Reflections on the Impact of Sexuality in Mental Health of Medical Students: A Quantitative Study in a Brazilian University
DOI:
https://doi.org/10.51338/rppsm.329Keywords:
Mental Health, Sexual Behavior, Sexuality, Students, MedicalAbstract
Introduction: Some specific groups seem to show a higher prevalence of depression when compared to the general popu‐ lation, and that seems to be the case within the LGBT medical students population. This study aims to find out if there are repercussions in students’ mental health according to their sexual orientation and to discover indications of depression in the participants according to their sexual orientation in the medicine course of the Federal University of Sergipe, in Aracaju.
Methods: A quantitative study was carried out at the Federal University of Sergipe, in Aracaju, Sergipe with 310 medical students who answered four questionnaries: Demographic characteristics, Beck Depression Inventory, LGBT Campus Climate Scale and the Scale of Perception of Social Support.
Results: About the stratification of depression according to sexual orientation, the prevalence of depression in LGBTI+ medical students were higher than that found in the heterosexuals students. Furthermore, both groups presented a lack of knowledge about specific public policies for this population.
Conclusion: It is extremely important that there are discussions that address both themes, sexuality and mental health, aiming to offer psychosocial support to those who are suffering in both groups, however, to those in need, with particular focus in those who show higher depression rates.
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References
Steinberg JW, Daniel J. Depression as a Major Mental Health Problem for the Behavioral Health Care Industry. Journal of Health Sciences Management and Public Health. 2020;1:44-50.
Liu Q, He H, Yang J, Feng X, Zhao F, Lyu J. Changes in the Global Burden of Depression From 1990 to 2017: Findings From the Global Burden of Disease Study. Journal of psychiatric research. 2020;126:134-140.
Charlson F, van Ommeren M, Flaxman A, Cornett J, Whiteford H, Saxena S. New Who Prevalence Estimates of Mental Disorders in Conflict Settings: A Systematic Review and Meta-analysis. The Lancet. 2019;394(10194):240-248.
World Health Organization. Depression and Other Common Mental Disorders: Global Health Estimates. 2017.
Travers A, Armour C, Hansen M, Cunningham T, Lagdon S, Hyland P, et al. Lesbian, Gay or Bisexual Identity as a Risk Factor for Trauma and Mental Health Problems in Northern Irish Students and the Protective Role of Social Support. European Journal of Psychotraumatology. 2020;11(1).
Schmitz RM, Sanchez J, Lopez B. LGBTQ+ Latinx Young Adults’ Health Autonomy in Resisting Cultural Stigma. Culture, Health & Sexuality. 2018;21(1):16-30.
Wilson C, Cariola LA. LGBTQI+ Youth and Mental Health: A Systematic Review of Qualitative Research. Adolescent Research Review. 2019;5:187–211.
Gomes G, Costa PA, Leal I. Impacto do estigma sexual e coming out na saúde de minorias sexuais. Psicologia, Saúde & Doenças. 2020;21(1):97-103.
Moya M, Moya-Garofano A. Discrimination, Work Stress, and Psychological Well-being in Lgbti Workers in Spain. Psychosocial Intervention. 2020;29(2):93-101.
Zeeman L, Sherriff N, Browne K, McGlynn N, Mirandola M, Gios L, et al. A Review of Lesbian, Gay, Bisexual, Trans and Intersex (LGBTI) Health and Healthcare Inequalities. European journal of public health. 2019;29(5):974-980.
Watson C, Tatnell R. Resilience and Non-suicidal Self-injury an LGBTQIA+ People: Targets for Prevention and Intervention. Current Psychology. 2019;1-8.
da Silva BL, Mello R. A incidência de sintomatologia depressiva entre lésbicas, gays, bissexuais e transexuais (LGBT). Paper presented at the III Convención Internacional de Salud Pública, Cuba Salud, Norte América; 2018.
BARNETT, Michael et al. Heterosexism and Cisgenderism. In: Multicultural Responsiveness in Counselling and Psychology. Palgrave Macmillan, Cham, 2021. p. 153-178..
REES, Samuel N.; CROWE, Marie; HARRIS, Shirley. The lesbian, gay, bisexual and transgender communities' mental health care needs and experiences of mental health services: An integrative review of qualitative studies. Journal of Psychiatric and Mental Health Nursing, v. 28, n. 4, p. 578-589, 2021.
Burke BP, White JC. Wellbeing of Gay, Lesbian, and Bisexual Doctors. The BMJ. 2001;7283(322):422-425.
Risdon C, Cook D, Willms D. Gay and Lesbian Physicians in Training: A Qualitative Study. Canadian Medical Association journal. 2000;162(3):331-334.
Fontelles MJ, Simões MG, de Almeida JC, Fontelles RGS. Scientific Research Methodology: Guidelines for Size Sample Calculation. Revista Paraense de Medicina. 2010;24(2):57-64.
Gomes-Oliveira, MH, Gorenstein C, Neto FL, Andrade LH, Wang YP. Validation of the Brazilian Portuguese Version of the Beck Depression Inventory-II in a Community Sample. Revista Brasileira de Psiquiatria. 2012;34(4):389-394.
Campus Pride Index. LGBT-friendly campus climate index, c2013. Página inicial. Disponível em: https://www.campusprideindex.org/. Acesso em: 30 de Janeiro de 2022
Coyne JC, Schwenk TL. The Relationship of Distress to Mood Disturbance in Primary Care and Psychiatric Populations. Journal of Consulting and Clinical Psychology. 1997;65(1):161-168.
Martins MV, Peterson BD, Almeida V, Costa ME. Measuring Perceived Social Support in Portuguese Adults Trying to Conceive: Adaptation and Psychometric Evaluation of The Multidimensional Scale of Perceived Social Support. Peritia: revista portuguesa de psicologia. 2012;(13):5–14.
Rotenstein LS, Ramos MA, Matthew T, 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. JAMA. 2016;316(21):2214-2236.
Resende L da S. Homofobia e violência contra população LGBT no Brasil: uma revisão narrativa. Monografia, Brasília: Universidade de Brasília. 2016.
Ornelas J. Suporte social e doença mental. Análise Psicológica. 1996;14(2-3):263-268.
de Oliveira DCD. O impacto do suporte social, depressão, ansiedade e impulsividade na adolescência: relação com os comportamentos autolesivos e a ideação suicida. Tese de Mestrado, Lisboa: Instituto Universitário de Ciências Psicológicas, Sociais e da Vida. 2019.
Rodrigues VB, Madeira M. Suporte social e saúde mental: revisão da literatura. Revista da Faculdade de Ciências da Saúde. 2009(6):390-399.
Ferreira DBB. Orientação sexual e identidade de gênero: a homossexualidade e seus reflexos na saúde mental de estudantes de medicina de uma universidade sergipana. Monografia, Aracaju: Universidade Tiradentes. 2017.
