Depressive symptoms and degree of resilience during stomatological internship in Peru

Authors

Keywords:

depression, resilience, psychology, dental staff, internship, residence.

Abstract

Introduction: The main objective of the dental internship is to allow the student to make contact with a hospital environment. However, some problems are reported that demotivate and oversaturate students.

Objective: Determine the relationship between resilience and depressive symptoms in dental interns.

Methods: Cross-sectional and observational study. The sample was made up of 51 students, who were in the hospital insternishp in Lima, Peru (November 2019). The self-assessment scale for depression (10 items, Likert responses with a score from 1 to 4) and the resilience scale (14 items, Likert responses with a score from 1 to 7). The scores were related through the Spearman correlation; while the Odds ratio was used to estimate the association between the presence of depression, high resilience and sex.

Results: The mean score for depressive symptoms was 21.62 ± 2.55, higher in men (22.52 ± 2.27). No correlation was found between depressive symptom scores and resilience (p = 0.082). Males were at increased risk of depressive symptoms (OR=2.14395% CI: 1.065-4.313). No significant association was found in the presence of high resilience and sex (p = 0.087).

Conclusions: 40% of the interns presented depressive symptoms, being more frequent in men, while 80% presented high resilience, more frequent in women. No correlation was found between depressive symptom scores and resilience.

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Author Biography

Yuri Alejandro Castro Rodríguez, Universidad Científica del Sur, Facultad de Estomatología. Lima, Perú.

Cirujano dentista, maestro en Educación con mención en Docencia e Investigación en el nivel superior, doctorando en Ciencias de la Educación. Docente del posgrado de Periodoncia e Implantología en la Universidad Nacional Mayor de San Marcos.

References

Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA. [Internet] 2015 [Citado 2020 Jun 09];314:2373–2383. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26647259/

Schwenk TL. Resident Depression: The Tip of a Graduate Medical Education Iceberg. JAMA. [Internet] 2015 [Citado 2020 Jun 09]; 314(22):2357-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26647255/

Baker K, Sen S. Healing Medicine's Future: Prioritizing Physician Trainee Mental Health. AMA J Ethics. [Internet] 2016 [Citado 2020 Jun 09];18(6):604-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27322994/

Galli A, Brisson ME, Soler C, Lapresa S, Alves de Lima A. Evaluación del ambiente educacional en residencias de cardiología. Rev Argent Cardiol. [Internet] 2014 [Citado 2020 Jun 09]; 82:396-401. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-734529

Saldías F, Arqueros F, Basaure C, Kripper C, Riquelme A. Evaluación del ambiente educacional en el programa de medicina de urgencia de la Universidad Católica. Inv Educ Med. [Internet] 2015 [Citado 2020 Jun 09]; 14(4): e25. Disponible en: https://www.sciencedirect.com/science/article/pii/S2007505715300776

Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA. [Internet] 2016 [Citado 2020 Jun 09]; 316:2214-36. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2589340

Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ. [Internet] 2016 [Citado 2020 Jun 09]; 50(1):132-49. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26695473/

Villalobos-Otayza A, Vela-Alfaro FM, Wiegering-Gianoli D, Robles-Alfaro RA. Nivel de resiliencia y síntomas depresivos en el internado médico en el Perú. Educ Med. [Internet] 2018 [Citado 2020 Jun 09]; [En prensa] https://doi.org/10.1016/j.edumed.2018.12.006 Disponible en: https://www.sciencedirect.com/science/article/pii/S1575181318303528

Munayco-Guillén F, Cámara-Reyes A, Mu˜noz-Tafur LJ, Arroyo- Hernández H, Mejia CR, Lem-Arce F, et al. Características del maltrato hacia estudiantes de medicina de una universidad pública del Perú. Rev Peru Med Exp Salud Publica. [Internet] 2016 [Citado 2020 Jun 09];33:58-66. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342016000100008

Taype-Rondán Á, Lizarraga-Castañeda Z, Mayor-Vega A, Mariños- Claudet A. Percepción de violencia durante el internado de medicina en una universidad peruana. Rev Peru Med Exp Salud Publica. [Internet] 2016 [Citado 2020 Jul 19];33:382-4. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342016000200032

Shi M, Liu L, Wang ZY, Wang L. Prevalence of depressive symptoms and its correlations with positive psychological variables among Chinese medical students: An exploratory cross-sectional study. BMC Psychiatry. [Internet] 2016 [Citado 2020 Jul 19];16:3. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707780/

Díaz LA, Campo A, Rueda GE, Barros JA. Propuesta de una versión abreviada de la escala de Zung para depresión. Colomb Med. [Internet] 2005 [Citado 2020 Jul 19];36:168-72. Disponible en: http://www.scielo.org.co/scielo.php?pid=S1657-95342005000300006&script=sci_abstract&tlng=es

Wagnild GM. The Resilience Scale User’s Guide: for the U. S. English version of the Resilience Scale and the 14-Item Resilience Scale TM (RS-14). Montana, EE. UU: Resilience Center; 2009.

Olson K, Kemper KJ, Mahan JD. What factors promote resilience and protect against burnout in first-year pediatric and medicine-pediatric residents? J Evid Based Complementary Altern Med. [Internet] 2015 [Citado 2020 Jul 19]; 20(3):192-198. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25694128/

Block L, Habicht R, Wu AW, Desai SV, Wang K, Silva KN, et al. In the wake of the 2003 and 2011 duty hours regulations, how do internal medicine interns spend their time? J Gen Intern Med. [Internet] 2013 [Citado 2020 Jul 19]; 28:1042–1047. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3710392/

Forbes MP, Iyengar S, Kay M. Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis. BMJ Open. [Internet] 2019 [Citado 2020 Jul 19]; 9(6):e027558. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31196900/

Tyssen R, Vaglum P. Mental health problems among young doctors: an updated review of prospective studies. Harv Rev Psychiatry. [Internet] 2002 [Citado 2020 Jul 19]; 10:154-165. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12023930/

Reuben DB. Psychologic effects of residency. South Med J. [Internet] 1983 [Citado 2020 Jul 19]; 76:380-383. Disponible en: https://pubmed.ncbi.nlm.nih.gov/6828903/

Serretti A, Olgiati P, Colombo C. Components of self-esteem in affective patients and non-psychiatric controls. J Affect Disord. [Internet] 2005 [Citado 2020 Jul 19]; 88:93-98. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16040127/

Greenhill J, Fielke KR, Richards JN, Walker LJ, Walters LK. Towards an understanding of medical student resilience in longitudinal integrated clerkships. BMC Med Educ. [Internet] 2015 [Citado 2020 Jul 19]; 15:137. Disponible en: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-015-0404-4

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Published

2022-07-22

How to Cite

1.
Castro Rodríguez YA. Depressive symptoms and degree of resilience during stomatological internship in Peru. Rev Cubana Estomatol [Internet]. 2022 Jul. 22 [cited 2025 Mar. 26];59(3):e3637. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3637

Issue

Vol. 59 No. 3 (2022): JUL- SEPT

Section

Research Article

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