ABSTRACT
OBJECTIVE: The objective of this study was to evaluate the relationship between quality of life, perceived stress, anxiety, and depression in medical students and the university teaching method: traditional method versus active methodology. METHODS: Four questionnaires were administered to volunteer students (n=361) enrolled in two institutions that employ active (Universidade Tiradentes) or traditional (Faculdade de Medicina do ABC) teaching methodology: socioeconomic level; brief quality of life (World Health Organization Quality of Life-Bref); perceived stress scale (PSS10); and depression and anxiety scale (hospital anxiety and depression scale). RESULTS: Of the students who responded to the questionnaires (226 UNIT and 135 FMABC), 70% were female and 67% were White. The majority did not use medication for depression (90%), anxiety (81%), and stress management (91%). Regarding anxiety, it was found: absence in the traditional method and moderate anxiety in the active methodology (26% UNIT×13% FMABC) (p<0.001). Regarding quality of life, it was found to be better quality of life in the environment domain at FMABC (78.12%) versus 71.88% at the UNIT (p<0.001). There was no difference between the institutions in relation to depression and perceived stress, and in quality of lifethere was only a difference in the environmental domain (p<0.001). In relation to gender, stress was higher in females (93.7%) than males (79.6%) with p<0.001. CONCLUSION: Differences were recorded between the groups regarding anxiety, with a predominance in UNIT students (active methodology), and no differences were recorded in relation to depression, perceived stress, and quality of life in all domains, except for the environment domain, which was higher in the traditional methodology, although about one-third of participants used medication for anxiety/depression.
Subject(s)
Anxiety , Depression , Mental Health , Quality of Life , Stress, Psychological , Students, Medical , Humans , Female , Male , Students, Medical/psychology , Surveys and Questionnaires , Stress, Psychological/psychology , Young Adult , Adult , Brazil , Socioeconomic Factors , Cross-Sectional Studies , TeachingSubject(s)
Humans , Male , Female , Adolescent , Psychology, Social , Psychology, Adolescent , Adolescent HealthABSTRACT
Objetivos: Avaliar a prevalência e identificar aspectos relacionados à Síndrome Pré-Menstrual (SPM) em adolescentes do ensino médio, em escola particular (Colégio da Fundação Santo André, Santo André - SP). Métodos: Estudo transversal, realizado com 360 estudantes, com idade entre 14 e 18 anos. A avaliação foi feita em duas etapas. Primeira fase: aplicação de protocolo padrão visando identificar as jovens com queixas de SPM. Segunda fase: acompanhamento por três meses consecutivos para confirmação do quadro. Procedeu-se inicialmente a análise descritiva dos dados para caracterização da amostra, seguida de análise univariada com o objetivo de identificar os sintomas mais freqüentes, sua intensidade e as variáveis associadas a SPM. Para essa análise utilizou-se o teste do x2 e quando necessário, o teste t de Student. Como limite para significância estatística, aceitou-se p< 0,05. Resultados: Verificou-se a prevalência de 65,8% de SPM nas adolescentes avaliadas. Das variáveis pesquisadas mostraram-se associadas à ocorrência de SPM, a idade da menarca, a presença da síndrome nas mães e nas irmãs. Não apresentaram associação com a SPM a idade cronológica, a escolaridade e a regularidade ou irregularidade do ciclo menstrual. Os sintomas mais freqüentes foram: cansaço, nervosismo, desânimo, tristeza e vontade de chorar e pele oleosa com aparecimento de espinhas. Demonstraram maior intensidade os sintomas psíquicos. Conclusões: Este estudo comprova a presença de SPM em idades cada vez mais precoce, associada à história materna e idade da primeira menstruação. Os resultados confirmam a necessidade de novas pesquisas visando reconhecer outros fatores associados à SPM, o que reforça a necessidade de uma abordagem bio-psico-social.
Objective: To evaluate the prevalence and to identify aspects related to the Premenstrual Syndrome (PMS) in adolescents of private high school (Fundação Santo André, Santo André - SP). Methods: Transversal study line,carried through with 360 students, ages varying from 14 to 18 years old. The evaluation had two phases. Phase one:standard protocol application to identify youths with PMS complaints. Phase two: follow up of the selected individualsduring three consecutive months for further investigation of the condition. The descriptive analysis proceeded initially with sample characterization followed by unvaried analysis for identification of associated parameters to PMS. For this analysis it was used the χ2 test and, when necessary, the t Student test. As a limit for statistical significance, p<0.05% was considered. Results: The prevalence of PMSamong the evaluated adolescents was 65.8%. Occurrence of PMS was associated to two parameters: age of the menarche and incidence of the syndrome in mothers and sisters.There was no association of PMS to the chronological age, the scholar grade and the regularity or irregularity of themenstrual cycle. The most frequent symptoms were fatigue, nervousness, prostration, sadness, oily skin and acne. Conclusions: This study verifies the presence of PMS in earlier ages, associated to the mother history and the age of the first menstruation. The results confirm the need of investigation to recognize additional factors associated to the PMS, reinforcing the need of a bio-psycho social approach.
Subject(s)
Humans , Adolescent , Adolescent , Adolescent Behavior , Adolescent Health , Menstruation , Menstruation Disturbances , Premenstrual SyndromeABSTRACT
Esse trabalho visou avaliar a prevalência, caracterizar sintomas e identificar aspectos individuais e sócio-culturais relacionados à SPM em Adolescentes entre 14 e 18 anos, e suas mães, através de estudo prospectivo. Os protocolos baseados nos critérios de Moss foram preenchidos em entrevistas individuais. Procedeu-se análise descritiva seguida de estudo não pareado. Para variáveis categóricas utilizou-se tabelas de contingência, e como medida de associação o χ2 e o Teste Exato de Fisher / This work aimed at to evaluate the prevalence, to characterize symptoms and to identify related individuals and partner-cultural aspects to the PMS in Adolescents between 14 and 18 years old, and her mothers, through prospective study. The protocols based on the Mosss criteria had been filled in individual interviews. Descriptive analysis was preceded from the data. For categorical variable was used contingency tables, and as measured of association χ2 and the Fishers Accurate Test...
