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Medical residents' mental distress in the COVID-19 pandemic: An urgent need for mental health care.
Steil, Amanda; Pereira Tokeshi, Ana Bresser; Bernardo, Luca Silveira; da Silva Neto, Geraldo Pio; Davi, Ronald Ferreira; Bárbara, Amanda Ferreira Santa; Mendonca, Vitor S; Fidalgo, Thiago M; Teixeira Gois, Aécio Flávio.
  • Steil A; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Pereira Tokeshi AB; Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Bernardo LS; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
  • da Silva Neto GP; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Davi RF; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Bárbara AFS; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Mendonca VS; School of Medicine, University of São Paulo, São Paulo, Brazil.
  • Fidalgo TM; Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Teixeira Gois AF; Disciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
PLoS One ; 17(3): e0266228, 2022.
Article in English | MEDLINE | ID: covidwho-1833650
ABSTRACT

PURPOSE:

Medical residents' mental health is currently an issue of concern for medical educators worldwide. The COVID-19 pandemic has raised the greatest concerns given the psychological effects of this scenario on medical residents on the frontlines of the pandemic. To assess the psychological impact of the COVID-19 pandemic on physicians in residency training, the collective symptoms of burnout, depression and anxiety are used to identify the residents' beliefs and clinical practices related to COVID-19 patients and their behaviors concerning disease prevention.

METHOD:

This observational study involved 3071 medical residents from all regions of Brazil. An online questionnaire assessed the presence of burnout using the Oldenburg Burnout Inventory, depressive symptoms using the Patient Health Questionaire-9, anxiety symptoms using the Generalized Anxiety Disorder-7, and COVID-19 Impact Questions to assess the residents' beliefs and clinical practices related to COVID-19 patients. Exploratory analyses, logistic regression and multinomial regression analysis were performed in this investigation.

RESULTS:

Moderate and severe depressive symptoms were the most common (67.7%) followed by anxiety symptoms (52.8%) and burnout (48.6%). The difference between residents with or without contact with COVID-19 patients was significant increased when analyzing different aspects of clinical practice, behavior, substance use and mental health.

CONCLUSIONS:

These results suggest an increase in depression and anxiety symptoms among medical residents dealing with COVID-19, upstaging previous concerns about medical residents' mental health. The prevalence of burnout is similar to that of a nonpandemic scenario. Considering the severity of the pandemic scenario and the overburden of healthcare services, medical residents' mental health deserves special care.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / COVID-19 / Internship and Residency Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0266228

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / COVID-19 / Internship and Residency Type of study: Observational study / Prognostic study Limits: Humans Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0266228