Depressive symptomatology and perception of academic stressors in physiotherapy students
Depressive symptomatology and perception of academic stressors in physiotherapy students
Main Article Content
Abstract
High levels of stress and depression among students in health sciences are of substantial university and health systems interest. The aim of this study is to analyze the relationship between the depressive symptomatology and the appraisal of the academic environment as stressful. For this, a study involving 485 physiotherapy students of several Spanish universities was designed. Using the depression subescale of the Symptom Check List-90-Revised and the stressors scale of Academic Stress Questionnaire (ECEA), depressive symtoms and physiotherapy student perceptions of academic stress were measured. The results suggest that students who perceive the academic environment in more threatening terms show a higher index of depressive symptomatology. This relationship seems to be more relevant for the highly stressed group, and specifically for those conditions related to performance beliefs, negative social climate, exams and academic overload. These findings emphasize the importance of identifying physiotherapy students with a higher risk of developing depressive symptoms during their training.
References
Boni, R.A., Paiva, C.E., de Oliveira, M.A., Lucchetti, G., Fregnani, J.H.T.G., y Paiva, B.S.R.
(2018). Burnout among medical students during the first years of undergraduate school:
Prevalence and associated factors. PloS One, 13(3). doi: 10.1371/journal.pone.0191746
Cabanach, R.G., Souto-Gestal, A., y Franco, V. (2016). Escala de Estresores Académicos para la
evaluación de los estresores académicos en estudiantes universitarios. Revista
Iberoamericana de Psicología y Salud, 7(2), 41-50. doi: 10.1016/j.rips.2016.05.001
Casuso-Holgado, M.J., Cuesta-Vargas, A.I., Moreno-Morales, N., Labajos-Manzanares, M.T.,
Barón-López, F.J., y Vega-Cuesta, M. (2013). The association between academic
engagement and achievement in health sciences students. BMC Medical Education,
13(1), 33. doi: 10.1186/1472-6920-13-33.
Crosbie, J., Gass, E., Jull, G., Morris, M., Rivett, D., Ruston, S.,… Wright, T. (2002). Sustainable
undergraduate education and professional competency. The Australian Journal of
Physiotherapy, 48(1), 5-7.
Derogatis, L.R. (2002). SCL-90-R. Cuestionario de 90 síntomas revisado. Madrid: TEA Ediciones.
Erschens, R., Keifenheim, K.E., Herrmann-Werner, A., Loda, T., Schwille-Kiuntke, J., Bugaj,
T.J.,… Junne, F. (2018). Professional burnout among medical students: Systematic
literature review and meta-analysis. Medical Teacher, 41(2), 172-183. doi:
10.1080/0142159X.2018.1457213
Haldorsen, H., Bak, N.H., Dissing, A., y Petersson, B. (2014). Stress and symptoms of depression
among medical students at the University of Copenhagen. Scandinavian Journal of
Public Health, 42(1), 89-95. doi: 10.1177/1403494813503055
Hope, V., y Henderson, M. (2014). Medical student depression, anxiety and distress outside North
America: a systematic review. Medical Education, 48(10), 963-979. doi:
10.1111/medu.12512.
Ludwig, A.B., Burton, W., Weingarten, J., Milan, F., Myers, D.C., y Kligler, B. (2015).
Depression and stress amongst undergraduate medical students. BMC Medical
Education, 15(1), 141. doi: 10.1186/s12909-015-0425-z.
Martos, Á., Pérez-Fuentes, M. del C., Molero, M. del M., Gázquez, J. J., Simón, M. del M., y
Barragán, A. B. (2018). Burnout y engagement en estudiantes de Ciencias de la Salud.
European Journal of Investigation in Health, Psychology and Education, 8(1), 23. doi:
10.30552/ejihpe.v8i1.223
Moir, F., Yielder, J., Sanson, J., y Chen, Y. (2018). Depression in medical students: current
insights. Advances in Medical Education and Practice, 9, 323-333. doi:
10.2147/AMEP.S137384
Oliván-Blázquez, B., Boira-Sarto, S., y López-del Hoyo, Y. (2011). Estrés y otros factores
psicológicos asociados en estudiantes de fisioterapia. Fisioterapia, 33(1), 19-24. doi:
10.1016/j.ft.2010.12.002
Sabih, F., Siddiqui, F.R., y Baber, M.N. (2013). Assessment of stress among physiotherapy
students at Riphah Centre of Rehabilitation Sciences. The Journal of the Pakistan
Medical Association, 63(3), 346-349.
Singh, S., Prakash, J., Das, R., y Srivastava, K. (2016). A cross-sectional assessment of stress,
coping, and burnout in the final-year medical undergraduate students. Industrial
Psychiatry Journal, 25(2), 179. doi: 10.4103/ipj.ipj_68_16
Sreeramareddy, C.T., Shankar, P.R., Binu, V., Mukhopadhyay, C., Ray, B., y Menezes, R.G.
(2007). Psychological morbidity, sources of stress and coping strategies among
undergraduate medical students of Nepal. BMC Medical Education, 7(1), 26. doi:
10.1186/1472-6920-7-26
Stecker, T. (2004). Well-being in an academic environment. BMC Medical Education, 38(5), 465-
478. doi: 10.1046/j.1365-2929.2004.01812.x
Syed, A., Syed, S.A., y Khan, M. (2018). Frequency of depression, anxiety and stress among the
undergraduate physiotherapy students. Pakistan Journal of Medical Sciences, 34(2). doi:
10.12669/pjms.342.12298
Tucker, B., Jones, S., Mandy, A., y Gupta, R. (2006). Physiotherapy students’ sources of stress,
perceived course difficulty, and paid employment: Comparison between Western
Australia and United Kingdom. Physiotherapy Theory and Practice, 22(6), 317-328. doi:
10.1080/09593980601059550
Tucker, B., Jones, S., Straker, L., y Cole, J. (2003). Course Evaluation on the Web: Facilitating
Student and Teacher Reflection to Improve Learning. New Directions for Teaching and
Learning, 2003(96), 81-93. doi: 10.1002/tl.125
Tung, Y.J., Lo, K.K.H., Ho, R.C.M., y Tam, W.S.W. (2018). Prevalence of depression among
nursing students: A systematic review and meta-analysis. Nurse Education Today, 63,
119-129. doi: 10.1016/j.nedt.2018.01.009
Walsh, J.M., Feeney, C., Hussey, J., y Donnellan, C. (2010). Sources of stress and psychological
morbidity among undergraduate physiotherapy students. Physiotherapy, 96(3), 206-212.
doi: 10.1016/j.physio.2010.01.005
Yusoff, M.S.B., Abdul, A.F., Baba, A.A., Ismail, S.B., Mat Pa, M.N., y Esa, A.R. (2013). The
impact of medical education on psychological health of students: A cohort study.
Psychology, Health y Medicine, 18(4), 420-430. doi: 10.1080/13548506.2012.740162
(2018). Burnout among medical students during the first years of undergraduate school:
Prevalence and associated factors. PloS One, 13(3). doi: 10.1371/journal.pone.0191746
Cabanach, R.G., Souto-Gestal, A., y Franco, V. (2016). Escala de Estresores Académicos para la
evaluación de los estresores académicos en estudiantes universitarios. Revista
Iberoamericana de Psicología y Salud, 7(2), 41-50. doi: 10.1016/j.rips.2016.05.001
Casuso-Holgado, M.J., Cuesta-Vargas, A.I., Moreno-Morales, N., Labajos-Manzanares, M.T.,
Barón-López, F.J., y Vega-Cuesta, M. (2013). The association between academic
engagement and achievement in health sciences students. BMC Medical Education,
13(1), 33. doi: 10.1186/1472-6920-13-33.
Crosbie, J., Gass, E., Jull, G., Morris, M., Rivett, D., Ruston, S.,… Wright, T. (2002). Sustainable
undergraduate education and professional competency. The Australian Journal of
Physiotherapy, 48(1), 5-7.
Derogatis, L.R. (2002). SCL-90-R. Cuestionario de 90 síntomas revisado. Madrid: TEA Ediciones.
Erschens, R., Keifenheim, K.E., Herrmann-Werner, A., Loda, T., Schwille-Kiuntke, J., Bugaj,
T.J.,… Junne, F. (2018). Professional burnout among medical students: Systematic
literature review and meta-analysis. Medical Teacher, 41(2), 172-183. doi:
10.1080/0142159X.2018.1457213
Haldorsen, H., Bak, N.H., Dissing, A., y Petersson, B. (2014). Stress and symptoms of depression
among medical students at the University of Copenhagen. Scandinavian Journal of
Public Health, 42(1), 89-95. doi: 10.1177/1403494813503055
Hope, V., y Henderson, M. (2014). Medical student depression, anxiety and distress outside North
America: a systematic review. Medical Education, 48(10), 963-979. doi:
10.1111/medu.12512.
Ludwig, A.B., Burton, W., Weingarten, J., Milan, F., Myers, D.C., y Kligler, B. (2015).
Depression and stress amongst undergraduate medical students. BMC Medical
Education, 15(1), 141. doi: 10.1186/s12909-015-0425-z.
Martos, Á., Pérez-Fuentes, M. del C., Molero, M. del M., Gázquez, J. J., Simón, M. del M., y
Barragán, A. B. (2018). Burnout y engagement en estudiantes de Ciencias de la Salud.
European Journal of Investigation in Health, Psychology and Education, 8(1), 23. doi:
10.30552/ejihpe.v8i1.223
Moir, F., Yielder, J., Sanson, J., y Chen, Y. (2018). Depression in medical students: current
insights. Advances in Medical Education and Practice, 9, 323-333. doi:
10.2147/AMEP.S137384
Oliván-Blázquez, B., Boira-Sarto, S., y López-del Hoyo, Y. (2011). Estrés y otros factores
psicológicos asociados en estudiantes de fisioterapia. Fisioterapia, 33(1), 19-24. doi:
10.1016/j.ft.2010.12.002
Sabih, F., Siddiqui, F.R., y Baber, M.N. (2013). Assessment of stress among physiotherapy
students at Riphah Centre of Rehabilitation Sciences. The Journal of the Pakistan
Medical Association, 63(3), 346-349.
Singh, S., Prakash, J., Das, R., y Srivastava, K. (2016). A cross-sectional assessment of stress,
coping, and burnout in the final-year medical undergraduate students. Industrial
Psychiatry Journal, 25(2), 179. doi: 10.4103/ipj.ipj_68_16
Sreeramareddy, C.T., Shankar, P.R., Binu, V., Mukhopadhyay, C., Ray, B., y Menezes, R.G.
(2007). Psychological morbidity, sources of stress and coping strategies among
undergraduate medical students of Nepal. BMC Medical Education, 7(1), 26. doi:
10.1186/1472-6920-7-26
Stecker, T. (2004). Well-being in an academic environment. BMC Medical Education, 38(5), 465-
478. doi: 10.1046/j.1365-2929.2004.01812.x
Syed, A., Syed, S.A., y Khan, M. (2018). Frequency of depression, anxiety and stress among the
undergraduate physiotherapy students. Pakistan Journal of Medical Sciences, 34(2). doi:
10.12669/pjms.342.12298
Tucker, B., Jones, S., Mandy, A., y Gupta, R. (2006). Physiotherapy students’ sources of stress,
perceived course difficulty, and paid employment: Comparison between Western
Australia and United Kingdom. Physiotherapy Theory and Practice, 22(6), 317-328. doi:
10.1080/09593980601059550
Tucker, B., Jones, S., Straker, L., y Cole, J. (2003). Course Evaluation on the Web: Facilitating
Student and Teacher Reflection to Improve Learning. New Directions for Teaching and
Learning, 2003(96), 81-93. doi: 10.1002/tl.125
Tung, Y.J., Lo, K.K.H., Ho, R.C.M., y Tam, W.S.W. (2018). Prevalence of depression among
nursing students: A systematic review and meta-analysis. Nurse Education Today, 63,
119-129. doi: 10.1016/j.nedt.2018.01.009
Walsh, J.M., Feeney, C., Hussey, J., y Donnellan, C. (2010). Sources of stress and psychological
morbidity among undergraduate physiotherapy students. Physiotherapy, 96(3), 206-212.
doi: 10.1016/j.physio.2010.01.005
Yusoff, M.S.B., Abdul, A.F., Baba, A.A., Ismail, S.B., Mat Pa, M.N., y Esa, A.R. (2013). The
impact of medical education on psychological health of students: A cohort study.
Psychology, Health y Medicine, 18(4), 420-430. doi: 10.1080/13548506.2012.740162