The COVID-19 Pandemic. A Psychosocial Approach in Mexican Medical Students
Keywords:Anxiety, COVID-19, Depression, Sars-CoV-2, Students
Background: Nowadays the impact that the COVID-19 pandemic has had on students around the world is not a secret; the loss of the status quo as a consequence of the SARS-CoV-2 infection, changed the concept of everyday life. Medical students represent an important affected population in terms of loss of theorical, laboratory practices, as well as the much-needed exposure to patients, are factors that add to the baseline stress of being a college student and alienation from social groups. The present study sought to establish the impact on the emotional and social spheres of medical students, in addition to establishing risk factors, predictors or predisposing factors to present alterations in in the psychosocial elements of health.
Cross-sectional study performed in Mexican Medical Students; the sample size was found to be 366. An 82-item questionnaire was applied to assess 4 main axes; Generalized Anxiety Disorder (GAD-7) and the Patient Health Questionnaire (PHQ-9) were used to evaluate prevalence of anxiety and depression, COVID-19 knowledge, perception, and social determinants were also evaluated. The study sample was divided into 2 groups to address a group with depression/anxiety and a group with no anxiety/depression. The possible presence of anxiety/depression was defined as a score ≥10 on both scales. 500 students were randomly chosen, were invited to participate, and voluntarily signing the informed consent. Students who did not complete all answers were excluded. Non-parametric quantitative variables were evaluated with Mann-Whitney U, qualitative variables with χ2 or Fisher’s exact test. Spearman’s correlation was also used, and a binary logistic regression was done to identify association.
A total of 384 students were included with a mean age of 21 years. The majority, 236 students, were women (61.45%) and 154 (40.1%) belonged to the clinical semesters of the career (7th to 12th semester). 89.34% (343 students) stated that their main concern was that a family member became ill, the economy (71.51%), and massive reinfection (68.44%). A moderate to exaggerated increase in anxiety symptomatology before the start of the pandemic was reported in 61.19% (235 students), 75% (287 students) reported depressed mood symptoms. 320 students (83.33%) reported having been correctly informed; they were aware of COVID-19 symptomatology, use of protective personal equipment, and myths. We found that 43% (PHQ-) had depression and 24.5% anxiety (GAD-7); having depression increased the risk of presenting anxiety and vice-versa along with identifying themselves as a woman and having a diagnosis of a prior psychiatric disorder for both groups. Belonging to clinical semesters was found to be as a protective factor for both anxiety and depression.
The results indicate an increase in the depressive and anxiety symptomatology of the students, as well as concerns for their families and the economic situation. Academic institutions must design effective strategies for early detection, treatment and increase resilience of students using innovative resources adapted to the contingency.
- 2023-02-21 (2)
- 2022-12-31 (1)
How to Cite
Copyright (c) 2022 Diego Ortega-Moreno, Edgar Botello-Hernández, Rebeca Aguayo-Samaniego, Patricio García-Espinosa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to email@example.com
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to firstname.lastname@example.org