FERNANDA BRENNEISEN MAYER
Projetos de Pesquisa
Unidades Organizacionais
4 resultados
Resultados de Busca
Agora exibindo 1 - 4 de 4
- Relationship among Medical Student Resilience, Educational Environment and Quality of Life(2015) TEMPSKI, Patricia; SANTOS, Itamar S.; MAYER, Fernanda B.; ENNS, Sylvia C.; PEROTTA, Bruno; PARO, Helena B. M. S.; GANNAM, Silmar; PELEIAS, Munique; GARCIA, Vera Lucia; BALDASSIN, Sergio; GUIMARAES, Katia B.; SILVA, Nilson R.; CRUZ, Emirene M. T. Navarro da; TOFOLI, Luis F.; SILVEIRA, Paulo S. P.; MARTINS, Milton A.Context Resilience is a capacity to face and overcome adversities, with personal transformation and growth. In medical education, it is critical to understand the determinants of a positive, developmental reaction in the face of stressful, emotionally demanding situations. We studied the association among resilience, quality of life (QoL) and educational environment perceptions in medical students. Methods We evaluated data from a random sample of 1,350 medical students from 22 Brazilian medical schools. Information from participants included the Wagnild and Young's resilience scale (RS-14), the Dundee Ready Educational Environment Measure (DREEM), the World Health Organization Quality of Life questionnaire - short form (WHOQOL-BREF), the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). Results Full multiple linear regression models were adjusted for sex, age, year of medical course, presence of a BDI score >= 14 and STAI state or anxiety scores >= 50. Compared to those with very high resilience levels, individuals with very low resilience had worse QoL, measured by overall (beta=-0.89; 95% confidence interval =-1.21 to -0.56) and medical-school related (beta=-0.85; 95% CI=-1.25 to -0.45) QoL scores, environment (beta=-6.48; 95% CI=-10.01 to -2.95), psychological (beta=-22.89; 95% CI=-25.70 to -20.07), social relationships (beta=-14.28; 95% CI=-19.07 to -9.49), and physical health (beta=-10.74; 95% CI=-14.07 to -7.42) WHOQOL-BREF domain scores. They also had a worse educational environment perception, measured by global DREEM score (beta=-31.42; 95% CI=-37.86 to -24.98), learning (beta=-7.32; 95% CI=-9.23 to -5.41), teachers (beta=-5.37; 95% CI=-7.16 to -3.58), academic self-perception (beta=-7.33; 95% CI=-8.53 to -6.12), atmosphere (beta=-8.29; 95% CI=-10.13 to -6.44) and social self-perception (beta=-3.12; 95% CI=-4.11 to -2.12) DREEM domain scores. We also observed a dose-response pattern across resilience level groups for most measurements. Conclusions Medical students with higher resilience levels had a better quality of life and a better perception of educational environment. Developing resilience may become an important strategy to minimize emotional distress and enhance medical training.
- Factors associated to depression and anxiety in medical students: a multicenter study(2016) MAYER, Fernanda Brenneisen; SANTOS, Itamar Souza; SILVEIRA, Paulo S. P.; LOPES, Maria Helena Itaqui; SOUZA, Alicia Regina Navarro Dias de; CAMPOS, Eugenio Paes; ABREU, Benedita Andrade Leal de; II, Itagores Hoffman; MAGALHAES, Cleidilene Ramos; LIMA, Maria Cristina P.; ALMEIDA, Raitany; SPINARDI, Mateus; TEMPSKI, PatriciaBackground: To evaluate personal and institutional factors related to depression and anxiety prevalence of students from 22 Brazilian medical schools. Methods: The authors performed a multicenter study (August 2011 to August 2012), examining personal factors (age, sex, housing, tuition scholarship) and institutional factors (year of the medical training, school legal status, location and support service) in association with scores of Beck Depression Inventory (BDI) and State Trait Anxiety Inventory (STAI). Results: Of 1,650 randomly selected students, 1,350 (81.8 %) completed the study. The depressive symptoms prevalence was 41 % (BDI > 9), state-anxiety 81.7 % and trait-anxiety in 85.6 % (STAI > 33). There was a positive relationship between levels of state (r = 0,591, p < 0.001) and trait (r = 0,718, p < 0.001) anxiety and depression scores. All three symptoms were positively associated with female sex and students from medical schools located in capital cities of both sexes. Tuition scholarship students had higher state-anxiety but not trait-anxiety or depression scores. Medical students with higher levels of depression and anxiety symptoms disagree more than their peers with the statements ""I have adequate access to psychological support"" and "" There is a good support system for students who get stressed"". Conclusions: The factors associated with the increase of medical students' depression and anxiety symptoms were female sex, school location and tuition scholarship. It is interesting that tuition scholarship students showed stateanxiety, but not depression and trait-anxiety symptoms.
- Medical Students' Perception of Their Educational Environment and Quality of Life: Is There a Positive Association?(2016) ENNS, Sylvia Claassen; PEROTTA, Bruno; PARO, Helena B.; GANNAM, Silmar; PELEIAS, Munique; MAYER, Fernanda Brenneisen; SANTOS, Itamar Souza; MENEZES, Marta; SENGER, Maria Helena; BARELLI, Cristiane; SILVEIRA, Paulo S. P.; MARTINS, Milton A.; TEMPSKI, Patricia ZenPurpose To assess perceptions of educational environment of students from 22 Brazilian medical schools and to study the association between these perceptions and quality of life (QoL) measures. Method The authors performed a multicenter study (August 2011 to August 2012), examining students' views both of (1) educational environment using the Dundee Ready Education Environment Measure (DREEM) and (2) QoL using the World Health Organization Quality of Life Assessment, abbreviated version (WHOQOL-BREF). They also examined students' self-assessment of their overall QoL and medical-school-related QoL (MSQoL). The authors classified participants' perceptions into four quartiles according to DREEM total score, overall QoL, and MSQoL. Results Of 1,650 randomly selected students, 1,350 (81.8%) completed the study. The mean total DREEM score was 119.4 (standard deviation = 27.1). Higher total DREEM scores were associated with higher overall QoL and MSQoL scores (P < .001 for all comparisons) and younger ages (P < .001). Mean overall QoL scores were higher than MSQoL scores (mean difference, 1.35; 95% confidence interval [CI] 1.28-1.43; P < .001). Multinomial regression models showed significant dose-response patterns: Higher DREEM quartile scores were associated with better QoL. The psychological health domain of WHOQOL-BREF was most closely associated with DREEM scores (odds ratio 4.70; 95% CI = 3.80-5.81). Conclusions The authors observed a positive association between QoL measures and DREEM scores. This association had a dose-response effect, independent of age, sex, and year of medical training, showing that educational environment appears to be an important moderator of medical student QoL.
- I Fórum Paulista de Serviços de Apoio ao Estudante de Medicina — Forsa Paulista — “A Carta de Marília”(2016) BALDASSIN, Sergio Pedro; ESPIN NETO, José; DAGOSTINO, Sarah Bortolucci; CALADO, Thuanny Bezerra Moscardini; GUIMARÃES, Katia Burle dos Santos; COLARES, Maria de Fátima Aveiro; FERRAZ, Victor Evangelista de Faria; MAYER, Fernanda Brenneisen; SILVA, Nilson Rodrigues daABSTRACT On May 12, 2016 the first Forum for Support Services for Medical Students (Forsa) held in the city of Marilia during the 10th Paulista Congress of Medical Education (CPEM), gathered representatives of student support services, as well as teachers and medical students in order to discuss and rank strategies to enhance the services to support student health, strictly necessary in the violent setting in which medical schools operate. A document was created and named “The Letter of Marilia.” On October 13, 2016, this document was endorsed by the XI COBEM Forum for Support Services (FORSA COBEM) during the 54th Brazilian Medical Education Congress in Brasília.