STRESS AND COPING AMONG MEDICAL STUDENTS DURING COVID-19 PANDEMICS
DOI:
https://doi.org/10.11606/issn.1679-9836.v102i3e-202431Keywords:
Adaptation, Psychological, Students, Medical, Psychological Distress, COVID-19Abstract
Introduction: The medical students reality leads them to seek coping strategies to deal with stressful situations. However, the COVID-19 pandemic drastically modified this contexto, due the stress generated, the limitation of coping use and the implementation of hybrid teaching in medical course. Objective: To evaluate the coping strategies for stress of students in preclinical cycle of medicine, correlating it with the students stress level. Methods: This is a cross-sectional descriptive study, of quantitative approach, applying the Perceived Stress Scale and the Coping Behavior Inventory on 150 students of the first 2 years of college, evaluating the most used strategies and comparing with the perceived stress and sociodemographic variables, whose analysis was made with ANOVA, chi square and multiple regression, considering significance of 5%. Results: In total, 150 responses were obtained. The most used strategies were problem-solving, optimism and transference, more prevalents on 4th semester, a class which presented relatively less stress. Avoidance, although less used on the sample, was more searched for in the high stress group and had a positive relation with this variable, in contrast with resolution and optimism, with negative relations and less used on high levels of stress. There was a significative relation between religion and problem-solving, that was more used by protestants and sipiritualists than agnostics and non-religious. Conclusions: This research concludes that problem-solving and optimism were the most employed coping strategies by the students and are potencially functionals, while avoidance, even though was less used, is potentially disfunctional to control stress. This study’s finds, on the pandemics atypical scenario, should guide future research about this theme.
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Correia MM, Moreira MFFF, Cespe ASS, Altoé AAM, Soares RJO. Síndrome de burnout e ideação suicida entre estudantes de medicina: um estudo de revisão. Braz J Health Rev. 2019;2(3):2225-2227. Disponível em: https://brazilianjournals.com/ojs/index.php/BJHR/article/view/1635/1573
Prado MSFM, Norte NM, Carvalho IGM, Souza IF, Almeida RJ. Avaliação da Síndrome de Burnout entre estudantes do último ano de um curso de medicina do Brasil. Arch Health Sci. 2019;26(1):41-46. doi: https://doi.org/10.17696/2318-3691.26.1.2019.1207.
Negreiros CB, Vieira CG, Mota MS, Oliveira NPT, Gomes SCA, Paixão TFP. Síndrome de Burnout em estudantes da área da saúde. In: III CIPEEX - Ciência para a redução das desigualdades. 2018; 2: 914-919. Disponível em: http://anais.unievangelica.edu.br/index.php/CIPEEX/article/view/3001/1338.
Ramos FP, Enumo SRF, Paula KMP. Teoria Motivacional do Coping: uma proposta desenvolvimentista de análise do enfrentamento do estresse. Estud Psicol. 2015;32(2). Doi: https://doi.org/10.1590/0103-166X2015000200011.
Monteiro A, Santos R, Kimura N, Baptista M, Dourado M. Coping strategies among caregivers of people with Alzheimer disease: a systematic review. Trends in Psichiatry and Psychotherapy. 2018: 40 (3). DOI: https://doi.org/10.1590/2237-6089-2017-0065.
Sheu S, Lin HS, Hwang SL. Perceived stress and physio-psycho-social status of nursing students during their initial period of clinical practice: the effect of coping behaviors. Int J Nurs Stud. 2002;39(2):165-75. Doi: http://dx.doi.org/10.1016/S0020-7489(01)00016-5.
Souza RC, Silva SM, Costa MLAS. Estresse ocupacional no ambiente hospitalar: revisão das estratégias de enfrentamento dos trabalhadores de Enfermagem. Rev Bras Med Trab. 2018;16(4):493-502. doi: https://doi.org/10.5327/Z1679443520180279.
Erschens R, Loda T, Herrmann-Werner A, Keifenheim KE, Stuber F, Nikendei C et al. Behaviour-based functional and dysfunctional strategies of medical students to cope with Burnout. Med Educ Online. 2018;23(1):1535738. Doi: https://doi.org/10.1080/10872981.2018.1535738.
Sattar K, Yusoff MSB, Arifin WN, Yasin MAM, Nor MZM. Effective coping strategies utilised by medical students for mental health disorders during undergraduate medical education-a scoping review. BMC Med Educ. 2022;22(1):1–13. Doi: https://doi.org/10.1186/s12909-022-03185-1.
Sahu P. Closure of Universities Due to Coronavirus Disease 2019 (COVID-19): Impact on Education and Mental Health of Students and Academic Staff. Cureus. 2020;12(4):e7541. Doi: https://doi.org/10.7759/cureus.7541.
Lu L, Wang X, Wang X, Guo X, Pan B. Association of Covid-19 pandemic-related stress and depressive symptoms among international medical students. BMC Psychiatry. 2022;22(1):1–11. Doi: https://doi.org/10.1186/s12888-021-03671-8.
Naaz SI, Hussein RM, Khan HB, Hussein MM, Arain SA. Emotional responses and coping strategies of medical students during the COVID-19 pandemic. Saudi Med J. 2022;43(1):61–6. Doi: https://doi.org/10.15537%2Fsmj.2022.43.1.20210698.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-396. Doi: https://doi.org/10.2307/2136404.
Labrague LJ, McEnroe-Petitte DM, Gloe D, Thomas L, Papathanasiou IV, Tsaras K. A literature review on stress and coping strategies in nursing students. J Mental Health. 2017; 26(5):471–80. Doi: https://doi.org/10.1080/09638237.2016.1244721.
Dias JCR, Silva WR, Maroco J, Campos JADB. Escala de Estresse Percebido Aplicada a Estudantes Universitárias: Estudo de Validação. Psychol Commun Health. 2015;4(1):1–13. Doi: https://doi.org/10.23668/psycharchives.2277.
Prado HA, Borghi F, Mello T, Kassisse DG. The impact of confinement in the psychosocial behaviour due COVID-19 among members of a Brazilian university. Int J Soc Psychiatry. 2021;67(6):720-727. doi: 10.1177/0020764020971318.
Klaassen H, Ashida S, Comnick CL, Xie XJ, Smith BM, Tabrizi M et al. COVID-19 pandemic and its impact on dental students: A multi-institutional survey. Journal of dental education. 2021: 85(7), 1280–1286. https://doi.org/10.1002/jdd.12597.
Chunming WM, Harrison R, Maclntyre R, Travaglia J, Balasooriya C. Burnout in medical students: a systematic review of experiences in Chinese medical schools. BMC Med Educ. 2017; 17(217). Doi: https://doi.org/10.1186/s12909-017-1064-3.
Fares J, Saadeddin Z, Al Tabosh H, Aridi H, El Mouhayyar C, Koleilat MK et al. Extracurricular activities associated with stress and burnout in preclinical medical students. J Epidemiol Glob Health. 2016;6(3):177-85. Doi: https://doi.org/10.1016/j.jegh.2015.10.003.
Boni RADS, Paiva CE, de Oliveira MA, Lucchetti G, Fregnani JHTG, Paiva BSR. Burnout among medical students during the first years of undergraduate school: Prevalence and associated factors. PLoS One. 2018;13(3):e0191746. Doi: https://doi.org/10.1371/journal.pone.0191746.
Neufeld A, Malin G. How medical students cope with stress: a cross-sectional look at strategies and their sociodemographic antecedents. BMC Med Educ. 2021;21(1):299. Doi: https://doi.org/10.1186/s12909-021-02734-4.
Zhu Y, Zuo T, Lai Y, Zhao S, Qu B. The associations between coping strategies, psychological health, and career indecision among medical students: a cross-sectional study in China. BMC Med Educ. 2021;21(334). Doi: https://doi.org/10.1186/s12909-021-02781-x.
Lyons Z, Wilcox H, Leung L, Dearsley O. COVID-19 and the mental well-being of Australian medical students: impact, concerns and coping strategies used. Australas Psychiatry. 2020; 28(6): 649-652. Doi: https://doi.org/10.1177/1039856220947945.
Gonçalves JRL, Jorge AP, Zanetti GC, Amaro EA, Tótoli RT, Lucchetti G. Religiousness is associated with lower levels of anxiety, but not depression, in medical and nursing students. Rev Assoc Med Bras. 2018;64(6):537-542. Doi: https://doi.org/10.1590/1806-9282.64.06.537.
Leite LC, Dornelas LV, Secchin LSB. Influence of religiosity on medical students’ mental health. Rev Bras Educ Med. 2021;45(2):e062. Doi: https://doi.org/10.1590/1981-5271v45.2-20200446.ING.
Francis B, Gill JS, Yit Han N, Petrus CF, Azhar FL, Ahmad Sabki Z et al. Religious Coping, Religiosity, Depression and Anxiety among Medical Students in a Multi-Religious Setting. Int J Environ Res Public Health. 2019; 16(2): 259. Doi: https://doi.org/10.3390/ijerph16020259.
Zhao L, Sznajder K, Cheng D, Wang S, Cui C, Yang X. Coping Styles for Mediating the Effect of Resilience on Depression Among Medical Students in Web-Based Classes During the COVID-19 Pandemic: Cross-sectional Questionnaire Study. J Med Internet Res. 2021; 23(6): e25259. Doi: https://doi.org/10.2196/25259.
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