期刊论文详细信息
BMC Medical Education
Teaching strategies for coping with stress – the perceptions of medical students
Maria Alves Barbosa2  Maria Amelia Dias Pereira1 
[1] Departamento de Saúde Mental e Medicina Legal da Faculdade de Medicina da Universidade Federal de Goiás - Primeira Avenida, Goiânia, Goiás, Brazil;Faculdade de Enfermagem da Universida de Federal de Goiás, Faculdade de Enfermagem– Rua 227, quadra 68, s/n, Setor Leste Universitário, Goiânia, Goiás, CEP: 74605 080, Brazil
关键词: Teaching strategies;    Medical under graduate education;    Coping strategies;    Stress;   
Others  :  1138954
DOI  :  10.1186/1472-6920-13-50
 received in 2012-05-20, accepted in 2013-03-07,  发布年份 2013
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【 摘 要 】

Background

The undergraduate medical course is a period full of stressors, which may contribute to the high prevalence of mental disorders among students and a decrease in life’s quality. Research shows that interventions during an undergraduate course can reduce stress levels. The aim of this paper is to evaluate the Strategies for Coping with Professional Stress class offered to medical students of the Federal University of Goiás, at Goiânia, Goiás, in Brazil.

Methods

Qualitative research, developed with medical students in an elective class addressing strategies for coping with stress after a focal group (composed of nine of the 33 students taking this course) identified stress factors in the medical course and the coping strategies that these students use. Analysis of the results of the class evaluation questionnaire filled out by the students on the last day of class.

Results

Stress factors identified by students in the focus group: lack of time, excessive class content, tests, demanding too much of themselves, overload of extracurricular activities, competitiveness among students and family problems. Coping strategies mentioned in the focus group: respecting one’s limits, setting priorities, avoiding comparisons, leisure activities (movies, literature, sports, meeting with friends and family). Results of the questionnaires: class content that was considered most important: quality of life, strategies for coping with stress, stress factors, assertiveness, community therapy, relaxation, cognitive restructuring, career choice, breathing, social networking, taking care of the caregiver, music therapy and narcissism. Most popular methodologies: relaxation practice, drawing words and discussion them in a group, community therapy, music therapy, simulated jury, short texts and discussion. Meaning of the class: asking questions and reinforcing already known strategies (22.6%), moment of reflection and self-assessment (19.4%), new interest and a worthwhile experience (19.4%), improvement in quality of life (16.1%), expression’s opportunity (9.7%), other (6.4%).

Conclusion

The stressors perceived by the medical students are intense and diverse, and the coping strategies used by them are wide-ranging. Most students felt that the class was a worthwhile learning experience, incorporated new practices for improving quality of life and recognized the importance of sharing and reflecting on one’s stressors and life choices.

【 授权许可】

   
2013 Pereira and Barbosa; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Fiorotti KP, Rossoni RR, Borges LH, Miranda AE: Transtornos mentais comuns entre os estudantes do curso de medicina: prevalência e fatores associados. J Bras Psiquiatr 2010, 59:17-23.
  • [2]JdM C, Rocha FL: Prevalência de depressão entre estudantes universitários. J Bras Psiquiatr 2006, 55:264-267.
  • [3]Dyrbye LN, Thomas MR, Shanafelt TD: Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006, 81(4):354-373.
  • [4]De Armond MM: A quality assurance program for a Mental Health Service. J Am Coll Health Assoc 1981, 30(3):139-140.
  • [5]Amaral GF, Gomide LMP, Batista MP, Píccolo PP, Teles TBG, Oliveira PM, Pereira MAD: Sintomas depressivos em acadêmicos de medicina da Universidade Federal de Goiás: um estudo de prevalência. Revista de Psiquiatria do Rio Grande do Sul 2008, 30:124-130.
  • [6]Baldassin S: Ansiedade e Depressão no Estudante de Medicina: Revisão de Estudos Brasileiros. Cadernos ABEM 2010, 6(6):19-26.
  • [7]Baldassin S, Alves TC, de Andrade AG, de Nogueira Martins LA: The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study. BMC Med Educ 2008, 8:60. BioMed Central Full Text
  • [8]Holm M, Tyssen R, Stordal KI, Haver B: Self-development groups reduce medical school stress: a controlled intervention study. BMC Med Educ 2010, 10:23. BioMed Central Full Text
  • [9]Shapiro SL, Shapiro DE, Schwartz GER: Stress management in medical education: a review of the literature. Acad Med 2000, 75(7):748.
  • [10]Millan LR, Arruda PCV: Assistência psicológica ao estudante de medicina: 21 anos de experiência. Rev Assoc Med Bras 2008, 54:90-94.
  • [11]UniversidadeFederal deGoiás-Faculdadede Medicina: Projeto Politico Pedagógico. : ; http://www.medicina.ufg.br/uploads/148/original_projetopedagogico.pdf webcite
  • [12]Iervolino SA, Pelicioni MCF: A utilização do grupo focal como metodologia qualitativa na promoção da saúde. Rev Esc Enf USP 2001, 35(n.2):15-21.
  • [13]Westphal MF, Faria MM: Grupos focais: experiências precursoras em programas educativos em saúde no Brasil. Boletin de la Oficina Sanitaria Panamericana (OSP) 1996, 120(6):472-482.
  • [14]Benvegnú LA, Deitos F, Copette FR: Problemas psiquiátricos menores em estudantes de Medicina da Universidade Federal de Santa Maria, RS, Brasil. Rev Psiquiatr Rio Gd Sul 1996, 18(3):229-233.
  • [15]Shah M, Hasan S, Malik S, Sreeramareddy C: Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school. BMC Med Educ 2010, 10(1):2. BioMed Central Full Text
  • [16]Zonta R, Robles ACC, Grosseman S: Estratégias de enfrentamento do estresse desenvolvidas por estudantes de medicina da Universidade Federal de Santa Catarina. Revista Brasileira de Educação Médica 2006, 30(3):147-153.
  • [17]Diretrizes Curriculares - Cursos de Graduação. : ; http://portal.mec.gov.br/index.php?option=com_content&view=article&id=12991 webcite
  • [18]Anastasiou LGC, Alves LP: Processos de ensinagem na universidade: pressupostos para as estratégias de trabalho em aula. Joinville, SC: Universille; 2004.
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