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Association of performance in medical residency selection with a psychiatric diagnosis, and depressive and anxiety symptoms.

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Title: Association of performance in medical residency selection with a psychiatric diagnosis, and depressive and anxiety symptoms.
Authors: Humes, Eduardo C.1 eduardo@humes.com.br, Iosifescu, Dan V.2, Siqueira, Jose O.1, Fraguas, Renerio1
Source: Medical Teacher. Feb2025, Vol. 47 Issue 2, p353-361. 9p.
Subject Terms: *Curriculum, *Medical education, *Internship programs, *Rating of students, *Anxiety, *Professional licensure examinations, *Medical schools, *Factor analysis, *Mental depression, Psychiatric diagnosis, Multiple regression analysis, Questionnaires, Descriptive statistics, Age distribution, State-Trait Anxiety Inventory
Geographic Terms: Brazil
Abstract: Objective: Few studies have focused on medical students and residents' mental health impact on medical residency selection (MRS) performance. The authors evaluated the association of performance in MRS with depressive and anxiety symptoms and with a reported psychiatric diagnosis (rPD). Methods: The authors enrolled candidates after the second round of MRS examinations at a Brazilian Medical School. Performance was assessed by final grade. Depressive and anxiety symptoms were assessed by the Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) and the State-Trait Anxiety Inventory (STAI). The authors performed mediation analysis and multiple linear regression analysis to investigate the impact of rPD, state and trait anxiety, and depressive symptom severity on performance. Results: 515 of the 643 MRS candidates (80.1%) participated in the study. Higher age, attending a preparatory course for MRS, rPD, and the number of MRS applications that year were associated with poorer performance. In mediation analysis, trait anxiety was associated with a direct effect on performance and an indirect effect mediated by rPD. Conclusion: The data suggest that psychiatric diagnosis is associated with poorer performance on MRS, regardless of current symptoms of anxiety and depression. Additionally, increased levels of trait anxiety may negatively impact performance, directly and indirectly. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Association of performance in medical residency selection with a psychiatric diagnosis, and depressive and anxiety symptoms.
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  Data: <searchLink fieldCode="AR" term="%22Humes%2C+Eduardo+C%2E%22">Humes, Eduardo C.</searchLink><relatesTo>1</relatesTo><i> eduardo@humes.com.br</i><br /><searchLink fieldCode="AR" term="%22Iosifescu%2C+Dan+V%2E%22">Iosifescu, Dan V.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Siqueira%2C+Jose+O%2E%22">Siqueira, Jose O.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Fraguas%2C+Renerio%22">Fraguas, Renerio</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Feb2025, Vol. 47 Issue 2, p353-361. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Curriculum%22">Curriculum</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br />*<searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Rating+of+students%22">Rating of students</searchLink><br />*<searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br />*<searchLink fieldCode="DE" term="%22Professional+licensure+examinations%22">Professional licensure examinations</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+schools%22">Medical schools</searchLink><br />*<searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+diagnosis%22">Psychiatric diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22State-Trait+Anxiety+Inventory%22">State-Trait Anxiety Inventory</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
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  Data: Objective: Few studies have focused on medical students and residents' mental health impact on medical residency selection (MRS) performance. The authors evaluated the association of performance in MRS with depressive and anxiety symptoms and with a reported psychiatric diagnosis (rPD). Methods: The authors enrolled candidates after the second round of MRS examinations at a Brazilian Medical School. Performance was assessed by final grade. Depressive and anxiety symptoms were assessed by the Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) and the State-Trait Anxiety Inventory (STAI). The authors performed mediation analysis and multiple linear regression analysis to investigate the impact of rPD, state and trait anxiety, and depressive symptom severity on performance. Results: 515 of the 643 MRS candidates (80.1%) participated in the study. Higher age, attending a preparatory course for MRS, rPD, and the number of MRS applications that year were associated with poorer performance. In mediation analysis, trait anxiety was associated with a direct effect on performance and an indirect effect mediated by rPD. Conclusion: The data suggest that psychiatric diagnosis is associated with poorer performance on MRS, regardless of current symptoms of anxiety and depression. Additionally, increased levels of trait anxiety may negatively impact performance, directly and indirectly. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=182876616
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      – Type: doi
        Value: 10.1080/0142159X.2024.2337248
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 353
    Subjects:
      – SubjectFull: Curriculum
        Type: general
      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Rating of students
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Professional licensure examinations
        Type: general
      – SubjectFull: Medical schools
        Type: general
      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Psychiatric diagnosis
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: State-Trait Anxiety Inventory
        Type: general
      – SubjectFull: Brazil
        Type: general
    Titles:
      – TitleFull: Association of performance in medical residency selection with a psychiatric diagnosis, and depressive and anxiety symptoms.
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            NameFull: Humes, Eduardo C.
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            NameFull: Iosifescu, Dan V.
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            NameFull: Siqueira, Jose O.
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            NameFull: Fraguas, Renerio
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            – D: 01
              M: 02
              Text: Feb2025
              Type: published
              Y: 2025
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