P.700 Prevalence of depression in medical students during lockdown in Brazil due to COVID-19 pandemic
Autor: | Beatriz Astolfi Neves, T. Perissotto, Fabricio Petermann Choueiri Miskulin, Mariana Berwerth Pereira, Paula Villela Nunes, B. C. Almeida, T. C. R. P. Da Silva, Salma Rose Imanari Ribeiz |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Pharmacology
business.industry Protective factor Clinical Neurology Hospital Anxiety and Depression Scale Logistic regression Mental health law.invention Psychiatry and Mental health Neurology law Pandemic Quarantine Medicine Pharmacology (medical) Neurology (clinical) Social isolation medicine.symptom business Depression (differential diagnoses) Biological Psychiatry Demography |
Zdroj: | European Neuropsychopharmacology |
ISSN: | 0924-977X |
DOI: | 10.1016/j.euroneuro.2020.09.518 |
Popis: | Introduction: The COVID-19 pandemic has impacted many spheres of society To control the dissemination of SARS-CoV-2, social isolation and closure of public spaces such as universities were implemented In Brazil it started in March 2020, one month after the beginning of the basic cycle year The quarantine situation added to daily stressing factors during the pandemic As a response to this abrupt transformation in ways of life, mental health may have been affected, and may have precipitated disorders such as depression differently amongst people Aims: We aim to compare the prevalence of depressive symptoms during the COVID-19 pandemic quarantine in Medical undergraduate University students in Brazil and to explore potential factors related to it Methods: All students from the first to the sixth year from Jundiai Medical School (Brazil) were invited to virtually respond the self-administered Hospital Anxiety and Depression Scale (HADS) from March to June of 2020 (during COVID quarantine) This study was based on the HADS subscale for depression (HADS-D), which ranges from 0 (absence) to 21 points The cut-off for screening clinically relevant depressive symptoms recommended [1] is 9 The study protocol was approved by the Ethics Committee For the statistical analysis Chi-Square Test was used for categorical data and Mann-Whitney test was used for comparisons of continuous variables Correlations were made using Sperman correlation test and binary logistic regression was used on the analysis of the influence of year class and where the students were during the quarantine Results: We had responses from 347 students (51% of the sample) The prevalence of HADS-D>8 (above cut-off) was 36% (n=125) First-year students had greater prevalence of HADS-D>8 (45 6%) as compared to the other years (32%) (p=0 015) An inverse correlation of year of class and depression (p=0 002;rho=-0 163) was found, with lower scores in internship;the average total scores of the HADS-D were greater in the first-year class (8 2±3 9) when compared to the other year classes (6 8±3 5) (p=0 001) When genders were compared women had higher prevalence of HADS-D>8 (40 2%) than man (27 4%) (p=0 019) Being with family during the quarantine was not a protective factor, even after logistic regression (p=0 900) for differences in year class Conclusion: High prevalence of depression during SARS-CoV-2 pandemic was found in Jundiai Medical School undergraduate medical students The negative consequences due to COVID-19 such as social isolation, lack of routine activities, fear of contagion and death and hopeless global scenario may have contributed to the development of depressive symptoms Students of the first year of college were the most affected in our sample It is expected a great exhilaration by freshmen when they entered the college and therefore, the impact of classes suspension and lockdown lead to a reduction of expectation, increasing risk factors for depression Medical students often have high prevalence of depression and future prospective studies could address if these depressive symptoms were higher during the quarantine No conflict of interest |
Databáze: | OpenAIRE |
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