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

机译:巴西医学生的心理健康问题:系统评价和荟萃分析

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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.
机译:目的:通过记录巴西医学生的患病率以及与辅助因素的关系,全面了解他们的心理健康问题(MHP)。方法:我们系统搜索了MEDLINE / PubMed,SciELO,LILACS和PsycINFO数据库,以进行2016年9月29日之前发布的巴西医学生MHP患病率横断面研究。我们使用随机效应荟萃分析汇总了患病率,并总结了与MHP相关的因素。结果:我们在分析中包括59个研究。对于荟萃分析,我们确定了不同MHP的总体患病率,包括抑郁症(25项研究,患病率30.6%),常见精神障碍(13项研究,患病率31.5%),倦怠(三项研究,患病率13.1%),饮酒有问题(三项研究,患病率32.9%),压力(六项研究,患病率49.9%),低睡眠质量(四项研究,患病率51.5%),白天过度嗜睡(四项研究,患病率46.1%)和焦虑症(六项研究,患病率32.9%)。与MHP相关的缺乏动力,情感支持和学业负担的迹象。结论:在巴西未来的医生中,一些MHP非常普遍。需要采取循证干预和心理支持,以促进巴西医学生的心理健康。

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