title: Anxiety and depression in the first year of medical residency training.
abstract: OBJECTIVE
  To perform a screening, follow-up and comparative evaluation of depression and anxiety symptoms in a group of 59 first-year internal medicine residents of a teaching hospital and evaluate the influence of their rotation, nature of rotation, subgroup, sex and the time of year on these symptoms.
  
  
  METHODS
  We used the Spielberger State-Trait Anxiety Inventory (STAI) and the Beck Depression Inventory (BDI), applied seven times, in the last week of every rotation.
  
  
  CONCLUSIONS
  We obtained two identical averages (P=0.98) of trait-anxiety, six months apart one from the other. There was a significant correlation (R=0.65, P < 0.001) between the indexes of state-anxiety and depression. Women had higher levels of symptoms of both anxiety and depression (P < 0.001) compared to men. A cluster of three subgroups of residents with higher trait-anxiety levels (P=0.001) also showed significantly higher levels of symptoms of state-anxiety and depression (P < 0.001). The time of the year and the nature of the rotation (emergency or not) did not interfere with the levels of depression (P=0.47). We detected rotations where there was greater frequency of residents with symptoms compatible with moderate and severe depression. There were 2.1% of residents with symptoms compatible with severe, 4.2% with moderate and 27% with mild depression. It was possible to graduate symptoms of anxiety and depression in residents, evaluate factors involved in their genesis and locate residents with moderate and severe depression.
authors.affiliation: Department of Medicine, School of Medicine, University of São Paulo, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Peterlini
authors.forename: Iolanda F L C
authors.initials: IF
authors.lastname: Tibério
authors.forename: Alexandre
authors.initials: A
authors.lastname: Saadeh
authors.forename: Júlio C R
authors.initials: JC
authors.lastname: Pereira
authors.forename: Mílton A
authors.initials: MA
authors.lastname: Martins
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000209:etiology*; D001938:Brazil; D003863:Depression / Q000209:etiology*; D004501:Education, Medical; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D008297:Male; D012621:Seasons; D012737:Sex Factors