Factors associated with mental health and quality of life among Brazilian medical students: a three-year longitudinal study.

IF 2.9 4区 医学 Q2 PSYCHIATRY Journal of Mental Health Pub Date : 2024-08-10 DOI:10.1080/09638237.2024.2390374
Natalia de Castro Pecci Maddalena, Alessandra Lamas Granero Lucchetti, Oscarina da Silva Ezequiel, Giancarlo Lucchetti
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Abstract

Background: Despite several studies on the mental health of medical students, there is insufficient research on long-term follow-ups.

Aims: To investigate the associated factors and changes in the quality of life and mental health of a group of medical students followed-up for three years.

Methods: An observational, prospective cohort study was conducted. Four classes were followed during the first three years of the medical course. The study included sociodemographic data, mental health data using the DASS-21 scale, and quality-of-life data using the WHOQOL-BREF scale. Linear regression models were used for analysis.

Results: A total of 201 (66.1%) medical students responded to both data collection waves after a three-year follow-up. Depressive symptoms(p < 0.001), anxiety(p = 0.037), and stress(p < 0.001) increased. Additionally, physical(p < 0.001), psychological(p < 0.001), and social(p = 0.003) quality of life decreased. Worse mental health at baseline and being a woman were associated with worse mental health after three years, while higher income at baseline was associated with better quality of life after three years.

Conclusions: The mental health and quality of life of the medical students worsened after three years, being influenced by gender, income, and mental health at baseline. Educators and managers must be aware of these factors to minimize suffering in medical schools.

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与巴西医学生心理健康和生活质量相关的因素:一项为期三年的纵向研究。
背景:目的:调查一组被跟踪调查三年的医学生的生活质量和心理健康的相关因素及其变化:方法:开展了一项前瞻性队列观察研究。在医学课程的前三年中,对四个班级进行了跟踪调查。研究内容包括社会人口学数据、使用 DASS-21 量表的心理健康数据以及使用 WHOQOL-BREF 量表的生活质量数据。研究采用线性回归模型进行分析:结果:共有 201 名(66.1%)医学生在三年随访后对两次数据收集做出了回应。抑郁症状(P医学生的心理健康和生活质量在三年后有所下降,这与性别、收入和基线时的心理健康状况有关。教育者和管理者必须意识到这些因素,以尽量减少医学院学生的痛苦。
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来源期刊
Journal of Mental Health
Journal of Mental Health PSYCHOLOGY, CLINICAL-
CiteScore
6.40
自引率
3.00%
发文量
117
期刊介绍: The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.
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