AB0848 PARTICIPATION OF UNDERGRADUATE MEDICAL STUDENTS AS INVESTIGATORS IN A RHEUMATOLOGIC COHORT: IMPACT ON DEPRESSION, ANXIETY & STRESS SCALE

Autor: Ana Beatriz Santos Bacchiega, P. Realle, B. Bica, J. V. Ziroldo Lopes, Licia Maria Henrique Mota, Danielle Christinne Soares Egypto de Brito, Eduardo Paiva, José Roberto Provenza, A. Rizzo Borges, Ana Paula Monteiro Gomides, T. Laroca Skare, S. Basualto, Lilian David de Azevedo Valadares, A. K. Melo, E.T. Reis Neto, Evandro Mendes Klumb, V. De Souza, S. Ribeiro, Débora Cerqueira Calderaro, C. D. L. Marques, Gleiton Ramalho Ferreira, Valeria Valim, Cleandro Pires de Albuquerque, E I Sato, Heldher Xavier da Silva Pereira, M. Pinheiro, N. Araújo, Gabriela Araújo Munhoz, B. Stadler, Melissa Abreu, K. Wagner Poti Gomes, A. Duarte, G. Salviato Pileggi, Henrique de Ataíde Mariz, A. Maria Kakehasi, Maycoln Leôni Martins Teodoro
Rok vydání: 2021
Předmět:
Zdroj: Annals of the Rheumatic Diseases. 80:1448.1-1448
ISSN: 1468-2060
0003-4967
DOI: 10.1136/annrheumdis-2021-eular.1218
Popis: Background:Mental health was widely affected during the new coronavirus pandemic. In addition, some measures adopted by most countries in order to contain the virus spread, such as isolation and social distancing, leading to the interruption of routine activities, including partial or complete interruption of face-to-face classes may be associated with increased stress, depression and anxiety among undergraduate medical students (1). From March to September, 2020, the Brazilian Society of Rheumatology carried out the Mario Pinotti II Project (MPII), a prospective, multicenter, observational cohort study designed to monitor the COVID-19 in patients with rheumatic disease on hydroxychloroquine, using periodic telephone calls performed by undergraduate medical students (2).Objectives:To compare the mental health status of medical students who were participating from the MPII with theirs colleagues not involved in this project.Methods:A web-based survey via google forms platform was developed by a panel composed of undergraduate medical students, rheumatologists, medical school professors, and a psychology professor. It included details on demographic and life habits data and domains regarding depression, anxiety and stress, using the DASS-21 (Depression, Anxiety & Stress Scale), Brazilian version. Data collection occurred from July 20th to August 31st, 2020. Statistical analysis was performed using the SPSS version 20.0. Univariate and multivariate linear regression analysis were performed to verify associations with the DASS-21, defined as dependent variable. A p-value < 0.05 was deemed as significant. This study was approved by the Institutional Research Ethics Committee.Results:A total of 684 undergraduate medical students were included in this study, of whom 228 as MPII volunteers (VG) and 456 as control group (CG). Median age was 23 years (IQ 21-24) and the CG was older than the VG (pConclusion:Several aspects may be involved with mental health, including increased emotional maturity, gender and sleep pattern. Although with marginal independent association, medical students with participation in the MPII study had better mental health than their student colleagues not engaged with this research. Our data pointed out that voluntary participation in a research project which foresees interaction by telephone contact with rheumatic patients, professors, rheumatologists, and colleagues is associated with better mental health.References:[1]Meo SA, Abukhalaf AA, Alomar AA, Sattar K, Klonoff DC. Covid-19 pandemic: Impact of quarantine on medical students’ mental wellbeing and learning behaviors. Pakistan J Med Sci 2020;36(COVID19-S4):S43–8.[2]Gomides A, Ferreira G, Kakehas A, Lacerda M, Marques C, Paiva E et al. Impact of chronic use of antimalarials on SARS-COV-2 infection in patients with immune-mediated rheumatic diseases: protocol design for a multicentric observational cohort in Brazil. JMIR Research Protocols, 2020.PreprintTable 1.Univariate and multivariate analysis of predictors associated to the DASS-21 in undergraduate medical students during the COVID-19 pandemicUnivariate analysisMultivariate analysisVariableB95%CIp-ValueB95%CIp-ValueAge-0.32-0.61 to -0.030.03-0.47-0.81 to -0.130.008Female gender4.883.021 to 6.76---Stable love relationship-2.49-4.35 to -0.640.008-2.5-4.4 to -0.590.01Number of previous comorbidities reported4.693.71 to 5.684.823.73 to 5.92MP-II volunteering-2.81-4.74 to -0.860.005---Worsening in sleep pattern6.414.62 to 8.205.013.07 to 6.96Disclosure of Interests:None declared
Databáze: OpenAIRE
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