Evaluation of interventions that promote the quality of life for medical students: a systematic review
Abstract
Quality of life is a comprehensive concept that includes ideals of health, psychological well-being, social relations and environmental conditions. The Quality of Life of Medical Students (CVEM) has become a notorious issue in the last decade, even in the scientific community. Increasing rates of anxiety, depression, stress, and drug use related to the college lifestyle have been reported. The objective of this work was to highlight the effectiveness of the interventions used to improve CVEM. The systematic review method was adopted to conduct the study. All stages of the review followed the PRISMA guideline. The search words "Medical Student" and "Quality of Life" were used in the databases: PubMed, ERIC, EMBASE and Scopus. Articles from the last ten years that had evaluated an intervention to improve CVEM scores were included. Ten studies of high quality according to MERSQI were included, which met the eligibility criteria, with half of the studies assessed from CVEM using the WHOQOL-BREF instrument. The interventions or assessments found were relaxation exercises, resilience and educational environment, received social support, physical activity, unified protocol for the treatment of emotional disorders, mindfulness and curricular change. We highlight the effectiveness of three studies that proposed as interventions, relaxation exercises, resilience in an educational environment, social support and implementation of a unified protocol for the treatment of emotional disorders. All of them with the purpose of showing ways in which medical schools can improve the CVEM.
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The WHOQOL Group. Whoqol-Bref: Introduction, Administration, Scoring and Generic Version of the Assessment. Program Mental Heal 1996:16. https://doi.org/10.1037/t01408-000
QUIEN. WHOQOL: measuring quality of life. Psychol Med 1998;28:551–8. https://doi.org/10.5.12 .
Solis AC, Lotufo-Neto F. Predictors of quality of life in Brazilian medical students: a systematic review and meta-analysis. Rev Bras Psiquiatr 2019;41:556–67. https://doi.org/10.1590/1516-4446-2018-0116 .
Capdevila-Gaudens P, García-Abajo JM, Flores-Funes D, García-Barbero M, García-Estañ J. Depression, anxiety, burnout and empathy among Spanish medical students. PLoS ONE 2021; 16(12): e0260359. https://doi.org/10.1371/journal.pone.0260359
Moher D, Liberati A, Tetzlaff J, Altman DG, Group TP. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement 2009;6. https://doi.org/10.1371/journal.pmed.1000097 .
Cook DA, Reed DA. Appraising the Quality of Medical Education Research Methods: The Medical Education Research Study Quality Instrument and the Newcastle-Ottawa Scale-Education. Acad Med. 2015;90:1067–76. https://doi.org/10.1097/ACM.0000000000000786 .
Dehghan-nayeri N, Adib-Hajbaghery M. Effects of progressive relaxation on anxiety and quality of life in female students: A non-randomized controlled trial. Complement Ther Med 2011;19:194–200. https://doi.org/10.1016/j.ctim.2011.06.002 .
Tempski P, Santos IS, Mayer FB, Enns SC, Perotta B, Paro HBMS, et al. Relationship among medical student resilience, educational environment and quality of life. PLoS One 2015;10. https://doi.org/10.1371/journal.pone.0131535 .
Hwang IC, Park KH, Kim JJ, Yim J, Ko KP, Bae SM, et al. Perceived Social Support as a Determinant of Quality of Life among Medical Students: 6-Month Follow-up Study. Academic Psychiatry 2016;41:180–4. https://doi.org/10.1007/s40596-016-0503-5 .
Peleias M, Tempski P, Paro HB, Perotta B, Mayer FB, Enns SC, et al. Leisure time physical activity and quality of life in medical students: Results from a multicentre study. BMJ Open Sport Exerc Med 2017;3. https://doi.org/10.1136/bmjsem-2016-000213 .
Yorks DM, Frothingham CA, Schuenke MD, DM Y, CA F, MDS Effects of Group Fitness Classes on Stress and Quality of Life of Medical Students. J Am Osteopath Assoc 2017;117:e17–25. https://doi.org/10.7556/jaoa.2017.140 .
Dyrbye LN, Satele D, Shanafelt TD. Healthy exercise habits are associated with lower risk of burnout and higher quality of life among US Medical Students. Acad Med 2017;92:1006–11. https://doi.org/10.1097/ACM.0000000000001540 .
Bermudez MB, Costanzi M, Macedo MJA, Tatton-Ramos T, Xavier ACM, Ferrao YA, et al. Improved quality of life and reduced depressive symptoms in medical students after a single-session intervention. Rev Bras Psiquiatr 2019. https://doi.org/10.1590/1516-4446-2019-0526 .
Damiao Neto A, Lucchetti ALG, da Silva Ezequiel O, Lucchetti G. Effects of a Required Large-Group Mindfulness Meditation Course on First-Year Medical Students' Mental Health and Quality of Life: a Randomized Controlled Trial. J Gen Intern Med 2020;35:672–8. https://doi.org/10.1007/s11606-019-05284-0 .
McKerrow I, Carney PA, Caretta-Weyer H, Furnari M, Miller Juve A. Trends in medical students' stress, physical, and emotional health throughout training. Med Educ Online 2020;25. https://doi.org/10.1080/10872981.2019.1709278 .
Bechara Secchin L de S, da Silva Ezequiel O, Vitorino LM, Lucchetti ALG, Lucchetti G. Implementation of a Longitudinal Mentorship Program for Quality of Life, Mental Health, and Motivation of Brazilian Medical Students. Academic Psychiatry 2020;44:200–4. https://doi.org/10.1007/s40596-019-01141-8 .
Reed DA, Beckman TJ, Wright SM, Levine RB, Kern DE, Cook DA. Predictive validity evidence for medical education research study quality instrument scores: Quality of submissions to JGIM's medical education special issue. J Gen Intern Med 2008;23:903–7. https://doi.org/10.1007/s11606-008-0664-3 .
Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45–56. https://doi.org/10.1016/0304-3959(83)90126-4 .
McCormack HM, Horne DJ, Sheather S. Clinical applications of visual analogue scales: a critical review. Psychol Med 1988;18:1007–19. https://doi.org/10.1017/s0033291700009934 .
Cella D, Zagari MJ, Vandoros C, Gagnon DD, Hurtz HJ, Nortier JWR. Epoetin alfa treatment results in clinically significant improvements in quality of life in anemic cancer patients when referenced to the general population. J Clin Oncol Off J Am Soc Clin Oncol 2003;21:366–73. https://doi.org/10.1200/JCO.2003.02.136 .
Endicott J, Nee J, Harrison W, Blumenthal R. Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology Bulletin (Internet). 1993;29(2):321–6. Available from: https://pubmed.ncbi.nlm.nih.gov/8290681/
Zubaran C, Foresti K, Thorell MR, Franceschini PR, Homero W. Portuguese version of the Quality of Life Enjoyment and Satisfaction Questionnaire: a validation study. Rev Panam Public Health 2009;25:443–8. https://doi.org/10.1590/s1020-49892009000500010 .
Turner-Bowker DM, Bayliss MS, Ware JE, Kosinski M. Usefulness of the SF-8TM Health Survey for comparing the impact of migraine and other conditions. Qual Life Res 2003;12:1003–12. https://doi.org/10.1023/A:1026179517081 .
Kleehammer K, Hart AL, Keck JF. Nursing students' perceptions of anxiety-producing situations in the clinical setting. The Journal of Nursing Education. 1990;29(4):183–7. https://doi.org/10.3928/0148-4834-19900401-10
Park CL. The Meaning Making Model: A framework for understanding meaning, spirituality, and stress-related growth in health psychology. Heal Psychol Rev 2013;2:40–7. https://www.ehps.net/ehp/index.php/contents/article/view/ehp.v15.i2.p40
Park H, Park H, Nguyen T. Validation of multidimensional scale of perceived social support in middle-aged Korean women with diabetes. Asia Pacific J Soc Work Dev 2012;22:202–13. https://doi.org/10.1080/02185385.2012.691719 .
Yun YH, Wang XS, Lee JS, Roh JW, Lee CG, Lee WS, et al. Validation study of the Korean version of the Brief Fatigue Inventory. J Pain Symptom Manage 2005;29:165–72. https://doi.org/10.1016/j.jpainsymman.2004.04.013 .
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 2016;02115:2214–36. https://doi.org/10.1001/jama.2016.17324 .
Peluso MAM, de Andrade LHSG. Review Physical Activity And Mental Health: The Association Between Exercise And Mood. Clinics 2005;60:61–70. https://doi.org/10.1590/s1807-59322005000100012
Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med 2013;45:649–57. https://doi.org/10.1016/j.amepre.2013.08.001 .
Amorim P. Mini International Neuropsychiatric Interview (MINI): validation of a short structured diagnostic psychiatric interview. Rev Bras Psiquiatr 2000;22:106–15. https://psycnet.apa.org/doi/10.1590/S1516-44462000000300003
Plante TG, Coscarelli L, Ford M. Does exercising with another enhance the stress-reducing benefits of exercise. Int J Stress Management. 2001;8(3):201-213. https://doi.org/10.1023/A:1011339025532
Wilamowska ZA, Thompson-Hollands J, Fairholme CP, Ellard KK, Farchione TJ, Barlow DH. Conceptual background, development, and preliminary data from the unified protocol for transdiagnostic treatment of emotional disorders. DepressAnxiety. 2010;27:882-90.
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