scholarly journals Hazing and the Mental Health of Medical Students

2018 ◽  
Vol 42 (2) ◽  
pp. 110-120
Author(s):  
Maria Cristina Pereira Lima ◽  
Ana Teresa de Abreu Ramos-Cerqueira ◽  
Cássia Lopes Dantas ◽  
Julia Ribeiro Lamardo ◽  
Luis Enrique Caton Reis ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Medical Students ◽  
Alcohol Use ◽  
Psychological Treatment ◽  
Common Mental Disorder ◽  
Male Gender ◽  
The Self ◽  
Harmful Alcohol ◽  
Self Reporting Questionnaire

ABSTRACT Introduction: The practice of hazing is a phenomenon that began in the Middle Ages and persists in many universities around the world. In Brazil, although the problem is widely recognized, it has been insufficiently studied. Objective: To estimate the prevalence and to identify factors associated with the occurrence of hazing in a public Medical School, located in the interior of the State of São Paulo, Brazil. Method: A cross-sectional study was conducted, including 477 medical students from the first to the sixth year of the course. The self-reporting questionnaire included questions and structured instruments to access: socio-demographic and academic life characteristics, social support, symptoms of depression, harmful alcohol use (using the Alcohol Use Disorder Identification Test — Audit), common mental disorder (using the Self-Reporting Questionnaire — SRQ) and if the participant had suffered any form of hazing that he/she considered abusive or if the participant had practiced hazing about which he/she felt guilty or regretful afterwards. Bivariate analyses and logistic regression were conducted to identify factors independently associated with each of the outcomes (having suffered abusive hazing or having participated in hazing and feeling regretful afterwards). Results: The response rate was 87.0%. Among the students, 39.8% (95% Cl: 35.4% — 44.2%) reported having suffered abusive hazing, while 7.5% (95% CI: 5.2% — 9.9%) reported having practiced hazing of which they repented. Being subjected to abusive hazing was associated with: male gender, not being adapted to the city, presenting lower scores on the social support scale and psychiatric and/or psychological treatment after admission to university. Having practiced hazing, in turn, was associated with male gender, older age and higher score in the Audit. Conclusion: Hazing was associated with male gender, and with the pursuit of mental health treatment among those who received it and with harmful alcohol use among the perpetrators. It is essential that medical schools discuss and better understand the problem of hazing in order to adopt effective preventive measures.

scholarly journals Social support and common mental disorder among medical students

2014 ◽  
Vol 17 (1) ◽  
pp. 229-242 ◽  
Author(s):  
Adriano Gonçalves Silva ◽  
Ana Teresa de Abreu Ramos Cerqueira ◽  
Maria Cristina Pereira Lima
Keyword(s):  
Social Support ◽  
Medical Students ◽  
Mental Disorder ◽  
Medical School ◽  
Multivariate Analyses ◽  
Common Mental Disorder ◽  
Southeastern Brazil ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Self Reporting Questionnaire

INTRODUCTION: Different kinds of psychological distress have been identified for students in the health field, especially in the medical school. OBJECTIVE: To estimate the prevalence of mental suffering among medical students in the Southeastern Brazil and asses its association with social support. METHODS: It is a cross-sectional study. Structured questionnaires were applied for students from the 1st up to the 6th years of the medical school of Universidade Estadual Paulista "Júlio de Mesquita Filho", assessing demographic variables related to aspects of graduation and adaptation to the city. Psychological suffering was defined as a common mental disorder (CMD) assessed by the Self Reporting Questionnaire (SRQ-20). Social support was assessed by the social support scale of the Medical Outcomes Study (MOS). The association between the outcome and explanatory variables was assessed by the χ2 test and Logistic Regression, for the multivariate analyses, using p < 0.05. RESULTS: The response rate was of 80.7%, with no differences between sample and the population regarding gender (p = 0.78). The average age was 22 years old (standard deviation - SD = 2.2), mainly women (58.2%) and students who were living with friends (62%). The prevalence of CMD was 44.9% (95%CI 40.2 - 49.6). After the multivariate analyses, the explanatory variables that were associated with CMD were: feeling rejected in the past year (p < 0.001), thinking about leaving medical school (p < 0.001) and "interaction" in the MOS scale (p = 0.002). CONCLUSIONS: The prevalence of CMD among medical students was high and insufficient social support was an important risk factor. Our findings suggest that interventions to improve social interaction among those students could be beneficial, decreasing the prevalence of CMD in this group.

scholarly journals Common mental disorders among medical students at Universidade Federal de Sergipe: a cross-sectional study

2010 ◽  
Vol 32 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Edméa Fontes de Oliva Costa ◽  
Tarcísio Matos de Andrade ◽  
Annibal Muniz Silvany Neto ◽  
Enaldo Vieira de Melo ◽  
Ana Carolina Aquino Rosa ◽  
...  
Keyword(s):  
Medical Students ◽  
Mental Disorder ◽  
Learning Process ◽  
Common Mental Disorder ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Good Doctor ◽  
Teaching Learning ◽  
Self Reporting Questionnaire

OBJECTIVE: Estimate the prevalence of common mental disorder and its associated factors among medical students of the Universidade Federal de Sergipe. METHOD: A cross-sectional study was carried out, applying Self Reporting Questionnaire-20 to 473 students from the 512 medical students enrolled in 2006 and compared with compared with a structured questionnaire by the authors containing information on the socio-demographic characteristics, the teaching-learning process and the psycho-emotional experiences of the students. Freshmen were excluded after initial comparison with the students already exposed to the medical course. Statistical analysis by multiple logistic regression after calculating simple and adjusted odds ratio (OR). RESULTS:The general prevalence of common mental disorder was 40% (n = 473); after exclusion of the freshmen it increased to 42.5% among students from the 2nd to the 12th semester. It was higher among those who did not have faith in their acquisition of the skills needed to become a good doctor (OR = 2.82), who felt less comfortable about course activities (OR = 3.75), who considered themselves emotionally stressed (OR = 2.14), among those who did not consider themselves happy (OR = 2.85), who believed that the course did not match their expectations (OR = 1.64) and those who had a prior diagnosis of mental disorder by a psychiatrist (OR = 3.78). CONCLUSION: The results suggest the necessity of changes to the teaching-learning process and the establishment of a preventive mental health program for medical students.

scholarly journals Satisfaction With Life, Mental Health Problems and Potential Alcohol-Related Problems Among Norwegian University Students

2021 ◽  
Vol 12 ◽  
Author(s):  
Pia Jensen ◽  
Ellen Haug ◽  
Børge Sivertsen ◽  
Jens Christoffer Skogen
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Satisfaction With Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Harmful Alcohol ◽  
Risky Alcohol ◽  
Alcohol Related Problems

Objective: Recent studies have shown that today's college students more than ever are struggling with mental health and alcohol problems. While poor satisfaction with life and mental health problems have been linked to higher alcohol consumption, there is still a lack of studies examining in detail the shape and nature of the relationship between mental health and alcohol consumption.Aim: To investigate the associations between satisfaction with life, mental health problems and potential alcohol-related problems among Norwegian university students. The shape of the associations was also examined.Methods: Data were drawn from a 2018 national survey of students in higher education in Norway (the SHoT-study). Associations between satisfaction with life, mental health problems and potential alcohol-related problems (AUDIT; risky and harmful alcohol use) were investigated using logistic regression. Both crude models and models adjusted for age, gender and marital status were conducted. To investigate the shape of the associations, logistic regression with quadric and cubic terms was tested.Results: Decreased satisfaction with life and increased mental health problems were associated with potential alcohol-related problems. For satisfaction with life, a curvilinear association with risky alcohol use and a linear association with harmful alcohol use was identified. For mental health problems, curvilinear associations were found for both risky and harmful alcohol use.Conclusion: Many students report potential alcohol-related problems. Students with harmful alcohol use seem to be more at risk of reduced satisfaction with life and increased mental health problems than students with risky alcohol use. Educational institutions may be an ideal setting for raising awareness of mental health issues and responsible alcohol consumption among students. The present study contributes with important information about the shape of the associations between satisfaction with life, mental health problems and potential alcohol-related problems in the student population.

scholarly journals T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort

2014 ◽  
Vol 3 (1) ◽  
pp. 51-61 ◽  
Author(s):  
Matthew Hicks ◽  
Suzanne C. Tough ◽  
David Johnston ◽  
Jodi Siever ◽  
Margaret Clarke ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Alcohol Use ◽  
Large Population ◽  
First Trimester ◽  
Population Based ◽  
Poor Mental Health ◽  
Self Report ◽  
History Of ◽  
The Relationship

Hicks, M., Tough, S., Johnston, D., Siever, J., Clarke, M., Sauve, R., Brant, R., & Lyon, A. (2014). T-ACE and predictors of self-reported alcohol use during pregnancy in a large, population-based urban cohort. The International Journal Of Alcohol And Drug Research, 3(1), 51-61. doi:10.7895/ijadr.v3i1.117Aims: To determine 1) the relationship between T-ACE score and maternal self-reported alcohol use prior to and during pregnancy, and 2) the relationship between T-ACE score and maternal demographics, mental health and life circumstances.Design: Prospective, population-based cohort study.Setting: Three urban maternity clinics in Calgary, Canada.Participants: 1,929 pregnant women attended by family physicians at low-risk maternity clinics.Measures: Women completed three standardized questionnaires over the telephone in the first and third trimesters and eight weeks post-delivery, including the T-ACE and questions about drug and alcohol use, demographics, mental health and life circumstances.Findings: 43.6% of subjects had a positive T-ACE score at intake (score 2 or greater). A positive T-ACE score was predictive of alcohol use throughout pregnancy, although most women reported no alcohol after the first trimester (93.1%). Multivariate analysis indicated that a positive T-ACE score was significantly associated with being less than 30 years of age; being Caucasian; smoking during pregnancy; having an income of less than $80,000 per annum; having a history of depression; having a history of alcohol use and binge drinking during a previous pregnancy; lower social support; and poor network orientation.Conclusions: There was a positive association between the T-ACE score and maternal self-report of alcohol use, poor mental health and poor social support. Routine use of the T-ACE to assess for risk of an alcohol-exposed pregnancy may also help identify women with complex needs who could benefit from additional prenatal support.

Bericht aus der Vorstandssitzung und Mitgliederversammlung 2012

2012 ◽  
Vol 58 (6) ◽  
pp. 423-424
Author(s):  
Anil Batra
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Current Knowledge ◽  
Treatment Options ◽  
Brief Interventions ◽  
Health Interventions ◽  
World Health ◽  
Future Research ◽  
Harmful Alcohol ◽  
Mental Health Interventions

E-Mental Health Interventions for Harmful Alcohol Use: Research Methods and Questions 2.5 million yearly deaths and 4.6% of the global burden of disease are attributable to the harmful use of alcohol, according to the World Health Organization in 2011. Brief interventions have become increasingly valuable in the management of individuals with alcohol-related problems. The availability and uptake of these brief interventions is however limited. This so-called treatment gap may be narrowed through accessible, effective, and inexpensive treatment programmes. E-mental health interventions would be one promising approach for developing such treatment options, if they are shown to be effective. In this dissertation, the (cost-)effectiveness of two interventions based on cognitive behavioural therapy is subjected to research in three consecutive studies. The two interventions are a non-therapist involved Internet-based self-help programme, and a therapist led Internet therapy, based on textual-chat interaction. The aim of this dissertation is twofold. First, there is a clinical aim: to identify effective and cost-effective e-mental health interventions for harmful alcohol use. Second, there is a methodological aim: to address methodological challenges in the design, execution, and analysis of e-mental health randomized controlled trials. In the coming years, it is expected that the development and dissemination of e-mental health interventions will advance. This dissertation hopes to contribute valuably to the current knowledge base, upon which future research and interventions will build.

Impact of exposure to combat during deployment to Iraq and Afghanistan on mental health by gender

2012 ◽  
Vol 42 (9) ◽  
pp. 1985-1996 ◽  
Author(s):  
C. Woodhead ◽  
S. Wessely ◽  
N. Jones ◽  
N. T. Fear ◽  
S. L. Hatch
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Alcohol Use ◽  
Common Mental Disorder ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Hazardous Alcohol Use ◽  
Men And Women ◽  
Hazardous Alcohol ◽  
The Impact

BackgroundInterest in the mental health of women deployed to modern military campaigns is increasing, although research examining gender differences is limited. Little is known about experiences women have had on these deployments, or whether men and women respond differently to combat exposure.MethodThe current study used data from a representative sample of UK Armed Forces personnel to examine gender differences among those deployed to Iraq and Afghanistan (n=432 women,n=4554 men) in three measures of experience: ‘risk to self’, ‘trauma to others’ and ‘appraisal of deployment’. We examined the impact of such experiences on post-deployment symptoms of post-traumatic stress disorder (PTSD), symptoms of common mental disorder (CMD) and hazardous alcohol use.ResultsAfter adjustment, men reported more exposure to ‘risk to self’ and ‘trauma to others’ events and more negative appraisals of their deployment. Among both genders, all measures of combat experience were associated with symptoms of PTSD and CMD (except ‘risk to self’ events on symptoms of CMD among women) but not with alcohol misuse. Women reported higher scores on the PTSD Checklist – Civilian Version (PCL-C) among those exposed to lower levels of each experience type but this did not hold in the higher levels. Women reported greater symptoms of CMD and men reported greater hazardous alcohol use across both levels of each experience type. Examining men and women separately suggested similar responses to exposure to adverse combat experiences.ConclusionsThe current findings suggest that, although gender differences in mental health exist, the impact of deployment on mental health is similar among men and women.

scholarly journals Impact of integrated district level mental health care on clinical and functioning outcomes of people with depression and alcohol use disorder in Nepal: a non-randomised controlled study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
M. J. D. Jordans ◽  
E. C. Garman ◽  
N. P. Luitel ◽  
B. A. Kohrt ◽  
C. Lund ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Alcohol Use ◽  
Mental Health Services ◽  
Health Services ◽  
Health Workers ◽  
Psychological Treatment ◽  
Controlled Study ◽  
Primary Care Mental Health ◽  
Treatment Groups

Abstract Background Integration of mental health services into primary healthcare is proliferating in low-resource countries. We aimed to evaluate the impact of different compositions of primary care mental health services for depression and alcohol use disorder (AUD), when compared to usual primary care services. Methods We conducted a non-randomized controlled study in rural Nepal. We compared treatment outcomes among patients screening positive and receiving: (a) primary care mental health services without a psychological treatment component (TG); (b) the same services including a psychological treatment (TG + P); and (c) primary care treatment as usual (TAU). Primary outcomes included change in depression and AUD symptoms, as well as disability. Disability was measured using the 12-item WHO Disability Assessment Schedule. Symptom severity was assessed using the 9-item Patient Health Questionnaire for depression, the 10-item Alcohol Use Disorders Identification Test for AUD. We used negative binomial regression models for the analysis. Results For depression, when combining both treatment groups (TG, n = 77 and TG + P, n = 60) compared to TAU (n = 72), there were no significant improvements. When only comparing the psychological treatment group (TG + P) with TAU, there were significant improvements for symptoms and disability (aβ = − 2.64; 95%CI − 4.55 to − 0.74, p = 0.007; aβ = − 12.20; 95%CI − 19.79 to − 4.62; p = 0.002, respectively). For AUD, when combining both treatment groups (TG, n = 92 and TG + P, n = 80) compared to TAU (n = 57), there were significant improvements in AUD symptoms and disability (aβ = − 15.13; 95%CI − 18.63 to − 11.63, p < 0.001; aβ = − 9.26; 95%CI − 16.41 to − 2.12, p = 0.011; respectively). For AUD, there were no differences between TG and TG + P. Patients’ perceptions of health workers’ skills in common psychological factors were associated with improvement in depression patient outcomes (β = − 0.36; 95%CI − 0.55 to − 0.18; p < 0.001) but not for AUD patients. Conclusion Primary care mental health services for depression may only be effective when psychological treatments are included. Health workers’ competencies as perceived by patients may be an important indicator for treatment effect. AUD treatment in primary care appears to be beneficial even without additional psychological services.

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