Impacto en la salud mental en residentes de tres programas de especialización médica de la Universidad de Valparaíso durante la pandemia por COVID-19

Abstract

Impact of the COVID-19 pandemic on the mental health of residents of three specialty medical programsBackground: COVID-19 pandemic disturbed mental health of healthcare personnel. Residents of the specialization programs could be at risk, since they were reassigned in their functions. Aim: To describe the impact of COVID-19 pandemic on symptoms of depression, stress, anxiety and resilient coping in residents of Anesthesiology, Internal Medicine and Emergency Medicine Material and Methods: Residents were invited to answer an online survey containing the DASS-21 scale for anxiety, stress and depression symptoms and the Brief Resilient Coping Scale (BRCS) for resilience skills. Results: Fifty four out of 90 residents answered the survey. Eighteen to 24% of respondents had symptoms of depression, anxiety and stress at severe and extremely severe levels. Those with severe and extremely severe symptoms had also the lowest score on the BRCS resilience scale. We did not find an association between severity of symptoms and gender. Discussion: A proportion of respondent residents had severe psychological symptoms and lower resilience scores during the COVID-19 pandemic.

Educational Research on Medical Residency Programs in Chile: A Scoping Review and Analysis of the Impact of the New Accreditation Policy

“…An attempt was made to measure the psychological impact of the pandemic on residents using scales for symptoms of depression and anxiety, correlated with a resilience scale. Up to a quarter of residents in internal medicine, anesthesiology, and emergency medicine had severe symptoms of depression during the rst year of the pandemic (44).…”

“…The areas identi ed for improvement-feedback, protected time, workload, and evaluation quality-are a eld to design and assess the impact of interventions oriented to speci c or personalized resident support. These interventions could be integrated into solutions that cover the mental health of residents, particularly those in internal medicine, anesthesiology, and emergency medicine, who experienced severe symptoms of depression during pandemics (44). This underscores the urgent need for robust mental health support systems within medical residency programs.…”

Impacto de la ansiedad y estrés en personal de primera línea durante la covid-19.

“…Evidenciamos que los doce estudios descritos utilizaron instrumentos distintos para evaluar o medir la ansiedad y el estrés de manera directa e indirecta, entre ellos encontramos dos estudios (Ponce et al, 2022, Simón et al,2022, que utilizaron Escala DASS-21 para síntomas de depresión, ansiedad y estrés (Depression, Anxiety and Stress Scale, DASS-21) siendo validada en distintos estudios, idiomas y países (Batalla, et al;Ozamis et al;Dosil, et al;2021;Giusti, et al;. DASS-21 consta de 21 ítems, que se distribuyen en 3 subescalas, con 7 preguntas cada una de ellas siendo considerado altamente confiable.…”

“…El análisis estadístico multivariado mostró una asociación entre ser médico con una menor prevalencia de ansiedad (RPa: 0,77; IC 95%: 0,62-0,94), mientras que el vivir solo presenta una asociación con mayor prevalencia de depresión (RPa: 1,46; IC 95%: Se evidencian síntomas de depresión, ansiedad y estrés en niveles severos y extremadamente severos, en un 18% a 24% de los encuestados, obteniendo ademas la puntuación más baja en la escala de resiliencia BRCS. Una porcentaje de los residentes encuestados tenía síntomas psicológicos graves (Ponce et al;.…”