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Background Very few studies prospectively analyzed medical students’ mental health before and during the COVID-19 pandemic. This study aimed to prospectively evaluate mental health in medical students in 2018, 2019, and 2020 during the COVID-19 pandemic lockdown. Methods All students from first to fourth year were invited to participate in 2018. These students were also invited to participate in the same period in 2019 and 2020 (during the peak of the COVID-19 lockdown). The Self-Reporting Questionnaire (SRQ-20), created by the WHO to investigate 20 nonpsychotic psychiatric symptoms, was used to evaluate common mental disorders. The cut-off for relevant symptom severity for mental distress is seven (SRQ-20 ≥ 7). Results In the years 2018, 2019, and 2020, a total of 860 SRQ-20 questionnaires were completed. Overall, mean SRQ-20 scores were 8.2 ± 4.6, and SRQ-20 ≥ 7 frequency was 60.5%. When comparing the years 2018, 2019, and 2020, no differences were found for either SRQ-20 scores (8.4 ± 4.7, 8.2 ± 4.6, and 7.8 ± 4.4, respectively; p = 0.351) or SRQ-20 ≥ 7 frequency (62.2%, 60.9%, and 59.2%, respectively; p = 0.762). Conclusion In contrast to our initial hypothesis, stable results on mental health measures were found even during the 2020 COVID-19 lockdown. Maintenance of daily routines through distance learning and the continuation of adapted clerkship activities with strict safety measures could have contributed to these results. However, this study points to high overall levels of common mental disorders, especially among women. Further studies should be conducted to understand all the factors responsible for such stability, such as social and economic support, resilience, or even previous high levels of common mental disorders.

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BACKGROUNDSchizophrenia is a complex mental illness characterized by cognitive, behavioral, and emotional changes associated with marked social dysfunction. 1 Because of its chronic course and poor long-term outcomes with higher rates of medical illness and mortality, primary care providers have a crucial role in managing patients with this disorder. 2 The purpose of this case report is to demonstrate the importance of primary health care in the rehabilitation of patients with schizophrenia. MATERIALS AND METHODSInterview with patient, bibliographical review and revision of medical records. CASE REPORT CONCLUSIONSchizophrenia is a highly disabling disease, commonly associated with impairments in social and occupational functioning. Most patients continue to have difficulties with social adaptation even after benefiting from antipsychotics. Family-based interventions, cognitive behavioral therapy, and social skills training should be associated with antipsychotic medication to improve social skills. Primary care providers have the potential to reduce health disparities in this patients, accompanying in the training of routines, improving insight and establishing interpersonal relationships, allowing rehabilitation and preventing social stigmatization.

feira, o XVI Fórum de Iniciação Científica PIBIC-FMJ-CNPq. Devido à pandemia do novo coronavírus e à necessidade de distanciamento social, este ano o evento será realizado on-line, através de videoconferências no Google Meet. Voltado aos alunos e professores dos cursos de Graduação e Pós-Graduação da FMJ, o evento tem como objetivo reunir a comunidade acadêmica da Faculdade para a apresentação dos trabalhos de Iniciação Científica, pertinentes à vigência 2019/2020. A organização do evento é de responsabilidade do Comitê Institucional de Pesquisa Científica -CIP da FMJ.