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      Percepciones de los estudiantes de Medicina de la Universidad Nacional de Asunción sobre la salud mental y sobre las barreras para acceder a los servicios de salud mental ofrecidos por la institución Translated title: National University of Asunción medical students’ perceptions on mental health and on the barriers to accessing mental healthcare services offered by the institution

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          Abstract

          RESUMEN Introducción: El estudio de las percepciones de los estudiantes de Medicina sobre la salud mental es un tema de investigación significativo, puesto que su conocimiento puede ayudar a comprender las principales barreras a vencer para acceder a servicios de salud mental. Objetivos: Describir la percepción de los estudiantes de Medicina (campus de Sajonia y de San Lorenzo) de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción sobre los problemas de salud mental y sobre las barreras para acceder a los servicios de atención a la salud mental ofrecidos por la institución. Materiales y métodos: Estudio observacional descriptivo, de corte transversal y temporalmente prospectivo, con muestreo no probabilístico. A través de una encuesta en línea, se examinaron una serie de variables con el fin de describir las percepciones, tales como estigma, actitudes de la Facultad hacia la salud mental y barreras para acceder a los servicios de salud mental. Resultados: 243 estudiantes fueron encuestados. El 24,7 % mencionó haber sido tratado por un problema de salud mental. El 83,13% refirió conocer a algún estudiante con problemas de salud mental en la Facultad. 81,07% indicó que el estigma/vergüenza es la barrera más importante en el acceso a los servicios de salud mental ofrecidos por la institución. El 89,71% sostuvo que la Facultad tiene la responsabilidad de brindar mejor atención a los estudiantes con problemas de salud mental, mientras que el 37,04% estuvo de acuerdo con que la Facultad es amigable con estudiantes con problemas de salud mental. Conclusión: estos hallazgos servirán de base para futuras investigaciones sobre problemas prevalentes de salud mental en los estudiantes de Medicina, incluyendo las maneras de abordarlos y tratarlos, y sobre qué debe hacer la Facultad para mejorar el cuidado de la salud mental de sus estudiantes.

          Translated abstract

          ABSTRACT Introduction: The study of the medical students’ perceptions on mental health is a significant research topic, since its knowledge can help to understand the main barriers to overcome to access mental healthcare services. Objectives: To describe the perceptions of medical students (Sajonia and San Lorenzo campuses) of the Faculty of Medical Sciences of the National University of Asunción about mental health problems and about the barriers to accessing mental healthcare services offered by the institution. Materials and methods: Descriptive, cross-sectional and temporally prospective observational study, with non-probabilistic sampling. Through an online survey, a series of variables were examined to describe perceptions, such as stigma, Faculty attitudes towards mental health, and barriers to accessing mental healthcare services. Results: 243 students were surveyed. 24.7% mentioned having been treated for a mental health problem. 83.13% reported knowing a student with mental health problems at the Faculty. 81.07% indicated that stigma/shame is the most important barrier in accessing mental healthcare services offered by the institution. 89.71% said that the Faculty has the responsibility to provide better care to students with mental health problems, while 37.04% agreed that the Faculty is friendly with students with mental health problems. Conclusion: These findings will serve as the basis for future research on prevalent mental health problems in medical students, including ways to approach and treat them, and on what the Faculty should do to improve mental healthcare for its students.

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          Most cited references38

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          Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis.

          Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies.
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            Systematic Review of Depression, Anxiety, and Other Indicators of Psychological Distress Among U.S. and Canadian Medical Students

            To systematically review articles reporting on depression, anxiety, and burnout among U.S. and Canadian medical students.
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              Burnout and suicidal ideation among U.S. medical students.

              Little is known about the prevalence of suicidal ideation among U.S. medical students or how it relates to burnout. To assess the frequency of suicidal ideation among medical students and explore its relationship with burnout. Cross-sectional 2007 and longitudinal 2006 to 2007 cohort study. 7 medical schools in the United States. 4287 medical students at 7 medical schools, with students at 5 institutions studied longitudinally. Prevalence of suicidal ideation in the past year and its relationship to burnout, demographic characteristics, and quality of life. Burnout was reported by 49.6% (95% CI, 47.5% to 51.8%) of students, and 11.2% (CI, 9.9% to 12.6%) reported suicidal ideation within the past year. In a sensitivity analysis that assumed all nonresponders did not have suicidal ideation, the prevalence of suicidal ideation in the past 12 months would be 5.8%. In the longitudinal cohort, burnout (P < 0.001 for all domains), quality of life (P < 0.002 for each domain), and depressive symptoms (P < 0.001) at baseline predicted suicidal ideation over the following year. In multivariable analysis, burnout and low mental quality of life at baseline were independent predictors of suicidal ideation over the following year. Of the 370 students who met criteria for burnout in 2006, 99 (26.8%) recovered. Recovery from burnout was associated with markedly less suicidal ideation, which suggests that recovery from burnout decreased suicide risk. Although response rates (52% for the cross-sectional study and 65% for the longitudinal cohort study) are typical of physician surveys, nonresponse by some students reduces the precision of the estimated frequency of suicidal ideation and burnout. Approximately 50% of students experience burnout and 10% experience suicidal ideation during medical school. Burnout seems to be associated with increased likelihood of subsequent suicidal ideation, whereas recovery from burnout is associated with less suicidal ideation.
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                Author and article information

                Journal
                anales
                Anales de la Facultad de Ciencias Médicas (Asunción)
                An. Fac. Cienc. Méd. (Asunción)
                EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción (Asunción, Central, Paraguay )
                1816-8949
                April 2021
                : 54
                : 1
                : 109-124
                Affiliations
                [2] San Lorenzo Asunción orgnameUniversidad Nacional de Asunción orgdiv1Facultad de Ciencias Médicas orgdiv2Departamento de Salud Mental Paraguay
                [1] San Lorenzo Asunción orgnameUniversidad Nacional de Asunción orgdiv1Facultad de Ciencias Médicas orgdiv2Cátedra de Psiquiatría Paraguay
                Article
                S1816-89492021000100109 S1816-8949(21)05400100109
                10.18004/anales/2021.054.01.109
                c7f853fb-b412-4502-8ffb-82a1cf208e7e

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 12 March 2021
                : 27 October 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 38, Pages: 16
                Product

                SciELO Paraguay

                Categories
                Artículos Originales

                mental health,Medical students,estigma.,barreras,salud mental,estudiantes de Medicina,stigma.,barriers,perceptions,percepciones

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