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      Depression, anxiety, and stress in medical students in Peru: a cross-sectional study

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          Abstract

          Objective

          To determine the prevalence and factors associated with depressive, anxious, and stress symptoms in medical students in Peru, during the second pandemic wave of COVID-19.

          Methods

          We conducted an analytical cross-sectional study in 405 medical students from a university in northern Peru. The DASS-21 instrument was used to evaluate mental health outcomes (depression, anxiety, and stress), and to investigate their association with socio-educational characteristics.

          Results

          We found a prevalence of depressive, anxious, and stress symptoms of 71.6% (95% CI: 66.94–75.95), 71.9% (95% CI: 67.2–76.2), and 62.7% (95% CI: 57.8–67.4); respectively. Students with eating behavior disorders had a higher prevalence of depressive symptoms (PR: 1.35), anxious symptoms (PR: 1.27), and stress symptoms (PR: 1.31). The prevalence of depressive symptoms (PR: 1.57), anxious symptoms (PR: 1.27), and stress symptoms (PR: 1.24) increased in students who did not report regular physical activity. In addition, having almost always academic exhaustion increased the prevalence of depressive symptoms (PR: 1.46), stress symptoms (PR: 1.72). On the contrary, the prevalence of depressive symptoms (PR: 0.79), anxious symptoms (PR: 0.73) and stress symptoms (PR: 0.82) decreased in male students. Students who reported sleeping 8 or more hours daily had a lower prevalence of stress symptoms (PR: 0.82).

          Conclusion

          Symptoms of depression and anxiety occurred in 7 out of 10 students, and stress in 6 out of 10. Among the factors associated with the presence of anxiety, depression, and stress were eating behavior disorder and not regularly exercising. Periodic evaluations of mental symptomatology are required and counseling should be promoted in medical schools.

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          Most cited references98

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          The psychological impact of the COVID-19 epidemic on college students in China

          Highlights • Methods of guiding students to effectively and appropriately regulate their emotions during public health emergencies and avoid losses caused by crisis events have become an urgent problem for colleges and universities. Therefore, we investigated and analyzed the mental health status of college students during the epidemic for the following purposes. (1) To evaluate the mental situation of college students during the epidemic; (2) to provide a theoretical basis for psychological interventions with college students; and (3) to provide a basis for the promulgation of national and governmental policies.
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            Prevalence and predictors of PTSS during COVID-19 Outbreak in China Hardest-hit Areas: Gender differences matter

            Highlights • The prevalence of posttraumatic stress symptoms (PTSS) in China hardest-hit areas a month after the COVID-19 outbreak was 7%. • Hierarchical regression analysis and non-parametric test suggested that women reported significant higher PTSS in the domains of re-experiencing, negative alterations in cognition or mood, and hyper-arousal. • Participants with better sleep quality or less frequency of early awakenings reported lower PTSS.
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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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                Author and article information

                Contributors
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                URI : https://loop.frontiersin.org/people/1818998/overviewRole: Role: Role: Role: Role: Role:
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                URI : https://loop.frontiersin.org/people/1825125/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/1836864/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/2196362/overviewRole: Role: Role: Role: Role: Role: Role: Role:
                URI : https://loop.frontiersin.org/people/1795842/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                28 November 2023
                2023
                : 14
                : 1268872
                Affiliations
                [1] 1Escuela de Medicina, Universidad Cesar Vallejo , Trujillo, Peru
                [2] 2Oficina de Salud Ocupacional, Hospital de Apoyo II Santa Rosa , Piura, Peru
                [3] 3Facultad de Medicina, Universidad de San Martín de Porres , Chiclayo, Peru
                [4] 4Universidad Nacional Daniel Alcides Carrión, Facultad de Medicina Humana , Pasco, Peru
                [5] 5Red Latinoamericana de Medicina en La Altitud e Investigación (REDLAMAI) , Pasco, Peru
                [6] 6Sociedad Científica de Estudiantes de Medicina Veritas (SCIEMVE) , Chiclayo, Peru
                [7] 7Instituto de Investigación en Ciencias Biomédicas, Universidad Ricardo Palma , Lima, Peru
                [8] 8Universidad Tecnológica del Perú , Lima, Peru
                [9] 9School of Medicine, Universidad Continental , Lima, Peru
                [10] 10Unidad de Investigación para Generación y Síntesis de Evidencia en Salud, Universidad San Ignacio de Loyola , Lima, Peru
                [11] 11Escuela de Medicina, Universidad Privada Antenor Orrego , Trujillo, Peru
                [12] 12Red Peruana de Salud Colectiva , Lima, Peru
                [13] 13South American Center for Education and Research in Public Health, Universidad Norbert Wiener , Lima, Peru
                [14] 14Oficina de Epidemiología, Hospital Regional Lambayeque , Chiclayo, Peru
                Author notes

                Edited by: Marco Grados, Johns Hopkins University, United States

                Reviewed by: Pu Peng, Central South University, China; Mahmood Moosazadeh, Mazandaran University of Medical Sciences, Iran

                *Correspondence: César J. Pereira-Victorio, cpereirav@ 123456continental.edu.pe ;
                Article
                10.3389/fpsyt.2023.1268872
                10715266
                38090694
                e7665d67-5818-40f7-a45d-8a1eee044da5
                Copyright © 2023 Valladares-Garrido, Quiroga-Castañeda, Berrios-Villegas, Zila-Velasque, Anchay-Zuloeta, Chumán-Sánchez, Vera-Ponce, Pereira-Victorio, Failoc-Rojas, Díaz-Vélez and Valladares Garrido.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 28 July 2023
                : 26 October 2023
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 103, Pages: 13, Words: 11096
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. MJV-G was supported by the Fogarty International Center of the National Institutes of Mental Health (NIMH) under Award Number D43TW009343 and the University of California Global Health Institute (UCGHI).
                Categories
                Psychiatry
                Original Research
                Custom metadata
                Anxiety and Stress Disorders

                Clinical Psychology & Psychiatry
                depression,anxiety,stress,covid-19,medical students,peru
                Clinical Psychology & Psychiatry
                depression, anxiety, stress, covid-19, medical students, peru

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