Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Mental health problems among medical students in Brazil: a systematic review and meta-analysis

Author Pacheco, Joao P. Google Scholar
Giacomin, Henrique T. Google Scholar
Tam, Wilson W. Google Scholar
Ribeiro, Tassia B. Google Scholar
Arab, Claudia Autor UNIFESP Google Scholar
Bezerra, Italla M. Google Scholar
Pinasco, Gustavo C. Google Scholar
Abstract Objective: To provide a comprehensive picture of mental health problems (MHPs) in Brazilian medical students by documenting their prevalence and association with co-factors. Methods: We systematically searched the MEDLINE/PubMed, SciELO, LILACS, and PsycINFO databases for cross-sectional studies on the prevalence of MHPs among medical students in Brazil published before September 29, 2016. We pooled prevalences using a random-effects meta-analysis, and summarized factors associated with MHP. Results: We included 59 studies in the analysis. For meta-analyses, we identified the summary prevalence of different MHPs, including depression (25 studies, prevalence 30.6%), common mental disorders (13 studies, prevalence 31.5%), burnout (three studies, prevalence 13.1%), problematic alcohol use (three studies, prevalence 32.9%), stress (six studies, prevalence 49.9%), low sleep quality (four studies, prevalence 51.5%), excessive daytime sleepiness (four studies, prevalence 46.1%), and anxiety (six studies, prevalence 32.9%). Signs of lack of motivation, emotional support, and academic overload correlated with MHPs. Conclusion: Several MHPs are highly prevalent among future physicians in Brazil. Evidence-based interventions and psychosocial support are needed to promote mental health among Brazilian medical students.
Keywords Mental health
depression
medical students
mental disorders
xmlui.dri2xhtml.METS-1.0.item-coverage Sao Paulo
Language English
Date 2017
Published in Revista Brasileira De Psiquiatria. Sao Paulo, v. 39, n. 4, p. 369-378, 2017.
ISSN 1516-4446 (Sherpa/Romeo, impact factor)
Publisher Assoc Brasileira Psiquiatria
Extent 369-378
Origin http://dx.doi.org/10.1590/1516-4446-2017-2223
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000415387500017
SciELO ID S1516-44462017000400369 (statistics in SciELO)
URI https://repositorio.unifesp.br/handle/11600/57229

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