Suicidal ideation among medical students, burnout or depression? Maybe both.

Depression is a common mental condition worldwide and a major cause of debility, with the potential to impair the quality of life of affected people. Medical students are more likely to develop psychiatric disorders, with depression, anxiety, and burnout being the most common ones. The aim of this study was to investigate the prevalence of depressive symptoms in medical students and their association with burnout and aspects of life. This is an analytical cross-sectional study. Data collection was performed using four validated scales and a questionnaire in 511 medical students from the first to the fourth year from different universities. Depression was present in 49% of the students. A correlation was found between depression and female gender. Regarding the students' daily sleep time, 54.5% of the students slept only 3 to 6 hours per night. The use of psychoactive substances was reported by 29.9%. Regarding the emotional support offered by universities, about 92.8% of students with depressive symptoms reported not receiving adequate emotional support. As for quality of life, all domains were impaired among students with depression. According to the two-dimensional criterion, 37% of the students have burnout, with correlation between the presence of the syndrome and depressive symptoms. In addition, burnout proved to be an independent risk factor for suicidal ideation and self-mutilation. New methods that can help detect and address factors that trigger stress and depressive symptoms in medical students are needed to reduce the incidence of depression.

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Abstract P546: Sleep Quality in Medical Students A Cross-sectional Study

Hypertension ◽

10.1161/hyp.70.suppl_1.p546 ◽

2017 ◽

Vol 70 (suppl_1) ◽

Author(s):

Lilian S Costa ◽

Marina C Marins ◽

Jocasta C Ansel ◽

Carolina P Tavares ◽

Fernanda T Queiroz ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Female Gender ◽

Cross Sectional Study ◽

Female Group ◽

Sleep Habits ◽

Cross Sectional ◽

Significant Difference ◽

The Hours

Introduction: Medical students, susceptible to sleep disorders, have irregular sleep-awake cycle, with repercussions on the quality of life and reduced academic performance, often with greater incidence of psychiatric disorders, estimated at 15% to 25% during your academic training. Objective: To evaluate the sleep habits in students of medical school in a private college of Rio de Janeiro, Brazil. Method: This subset study is a part of an observational study with cross-sectional delineation, with data collected through the application of an anonymous questionnaire, where they were asked about the number (and modification) of hours they sleep daily, in addition to reports of “stress and anxiety”. These data collected formed the basis of an instrument for assessing the quality of life on the medical students of this College. Results: We analyzed data from 481 students: 82 (17%) at the first year, 118 (24.5%) at the second year, 99 (20.6%) at the third, 64 (13.3%) and 118 (24.5%) within the fifth and sixth years. The average age was 21.7 years (16-42) and 306 (63.6%) of female gender. As for the hours of sleep, 445 students (92.5%) report 5 to 8 hours of sleep, and 216 (44.9%) a minimum of 6 hours. In the sleep of the weekends, 394 (81.9%) reported change in the number of hours and, 313 (65.1%) referred to a reduction after the entrance into college. It was reported "some level of stress and anxiety,“ not related to the least number of hours sleepping (0.07). Comparing the data obtained among the 199 students of the first and second years (62.8% female-group A) to 117 at fifth and sixth years (70.9% female-group B), we observed similarity in relation to (1) number of 5 to 8 hours sleepping (A 92.9% x 90.5% B), (2) change the hours of sleepping on the weekends (A 81.9% x 79.5% B), and (3) reduction of sleepping hours after the entrance into College (A 81.9% x 78.6% B). With regard to the report of "stress and anxiety”, we observed statistically significant difference between the groups (A 100% x 88% B, p < 0.03). Conclusion: The change in lifestyle imposed on joining a new school learning model, generates anxiety and loss of sleep hours among students. The development of resilience and adaptation to change, both individual and institutional, may have been responsible to varying degrees of stress.

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Qualidade de Vida e Graduação em Medicina

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v44.3-20200068 ◽

2020 ◽

Vol 44 (3) ◽

Author(s):

Isabela Maria Melo Miranda ◽

Helen Hana Fernandes Tavares ◽

Heloísa Rodrigues Soares da Silva ◽

Monise Santana Braga ◽

Raquel de Oliveira Santos ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Medical School ◽

Fruits And Vegetables ◽

Female Gender ◽

Cross Sectional Study ◽

Public Institution ◽

World Health ◽

Cross Sectional

Abstract: Introduction: In recent years, the quality of life of medical students has been questioned, given the context in which they are inserted. Stress as a result of the number of long hours, difficulty in reconciling academic and personal life, exposure to situations of pain and suffering, have been shown to be the main factors for the decrease in quality of life of these students. The aim of this study was to assess the quality of life of medical students and its associated factors. Method: Cross-sectional study with 419 medical students from a public institution in Goiás. The study was carried out with students over 18 years old and enrolled in the second to the eighth semester of medical school, between 2017 and 2018. Sociodemographic and lifestyle questionnaires and the World Health Organization Questionnaire for Quality of Life - Brief Form (WHOQOL-BREF) were used. Results: The factors related to low quality of life were: female gender, the use of stimulants, thinking about giving up medical school and having comorbidities. Those related to a better quality of life were consuming fruits and vegetables, practicing physical activity, more sleeping time and stress management. Conclusion: This study found a set of factors capable of interfering with the quality of life of these students, suggesting the need for interventions aimed at pedagogical and psychological support.

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Quality of Life and Graduation in Medicine

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v44.3-20200068.ing ◽

2020 ◽

Vol 44 (3) ◽

Author(s):

Isabela Maria Melo Miranda ◽

Helen Hana Fernandes Tavares ◽

Heloísa Rodrigues Soares da Silva ◽

Monise Santana Braga ◽

Raquel de Oliveira Santos ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Medical School ◽

Fruits And Vegetables ◽

Female Gender ◽

Cross Sectional Study ◽

Public Institution ◽

World Health ◽

Cross Sectional

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Addressing the relationship between perceived fear of COVID-19 virus infection and emergence of burnout symptoms in a sample of Egyptian physicians during COVID-19 pandemic: a cross-sectional study

Middle East Current Psychiatry ◽

10.1186/s43045-020-00079-0 ◽

2020 ◽

Vol 27 (1) ◽

Author(s):

Mohamed Abdelghani ◽

Hayam M. El-Gohary ◽

Eman Fouad ◽

Mervat S. Hassan

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Virus Infection ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Sectional Study ◽

Cross Sectional

Abstract Background Physicians during the COVID-19 pandemic are working under relentless stress. This study aimed to identify the impact of the perceived fears of COVID-19 virus infection on the quality of life and the emergence of burnout syndrome among physicians in Egypt during the COVID-19 outbreak. This cross-sectional study was conducted between May 10th and June 9th, 2020, and included 320 Egyptian physicians who were working during the outbreak of the COVID-19 pandemic. The participants were interviewed using the Fear of COVID-19 scale (FCV-19S), Hospital Anxiety and Depression Scale (HADS), Maslach Burnout Inventory, and World Health Organization Quality of Life Scale (WHOQOL-BREF) for assessment of the perceived fears of COVID-19 virus infection, associated anxiety and depressive symptoms, burnout symptoms, and quality of life, respectively. Results Overall, most physicians were females (63%). Ideas about death, moderate-to-severe anxiety, and depressive symptoms were reported by 11, 28, and 29% of physicians, respectively. For burnout symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were reported by 20, 71, and 39% of physicians, respectively. The perceived fear of COVID-19 virus infection was positively correlated with anxiety, depression, and burnout emotional exhaustion, and depersonalization symptoms, and negatively correlated with personal accomplishment and all quality of life domains. Conclusions Egyptian physicians experienced higher levels of COVID-19-related fears, anxiety, and depressive and burnout symptoms. There was a robust correlation between these perceived fears, and higher burnout symptoms, and poor quality of life among physicians. Specific interventions should be tailored to minimize the physical and mental burdens on the physicians during the COVID-19 pandemic.

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Quality of Life of Healthcare Workers Suffering from Occupational Contact Dermatitis

Recent Advances in Inflammation & Allergy Drug Discovery ◽

10.2174/1872213x14666210303155135 ◽

2021 ◽

Vol 15 ◽

Author(s):

Amira Omrane ◽

Asma Khedher ◽

Chayma Harrathi ◽

Maher Maoua ◽

Taoufik Khalfallah ◽

...

Keyword(s):

Quality Of Life ◽

Contact Dermatitis ◽

Healthcare Workers ◽

Female Gender ◽

Public Hospitals ◽

Healthcare Personnel ◽

Related Factors ◽

Cross Sectional ◽

Occupational Contact Dermatitis

Background: Healthcare workers are at a high risk of developing Occupational Dermatitis (OD). Affected workers often experience severe impairment of their Quality of Life (QoL). This study aimed to assess the skin-related QoL of healthcare workers with OD and to explore its related factors. Methods: A cross-sectional and exhaustive study was conducted among healthcare personnel of four public hospitals in the central region of Tunisia. All the cases of OD declared were included. Skin-related QoL was assessed using the validated Tunisian version of the “Dermatology Life Quality Index” (DLQI). Some related patents were discussed. Results: A total of 37 cases of OD were collected with an annual incidence of 4.2 cases per 10000 workers. The population was predominantly female (73%) and mean aged 44.7±9.4 years. Nurses were the most represented occupational category (38%). Allergic contact dermatitis was the most frequent diagnosis (96%). Use of gloves was the most frequently reported occupational hazard (86%). The most frequently affected sites were hands (97%). The median score of DLQI was five. Multivariate analysis showed an association between the impairment of skin-related QoL and female gender (p = 0.04; OR = 19.3,84), exposure to disinfecting chemicals in the workplace (p = 0.01; OR = 17,306) and the absence of occupational reclassification (p = 0.01; OR = 21,567). Conclusion: About one third of the population had an impaired quality of life. The score impairment was significantly related to female gender, exposure to disinfecting chemicals and the absence of occupational reclassification.

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Comparison of Quality of Life between Active and Inactive Workers

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i8.4453 ◽

2020 ◽

Author(s):

Mohammad Hassan Dashty Khavidaki ◽

Mahmood Kamali Zarch ◽

Naser Mohammadi Ahmadabadi ◽

Haider Hosseini

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Mental Condition ◽

Positive Role ◽

Cross Sectional ◽

Positive Effects ◽

Sf 36 ◽

Significant Difference ◽

Cement Manufacturing

Introduction: Numerous important factors such as physical and mental condition affect the quality of life Job stress is one of the key factors in decreasing productivity in organizations. Given the positive effects of physical activity on quality of life, this study aimed to compare the quality of life between active and inactive workers (case study). Methods: This study was a cross-sectional comparative study.190 tile and cement-manufacturing workers who were eligible for the study were selected completely voluntarily, based on a convenience sampling. Of these, according to Beck questionnaire, 88 were selected in inactive and 64 in active groups; Weir and Sherborn questionnaire was used for assessing the quality of life (SF-36). For analysis the data, independent T-test and SPSS 23 software were used for analysis (P≤0.05). Results: The results showed that physical, psychological and quality of life components in the active group of cement factory workers were (p = 0.012) (p = 0.001) (p = 0.005) and tile workers (p = 0.012) (P = 0.005) (p = 0.014) was a significant and more compare to the inactive group, but there was no significant difference between active and inactive workers of the two tile and cement factories. Conclusion: The results of this study showed the positive role of exercise and physical activity on the quality of life of people working in cement and tile factories. It seems easier physical activity and sports are related to the quality of life of workers and have nothing to do with the workplace.

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The COVID-19 pandemic and first-year medical students’ academic motivation

10.21203/rs.3.rs-215761/v1 ◽

2021 ◽

Author(s):

Aidos K. Bolatov

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Extrinsic Motivation ◽

Academic Motivation ◽

Well Being ◽

Cross Sectional Study ◽

First Year ◽

Cross Sectional ◽

First Year Medical Students

Abstract The study aimed to investigate the relationships between academic motivation and the psychological well-being of 1st-year medical students during the COVID-19 pandemic. The total number of respondents in the cross-sectional study was 273. Intrinsic motivation was positively correlated with fear of COVID-19 and negatively correlated with psychological collapse and negative changes in quality of life due to the COVID-19. Extrinsic motivation positively associated with fear of COVID-19. Amotivation positively correlated with psychological collapse and negative changes in quality of life. In conclusion, COVID-19-related changes in quality of life and psychological destruction were predictors of academic motivation among 1st-year medical students.

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Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2019030903686 ◽

2021 ◽

Vol 55 ◽

Author(s):

Juliana de Melo Vellozo Pereira Tinoco ◽

Beatriz Paiva e Silva de Souza ◽

Samara Xavier de Oliveira ◽

Josiana Araujo de Oliveira ◽

Evandro Tinoco Mesquita ◽

...

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Depressive Symptoms ◽

Cross Sectional Study ◽

Cross Sectional ◽

Ventricular Ejection Fraction ◽

Outpatient Group ◽

Heart Failure Questionnaire ◽

Assess Quality

ABSTRACT Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions.

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Relationship between dental fluorosis and quality of life: a population based study

Brazilian Oral Research ◽

10.1590/s1806-83242005000200014 ◽

2005 ◽

Vol 19 (2) ◽

pp. 150-155 ◽

Cited By ~ 23

Author(s):

Edgard Michel-Crosato ◽

Maria Gabriela Haye Biazevic ◽

Edgard Crosato

Keyword(s):

Quality Of Life ◽

Water Supply ◽

Dental Fluorosis ◽

Female Gender ◽

Population Based ◽

Daily Activities ◽

Cross Sectional ◽

Significance Level ◽

The Impact

The aim of this study was to verify the prevalence of dental fluorosis in schoolchildren aged 6 to 15 and its possible association with the impacts on their daily activities. This study is observational, cross-sectional and analytical. A total of 513 schoolchildren from the city of Pinheiro Preto, SC, took part in this study. The children were examined by three calibrated dentists, after obtaining a kappa > 0.80. To assess the prevalence of fluorosis, clinical examinations were performed according to the methodology set forth by the 4th edition of the WHO. To assess the impact of fluorosis on their daily activities, a modified OIDP (Oral Impacts on Daily Performance) was adopted. The statistical analysis used was the Chi-squared test with a 5% significance level. Of the total number of children examined, 262 (51.1%) were of the female gender and 251 (48.9%) were of the male gender. In regard to the prevalence of fluorosis, 94 (18.3%) of the children presented this condition, while 419 children (81.7%) presented a normal condition. In regard to the severity of fluorosis, few children presented severe alterations. No association was found between dental fluorosis and gender (p = 0.646), between fluorosis and socioeconomic status (p = 0.848) or between fluorosis and access to public water supply system (p = 0.198). The activities that most affected children's daily performance were: oral hygiene (40.9%) and food intake or enjoying food (40.4%). None of the daily activities could be associated with the occurrence of dental fluorosis. The prevalence of dental fluorosis was consonant with the standards found for locations with optimum fluoride content in the water supply. The questionable and very slight levels of fluorosis were the most frequently found, without influence in the quality of life of the schoolchildren participating in the study.

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Burden, quality of life, anxiety, and depressive symptoms among caregivers of hemodialysis patients: The role of social support

The International Journal of Psychiatry in Medicine ◽

10.1177/0091217420913388 ◽

2020 ◽

Vol 55 (6) ◽

pp. 397-407

Author(s):

Madihah Shukri ◽

Mohd Azman Mustofai ◽

Md Aris Safree Md Yasin ◽

Tuan Sharipah Tuan Hadi

Keyword(s):

Quality Of Life ◽

Social Support ◽

Depressive Symptoms ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Cross Sectional ◽

Caregiving Burden ◽

Low Levels

Objective The purpose of this study was to determine how burden and quality of life predict anxiety and depressive symptoms among caregivers of hemodialysis patients. Social support was included in the model as a proposed moderator in the above relationships. Methods This cross-sectional study involved 340 caregivers of chronic kidney patients undergoing hemodialysis. The setting was in Terengganu, Malaysia. The caregivers completed the measures of caregiving burden, quality of life, social support, and symptoms of anxiety and depression. Results About 28.8% and 52.4% of caregivers showed clinically moderate levels of anxiety and depressive symptoms, respectively. Furthermore, 35.9% and 3.8% of them showed clinically high levels of anxiety and depressive symptoms, respectively. Analyses showed that general quality of life was a significant predictor of both anxiety and depressive symptoms. Burden and psychological domains of quality of life significantly predicted anxiety. In addition, a lack of social support was a determinant of depressive symptoms. Evidence suggested that social support moderated the burden–anxiety relationship. Specifically, caregivers with low levels of social support showed more elevated levels of anxiety symptoms when their burden was higher. Conclusion There is an urgent need for early detection to initiate prompt treatment in this population. The study provides some important insights into offering comprehensive intervention to help caregivers cope more effectively through the provision of sufficient social support to buffer the effects of caregiving burden and improve mental health.

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