Background: Burnout syndrome (BS) is a set of psychological symptoms resulting from the interaction between chronic occupational stress and individual factors. These symptoms include emotional exhaustion, depersonalization and decreased professional satisfaction. BS is manifested in a variety of professions and is prevalent in contexts in which health professionals are required to interact directly with the public. Objective: To determine the prevalence of BS among medical students at a university in Ceará State, Brazil. Methods: Of the 517 students enrolled in their first to eighth semester in 2013, 376 (72.7%) were contacted. A socio-economic evaluation questionnaire and the Maslach Burnout Inventory -Human Services Survey (MBI-HSS) were administered. Statistical analysis was conducted using SPSS 20.0. Two groups -burnout/risk and non-burnout -were compared using the chi-square and likelihood ratio tests with a significance level of 5%. Variables with p < 0.20 were included in a multivariate analysis logistical regression model. Results: Burnout was detected in 14.9% of the students, and 57.7% showed a risk of developing the syndrome. Logistic regressions showed an association between burnout and "have failed examinations" and "have considered abandoning the course", p = 0.047 and p < 0.0001, respectively. Discussion: Psychopedagogy should be implemented to address the high prevalence of burnout in medical students.
Introduction: The use of psychoactive drugs in the world population increased until 2011 as well the alcohol consumption of university students. Many studies have appointed factors that may aggravate the problem. Objective: To evaluate the alcohol use by medical students in a private medical institution in Fortaleza, Ceará. Methods: A quantitative, cross-sectional study developed from July of 2015 to May 2016. Two instruments for collecting data were used: one related to socioeconomic, demographic, and nosographic data; and the AUDIT, the most used instrument for evaluating alcohol disturbance. There were 502 students enrolled from the first to the eighth semester. The sample was composed by 384 students, representing 76.5% of the eligible population. Results: The prevalence of risk related to use of alcohol was 36%. 62% of the students were female; 61.9% single; the age average was 22 years. The AUDIT’s average score was 6.1 points. The majority of the students (64%) were classified as low risk use or abstinence (Zone I), while others 36% were located in different levels of risk. 37% had a positive family history for alcoholism, and only 28 (7.3%) had mental illness diagnosis. Variables as to being male, non-practicing religious, being sexually active, having a steady partner, concomitant use of tobacco and illicit drugs, living without the parents and hanging out with friends addicted to drinking were found to be risk factors for the abuse of alcohol. Conclusion: Data showed a high prevalence on the studied population in regard to risk related to the use of alcoholic beverages. The gravity of the problem demands health care and educational efforts to face it.
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