Publicación: Estrés y Salud Mental en Estudiantes de Medicina: Relación con Afrontamiento y Actividades Extracurriculares
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Universidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, Medellín y Envigado
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Introduction: Chronic stress and lack of adequate coping mechanisms predispose to present emotional dysregulation problems, such as depression and anxiety, as well as deleterious effects on cardiovascular health. Medical training has been related to the presentation of chronic stress and its effects. Objective: to characterize stress, mental health levels and their association with the psychological, physiological and educational variables in Colombian medical students. Method: cross sectional study with a randomized sample of 217 students, stratified according to the academic cycle. Participants completed the Perceived Stress Scale (PSS-14), Patient Health Questionairre (PHQ-9) for depression, Generalized Anxiety Disorder questionnaire (GAD-7), Medical Outcomes Study – Social Support Survey (MOS-SSS) and a coping questionnaire. Extracurricular activities and physiological variables were also measured. Results: There were high levels of stress (64%), depression (56.2%) and anxiety (48.3%). It was found that risk factors for stress and emotional symptoms were being female (OR 2.64, C.I. 95% 1.29 – 5.39), being in the basic cycle (OR 0.38, C.I. 95% 0.19 – 0.78), not performing extracurricular activities (OR 2.14, C.I. 95% 1.05 – 4.36), low problem solving scores (OR 0.93, C.I. 95% 0.89 – 0.93), high in aggressive reaction (OR 1.13, C.I. 95% 1.05 – 1.22) and expressing difficulty in coping (OR 1.17, C.I 95% 1.04 – 1.30). Conclusions: There is a high prevalence of stress and emotional disorders in this population. This shows the importance of design intervention programs in students oriented to strengthen the realization of extracurricular activities and an active coping of stress.