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      Estratégias de enfrentamento do estresse desenvolvidas por estudantes de Medicina da Universidade Federal de Santa Catarina Translated title: Stress coping strategies developed by medical students of the Federal University of Santa Catarina

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          Abstract

          Em um estudo qualitativo sobre a qualidade de vida de estudantes de Medicina, na Universidade Federal de Santa Catarina, emergiu o tema "Estratégias de enfrentamento do estresse". O objetivo deste artigo é apresentar dados relativos a este tema, na perspectiva de melhorar a qualidade de vida do estudante de Medicina. Seguindo princípios da pesquisa qualitativa, o tema proposto é apresentado com base na análise dos dados empíricos, relativos a depoimentos selecionados do conjunto de dados dos 25 participantes do estudo e no diálogo com a literatura. Entre os que desenvolveram estratégias, as apontadas incluíam valorização dos relacionamentos interpessoais e de fenômenos do cotidiano, equilíbrio entre estudo e lazer, organização do tempo, cuidados com a saúde, alimentação e o sono, prática de atividade física, religiosidade, trabalhar a própria personalidade para lidar com situações adversas e procura por assistência psicológica. Sugere-se maior preocupação dos envolvidos na educação médica com a qualidade de vida do estudante de Medicina e o desenvolvimento de estratégias para promovê-la ou que preparem o estudante para lidar com o estresse durante a formação médica.

          Translated abstract

          The theme "Stress coping strategies"came up in the course of a qualitative study about the quality of life of medical students at the Federal University of Santa Catarina. The objective of this article is to present data related to this issue in the hope of improving the quality of life of the medical student. According to the principles of qualitative research, the theme proposed is presented based on the analysis of empirical data derived from selected statements of the 25 particpants of the study and from the literature. Those participants who developed strategies mentioned among others the importance of interpersonal relationships and day-to-day phenomena, balance between study and leisure, organization of one's time, physical exercise, health nutrition and sleep, religiosity, working the own personality to deal with adverse situations and seek for psychological assistance. One recommends a greater concern of those involved in medical education with the qualit y of life of the students and the development of strategies to promote this behavior or to prepare the students to cope with the stress during medical education.

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          Most cited references34

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          O desafio do conhecimento:: pesquisa qualitativa em saúde.

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            The destructiveness of perfectionism. Implications for the treatment of depression.

            S Blatt (1995)
            Reports in the public media indicate that intense perfectionism and severe self-criticism played a role in the suicide of three remarkably talented individuals. The role of perfectionism in these suicides is consistent with recent extensive investigations of aspects of perfectionism as well as further analyses of the NIMH Treatment of Depression Collaborative Research Program (TDCRP), indicating that intense perfectionism interfered significantly with therapeutic response in the various brief treatments for depression. Self-critical individuals, however, made substantial improvement in long-term intensive treatment. These findings suggest the value of considering psychopathology, especially depression, from a psychological rather than a symptomatic perspective; that different patients may be differentially responsive to various types of therapy; and that more extensive therapy may be necessary for many highly perfectionistic, self-critical patients.
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              Stress management in medical education: a review of the literature.

              To review systematically clinical studies providing empirical data on stress-management programs in medical training. The authors searched Medline and PSYCHINFO from 1966 to 1999. Studies were included if they evaluated stress-management programs for medical trainees (medical students, interns, or residents); reported empirical data; and had been conducted at allopathic medical schools. Although the search yielded over 600 articles discussing the importance of addressing the stress of medical education, only 24 studies reported intervention programs, and only six of those used rigorous scientific method. Results revealed that medical trainees participating in stress-management programs demonstrated (1) improved immunologic functioning, (2) decreases in depression and anxiety, (3) increased spirituality and empathy, (4) enhanced knowledge of alternative therapies for future referrals, (5) improved knowledge of the effects of stress, (6) greater use of positive coping skills, and (7) the ability to resolve role conflicts. Despite these promising results, the studies had many limitations. The following considerations should be incorporated into future research: (1) rigorous study design, including randomization and control (comparison) groups, (2) measurement of moderator variables to determine which intervention works best for whom, (3) specificity of outcome measures, and (4) follow-up assessment, including effectiveness of future patient care.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbem
                Revista Brasileira de Educação Médica
                Rev. bras. educ. med.
                Associação Brasileira de Educação Médica (Rio de Janeiro )
                1981-5271
                December 2006
                : 30
                : 3
                : 147-153
                Affiliations
                [1 ] Hospital Conceição Brasil
                [2 ] Universidade Federal de Santa Catarina Brazil
                Article
                S0100-55022006000300005
                10.1590/S0100-55022006000300005
                4f4c498d-f817-48cb-9b2b-f76a5a4db91b

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0100-5502&lng=en
                Categories
                HEALTH CARE SCIENCES & SERVICES

                Health & Social care
                Curriculum,Education,Medical,Quality of life,Students, Medical,Stress,Currículo,Educação médica,Qualidade de vida,Estudantes de Medicina,Estresse

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