Prevalence of anxiety, depression, and psychoactive substances use among pharmacy students in Minas Gerais: Impacts of the pandemic and the university environment
DOI:
https://doi.org/10.14295/bjs.v4i4.713Keywords:
mental disorders, students, pharmacy, psychotropic drugs, COVID-19Abstract
Mental disorders affect the population widely, and university students are considered a risk group due to the challenges of academic life. Furthermore, the COVID-19 pandemic has had a major impact on this population, intensifying symptoms of anxiety and depression. On the other hand, there is a high consumption of psychoactive substances among academics, which initially aim to minimize internal tensions, but can, in a chronic manner, harm health. Given this, a quantitative, descriptive, and cross-sectional study was carried out on the presence of anxiety and depression, as well as the use of psychoactive substances among pharmacy students at a public university in the interior of Minas Gerais. Two questionnaires were used for data collection, one for demographic and psycho-emotional assessment and another specific for anxiety and depression, known as the Hospital Anxiety and Depression Scale (HADS). The study population consisted of 350 academics. Of these, 69.43% were female, with an average age of 21.72 years. The data indicate that 39.14% of the interviewees had “probable” anxiety and 25.14% “probable” depression, affecting first-year and last-year students more prominently. In addition, there was a higher prevalence of anxiety in males. Depression, on the other hand, affected women more. Regarding the social context, it is observed that both the university and the COVID-19 pandemic increased the prevalence of anxiety and depression. Furthermore, 64.86% of the participants used psychoactive substances, with alcohol and anxiolytics and/or antidepressants being the most used. Thus, the impact of the university and the pandemic on mental illnesses is clear. Furthermore, the high use of psychoactive substances is worrying, as it can generate secondary damage. Therefore, it is suggested that educational measures for preventing psychoactive substance use, as well as improvements in programs related to mental health.
References
Acharya, L., Jin, L., & Collins, W. (2018). College life is stressful today–Emerging stressors and depressive symptoms in college students. Journal of American College Health, 66, 655-664. https://doi.org/10.1080/07448481.2018.1451869 DOI: https://doi.org/10.1080/07448481.2018.1451869
Alswayed, K., Alshuaibi, S., Alsayegh, H., Shulhub, A., Alsultan, R., Khudhair, M., &Haddad, B. (2022). Medical and nonmedical use of psychiatric medications among medical students in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 11(4), 1455-1461. https://doi.org/10.4103/jfmpc.jfmpc_1720_21 DOI: https://doi.org/10.4103/jfmpc.jfmpc_1720_21
Anosike, C., Anene-Okeke, C. G., Ayogu, E. E., & Oshigbo, M. C. (2022). Prevalence of depression and anxiety, and attitudes toward seeking help among first-year pharmacy, medical, and nursing students at a Nigerian university. Currents in Pharmacy Teaching and Learning, 14(6), 720-728. https://doi.org/10.1016/j.cptl.2022.06.002 DOI: https://doi.org/10.1016/j.cptl.2022.06.002
Andifes. (2013). Andifes e os rumos das universidades federais. Available in: https://www.andifes.org.br/wp-content/uploads/2021/01/Livro-ANDIFES.pdf>. Access on: November 18, 2024.
Barbosa, L. N. F., Asfora, G. C. A., & Moura, M. C. (2020). Anxiety and depression and psychoactive substance abuse in university students. SMAD. Revista Eletrônica Saúde Mental Álcool e Drogas, 16(1), 01-08. https://doi.org/10.11606/issn.1806-6976.smad.2020.155334 DOI: https://doi.org/10.11606//issn.1806-6976.smad.2020.155334
Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of Affective Disorders, 173, 90-96. https://doi.org/10.1016/j.jad.2014.10.054 DOI: https://doi.org/10.1016/j.jad.2014.10.054
Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia Jr, C., & Pereira, W. A. B. (1995). Transtornos do humor em enfermaria de clínica médica e validação de escala de medida (HAD) de ansiedade e depressão. Revista Saúde Pública, 29(5). https://doi.org/10.1590/S0034-89101995000500004 DOI: https://doi.org/10.1590/S0034-89101995000500004
Campos, J. C. L., Morgado, F. E. F., Paiva, S. V., & Souza, I. D. C. S. (2020), Evaluation of the level of anxiety and depression of medical students at Unifeso. Revista da Jopic, 3(7), 40-55.
Freitas, P. H. B., Meireles, A. L., Ribeiro, I. K. S., Abreu, M. N. S., Paula, W., & Cardoso, C. S. (2023). Symptoms of depression, anxiety and stress in health students and impact on quality of life. Revista Latino Americana de Enfermagem, 17(31), e3884. https://doi.org/10.1590/1518-8345.6315.3885 DOI: https://doi.org/10.1590/1518-8345.6315.3885
Demenech, L. M., Oliveira, A. T., Neiva-Silva, L., & Dumith, S. C. (2021). Prevalence of anxiety, depression and suicidal behaviors among Brazilian undergraduate students: A systematic review and meta-analysis. Journal of Affective Disorders, 282, 147-159. doi: 10.1016/j.jad.2020.12.108. DOI: https://doi.org/10.1016/j.jad.2020.12.108
Fasanella, N. A., Custódio, C. G., Cabo, J. S., Andrade, G. S., Almeida, F. A., & Pavan, M. V. (2022). Use of prescribed psychotropic drugs among medical students and associated factors: a cross-sectional study. Sao Paulo Medical Journal, 140, 697-704. https://doi.org/10.1590/1516-3180.2021.0566.R2.05012022 DOI: https://doi.org/10.1590/1516-3180.2021.0566.r2.05012022
Ford, J. A., Schepis, T. S., & McCabe, S. E. (2021). Poly-prescription drug misuse across the life course: Prevalence and correlates across different adult age cohorts in the U.S. International Journal of Drug Policy, 88, 103017. https://doi.org/10.1016/j.drugpo.2020.103017 DOI: https://doi.org/10.1016/j.drugpo.2020.103017
Gomes, L. S., Barroso, C. R. D., Silvestre, V. A., Baylão, A. C. P., Garcia, S. C. M., & Pacheco, S. J. B. (2018). Consumo de álcool entre estudantes de medicina do Sul Fluminense – RJ. Revista de Medicina (Rio J), 97(3), 260-266. https://doi.org/10.11606/issn.1679-9836.v97i3p260-266 DOI: https://doi.org/10.11606/issn.1679-9836.v97i3p260-266
Herrman, H., Patel, V., Kieling, C., Berk, M., Buchweitz, C., Cuijpers, P., Furukawa, T. A., Kessler, R. C., Kohrt, B. A., Maj, M., McGorry, P., Reynolds, C. F., Weissman, M. M., Chibanda, D., Dowrick, C., Howard, L. M., Hoven, C. W., Knapp, M., Mayberg, H. S., Penninx, B., Xiao, S., Trivedi, M., Uher, R., Vijayakumar, L., & Wolpert, M. (2022). Time for united action on depression: a Lancet–World Psychiatric Association Commission. The Lancet, 399, 957-1022. DOI: 10.1016/S0140-6736(21)02141-3 DOI: https://doi.org/10.1016/S0140-6736(21)02141-3
Javaid, S. F., Hashim, I. J., Hashim, M. J., Stip, E., Samad, M. A., & Ahbabi, A. A. (2023). Epidemiology of anxiety disorders: global burden and sociodemographic associations. Middle East Current Psychiatry, 30 (44). https://doi.org/10.1186/s43045-023-00315-3 DOI: https://doi.org/10.1186/s43045-023-00315-3
Kavvadas, D., Kavvada, A., Karachrysafi, S., Papaliagkas, V., Cheristanidis, S., Chatzidimitriou, M., & Papamitsou, T. (2022). Stress, Anxiety and Depression Prevalence among Greek University Students during COVID-19 Pandemic: A Two-Year Survey. Journal of Clinical Medicine, 11(15), 4263. https://doi.org/10.3390/jcm11154263 DOI: https://doi.org/10.3390/jcm11154263
Maia, B. R., & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: o impacto da COVID-19. Estudos de Psicologia (Campinas), 37. https://doi.org/10.1590/1982-0275202037e200067 DOI: https://doi.org/10.1590/1982-0275202037e200067
McCabe, S. E. (2005), Correlates of nonmedical use of prescription benzodiazepine anxiolytics: results from a national survey of U.S. college students. Drug and Alcohol Dependence, 79(1), 53-62. https://doi.org/10.1016/j.drugalcdep.2004.12.006 DOI: https://doi.org/10.1016/j.drugalcdep.2004.12.006
Mendonça, A. K. R. H., Jesus, C. V. F., & Lima, S. O. (2018). Fatores associados ao consumo alcoólico de risco entre universitários da área da saúde. Revista Brasileira de Educação Médica, 42(1), 207-215. https://doi.org/10.1590/1981-52712018v42n1rb20170096 DOI: https://doi.org/10.1590/1981-52712018v42n1rb20170096
Neves, M. C, C., & Dalgalarrondo, P. (2007). Transtornos mentais auto-referidos em estudantes universitários Self-referred mental disorders in university students. Jornal Brasileiro de Psiquiatria, 56(4). https://doi.org/10.1590/S0047-20852007000400001 DOI: https://doi.org/10.1590/S0047-20852007000400001
Pérez, T., Pardo, M. C., Cabellos, Y., Peressini, I. U., Ureña-Vacas, I, Serrano, D. R., & González-Burgos, E. (2023). Mental health and drug use in college students: Should we take action?. Journal of Affective Disorders, 338, 32-40. https://doi.org/10.1016/j.jad.2023.05.080 DOI: https://doi.org/10.1016/j.jad.2023.05.080
Petroianu, A., Reis, D. C. F., Cunha, B. D. S., & Souza, D. M. (2010). Prevalência do consumo de álcool, tabaco e entorpecentes por estudantes de medicina da Universidade Federal de Minas Gerais. Revista da Associação Médica Brasileira, 56(5), 568-571. https://doi.org/10.1590/S0104-42302010000500019 DOI: https://doi.org/10.1590/S0104-42302010000500019
Ramón-Arbués, E., Gea-Caballero, V., Granada-López, J. M., Juárez-Vela, R., Pellicer-García, B., & Antón- Solanas, I. (2020). The prevalence of depression, anxiety and stress and their associated factors in college students. International Journal of Environmental Research and Public Health, 17, 1-15. https://doi.org/10.3390/ijerph17197001 DOI: https://doi.org/10.3390/ijerph17197001
Rocha, L. A., Lopes, A. C. F. M. M., Martelli, D. R. B., Lima, V. B., & Martelli- Júnior, H. (2011) Consumo de álcool entre estudantes de faculdades de Medicina de Minas Gerais, Brasil. Revista Brasileira de Educação Médica, 35, 369-375. https://doi.org/10.1590/S0100-55022011000300010 DOI: https://doi.org/10.1590/S0100-55022011000300010
Rodrigues, B. B., Cardoso, R. R., Peres, C. H. R., & Marques, F. F. (2020). Aprendendo com o Imprevisível: Saúde Mental dos Universitários e Educação Médica na Pandemia de Covid-19. Revista Brasileira de Educação Médica, 44(01). https://doi.org/10.1590/1981-5271v44.supl.1-20200404 DOI: https://doi.org/10.1590/1981-5271v44.supl.1-20200404
Santos, D. D. M., Guimarães, M. M., Bodevan, E. C., Rocha, R. L., & Pinheiro, M. L. P. (2019) Uso de substâncias psicoativas entre estudantes universitários. SMAD Revista Eletrônica Saúde Mental Álcool e Drogas, 15, 1-9. https://doi.org/10.11606/issn.1806-6976.smad.2019.148973 DOI: https://doi.org/10.11606/issn.1806-6976.smad.2019.148973
Santos, J. R. B. (2021). Prevalência de ansiedade entre estudantes de Farmácia em períodos de avaliações de rendimento acadêmico em Universidade privada na cidade de São Paulo, Brasil. Research, Society and Development, 10, e25610212526. https://doi.org/10.33448/rsd-v10i2.12526 DOI: https://doi.org/10.33448/rsd-v10i2.12526
Siebra, S. M. S., Queiroz, T. D. R., Lucena, E. E. S., Maia, A. M. L. R., Junior, U. C. L. N., & Lima, A. M. P. (2021). Prevalência do consumo de substâncias psicoativas entre estudantes de medicina no interior do Nordeste brasileiro. Revista Brasileira de Educação Médica, 45(04). https://doi.org/10.1590/1981-5271v45.4-20210362 DOI: https://doi.org/10.1590/1981-5271v45.4-20210362
Wang, C., Riyu, P., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. R. (2020), Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5), 1729. https://doi.org/10.3390/ijerph17051729 DOI: https://doi.org/10.3390/ijerph17051729
World Health Organization. (2017). Depression and Other Common Mental Disorders Global Health Estimates. Available in: < https://www.who.int/publications/i/item/depression-global-health-estimates>. Access on: November 18, 2024.
World health Organization (2022). Covid-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. Available in: < https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide>. Access on: November 18, 2024.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x DOI: https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
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