Abstract:
INTRODUCTION:Perfectionism and intolerance to frustration are the main factors of vulnerability to psychological stress observed in students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra, a study claims. We aimed to ascertain their reasons, seeking for their prevention. MATERIAL AND METHODS:An observational triangulation study was performed, collecting the main reasons according to the opinion of a students focus-group, organized in a questionnaire completed with epidemiologic data, applied online to all students of the Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra. Statistical analysis was performed. RESULTS:A representative sample, of n = 368, 77.7% female, was studied. The most important responded reasons were 'intrinsic factors' and 'medical profession demands', with, respectively, 91.1% and 91.8% of 'important'/'very important' answers; 'environmental pressure' is the less important, with 68.2% attributing those classifications. Students satisfied with curricular life attribute less importance to 'environmental pressure' (p = 0.004), 'insecurity about professional training' (p = 0.017), 'curricular evaluation methods' (p = 0.002) and 'Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra curricular demands' (p = 0.002); female students assign more importance to 'Integrated Master Degree in Medicine curricular demands' (p = 0.001); students involved in an extracurricular activity consider less important the 'environmental pressure' (p = 0.007). DISCUSSION:In this Integrated Master Degree in Medicine of the Faculty of Medicine, University of Coimbra students sample, vulnerability to psychological stress associated to perfectionism and intolerance to frustration is due essentially to self-demanding personality. Insecurity about professional demands, associated to suffering in anticipation and the absence of professional perspectives, represent another important cause. CONCLUSION:Psychological support, involvement in specific extracurricular activities and curricular reorganisation appear to be means of reducing the vulnerability to stress in medical students. :Introdução: O perfeccionismo e a intolerância à frustração são os principais fatores de vulnerabilidade ao stress psicológico nos estudantes do Mestrado Integrado em Medicina da Faculdade de Medicina da Universidade de Coimbra. Este estudo procurou investigar a causalidade dos mesmos para sua prevenção.Material e Métodos: Estudo observacional em triangulação, qualitativo-quantitativo, com inventariação dos principais motivos em painel de alunos, sendo a listagem obtida organizada e colocada em questionário complementado com inquérito epidemiológico, aplicado online a todos os alunos do Mestrado Integrado em Medicina da Faculdade de Medicina da Universidade de Coimbra, seguindo-se análise estatística.Resultados: Estudou-se amostra representativa, de n = 368, 77,7% do sexo feminino. Os principais motivos para perfeccionismo e intolerância à frustração são ’fatores intrínsecos‘ e ’exigências da profissão médica‘, com, respetivamente, 91,1% e 91,8% de respostas 'importante’ / ’muito importante‘; ’pressão ambiental‘ é o menos importante, com 68,2% em tais classificações. Alunos satisfeitos com a vida curricular atribuem menor importância à ’pressão ambiental‘ (p = 0,004), ‘insegurança quanto à formação profissional’ (p = 0,017), ‘métodos de avaliação curricular’ (p = 0,002) e ’exigências curriculares do Mestrado Integrado em Medicina‘ (p = 0,002); o sexo feminino dá maior importância às ’exigências curriculares do Mestrado Integrado em Medicina‘ (p = 0,001); alunos inseridos em atividade extracurricular, consideram menos importante a ’pressão ambiental‘ (p = 0,007).Discussão: Nesta amostra a vulnerabilidade ao stress psicológico por perfeccionismo e intolerância à frustração depende essencialmente da personalidade auto-exigente. Outro importante fator corresponde à insegurança relativamente às exigências profissionais, com sofrimento por antecipação e ausência de perspetiva profissional.Conclusão: O suporte psicológico, o envolvimento em atividades extracurriculares específicas e a reestruturação curricular parecem ser formas de diminuir a vulnerabilidade ao stress nos estudantes de medicina.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Batista S,Santiago LM,Rosendo Idoi
10.20344/amp.9976subject
Has Abstractpub_date
2018-10-31 00:00:00pages
527-533issue
10eissn
0870-399Xissn
1646-0758journal_volume
31pub_type
杂志文章abstract::Gastrointestinal Bleeding (GIB) is a complication in patients with Chronic Renal Failure (CRF) on regular hemodialysis (HD). To analyse the importance of GIB we studied, retrospectively, the causes of hospitalization in 301 patients, all on HD in the same Unit in January 1990. The average age was 57.4 +/- 14.2 years (...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-02-01 00:00:00
abstract::Whipple's Disease is a rare multisystemic disease caused by Gram-positive bacillus, Tropheryma whippelii, family of Actinobacterias and group of Actinomycetes. Because the disease is rare and has different forms of presentation the diagnosis comes frequently late. The authors present the case of a white man, 50 years ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract::Neurocognitive dysfunction is, nowadays, reported as one of the most frequent complications of cardiac surgery, with documented potential to have a negative impact on quality of life. Notwithstanding, the cognitive evaluation is almost exclusively restricted to research contexts, being depreciated in clinical settings...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2008-09-01 00:00:00
abstract::Temporal arteritis is a chronic vasculitis of medium and large-size vessels and involves particularly extracranial branches of the aortic arch arteries. Authors report the case of a 73-year-old woman who presented to the hospital after looking for medical counselling three times because of unexplained fever, fatigue, ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::Referring to examples from the poetry of Fernando Pessoa and Mário de Sá Carneiro, we draw attention to the narcissistic relationship between mother and baby, to the role of the mirror-image of the mother's face, and to the organization of a false self caused by a deficiency both of that function, and of the narcissis...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Many studies have shown that social support is related with psychological disorders and both are high consumers of health service resources. A study was carried out by the author to identify psychological disorder relationships with social support and how they change in presence or absence of life events. An inquiry b...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::The author refer that thyroid nodule occur quite often in general population. He also mention research methods, and how they could be changed when pregnant women in concern. Therefore this prognosis must be done through cytology and ultrasounds. When related to rate of occurrence, metastasis and mortality, there are n...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Renal transplantation is the treatment of choice for children with end stage renal disease with positive impact on survival and quality of life. However, some complications affect morbidity and mortality. This study examines the renal transplantation complications profile in pediatric patients (<18 y). MATE...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-09-01 00:00:00
abstract:INTRODUCTION:PFAPA syndrome (Periodic Fever, Aphthous stomatitis, Pharyngitis, Adenitis) is a benign sporadic syndrome of unknown cause and an important diagnosis to consider in the child with recurrent fever and tonsillitis. OBJECTIVES:To describe the presentation, age of onset, time until diagnosed, episode duration...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::Endometriosis was first described by Russel more than one-hundred years ago and still remains a clinical entity of difficult comprehension, with totally aberrant symptomatology, particularly in extra-genital situations. The present article describes a clinical case of recurring right-sided catamenial pneumothorax in a...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract:INTRODUCTION:Nonmedical use of prescription drugs and other substances for cognitive enhancement in the academic environment has been documented in several studies. However, the prevalence among Portuguese university students is unknown. We aimed to assess the prevalence and academic contexts of the use of cognitive en...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.14220
更新日期:2021-01-28 00:00:00
abstract::The authors, using the Cancer Registry data of S. Antonio General Hospital in Oporto, selected the cancer cases from 1981 to 1993. Distribution according to age, sex, topography and morphology is presented. Seven point nine percent of the 12,124 cases mentioned in the Registry were skin cancers (n = 883). They were mo...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:INTRODUCTION:The Exercise Self-Efficacy scale (ESES) is a reliable measure, in the English language, of exercise self-efficacy in individuals with spinal cord injury. The aim of this study was to culturally adjust and validate the Exercise Self-Efficacy scale in the Portuguese language. MATERIAL AND METHODS:The Exerci...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8884
更新日期:2017-11-29 00:00:00
abstract:INTRODUCTION:To evaluate the safety and impact on visual acuity, retinal and choroidal morphology of simultaneous cataract surgery and intravitreal anti-vascular endothelial growth factor on patients with visually significant cataracts and previously treated exudative age-related macular degeneration. MATERIAL AND MET...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7850
更新日期:2017-02-27 00:00:00
abstract::Parkinson's disease (PD) is a common disorder that causes a marked decrease in the quality of life of patients and implies high costs at the social, familiar and economic levels. The diagnosis is essentially achieved on clinical grounds and there is an extensive list of possible differential diagnoses, thus being fund...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract::The exercise tolerance test (ETT) is the ancillary test of choice for the evaluation of the patient with ischaemic heart disease. When faced with complaints suggestive of angina pectoris, ETT is useful in confirming or excluding such a diagnosis, frequently reproducing the complaints while recording the tell-tale elec...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVE:To assess epidemiological profile of spinal cord injury outpatients which have been participating of rehabilitation programme using neuromuscular electrical stimulation, in order to implement campaigns for preventing spinal cord trauma. METHODS:From January to April 2009, 30 patients at the spinal cord injur...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract::In this article we reviewed some examples of our experience in clinical applications of functional MRI (fMRI) in the motor and verbal fluency tasks evaluation. Seventeen patients with supratentorial cerebral pathology (5 arteriovenous malformations--AVMs, 2 meningiomas, 1 tuberculoma, 1 cortical tuberoma, 1 DNET, 2 ce...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::A correlation between urinary tract infection, vesicoureteral reflux and voiding disorders has increasingly been reported. Voiding dysfunction increases the incidence of recurrent urinary tract infection, induces and perpetuates vesicoureteral reflux, even after surgical antireflux treatment, and may result in permane...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract:INTRODUCTION:Diabetes is a major public health problem and it is related to socioeconomic factors. The aim of this study is to describe socioeconomic inequalities in the distribution of diabetes in the population with 25 years or more, resident in Portugal in 2014. MATERIAL AND METHODS:Data from the Health National Su...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.8235
更新日期:2017-08-31 00:00:00
abstract:INTRODUCTION:Outpatient antimicrobial therapy programs have been in place for more than four decades. They provide safe and effective treatment for a selected group of patients while reducing costs. In Europe in general, and in Portugal in particular, these programs are still a relatively new phenomenon. The aim of thi...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.11730
更新日期:2019-09-02 00:00:00
abstract::From January 1980 until October 1991 we operated 112 patients with Gastric cancer in which Surgery was considered palliative by intra-operative criteria or by pathological analysis of the resected specimen. Locally irresectable tumour was found in 24.1% of the cases, peritoneal metastases (mets.) in 21.4%, liver mets....
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::The oncocytic tumors of the adrenal gland are rare. To date there's only 147 cases published. The authors present a case of a 34 year-old man admitted to the hospital with lumbar pain and fever. At medical examination a mass was found in the left upper quadrant of the abdomen. The hormonal measurements of the adrenal ...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
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journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract::Embalming is a chemical process that aims the preservation and sanitization of the human body indefinitely. The technique of embalming is an important tool in teaching and research in anatomy enabling the preservation of cadaveric material in good conditions (lessening any significant structural changes and maintainin...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract::Congenital absence of the inferior vena cava is a rare vascular anomaly, and most cases are asymptomatic. Nevertheless, patients with inferior vena cava malformations may have increased risk of deep venous thrombosis. Particularly, cases of bilateral deep venous thrombosis may arise owing to an insufficient collateral...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7744
更新日期:2017-04-28 00:00:00
abstract:INTRODUCTION AND AIM:In Portugal, there is very few experience in pediatric retroperitoneoscopy. The authors present the first Portuguese series of retroperitoneal laparoscopic nephrectomies (RLN) in children younger than nine years-old, as well as a literature review about the theme. MATERIAL AND METHODS:Retrospectiv...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Periarticular corticosteroid injection utilization by General Practitioners treating musculoskeletal disease in primary health care system is internationally acknowledged. This article aims at analyzing this evidence and contributing to the discussion of a potential development of the technique in Portugal...
journal_title:Acta medica portuguesa
pub_type: 杂志文章,评审
doi:
更新日期:2015-09-01 00:00:00
abstract:INTRODUCTION:The purpose of postoperative surveillance programs after curative treatment for colorectal cancer is to detect asymptomatic recurrences with the premise that an important rate will be eligible for curative resection, improving overall survival. We have implemented a surveillance program for patients with c...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:10.20344/amp.7889
更新日期:2017-09-29 00:00:00
abstract::Wernicke Encephalopathy (WE) is a severe neurological disease caused by vitamin B1 (thiamine) deficiency, which is potentially treatable if early diagnosed. This is the clinical case of a young female patient, with renal insufficiency on haemodialysis, who has been submitted to an abdominal surgery. After the interven...
journal_title:Acta medica portuguesa
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00