Purpose: To assess prevalence and risk factors for stress, depression and anxiety (SDA) in medical students during quarantine by COVID-19. Methods: A cross-sectional observational study of medical students using the DASS-21 questionnaire. Risk factors for SDA were assessed based on epidemiologic questions related to COVID-19. Receiver Operating Characteristics (ROC) curves were calculated for each predictor, as well as sensitivity and specificity. Results: 1008 responses were received, with a 77.5% prevalence of any SDA disorder, 63% being severe. Prior diagnosis of psychiatric disorder was the factor with higher OR (OR 2.78 CI95% 1.44 - 14.25, p=0.044) for anxiety, as well as for depression (OR 3.37 CI95% 1.98 - 6.02, p<0.001). Prior psychiatric illness (OR 3.70 CI95% 2.21 - 6.44, p= 0.001), having a chronic illness (OR 2.09, CI95% 1.19 - 3.83, p=0.013) and male gender (OR 0.56 CI95% 0.37 - 0.86, p=0.009) were independently associated with the outcome for stress. Conclusion: The COVID-19 pandemic had effects on the mental health of medical students, with previous psychiatric disorder and the presence of chronic illness being the main risk factors.

Background: Measures to contain the COVID-19 transmission reached teaching routines of universities worldwide with possible mental health consequences for anxiety. This study assessed prevalence and risk factors for stress, depression, and anxiety (SDA) in medical students during quarantine by COVID-19. Methods: A cross-sectional observational study of medical students by means of the DASS-21 questionnaire. Risk factors for SDA were assessed based on epidemiologic questions related to COVID-19. Receiver Operating Characteristics (ROC) curves were calculated for each predictor, as well as sensitivity and specificity. Results: This survey reached 1009 responses. A prevalence of 77.5% for some SDA disorder was found, 63% being severe. Previous diagnosis of psychiatric disorder was a factor of risk for anxiety (OR 2.78 CI95% 1.44 -14.25, p = 0.044), as well as for depression (OR 3.37 CI95% 1.98 -6.02, p < 0.001). Prior psychiatric illness (OR 3.70 CI95% 2.21 -6.44, p = 0.001), presence of a chronic disease (OR 2.09, CI95% 1.19 -3.83, p = 0.013) and male gender (OR 0.56 CI95% 0.37 -0.86, p = 0.009) were independently associated with stress. Conclusion: Psychiatric conditions as well as chronic illnesses were risk factors for high prevalence of anxiety, depression and stress during the COVID-19 pandemic among medical students.

Como tem acontecido em outros cursos presenciais, as metodologias de ensino de diversos cursos de formação médica foram adaptadas em função do isolamento social imposto pela pandemia do SARS-CoV-2. Assim, muitas instituições de ensino superior passaram a adotar o Ensino Remoto Emergencial (ERE) com o intuito de não paralisar suas atividades acadêmicas. O objetivo deste trabalho foi avaliar a implantação do ERE em uma Faculdade de Ciências Médicas localizada em São José dos Campos, São Paulo, Brasil, a partir da perspectiva discente. A pesquisa é de natureza qualiquantitativa, do tipo Estudo de Caso. A análise dos resultados demonstrou a adaptação e a satisfação dos estudantes com a sequência didática adotada, que alternou metodologias assíncronas e síncronas, em especial a utilização dos vídeos gravados pelos professores. Esses resultados podem fornecer dados aos estudos que buscam investigar o impacto das tecnologias digitais na formação de alunos do ensino superior, porém devem ser considerados a partir do contexto em que foram adotados.