Mental health and illness of medical students and newly graduated doctors during the pandemic of SARS-Cov-2/COVID-19

PLoS One. 2021 May 18;16(5):e0251525. doi: 10.1371/journal.pone.0251525. eCollection 2021.

Abstract

Introduction: SARS-Cov-2 virus pandemic causes serious emotional consequences. It has occurred widespread medical courses suspension, and graduations were anticipated. Field hospitals, set up to treat patients with mild to moderate COVID-19, were the main workplaces of newly graduated doctors.

Objective: To assess the impact of SARS-Cov-2/COVID-19 pandemic on mental health of medical interns and newly graduated doctors.

Method: This is a cross-sectional study performed using a digital platform. Links to forms were sent in two moments: moment 1 (M1), at the beginning of the pandemic, in the first half of April/2020 and moment 2 (M2), after six months of pandemic, in the second half of September/2020. All students from the medical internship and all doctors graduated since 2018 from the three medical schools in Sergipe-NE-Brazil were invited.

Results: 335 forms were answered in April and 148 in September. In M1 88.9% considered themselves exposed to excess of information about COVID-19, which was associated with anxiety symptoms (p = 0.04). Long family physical distance was also associated with these symptoms, as increased appetite (p = 0.01), feeling shortness of breath (p = 0.003) and sweating (p = 0.007). Fear of acquire COVID-19 was reported as intense by almost half of participants, and of transmitting by 85.7% in M1. In M2 41.2% reported the death of friends or relatives. Psychiatric illness was described by 38.5% and psychotropic drugs use by 30.1% in M1, especially those who lived alone (p = 0.03) and the single ones (p = 0.01). Alcohol intake was reported by 54.3%, and among doctors graduated in 2020 it increased from 50% in M1 to 85% in M2 (p = 0.04).

Conclusion: The pandemic had a negative impact on the mental health of medical students and newly graduated doctors. Exposure to excessive COVID-19 information and family physical distance were associated to anxiety symptoms. Among doctors graduated in 2020, alcohol intake increased during pandemic evolution.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking
  • Anxiety / drug therapy
  • Anxiety / pathology*
  • Brazil / epidemiology
  • COVID-19 / epidemiology*
  • COVID-19 / pathology
  • COVID-19 / virology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Internship and Residency
  • Male
  • Mental Health*
  • Pandemics
  • Physicians / psychology*
  • Psychotropic Drugs / therapeutic use
  • SARS-CoV-2 / isolation & purification
  • Students, Medical / psychology*
  • Young Adult

Substances

  • Psychotropic Drugs

Grants and funding

The author Rosana Cipolotti received funding from Postgraduate Support Program (PROAP) - CAPES - Ministry of Education - a total of R$ 4000,00 (four thousand reais). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.