Publicación:
Estrés y Salud Mental en Estudiantes de Medicina: Relación con Afrontamiento y Actividades Extracurriculares

dc.contributor.advisorComité evaluador Archivos de Medicina
dc.contributor.authorLemos Hoyos, Mariantonia
dc.contributor.authorHenao Pérez, Marcela
dc.contributor.authorLópez Medina, Diana Carolina
dc.coverage.temporalVol. 14 No. 2:3es
dc.date.accessioned2020-11-20T13:48:29Z
dc.date.available2020-11-20T13:48:29Z
dc.date.issued2018-04-30
dc.descriptionIntroducción: el estrés crónico y la ausencia de adecuados mecanismos de afrontamiento predisponen a presentar problemas de disregulación emocional, tales como depresión y ansiedad, además de efectos deletéreos en la salud cardiovascular. La formación médica ha sido relacionada con la presentación de estrés crónico y sus efectos. Objetivo: caracterizar los niveles de estrés, salud mental y su asociación con variables psicológicas, fisiológicas y de educación en estudiantes de medicina colombianos. Método: estudio transversal con 217 estudiantes seleccionados aleatoriamente, estratificando según el ciclo académico. Se aplicaron el Cuestionario de estrés percibido (PSS14), Cuestionario de salud (PHQ-9) para depresión, cuestionario de ansiedad generalizada (GAD 7), Cuestionario de Apoyo Social (MOS-SSS) y cuestionario de estrategias de afrontamiento modificado; así como medidas fisiológicas y un registro de actividades extracurriculares. Resultados: Se presentaron niveles altos de estrés (64%), depresión (56.2%) y ansiedad (48.3%). Mediante una regresión logística bivariada se encontró que ser mujer (OR 2.64, I.C. 95% 1.29–5.39), estar en el ciclo básico (OR 0.38, I.C. 95% 0.19–0.78), no realizar actividades extracurriculares (OR 2.14, I.C. 95% 1.05–4.36), bajas puntuaciones en solución de problemas (OR 0.93, I.C. 95% 0.89 – 0.93), altas en reacción agresiva (OR 1.13, I.C. 95% 1.05–1.22) y expresión de dificultad de afrontamiento (OR 1.17, I.C. 95% 1.04–1.30) fueron factores de riesgo para el estrés y síntomas emocionales. Conclusiones: la prevalencia de estrés y trastornos emocionales en estudiantes de medicina es importante; por esto es necesario llevar a cabo programas de intervención, orientados a fortalecer la realización de actividades extracurriculares y un afrontamiento activo del estrés.es
dc.description.abstractIntroduction: 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.es
dc.description.cvlachttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000055146es
dc.description.emailmarcela.henaop@campusucc.edu.coes
dc.description.gruplachttps://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000011355es
dc.description.gsidhttps://scholar.google.com/citations?user=HDF-94QAAAAJ&hl=enes
dc.description.orcidhttps://orcid.org/0000-0002-7337-2871es
dc.description.tableofcontents1. Introducción.-- 2. Materiales y métodos.--3.Resultados.--4.Discusión.--5.Conclusioneses
dc.format.extent1-8es
dc.identifier.bibliographicCitationLemos, M., Henao-Pérez, M., & Carolina López-Medina, D. (2018). Estrés y Salud Mental en Estudiantes de Medicina: Relación con Afrontamiento y Actividades Extracurriculares. Archivos de medicina, 14(2).es
dc.identifier.issn1698-9465es
dc.identifier.uri10.3823/1385es
dc.identifier.urihttps://hdl.handle.net/20.500.12494/28231
dc.publisheriMedPub LTDes
dc.publisherUniversidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, Medellín y Envigadoes
dc.publisher.placeMedellínes
dc.publisher.programMedicinaes
dc.relation.ispartofjournalArchivos de Medicinaes
dc.relation.isversionofhttps://www.researchgate.net/profile/Marcela_Henao_Perez/publication/326273884_estres-y-salud-mental-en-estudiantes-de-medicina-relacion-con-afrontamiento-y-actividades-extracurriculares/links/5b43b01ca6fdcc661913f1a8/estres-y-salud-mental-en-estudiantes-de-medicina-relacion-con-afrontamiento-y-actividades-extracurriculares.pdfes
dc.relation.referencesLazarus R (2006) Stress and emotion: A new synthesis. Springer Publishing Company.es
dc.relation.referencesLazarus R, Folkman S (1986) Estrés y procesos cognitivos. Barcelona: Martinez Roca.es
dc.relation.referencesHering D, Lachowska K, Schlaich M (2015) Role of the sympathetic nervous system in stress-mediated cardiovascular disease. Current Hypertension Reports 17: 80.es
dc.relation.referencesStojanovich L, Marisavljevich D (2008) Stress as a trigger of autoimmune disease. Autoimmun Rev 7: 209-213.es
dc.relation.referencesKubzansky LD, Park N, Peterson C, Vokonas P, Sparrow D (2011) Healthy psychological functioning and incident coronary heart disease: The importance of self-regulation. Arch Gen Psychiatry 68: 400-408.es
dc.relation.referencesAktekin M, Karaman T, Senol YY, Erdem S, Erengin H, et al. (2001) Anxiety, depression and stressful life events among medical students: A prospective study in Antalya, Turkey. Med Educ 35: 12-17.es
dc.relation.referencesShah M, Hasan S, Malik S, Sreeramareddy CT (2010) Perceived stress, sources and severity of stress among medical undergraduates in a pakistani medical school. BMC Med Educ 10: 2.es
dc.relation.referencesBayram N, Bilgel N (2008) The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol 43: 667-672.es
dc.relation.referencesIqbal S, Gupta S, Venkatarao E (2015) Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates. Indian J Med Res 141: 354-357.es
dc.relation.referencesShaikh S, Shaikh AH, Magsi I (2010) Stress among medical students of university of interior Sindh. Med Channel 16: 538-540.es
dc.relation.referencesDíaz-Martín Y (2010) Estrés académico y afrontamiento en estudiantes de Medicina. Rev Hum Med 10.es
dc.relation.referencesBedoya-Lau FN, Matos LJ, Zelaya EC (2014) Niveles de estrés académico, manifestaciones psicosomáticas y estrategias de afrontamiento en alumnos de la facultad de medicina de una universidad privada de Lima en el año 2012. Rev Neuropsiquiatr 77: 262-270.es
dc.relation.referencesCuttilan AN, Sayampanathan AA, Ho RCM (2016) Mental health issues amongst medical students in Asia: A systematic review [2000– 2015]. Ann Transl Med 4: 72.es
dc.relation.referencesSajid A, Ahmad T, Khalid T (2015) Stress in medical undergraduates; its association with academic performance. Bangladesh J Med Sci 14: 135-141.es
dc.relation.referencesLoubir DB, Serhier Z, Diouny S, Battas O, Agoub M, et al. (2014) Prevalence of stress in casablanca medical students: A cross-sectional study. Pan Afr Med J 19: 149.es
dc.relation.referencesArsenio WF, Loria S (2014) Coping with negative emotions: Connections with adolescents’ academic performance and stress. J Genet Psychol 175: 76-90.es
dc.relation.referencesFares J, Saadeddin Z, Al Tabosh H, Aridi H, El Mouhayyar C, et al. (2015) Extracurricular activities associated with stress and burnout in preclinical medical students. J Epidemiol Glob Health 6: 177-185es
dc.relation.referencesCabanach RG, Souto-Gestal A, Franco V (2016) Escala de estresores académicos para la evaluación de los estresores académicos en estudiantes universitarios. Rev Iberoam Psicol Salud 7: 41-50.es
dc.relation.referencesIbrahim NK, Algethmi WA, Binshihon SM, Almahyawi RA, Alahmadi RF, et al. (2017) Predictors and correlations of emotional intelligence among medical students at King Abdulaziz University, Jeddah. Pak J Med Sci 33: 1080.es
dc.relation.referencesRanasinghe P, Wathurapatha W, Mathangasinghe Y, Ponnamperuma G (2017) Emotional intelligence, perceived stress and academic performance of Sri Lankan medical undergraduates. BMC Med Educ 17: 41.es
dc.relation.referencesPozos-Radillo BE, de Lourdes Preciado-Serrano M, Acosta-Fernández M, de los Ángeles Aguilera-Velasco M, Delgado-García DD (2014) Academic stress as a predictor of chronic stress in university students. Psicología Educativa 20: 47-52.es
dc.relation.referencesGonzález-Olaya HL, Delgado-Rico HD, Escobar-Sánchez M, Cárdenas-Angelone ME (2014) Asociación entre el estrés, el riesgo de depresión y el rendimiento académico en estudiantes de los primeros semestres de un programa colombiano de medicina. Rev Fundación Educación Médica 17: 47-54.es
dc.relation.referencesMorales-Rodríguez FM (2017) Relaciones entre afrontamiento del estrés cotidiano, autoconcepto, habilidades sociales e inteligencia emocional. Eur J Educ Psychology 10: 41-48.es
dc.relation.referencesShi M, Liu L, Wang ZY, Wang L (2015) The mediating role of resilience in the relationship between big five personality and anxiety among Chinese medical students: A cross-sectional study. PloS one 10: e0119916.es
dc.relation.referencesBennett K, Dorjee D (2016) The impact of a mindfulness-based stress reduction course (MBSR) on well-being and academic attainment of sixth-form students. Mindfulness 7: 105-114.es
dc.relation.referencesBamber MD, Schneider JK (2016) Mindfulness-based meditation to decrease stress and anxiety in college students: A narrative synthesis of the research. Educational Res Rev 18: 1-32.es
dc.relation.referencesLondoño NH, Henao López GC, Puerta IC, Posada S, Arango D, et al. (2006) Propiedades psicométricas y validación de la Escala de Estrategias de Coping Modificada (EEC-M) en una muestra colombiana. Univ Psychol 5: 327-350.es
dc.relation.referencesLondoño NH, Rogers HL, Castilla JF, Posada SL, Ochoa NL, et al. (2012) Validación en Colombia del cuestionario MOS de apoyo social. Int J Psychol Res 5: 142-150.es
dc.relation.referencesCampo-Arias A, Bustos-Leiton GJ, Romero-Chaparro A (2009) Consistencia interna y dimensionalidad de la Escala de Estrés Percibido (EEP-10 y EEP-14) en una muestra de universitarias de Bogotá, Colombia. Aquichan 9: 271-280.es
dc.relation.referencesCohen S, Mermelstein R, Kamarck T, Hoberman HM (1985) Measuring the functional components of social support. In: Sarason I, Sarason B (ed.) Social support: Theory, research and applications. Springer Netherlands pp: 73-94.es
dc.relation.referencesKroenke K, Spitzer RL (2002) The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Annals 32: 509-515.es
dc.relation.referencesSpitzer RL, Kroenke K, Williams JBW, Löwe B (2006) A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 166: 1092-1097.es
dc.relation.referencesChobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, et al. (2003) The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. Jama 289: 2560-2571.es
dc.relation.referencesWorld Health Organization (2006) Global database on Body Mass Index: BMI Classification.es
dc.relation.referencesBrenneisen MF, Souza SI, Silveira PSP, Itaqui Lopes MH, de Souza ARND, et al. (2016) Factors associated to depression and anxiety in medical students: A multicenter study. BMC Med Educ 16: 282.es
dc.relation.referencesPeltzer K, Pengpid S, Sychareun V, Ferrer AJG, Low WY, et al. (2017) Prehypertension and psychosocial risk factors among university students in ASEAN countries. BMC cardiovascular disorders 17: 230.es
dc.relation.referencesGallego G, Arias C (2015) Prevalencia de tabaquismo, alcoholismo y sedentarismo en estudiantes de medicina de una universidad privada de Medellín, 2014. Arch de Medi 11: 1250.es
dc.relation.referencesCampo JE, Reyes JJ, Ortiz C, Quintero L, Herrera JA (2006) Niveles de la presión arterial y de estrés psicosocial en estudiantes de la Facultad de Salud, Universidad del Valle. Cali, Colombia, 2003-2004. Colombia Médica 37: 21-25.es
dc.relation.referencesChrousos GP (2000) The role of stress and the hypothalamic-pituitaryadrenal axis in the pathogenesis of the metabolic syndrome: Neuroendocrine and target tissue-related causes. Int J Obes Relat Metab Disord 24: S50-S55.es
dc.relation.referencesSánchez MJB, López MEG, Islas CLR, Hernández LB (2009) Cambios en el circadiano del cortisol en médicos residentes con trastornos de la afectividad. Arch de Medi 5.es
dc.relation.referencesFawzy M, Hamed SA (2017) Prevalence of psychological stress, depression and anxiety among medical students in Egypt. Psychiatry Res 255: 186-194.es
dc.relation.referencesBaldassin S, Alves TCdTF, de Andrade AG, Nogueira Martins LA (2008) The characteristics of depressive symptoms in medical students during medical education and training: A cross-sectional study. BMC Med Educ 8: 60.es
dc.relation.referencesAnuradha R, Dutta R, Raja JD, Sivaprakasam P, Patil AB (2017) Stress and stressors among medical undergraduate students: A crosssectional study in a private medical college in Tamil Nadu. Indian J Community Med 42: 222.es
dc.relation.referencesZvauya R, Oyebode F, Day E, Thomas C, Jones L (2017) A comparison of stress levels, coping styles and psychological morbidity between graduate-entry and traditional undergraduate medical students during the first 2 years at a UK medical school. BMC res notes 10: 93.es
dc.relation.referencesEverson-Rose SA, Lewis TT (2005) Psychosocial factors and cardiovascular diseases. Annu Rev Public Health 26: 469-500.es
dc.rights.accessrightsinfo:eu-repo/semantics/openAccesses
dc.rights.licenseAtribución – Sin Derivares
dc.subjectEstréses
dc.subjectEstudiantes de medicinaes
dc.subjectAnsiedades
dc.subjectDepresiónes
dc.subjectAfrontamientoes
dc.subject.otherStresses
dc.subject.otherMedical studentses
dc.subject.otherPsychophysiologicales
dc.subject.otherAnxietyes
dc.subject.otherDepressiones
dc.titleEstrés y Salud Mental en Estudiantes de Medicina: Relación con Afrontamiento y Actividades Extracurriculareses
dc.typeArtículoes
dspace.entity.typePublication

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