|Titre :||First-year French medical students consume antidepressants and anxiolytics while second-years consume non-medical drugs (2020)|
|Auteurs :||G. FOND ; A. BOURBON ; M. BOUCEKINE ; M. MESSIAEN ; V. BARROW ; P. AUQUIER ; C. LANÇON ; L. BOYER|
|Type de document :||Article : Périodique|
|Dans :||Journal of Affective Disorders (Vol.265, 15 March 2020)|
|Article en page(s) :||71-76|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEMILIEU ETUDIANT ; JEUNE ; MEDECINE ; PSYCHOTROPES ; MEDICAMENTS ; ANXIOLYTIQUES ; ANTIDEPRESSEURS ; ALCOOL ; TABAC ; PRODUIT ILLICITE ; ETUDE TRANSVERSALE ; SANTE MENTALE ; ANXIETE
Background: First year exams are a major source of stress amongst first-year medical students.
Objective: To explore antidepressant and anxiolytic consumption and addictive behavior of medical students before and after exams.
Methods: Medical students of the 35 French medical schools were recruited through mailing lists and social networks between December 2016 and May 2017 and completed online Internet anonymized questionnaires.
Results: Overall, 4345 medical students were included (3051 first year vs. 1294 second year). In multivariate analyses, compared to those in the first year of medicine, second year students were found to have lower anxiolytic (adjusted odd ratio (aOR)=0.56, p = 0.01) and antidepressant consumption (aOR=0.21, p Conclusion: First year medical students who are faced with challenges relating to studying consume more antidepressants and anxiolytics, whilst second year students have a higher consumption of recreational drugs for a range of reasons. This suggests that the first two years at medical school are an important contributor to adverse mental health and therefore present a window of opportunity for preventative intervention.
We found that first year consumed more anxiolytic and antidepressant.
Second year were more frequently followed-up by psychiatrist, smoked more tobacco and cannabis and drank more alcohol.
Second year medical students reported to have lower study difficulties.
They also reported to seek more disinhibition and alleviating anxiety, to seek to stimulate and sedate themselves and to follow group.
The two first years of medical studies are crucial to prevent later mental health issues.
|Domaine :||Alcool / Alcohol ; Autres substances / Other substances ; Drogues illicites / Illicit drugs ; Tabac / Tobacco|
|Affiliation :||Aix-Marseille Univ, Faculté de Médecine - Secteur Timone, EA 3279: CEReSS - Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de vie, Marseille, France|
|URL :||Allodocteurs.fr, 22/01/2020|