healthy body weight or those who reported moderate levels of physical activity. Higher scores in the social relationships domain of QOL were directly linked to alcohol intake, smoking and low body weight in addition to being inversely associated with screen time. The psychological domain of QOL was lower for those who were overweight or lived alone. CONCLUSION Many sociodemographic, academic and behavioral variables are associated with university students' QOL. The present findings underscore the need to direct further initiatives toward identifying and overcoming barriers to increased QOL for university students.
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Affiliation(s)
- Enrique Ramón-Arbués
- Faculty of Health Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, 50830 Saragossa, Spain
- H27_20D Transfercult, Investigation Group, Aragón, 50009 Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- H27_20D Transfercult, Investigation Group, Aragón, 50009 Zaragoza, Spain
- Faculty of Health Sciences, Zaragoza University, 50009 Zaragoza, Spain
- Correspondence: (E.E.-S.); (R.J.-V.)
| | - Blanca Martínez-Abadía
- Occupational Health and Prevention Service of the Zaragoza City Council, 50003 Saragossa, Spain
| | | | - Ana Cobos-Rincón
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
| | - Iván Santolalla-Arnedo
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
| | - Raúl Juárez-Vela
- GRUPAC, Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain
- Biomedical Research Center of La Rioja (CIBIR), 26004 Logroño, Spain
- Correspondence: (E.E.-S.); (R.J.-V.)
| | - Benjamin Adam Jerue
- Faculty of Communication and Social Sciences, Campus Universitario Villanueva de Gállego, Universidad San Jorge, 50830 Saragossa, Spain
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19
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Karuniawati H, Sari N, Hossain MS, Ismail WI, Haq AHB, Yulianti T, Taufik T, Sudarsono GR. Assessment of Mental Health and Quality of Life Status of Undergraduate Students in Indonesia during COVID-19 Outbreak: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912011. [PMID: 36231312 PMCID: PMC9566172 DOI: 10.3390/ijerph191912011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/17/2022] [Accepted: 09/20/2022] [Indexed: 05/28/2023]
Abstract
The COVID-19 pandemic globally impacted physical, spiritual, and mental health (MH). The consequences significantly affected students' quality of life (QoL) too. This cross-sectional study assessed MH status and its relationship to the QoL of college students in Indonesia. This study collected data (September 2021-April 2022) online using the depression, anxiety, and stress scale-21 (DASS-21) to measure MH and the world health organization quality-of-life scale (WHOQoL-BREF) to measure the QoL. The data were analysed using SPSS with a bivariate and multivariate linear regression test. A total of 606 respondents participated in this study, with the majority being women (81.0%), aged 21-27 years (44.3%), and unmarried (98.5%) respondents. We observed 24.4% (n = 148) moderate depression, 18.3% (n = 111) very severe anxiety, and 21.1% (n = 128) moderate stress status. The QoL measurement determined that a moderate QoL in the physical and environmental health domains (>70%) and poor QoL in the psychological health domain (58.3%) were found. Gender, age, family support, history of COVID-19 diagnosis, family with COVID-19 diagnosis, vaccination status, and physical symptoms are significantly associated with MH status and QoL (p-value < 0.05). This study demonstrated that COVID-19 was negatively related to college students' MH and QoL. Targeted interventions may be needed to ameliorate both MH and QoL.
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Affiliation(s)
- Hidayah Karuniawati
- Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Muhammadiyah Surakarta, Surakarta 57102, Indonesia
| | - Nila Sari
- Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Muhammadiyah Surakarta, Surakarta 57102, Indonesia
| | - Md. Sanower Hossain
- Centre for Sustainability of Ecosystem and Earth Resources (Pusat ALAM), Universiti Malaysia Pahang, Kuantan 26300, Malaysia
| | - Wan Ismahanisa Ismail
- Faculty of Health Science, Universiti Teknology MARA, Cawangan Pulau Pinang, Kampus Bertam, Kepala Batas 13200, Malaysia
| | - Aniq Hudiyah Bil Haq
- Faculty of Psychology, Universitas Muhammadiyah Kalimantan Timur, Samarinda 75124, Indonesia
| | - Tri Yulianti
- Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Muhammadiyah Surakarta, Surakarta 57102, Indonesia
| | - Taufik Taufik
- Faculty of Psychology, Universitas Muhammadiyah Surakarta, Surakarta 57102, Indonesia
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20
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Martins CK, Cruz JC, Dellalibera-Joviliano R. Quality of life in Brazilian medical students: a systematic review and meta-analysis. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2022; 46:e20220497. [PMID: 35944099 PMCID: PMC11140770 DOI: 10.47626/2237-6089-2022-0497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 07/27/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES Medical training negatively impacts the quality of life of students. Assessing the well-being of medical students could guide academic policies and future research for improving the mental and physical health status of the population at risk. This study aimed to identify the influence of medical training on the quality of life of Brazilian medical students. METHODS A systematic review and meta-analysis was conducted according to the Cochrane criteria and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol (PRISMA). The search was performed by two independent investigators using a predefined protocol registered on the PROSPERO database (CRD42021237926). Data were extracted from PubMed, Embase, and Biblioteca Virtual de Saúde (BVS). For quantitative synthesis, a meta-analysis was conducted to assess the mean difference in the quality of life between medical students at different stages in the academic cycle, stratified by sex. All data were analyzed using the random-effects model, with a confidence interval of 95% (95%CI). RESULTS After evaluating the eligibility criteria, five studies were included in the meta-analysis. The data revealed that students in the pre-clinical cycle of the course exhibited higher quality of life scores in the physical (3.05 [1.48-4.62], p < 0.0001) and psychological (3.05 [0.80-5.30], p < 0.0001) domains than students in the clerkship cycle. No statistically significant differences were observed in the environmental (0.78 [-2.92-4.49], p = 0.68) or social domains (1.41 [-0.52-3.34], p = 0.15). CONCLUSION Our analysis revealed that the medical course is associated with decreased quality of life of medical students in the physical and psychological domains. This finding was observed in both men and women. However, these findings should be interpreted with caution given the study limitations. Registration number PROSPERO, CRD42021237926.
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Affiliation(s)
- Carolina Kakiuthi Martins
- Faculdade de Medicina de Ribeirão PretoUSPRibeirão PretoSPBrazil
Faculdade de Medicina de Ribeirão Preto
, Universidade de São Paulo (
USP
),
Ribeirão Preto
,
SP
,
Brazil
.
| | | | - Renata Dellalibera-Joviliano
- Faculdade de Medicina de Ribeirão PretoUSPRibeirão PretoSPBrazil
Faculdade de Medicina de Ribeirão Preto
, Universidade de São Paulo (
USP
),
Ribeirão Preto
,
SP
,
Brazil
.
- Departamento de Ciências Biomédicas e da SaúdeUniversidade do Estado de Minas GeraisPassosMGBrazil
Departamento de Ciências Biomédicas e da Saúde
,
Universidade do Estado de Minas Gerais
, Campus Passos,
Passos
,
MG
,
Brazil
.
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21
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Resilience Improves the Quality of Life and Subjective Happiness of Physiotherapists during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148720. [PMID: 35886573 PMCID: PMC9317447 DOI: 10.3390/ijerph19148720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/09/2022] [Accepted: 07/14/2022] [Indexed: 02/04/2023]
Abstract
Resilience is an individual characteristic that protects mental health. However, its impact on the lives of Brazilian physiotherapists during COVID-19 is not known. This study aimed to analyze whether resilience modulates the perceived quality of life (QoL) and subjective happiness (SH) of physiotherapists who work with COVID-19 patients, compared with those who do not. A cross-sectional study was conducted between 22 August and 22 October 2020. Physiotherapists working in critical and non-critical hospital sectors were invited to participate in the study. The participants completed sociodemographic questionnaires and were graded on the 14-item Resilience Scale, 36-item Short-Form Health Survey (SF-36), and the Subjective Happiness Scale. In total, 519 physiotherapists were enrolled in the study. Physiotherapists with low resilience who worked with COVID-19 patients reported lower scores on the SF-36 subscales (except for social functioning) and the Subjective Happiness Scale, compared with those with high resilience who did not work with COVID-19 patients. These responses were modulated by age, sex, absence from work, receipt of personal protective equipment, host leadership, and practice and maintenance of regular physical activity. In conclusion, physiotherapists with low resilience who worked with COVID-19 patients presented lower perceptions of QoL and SH, compared with the other study participants.
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Abrantes LCS, de Souza de Morais N, Gonçalves VSS, Ribeiro SAV, de Oliveira Sediyama CMN, do Carmo Castro Franceschini S, dos Santos Amorim PR, Priore SE. Physical activity and quality of life among college students without comorbidities for cardiometabolic diseases: systematic review and meta-analysis. Qual Life Res 2022; 31:1933-1962. [PMID: 34800221 PMCID: PMC8605778 DOI: 10.1007/s11136-021-03035-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/03/2021] [Indexed: 11/24/2022]
Abstract
PURPOSE To systematically review studies on the relationship between physical activity (PA) and quality of life (QOL) in university students without comorbidities for cardiometabolic diseases from around the world. METHODS We included observational studies with university students of both sexes, from public or private institutions, and that investigated the association or correlation between physical activity and quality of life among these students, without delimitation of date, language, or location. Reviews, letters to the editors, studies with qualitative methodologies, case studies, book chapters, articles with college students who had some specific disease or condition, such as obesity, diabetes, and others; studies with children of parents with chronic diseases, and those that were institutions aimed only at very specific populations, were excluded. Meta-analysis was calculated. RESULTS Thirty studies, consisting of 19,731 students, were included. The most commonly used instruments to assess the quality of life of the university population were the Quality of Life Questionnaire-short version (WHOQOL-BREF), and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). The International Physical Activity Questionnaire (IPAQ) was the most commonly used instrument to assess PA. For the meta-analysis, 22 studies were included. Weak but positive correlations were found between PA and the QOL domains: physical health (0.16. 95% CI 0.11 0.22; I2 = 99.96%); mental health (0.14; 95% CI 0.07-0.20; I2 = 99.97%); social relations (0.24, 95% CI 0.08-0. 38; I2 = 99.99%); environment (0.23, 95% CI 0.14-0.32; I2 = 99.90%); vitality (0.17. 95% CI 0.15-0.20; I2 = 99.49%) pain (0.02. 95% CI - 0.02 to 0.12; I2 = 99.96%); QOL and PA (0.21, 95% CI 0.08-0.34; I2 = 99.99%).An association of R = 0.60 (95% CI 0.25-0.95; I2 = 85.61%) was found between QOL and PA in total. CONCLUSION The results of our study showed a weak but positive relationship between physical activity and overall quality of life in college students, and also between PA and the domains of QL: physical health, social relationships, mental health, environment, and vitality, in this same population. It is important to study this population, since risk behaviors in this phase tend to perpetuate in the other phases of life.
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Affiliation(s)
- Lívia Carvalho Sette Abrantes
- Federal University of Viçosa (UFV), Viçosa, Brazil
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | - Núbia de Souza de Morais
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Sarah Aparecida Vieira Ribeiro
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Sylvia do Carmo Castro Franceschini
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
| | | | - Silvia Eloiza Priore
- Department of Nutrition and Health, Ed. Biological Sciences Center II, Universidade Federal de Viçosa (UFV), Avenida Peter Henry Rolfs, S/no., University Campus, Viçosa, MG CEP: 36570-900 Brazil
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Robles-Mariños R, Angeles AI, Alvarado GF. Factors associated with health anxiety in medical students at a private university in Lima, Peru. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2022; 51:89-98. [PMID: 35753983 DOI: 10.1016/j.rcpeng.2020.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 11/02/2020] [Indexed: 06/15/2023]
Abstract
INTRODUCTION There are few studies that examine the factors associated with the different levels of health anxiety in medical students. The objective was to determine the factors associated with the levels of health anxiety in medical students in 2018. METHODS An analytical cross-sectional study was carried out with 657 medical students from a private Peruvian university. Participants answered a questionnaire from which information was collected regarding levels of health anxiety (SHAI). For the analysis, linear regression was used to calculate crude and adjusted betas, and their 95% confidence intervals. RESULTS The mean health anxiety score was 14 ± 6.7. An association between health anxiety and the year of study is reported, with the second year showing the highest scores. In addition, an association between health anxiety and smoking is highlighted, as there are higher levels in occasional smokers, as well as a weak inverse correlation with age. No association was found with sex, place of birth, or having a first-degree relative that is a doctor or health worker. CONCLUSIONS The present study showed that age, year of studies and smoking are associated with health anxiety levels. More studies are required, especially of a longitudinal nature.
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Affiliation(s)
- Rodrigo Robles-Mariños
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru; Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas (SOCIEMUPC), Lima, Peru.
| | - Andrea I Angeles
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru; Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas (SOCIEMUPC), Lima, Peru
| | - Germán F Alvarado
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru
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Nasciutti Neto R, Mourão ÝDCDA, Araújo FCDO. Quality of life of the Brazilian speech therapist facing the covid-19 pandemic. Codas 2022; 34:e20210034. [PMID: 35019085 PMCID: PMC9769421 DOI: 10.1590/2317-1782/20212021034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Accepted: 08/16/2021] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To describe the quality of life (QoL) of Brazilian speech therapists and relate it to sociodemographic and professiographic aspects, and to their role in the COVID-19 pandemic. METHODS Population-based, cross-sectional epidemiological study. The research involved speech therapists from Brazil, who were invited to answer, online, the WHOQOL-bref form about their health and QoL, in addition to sociodemographic and professional questions. RESULTS 609 speech therapists aged between 21 and 65 years, average age of 34 years, participated in the study. Lower scores in the physical domain of QoL were given by female speech therapists, providing outpatient care, who did not work in private clinics, acted indirectly in the pandemic, were absent from work due to psycho-emotional aspects; in the psychological domain, they were female, without a partner, working in a private clinic or elsewhere and acted directly or indirectly in the pandemic; in the social relations domain, they had no partner, worked in outpatient care, but not in private clinics; and in the environment domain, lower scores were in black and brown race/color, without a partner, attending home care, but not in a private clinic or management/administrative or other. CONCLUSION Brazilian speech therapists had the lowest QoL scores in the psychological and environmental domains; their QoL is related to factors such as sex, color/race, presence of a partner, council region, service environments, direct action with COVID-19 patients and COVID-19 diagnosis.
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Affiliation(s)
- Rubens Nasciutti Neto
- Programa de Residência Multiprofissional em Endocrinologia, Hospital Estadual Geral de Goiânia Dr. Alberto Rassi – HGG/SEST - Goiânia (GO), Brasil.
| | - Ýleris de Cássia de Arruda Mourão
- Departamento de Tutoria do Programa de Residência Multiprofissional em Endocrinologia, Hospital Estadual Geral de Goiânia Dr. Alberto Rassi – HGG/SEST - Goiânia (GO), Brasil.
| | - Fernanda Cardoso de Oliveira Araújo
- Programa de Residência Multiprofissional em Endocrinologia, Hospital Estadual Geral de Goiânia Dr. Alberto Rassi – HGG/SEST - Goiânia (GO), Brasil.
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Leong Bin Abdullah MFI, Mansor NS, Mohamad MA, Teoh SH. Quality of life and associated factors among university students during the COVID-19 pandemic: a cross-sectional study. BMJ Open 2021; 11:e048446. [PMID: 34620656 PMCID: PMC8507402 DOI: 10.1136/bmjopen-2020-048446] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVE This study aimed to evaluate the quality of life (QoL) and determine its association with various factors and social support among university students during the COVID-19 pandemic after the end of movement lockdown. DESIGN, SETTING AND PARTICIPANTS This online cross-sectional study recruited 316 participants. The inclusion criteria were students 18 years and above who were registered with the faculties of medicine at Malaysian public universities located in Klang Valley and in the states of Penang and Kelantan in Peninsular Malaysia. The exclusion criteria were those who presented with psychotic disorders, bipolar mood disorder or a history of illicit drugs. OUTCOME MEASURES Participants were administered a self-reported questionnaire to gather data on demographic, personal, clinical and psychological characteristics. The questionnaire comprised of the 21-item Depression, Anxiety and Stress Scale, the Multidimensional Scale of Perceived Social Support, and the WHO Quality of Life- Brief Version (WHOQoL-BREF). RESULTS The psychological and social QoL scores were lower than the non-pandemic norms of the general population, while the physical health and environmental QoL scores were comparable. After adjusting for relevant demographic, personal and clinical variables, religious coping, greater number of hours of online classes attended, and greater social support from family, friends and significant others were significantly associated with higher QoL among the participants. Frustration due to study disruption, living in areas with a high prevalence of COVID-19 cases, and a higher severity of depressive and stress symptoms were significantly associated with lower QoL. CONCLUSION COVID-19 impaired the QoL of university students even after the movement lockdown was lifted.
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Affiliation(s)
| | - Nor Shuhada Mansor
- Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Malaysia
| | - Mohd Afifuddin Mohamad
- Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Malaysia
| | - Soo Huat Teoh
- Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Malaysia
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Lin YK, Lin BYJ, Lin CD, Chen DY. Relationship between medical students' negative perceptions of colleagues' work-life and burn-out during clerkships: a longitudinal observational cohort study. BMJ Open 2021; 11:e049672. [PMID: 34620660 PMCID: PMC8499250 DOI: 10.1136/bmjopen-2021-049672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Because work and educational environments are closely related and can affect each other, this study examined whether medical students' negative perceptions of their colleagues' work-life balance (NWLB) during their clinical rotations would be related to burn-out in clerkships and investigated the effect of students' gender on this relationship. DESIGN A longitudinal, prospective 2-year cohort study conducted between September 2013 and April 2015. SETTING Medical students from a university school of medicine in Taiwan. PARTICIPANTS One voluntary cohort of undergraduate medical students in clerkships was invited to participate. Among 190 medical students recruited in September 2013, a total of 124 students provided written informed consent. Participants were free to decide whether to complete each survey; therefore, varying numbers of responses were obtained during the study period. Those who responded to our survey for more than 6 months were included in our analyses. Overall, 2128 responses from 94 medical students were analysed, with each student providing an average of 23 responses for 2 years. PRIMARY OUTCOME MEASURE Burn-out was measured using the Professional Quality of Life Scale. RESULTS Our study found that a strong NWLB was related to high burn-out levels among medical students during their clerkships (p<0.001). However, the gender of the student had no effect on this relationship (p>0.05). In addition, our study indicated that medical students living with a companion had decreased burn-out levels than did those living alone during their clerkships. CONCLUSIONS The significance of policies promoting employee work-life balance should be emphasised because of the potential for social contagion effects on medical students. Clerkship trainees might be vulnerable to such negative contagion effects during the transition to their early clinical workplace training and may, therefore, require advanced socialisation and mentoring.
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Affiliation(s)
- Yung Kai Lin
- Department of Surgery, Chiayi Branch, Taichung Veterans General Hospital, Chiayi, Taiwan
- Division of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan
| | - Blossom Yen-Ju Lin
- Department of Medical Humanities and Social Sciences, School of Medicine, Chang Gung University, Taoyuan, Taiwan
| | - Chia-Der Lin
- Department of Otolaryngology-Head & Neck Surgery, China Medical University Hospital, Taichung, Taiwan
- School of Medicine, China Medical University, Taichung, Taiwan
| | - Der-Yuan Chen
- Rheumatology and Immunology Center, China Medical University Hospital, Taichung, Taiwan
- College of Medicine, China Medical University, Taichung, Taiwan
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Quality of Life of Brazilian Vegetarians Measured by the WHOQOL-BREF: Influence of Type of Diet, Motivation and Sociodemographic Data. Nutrients 2021; 13:nu13082648. [PMID: 34444816 PMCID: PMC8400525 DOI: 10.3390/nu13082648] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 07/18/2021] [Accepted: 07/27/2021] [Indexed: 01/26/2023] Open
Abstract
This study aimed to evaluate the general quality of life (QoL) of Brazilian vegetarians. A cross-sectional study was conducted with Brazilian vegetarian adults (18 years old and above). Individuals were recruited to participate in a nationwide online survey that comprised the WHOQOL-BREF as well as sociodemographic and characterization questions related to vegetarianism. The WHOQOL-BREF is composed of 24 items which are divided into four domains (domain 1: physical health; domain 2: psychological well-being; domain 3: social relationships; and domain 4: environment), plus two general items which were analyzed separately, totaling 26 items. The answers from the questionnaire were converted into scores with a 0-100 scale range, with separate analyses for each domain. Results were compared among groups based on the different characteristics of the vegetarian population. A total of 4375 individuals completed the survey. General average score results were 74.67 (domain 1), 66.71 (domain 2), 63.66 (domain 3) and 65.76 (domain 4). Vegans showed better scores when compared to the other vegetarians, except in domain four, where the statistical difference was observed only for semi-vegetarians (lower score). Individuals adopting a vegetarian diet for longer (>1 year) showed better results for domains one and two, with no difference for the other domains. Having close people also adopting a vegetarian diet positively influenced the results for all domains. On the other hand, it was not possible to distinguish any clear influence of the motivation for adopting a vegetarian diet on the scores' results. Adopting a vegetarian diet does not have detrimental effects on one's QoL. In fact, the more plant-based the diet, and the longer it was adopted, the better the results were.
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Navarro-Flores A, Peralta CI, Huamani-Colquichagua Y, Taype-Rondan A. Quality of life of medical students with migration background: a cross-sectional study from a Peruvian university. PSYCHOL HEALTH MED 2021; 27:1842-1851. [PMID: 34304665 DOI: 10.1080/13548506.2021.1955138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The study aimed to describe the association between internal migration status and QoL in medical students from a Peruvian university. A cross-sectional survey was conducted in medical students from a public university in Lima, Peru. We used the brief version of the World Health Organization Quality of Life instrument (WHOQOL-BREF) and obtained data on demographic and migration-related student's characteristics. Linear mixed models were used to assess how migration status affected each of the WHOQOL-BREF domains (physical health, psychological status, social relationships, and environment). Of 410 participants, 110 (27%) and 46 (11%) were 'late' and 'recent' migrants, respectively. Compared with non-migrants, most recent migrants were older (87.0%, p = 0.000), lived alone (32.6%, p = 0.000), had at least one highly educated parent (87.0%, p = 0.002) and reported no chronic conditions (73,9%, p = 0.019). The environment domain scored the lowest and the psychological domain, the highest. Adjusting by all study confounders, migration status was not associated with QoL in any domain. However, adjusting by variables showing a favorable proportion in migrants (parental education and chronic conditions), recent migrants had lower QoL than did non-migrants in the environment domain (b - 4.8, 95% CI -9.2 to -0.5). The results suggest that the parents' higher education level and the absence of chronic conditions could protect migrants' QoL against environmental stressors.
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Affiliation(s)
| | - C Ichiro Peralta
- Facultad De Medicina, Universidad Nacional Federico Villarreal, Lima, Peru
| | | | - Alvaro Taype-Rondan
- Unidad De Investigación Para La Generación Y Síntesis De Evidencias En Salud, Universidad San Ignacio De Loyola, Lima, Peru
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Prata TSC, Calcides DAP, Vasconcelos EL, Carvalho AA, Melo EVD, Oliva-Costa EFD. Prevalence of Burnout Syndrome and associated factors in medical students under different educational models. Rev Assoc Med Bras (1992) 2021; 67:667-674. [DOI: 10.1590/1806-9282.20200937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Accepted: 03/14/2021] [Indexed: 11/22/2022] Open
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Yap AU, Mah EXY, Neo ASK, Leong AWT. Perceived quality of life among oral health therapy and dental students: A cross-cultural comparison. Int J Dent Hyg 2021; 19:323-331. [PMID: 33934498 DOI: 10.1111/idh.12508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 04/04/2021] [Accepted: 04/14/2021] [Indexed: 11/27/2022]
Abstract
OBJECTIVES This cross-sectional study examined the perceived quality of life (QOL) of Oral Health Therapy (OHT) students and compared the domain differences between Dental students, gender, and year-of-study. METHODS OHT students from a local polytechnic were invited to participate (IRB no. (SHS-2019-001). Perceived QOL was assessed with the multidimensional World Health Organization QOL (WHOQOL)-BREF instrument. Demographic information and WHOQOL-BREF responses were collected electronically. Raw scores were converted to transformed scores and related to data of Dental students from other countries. Statistical analyses were performed with a T-test, one-way ANOVA/posthoc Tukey's test, and Pearson's correlation (p < 0.05). RESULTS Of the total cohort of 66 students, 65 consented to participation (98.5% response rate). The study sample (mean age 19.2 ± 2.9 years) comprised of 83.1% females (54/65). Mean domain scores were as follows: Physical health - 54.90 ± 9.78; psychological - 50.98 ± 17.36; social relationships - 60.69 ± 16.47; and environment - 66.80 ± 13.66. The psychological domain was rated the lowest as with most other studies on Dental students. Mean scores for the overall perception of QOL and "satisfaction with health" (SWH) were 3.46 ± 0.83 and 3.35 ± 0.89 respectively. No significant difference in the domain and overall QOL/SWH scores were observed between genders. Psychological and environmental domains scores were significantly different between the first and third-year students (p ≤ 0.02). Correlations coefficients between the QOL domains ranged from rs = 0.18-0.66. CONCLUSION Aside from the USA and Saudi Arabia, the perceived QOL of Asian OHT students was generally comparable to those of Dental students from other countries. Overall perceived QOL and satisfaction with health were moderately favourable.
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Affiliation(s)
- Adrian Ujin Yap
- Department of Dentistry, Ng Teng Fong General Hospital, Singapore, Singapore.,Faculty of Dentistry, National University of Singapore, Singapore, Singapore.,Duke-NUS Medical School, Singapore, Singapore
| | - Enriq Xing Yao Mah
- School of Health and Social Sciences, Nanyang Polytechnic, Singapore, Singapore
| | - Aaron Shi Kai Neo
- School of Health and Social Sciences, Nanyang Polytechnic, Singapore, Singapore
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Kotarska K, Paczyńska-Jędrycka M, Sygit K, Kmieć K, Czerw A, Nowak MA. Physical Activity and the Quality of Life of Female Students of Universities in Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105194. [PMID: 34068299 PMCID: PMC8153276 DOI: 10.3390/ijerph18105194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 05/06/2021] [Accepted: 05/11/2021] [Indexed: 11/16/2022]
Abstract
Physical activity increases human health potential and has an impact on achieving a higher quality of life in society. The aim of our research was to determine the relationship between a physically active lifestyle and the quality of life of female students in the context of demographic and social factors (major, age, marital status, professional activity). The research was conducted among a group of 285 women studying physical culture and social sciences in Poznań and Szczecin (Poland). Average age: 22.7 ± 4.90. The standardized World Health Organization Quality of Life-BREF (WHQOL-BREF) questionnaire was used to assess the quality of life of female students, and the original survey technique was used to study the lifestyle of people undertaking physical activity in the context of socio-demographic factors. Nonparametric statistics were applied in the analyses of the results. The effect size was calculated for each test: E2R for the Kruskal-Wallis H test, Glass rank biserial correlation (rg) for the Mann-Whitney U test, and Cramér's V for the χ2 test. The value of p ≤0.05 was assumed to be a significant difference. In the study, it was shown that a higher overall quality of life and health satisfaction, as well as better results in the physical, psychological, and environmental domains, were achieved by female students who assessed their lifestyle as physically active in comparison to those physically inactive. Higher scores of overall quality of life and satisfaction with health were found among female students of physical education and people participating in physical recreation, who also achieved better results in the environmental domain. Female students aged 23-25 had a higher quality of life in the physical, psychological, and social domains. Having a partner or spouse had a positive effect on the quality of life of female students defined by the social domain. A higher overall quality of life and satisfaction with health were characteristic of people who were employed. In the search of factors positively influencing the quality of life of society, it seems necessary to promote a physically active lifestyle among students. The observed differences in the quality of life and health satisfaction of female students of selected majors require targeted programs and interventions that improve the quality of their lives at various stages of their studies. Such activities increase the health potential of the individual and society, not only in the biological, but also psychosocial dimension.
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Affiliation(s)
- Katarzyna Kotarska
- Institute of Physical Culture Sciences, University of Szczecin, 71-065 Szczecin, Poland; (K.K.); (M.P.-J.); (M.A.N.)
| | - Małgorzata Paczyńska-Jędrycka
- Institute of Physical Culture Sciences, University of Szczecin, 71-065 Szczecin, Poland; (K.K.); (M.P.-J.); (M.A.N.)
| | - Katarzyna Sygit
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland;
- Correspondence:
| | - Kamila Kmieć
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland;
| | - Aleksandra Czerw
- Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warszawa, Poland;
| | - Maria Alicja Nowak
- Institute of Physical Culture Sciences, University of Szczecin, 71-065 Szczecin, Poland; (K.K.); (M.P.-J.); (M.A.N.)
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Physical Activity and Quality of Life of University Students, Their Parents, and Grandparents in Poland-Selected Determinants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18083871. [PMID: 33917082 PMCID: PMC8067714 DOI: 10.3390/ijerph18083871] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 03/28/2021] [Accepted: 03/31/2021] [Indexed: 11/18/2022]
Abstract
Physical activity is one of the factors conditioning human health. Research shows a positive impact of regular physical activity on the quality of human life. The aim of the study was to determine the relationship between the physical activity of university students, their parents, and their grandparents, and the overall quality of their lives in individual domains (physical, mental, social, environmental), as well as the perceived state of health in relation to selected determinants. The research included 1001 participants, including 253 students related to physical culture and health promotion studying at the University of Szczecin (faculties: physical education, tourism and recreation, public health, sports diagnostics), and their 336 parents and 412 grandparents. Purposive sampling was used to outline the determinants of quality of life and family factors in physical activity. The diagnostic survey was carried out based on the standardized WHOQOL-BREF (World Health Organization Quality of Life) questionnaire. Statistically significant differences were shown in the studied generations regarding the assessment of quality of life and satisfaction with health in the physical, psychological, social, and environmental domains. The oldest generation gave the lowest assessment of quality of life and was the least satisfied with their health regarding particular domains. Female students were more satisfied with their health compared to grandmothers and grandfathers, whereas male students compared to mothers and fathers. Fathers achieved the highest scores in the psychological and social domains, but, in case of the latter, differences were found between mothers’ and fathers’ assessments. Intergenerational differences were found in quality of life and the assessment of health status. Current participation in broadly understood physical culture was often a result of positive attitudes towards physical education and doing sport in the past, which meant higher scores in the physical domain each time. The study demonstrated that taking up physical activity impacted the quality of life and assessment of health in the past and currently.
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Carli TC, Ribeiro AP, Oliveira GL. Perceived quality of life among Brazilian medical students: initial findings from a follow-up study. PSYCHOL HEALTH MED 2021; 27:1544-1552. [PMID: 33719749 DOI: 10.1080/13548506.2021.1898650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This study evaluates Brazilians medical students' Quality of Life and verified associated factors, according to graduation medical cycles: basic (two first years), theoretical-practical (third and fourth years) and clinical (fifth and sixth years). Data were obtained from QualiMed study, conducted at Medical School of Federal University of Minas Gerais, Brazil, using WHOQOL-Bref. Analyses were performed using ANOVA and multiple logistic regressions. A total of 1470 medical students participated and were more satisfied than dissatisfied with their quality of life. Psychological Domain obtained the worst assessment (60.64) and Environment Domain the best one (68.14). The perception of quality of life improved over the course, being worse in the basic cycle and better in the clinical cycle, statistically different for all domains (p-value<0.05). Most variables were negatively associated with quality of life, indicating that their absence reduces the chances of a better perception. Absence of regular physical activity and having depression symptoms were negatively associated with all WHOQOL-Bref Domains. Individual, behavioral and psychological aspects negatively impact the quality of life of evaluated students. Psychological support strategies, encouraging resilience and carrying out physical activities are recommended to improve quality of life, mainly in first years of medical school.
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Affiliation(s)
- Tarla Costa Carli
- Postgraduate Program in Health Promotion and Violence Prevention, Medicine School, Federal University of Minas Gerais, Minas Gerais, Brazil
| | - Adalgisa Peixoto Ribeiro
- Department of Preventive and Social Medicine, Medicine School, Federal University of Minas Gerais, Minas Gerais, Brazil
| | - Graziella Lage Oliveira
- Department of Preventive and Social Medicine, Medicine School, Federal University of Minas Gerais, Minas Gerais, Brazil
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Robles-Mariños R, Angeles AI, Alvarado GF. Factors Associated with Health Anxiety in Medical Students at a Private University in Lima, Peru. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2021; 51:S0034-7450(20)30114-1. [PMID: 33735034 DOI: 10.1016/j.rcp.2020.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 08/25/2020] [Accepted: 11/02/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION There are few studies that examine the factors associated with the different levels of health anxiety in medical students. The objective was to determine the factors associated with the levels of health anxiety in medical students in 2018. METHODS An analytical cross-sectional study was carried out with 657 medical students from a private Peruvian university. Participants answered a questionnaire from which information was collected regarding levels of health anxiety (SHAI). For the analysis, linear regression was used to calculate crude and adjusted betas, and their 95% confidence intervals. RESULTS The mean health anxiety score was 14±6.7. An association between health anxiety and the year of study is reported, with the second year showing the highest scores. In addition, an association between health anxiety and smoking is highlighted, as there are higher levels in occasional smokers, as well as a weak inverse correlation with age. No association was found with sex, place of birth, or having a first-degree relative that is a doctor or health worker. CONCLUSIONS The present study showed that age, year of studies and smoking are associated with health anxiety levels. More studies are required, especially of a longitudinal nature.
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Affiliation(s)
- Rodrigo Robles-Mariños
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Perú; Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas (SOCIEMUPC), Lima, Perú.
| | - Andrea I Angeles
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Perú; Sociedad Científica de Estudiantes de Medicina de la Universidad Peruana de Ciencias Aplicadas (SOCIEMUPC), Lima, Perú
| | - Germán F Alvarado
- Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Perú
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Bellodi PL, Dolhnikoff M. Medical students with performance difficulties need wide support: Initial results of an academic tutoring program. Clinics (Sao Paulo) 2021; 76:e2495. [PMID: 33787676 PMCID: PMC7955142 DOI: 10.6061/clinics/2021/e2495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Accepted: 01/20/2021] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Even students with previous academic success may face challenges that affect their academic performance. Many medical schools offer programs to students at the risk of academic failure, to ensure that they succeed in the course. OBJECTIVE AND METHODS In this report we describe a pioneering academic tutoring program developed at a Brazilian medical school and discuss the initial results of the program based on the feedback from tutors and data regarding the progression of students in the medical course. RESULTS In 2018, 33 students enrolled into the program. Students' performance difficulties were mainly associated with mental health problems and socioeconomic vulnerability. Of the 33 students, 27 (81.8%) were assisted by the Mental Health Support Service and 16 (48.5%) were assisted by the Social Assistance Service. In addition to the planning academic activity class load, tutors were able to assist students in solving socioeconomic issues, carrying out personal support interventions with the promotion of self-esteem, and presenting suggestions for behavioral changes in their routine. For most students (72%), the action plan proposed by the tutors was successful. Eight of the 14 (57%) students in the fourth year progressed to the final two years of in-hospital practical training (internship). CONCLUSIONS The Academic Tutoring Program showed positive results for most of the students. Close monitoring and tutor intervention allowed students with poor academic performance to overcome the low performance cycle. These important tasks demand time and energy from tutors, and institutional recognition of these professionals is essential for the successful maintenance of the program.
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Affiliation(s)
- Patrícia Lacerda Bellodi
- Nucleo de Apoio ao Estudante (NAE), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Centro de Desenvolvimento de Educacao Medica (CEDEM), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
| | - Marisa Dolhnikoff
- Nucleo de Apoio ao Estudante (NAE), Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- Departamento de Patologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR
- *Corresponding author. E-mail:
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Barreto FS, Carvalho GOD, Silva LCND, Santos VRD, Osório RDCP, Nascimento L, Feitosa ADNA, Assis EVD, Silva JBNF. Electronic tools for physical activity and quality of life of medical students during COVID-19 pandemic social isolation. MOTRIZ: REVISTA DE EDUCACAO FISICA 2021. [DOI: 10.1590/s1980-65742021002121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Muller AE. A Systematic Review of Quality of Life Assessments of Offenders. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2020; 64:1364-1397. [PMID: 31989846 DOI: 10.1177/0306624x19881929] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Strength-based theories of rehabilitation emphasize the importance of opportunities for offenders to achieve "good lives" to not re-offend. The extent to which these groups feel enabled to achieve a good life may be measured through subjective, overall quality of life (QoL). The aim is to systematically review the QoL instruments used among detained offenders and synthesize the factors related to their QoL. A systematic literature review was conducted to retrieve articles that assessed the overall QoL of a sample of detained offenders using a validated instrument. The instruments' specificity, dimensionality, and respondent and administrator burden were assessed, and factors reported as significantly related to QoL were summarized. In total, 41 articles were included in the review: 20 reported on forensic samples and 20 on prisoners, with one study randomly assigning offenders to either forensic treatment or prison. Among the included articles, 12 validated instruments were utilized. Only one instrument, the Forensic Inpatient Quality of Life Questionnaire, was specifically developed for and validated in forensic patients. Detained offending populations reported lower QoL than the general population, and those with untreated mental illness reported the lowest. The most consistent predictors of QoL longitudinally were social factors, while substance use and detention-specific variables were not consistently related. In general, the relationships between poor mental health, loneliness, and poor QoL seen in offenders are also seen among other marginalized populations. To improve the evidence base for QoL assessment in this vulnerable group, current gold standard QoL instruments should be validated in detained populations.
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Affiliation(s)
- Ashley Elizabeth Muller
- Norwegian Institute of Public Health, Oslo, Norway
- Norwegian Centre for Addiction Research, Oslo, Norway
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Castaños-Cervantes S, Domínguez-González A. Depression in Mexican medical students: A path model analysis. Heliyon 2020; 6:e04178. [PMID: 32566786 PMCID: PMC7298399 DOI: 10.1016/j.heliyon.2020.e04178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Revised: 05/06/2020] [Accepted: 06/05/2020] [Indexed: 11/24/2022] Open
Abstract
Background Depression is a mental health disorder present in medical students that foster cumulative disadvantages throughout life and that may compromise patient care. Yet, in Mexico there is a dearth of research concerning prediction models for depression in this population. Methods The aim of this cross-sectional study was to develop and test a path model analysis of depression in 103 freshmen Mexican medical students ages 18–23 years old selected non-randomly. Anxiety, emotion dysregulation, and coping skills were used as factors influencing depression. Mexican self-report scales were used as assessment measures. Results Main results showed that anxiety and emotion dysregulation had a significant direct influence on depression. Emotion dysregulation had a significant direct effect on coping skills and anxiety, while anxiety had a significant direct effect on problem drinking and alcohol problems. Fit indexes obtained indicate an excellent adjustment to data. R square indicates that 53.7% of the variance in depression can be explained by this model. Limitations The results are exploratory rather than confirmatory. The sample size was not large enough and the research focused on only Mexican freshmen medical students. Other factors associated to depression in medical students were not considered. Conclusions The current research provides unique findings in terms of a model of depression in Mexican medical students through which it is possible to design and implement interventions that decrease depression, thus positively affecting their well-being, their future careers as medical doctors and their abilities to serve the society adequately, especially in the context of Latin American cities.
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Affiliation(s)
- Susana Castaños-Cervantes
- Research Department, La Salle University, Benjamín Franklin 45, Col. Condesa, Alcaldia Cuauhtemoc, 06140, Mexico City, Mexico
| | - Alejandro Domínguez-González
- Research Department, La Salle University, Benjamín Franklin 45, Col. Condesa, Alcaldia Cuauhtemoc, 06140, Mexico City, Mexico
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Castaldelli-Maia JM, Lewis T, Marques Dos Santos N, Picon F, Kadhum M, Farrell SM, Molodynski A, Ventriglio A. Stressors, psychological distress, and mental health problems amongst Brazilian medical students. Int Rev Psychiatry 2019; 31:603-607. [PMID: 31612743 DOI: 10.1080/09540261.2019.1669335] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
In line with studies from around the world, several studies have shown equal or higher rates of anxiety, depression, alcohol and other drug use, and burnout in medical students in Brazil. The aim of the present study was to identify difficulties Brazilian medical students face regarding stressors, psychological distress, and psychiatric morbidity using standardized reliable and valid instruments. In addition, this study also investigated differences associated with sex. Students (n = 129) were asked to complete a one-off survey from January to June 2019, including demographics, previous mental health issues, CAGE, GHQ-12, and OLBI. A higher prevalence of previous mental disorders was found in comparison to during the medical course. This may suggest that perhaps students are under more stress or that they form a more vulnerable sub-population in medical school in comparison with the general population. However, the types of mental disorders before and during the undergraduate course appear to vary. During the course, they show higher levels of anxiety rather than that of depression. Before commencing the course, they showed higher levels of depression rather than anxiety. Cannabis and ecstasy experimentation levels were higher than those of students from other courses in previous studies. The opposite was true for stimulants. Just over a quarter reported alcohol abuse above the CAGE cut-off point. The levels of psychological distress and burnout were extremely high, and women had even higher levels. Male respondents were more likely to have a history of mental ill-health, but female subjects scored higher on burnout. Overall over 80% students reported burnout. These findings are discussed in the context of Brazilian culture.
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Affiliation(s)
- João Mauricio Castaldelli-Maia
- Department of Neuroscience, ABC Health University Center, Santo André, SP, Brazil.,Department of Psychiatry, University of São Paulo, São Paulo, SP, Brazil
| | - Thomas Lewis
- Tees, Esk and Wear Valleys NHS Foundation Trust, UK
| | | | - Felipe Picon
- Department of Psychiatry, Hospital de Clinicas de Porto Alegre, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.,ADHD Outpatient Program, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
| | - Murtaza Kadhum
- Oxford University Clinical Academic Graduate School (OUCAGs), University of Oxford, Oxford, UK
| | - Sarah Marie Farrell
- Nuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK
| | | | - Antonio Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
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