Resumen Marco contextual: Los estudiantes de enfermería están sometidos a estrés a lo largo de sus estudios, especialmente durante las prácticas clínicas. El conocimiento de las estrategias de afrontamiento (coping) utilizadas nos permite identificar recursos para mitigar el estrés al que están sometidos. Objetivo: Traducir y validar el instrumento Coping Behavior Inventory para el idioma portugués europeo. Metodología: Se trata de un estudio metodológico que utilizó una muestra no probabilística de 113 estudiantes de los cuatro años de la carrera de Enfermería. Para evaluar las propiedades psicométricas del instrumento, se determinó la validez de constructo de la escala mediante el método de análisis de componentes principales y la consistencia interna mediante el cálculo del coeficiente alfa de Cronbach. Resultados: El análisis factorial exploratorio extrajo cuatro factores comunes que explican el 57,5% de la varianza retenida, con un valor alfa de Cronbach para la escala total de 0,668. Conclusión: El Inventario de Comportamientos de Afrontamiento tiene características psicométricas adecuadas en portugués europeo y es un instrumento fiable para evaluar las estrategias de afrontamiento utilizadas por los estudiantes de enfermería.

Resumo Enquadramento: Os estudantes de enfermagem estão sujeitos a stress ao longo do curso de enfermagem sobretudo durante a prática clínica. O conhecimento das estratégias de coping utilizadas permite identificar recursos para mitigar o stress a que estes estão sujeitos. Objetivo: Traduzir e validar o instrumento Coping Behaviour Inventory para o idioma português europeu. Metodologia: Trata-se de um estudo metodológico onde foi utilizada uma amostra não probabilística de 113 estudantes dos 4 anos do curso de licenciatura em enfermagem. Para a aferição das propriedades psicométricas do instrumento foi determinada a validade de construto da escala pelo método de análise de componentes principais e a consistência interna pelo cálculo do coeficiente alfa de Cronbach. Resultados: Pela análise fatorial exploratória foram extraídos quatro fatores comuns que explicam 57,5% da variância retida sendo o valor alfa de Cronbach para a escala total de 0,668. Conclusão: O Inventário de comportamentos de coping apresenta características psicométricas adequadas no idioma português europeu, sendo um instrumento fiável na avaliação das estratégias de coping utilizadas pelos estudantes de enfermagem.

Abstract Background: Nursing students are exposed to stress during their nursing program, particularly during clinical practice. Identifying the coping strategies used during this period can help identify resources to mitigate the stress they face. Objective: To translate and validate the Coping Behavior Inventory (CBI) into European Portuguese. Methodology: Methodological study with a nonprobability sample of 113 students attending the four years of the nursing program. To assess the psychometric properties of the instrument, its validity was analyzed using the principal component analysis method and its internal consistency by calculating Cronbach’s alpha coefficient. Results: Four common factors were extracted from the exploratory factor analysis, explaining 57.5% of the variance, with a Cronbach’s alpha value of 0.668 for the total scale. Conclusion: The European Portuguese version of the CBI has adequate psychometric characteristics and is a reliable tool for assessing the coping strategies used by nursing students.

Abstract The objective of the study was to analyze the relationship between academic stress and self-concept, to compare both variables according to gender, and to identify the predictive capacity of self-concept factors in the levels of academic stress in university students. The results confirmed a negative association between academic stress and self-concept and significant differences between men and women. Additionally, a multiple linear regression analysis differentiated by sex was performed. In the case of women, the model was constituted by the emotional, academic-work, social, family and physical factors of self-concept; in the case of men, only the emotional and academic-work dimensions were integrated. It is concluded that the self-concept contributes to the prediction of the behavior of academic stress in higher education students. For these reasons, it is convenient to promote activities for students in university institutions that improve their perception of themselves.

Resumen Los objetivos centrales de la indagatoria fueron analizar la asociación entre el estrés académico y el autoconcepto, comparar dichos fenómenos psicológicos entre géneros e identificar el poder predictivo de los factores del autoconcepto en los índices de estrés académico en estudiantes universitarios. Los resultados confirmaron una asociación negativa entre las variables abordadas y diferencias hombres y mujeres. Adicionalmente, se realizaron dos análisis de regresión lineal múltiple para cado uno de los géneros. En mujeres, los factores emocional, académico-laboral, social, familiar y físico del autoconcepto aportaron a la explicación del estrés académico; en el de los hombres, solo se integraron las dimensiones emocional y académico-laboral. Se concluye que el autoconcepto aporta a la predicción del comportamiento del estrés académico en estudiantes de educación superior. Por tales razones, resulta conveniente suscitar en las instituciones universitarias, actividades tendientes a la mejora de la percepción de sí mismos por parte de los jóvenes.

Resumen Los estudiantes universitarios comúnmente se ven sometidos a situaciones estresantes que repercuten directa e indirectamente en el desarrollo de conductas saludables. Esta investigación tiene como objetivo determinar la influencia del estrés académico sobre la conducta de salud en los estudiantes de un centro universitario de Lima Metropolitana. Se realizó un estudio no experimental, cuantitativo y correlacional, en donde se aplicó el Cuestionario de Conductas de Salud en Jóvenes Universitarios (CEV-JU) y el Inventario SISCO-21 de estrés académico, a 708 estudiantes. Los resultados mostraron que los síntomas de estrés, las estrategias de afrontamiento y los estresores se asociaron significativamente con la conducta de salud a nivel general y algunas dimensiones. Asimismo, se halló que los predictores de los resultados más significativos de la conducta de salud fueron las estrategias de afrontamiento y las dimensiones de síntomas. Esto muestra la importancia de diseñar y aplicar programas e intervenciones dirigidas a gestionar adecuadamente el estrés para fomentar hábitos saludables en los universitarios.

Abstract University students are commonly subjected to stressful situations that have a direct and indirect impact on the development of healthy behaviors. This research aims to determine the influence of academic stress on health behavior in students at a university center in Metropolitan Lima. A non-experimental, quantitative and correlational study was carried out, where the Health Behavior Questionnaire in Young University Students (CEV-JU) and the SISCO-21 Inventory of academic stress were applied to 708 students. The results showed that stress symptoms, coping strategies and stressors were significantly associated with health behavior at a general level and some dimensions. Likewise, it was found that the predictors of the most significant health behavior outcomes were coping strategies and symptom dimensions. This shows the importance of designing and applying programs and interventions aimed at adequately managing stress to promote healthy habits in university students.

Abstract Introduction: The high prevalence of deliberate self-harm (DSH) and its strong association with suicide make the condition a natural target for intervention to prevent harmful consequences for adolescents. The aim of this study was to determine the prevalence of DSH and to characterize DSH patterns and associated risk factors in a sample of adolescents. Methods: A cross-sectional study was conducted by applying a questionnaire based on the “Lifestyle and Coping Questionnaire” adapted to the Portuguese language. Adolescents aged between 12 and 17 years attending the outpatient clinic of a secondary-care hospital were invited to participate. Data were analyzed by descriptive, bivariate, and regression analysis using SPSS v.25 software. Results: A total of 159 eligible responses were obtained from adolescents with a mean age of 15 years. Of the 25.8% who reported having engaged in DSH, the majority (61%) did so more than once, and the same percentage did not seek help. A statistically significant association was found between DSH and befriending less easily, having a history of bullying, and seeking online information on how to self-harm. A significantly higher risk of self-harm was found among adolescents who had experienced a variety of negative life events (adjusted odds ratio [aOR] 1.47, confidence interval [CI] 1.231-1.1763; p<0.01), whereas having no health problems (aOR 0.356, CI 0.13-0.969; p=0.04) and not using drugs (aOR 0.087, CI 0.012-0.633; p=0.016) were protective factors. Conclusions: DSH is a common but often overshadowed problem in adolescents. The findings of this study highlight the need for careful assessment of adolescents with better screening for DSH and associated risk factors.

Resumo Introdução: A elevada prevalência de comportamentos autolesivos (CAL) e a sua forte associação ao suicídio tornam estes comportamentos um alvo natural de intervenção, de forma a prevenir consequências nefastas nos adolescentes. O objetivo deste estudo foi determinar a prevalência e caracterizar os padrões de CAL e potenciais fatores de risco associados numa amostra de adolescentes. Metodologia: Foi realizado um estudo transversal através da aplicação de um questionário baseado no “Lifestyle and Coping Questionnaire”. Foram convidados a participar adolescentes dos 12 aos 17 anos de idade que recorreram a um hospital de nível II. Os dados foram analisados através de análise descritiva, bivariada e de regressão utilizando o software SPSS v.25. Resultados: Foram incluídos 159 questionários de jovens com uma média de 15 anos de idade. Entre os adolescentes, 25,8% afirmaram já ter realizado CAL, sendo que a maioria (61%) fê-lo mais do que uma vez e a mesma percentagem não procurou ajuda. Foi encontrada uma relação estatisticamente significativa entre a apresentação de CAL e dificuldade em fazer amigos, história de bullying e realização de pesquisa online sobre formas de autolesão. Foi detetado um aumento significativo do risco de CAL nos adolescentes que tinham passado por múltiplos eventos de vida negativos (odds ratio ajustado [ORa] 1,47, intervalo de confiança [IC] 1,231-1,1763; p<0,01), enquanto a ausência de problemas de saúde (ORa 0,356, IC 0,13-0,969; p=0,04) e a não utilização de drogas (ORa 0,087, IC 0,012-0,633; p=0,016) foram identificados como fatores protetores. Conclusão: Os CAL são um problema de saúde pública e, na maior parte das vezes, não são evidentes. Os resultados deste estudo evidenciam a necessidade de uma abordagem holística dos adolescentes, de forma a identificar precocemente CAL e fatores de risco associados.

ABSTRACT BACKGROUND AND OBJECTIVES: The social distancing of COVID-19 pandemic exacerbated symptoms of chronic pain patients. Furthermore, it is necessary to consider the sociocultural context of coping with the pandemic in different countries. The objective of this study was to evaluate pain, psychoemotional symptoms, sleep quality, and level of physical activity in chronic pain patients during the COVID-19 pandemic in Brazil. METHODS: Individuals with fibromyalgia, migraine and chronic low back pain were included. The survey was performed through a questionnaire elaborated by researchers on the Forms application, from Google Drive, in the period between October 2020 and March 2021, with straight and clear questions about pain, psychoemotional aspects, sleep quality, and level of physical activity. Binary or multinominal logistic regression analysis was performed to identify possible predictors. RESULTS: 973 people were evaluated, 63.5% had fibromyalgia, and 98.3% were female. Anxiety increased the odds ratio in 395% of chronic pain patients to feel pain (ß: 1.375; OR: 3.956; p=0.001) and a greater intensity of pain increases in 62.3% the chance of these individuals not performing physical activity (ß: -0.474; OR: 0.623; p=0.001). Pain intensity increased the odds ratio of having insomnia by 186.9% (ß: 0.625; OR: 1.869; p=0.001) and the chance of taking sleep drugs by 160.4% (ß: 0.472; OR: 1.604; p=0.001). CONCLUSION: The social isolation of COVID-19 pandemic maximized the vicious cycle between painful symptoms, anxiety, and sleep disorders in chronic pain patients in Brazil. The intensification of these factors is associated with the reduction of physical activity levels. OBJECTIVES COVID19 COVID 19 COVID-1 Furthermore countries quality Brazil METHODS fibromyalgia included application Drive 202 2021 aspects predictors RESULTS 97 evaluated 635 63 5 63.5 983 98 3 98.3 female 395 ß (ß 1.375 1375 1 375 OR 3.956 3956 956 p=0.001 p0001 p 0 001 623 62 62.3 0.474 0474 474 -0.474 0.623 0623 p=0.001. . 1869 186 9 186.9 0.625 0625 625 1.869 869 1604 160 4 160.4 0.472 0472 472 1.604 604 CONCLUSION anxiety levels COVID1 COVID- 20 6 63. 98. 39 1.37 137 37 3.95 95 p=0.00 p000 00 62. 0.47 047 47 -0.47 0.62 062 18 186. 1.86 86 16 160. 1.60 60 2 1.3 13 3.9 p=0.0 p00 0.4 04 -0.4 0.6 06 1.8 8 1.6 1. 3. p=0. p0 0. -0. p=0 -0 p= -

RESUMO JUSTIFICATIVA E OBJETIVOS: A pandemia de COVID-19 exacerbou os sintomas de pacientes com dor crônica. Porém, é necessário considerar o contexto sociocultural de enfrentamento da pandemia nos diferentes países. O objetivo deste estudo foi avaliar a dor, os sintomas psicoemocionais, a qualidade do sono e o nível de atividade física em pacientes com dor crônica durante a pandemia de COVID-19 no Brasil. MÉTODOS: Foram incluídos indivíduos com fibromialgia, enxaqueca e dor lombar. O levantamento foi realizado por meio de questionário elaborado pelos pesquisadores no aplicativo Forms, do Google Drive, entre outubro de 2020 e março de 2021, com perguntas diretas e claras sobre dor, aspectos psicoemocionais, qualidade do sono e nível de atividade física. Análise de regressão logística binária ou multinominal foi realizada para identificar possíveis preditores. RESULTADOS: Foram avaliadas 973 pessoas, 63,5% apresentavam fibromialgia, sendo 98,3% do sexo feminino. A ansiedade aumentou a razão de chances em 395% dos pacientes com dor crônica sentirem dor (ß: 1,375; OR: 3,956; p= 0,001) e a dor aumentou em 62,3% a chance desses indivíduos não realizarem atividade física (ß: -0,474; OR: 0,623; p=0,001). A intensidade da dor aumentou a razão de chances de ter insônia em 186,9% (ß: 0,625; OR: 1,869; p= 0,001) e a chance de tomar fármacos para dormir em 160,4% (ß: 0,472; OR: 1,604; p=0,001). CONCLUSÃO: O isolamento social da pandemia de COVID-19 maximizou o ciclo vicioso entre sintomas dolorosos, ansiedade e distúrbios do sono em pacientes com dor crônica no Brasil. A intensificação desses fatores está associada à redução de atividade física. OBJETIVOS COVID19 COVID 19 COVID-1 Porém países psicoemocionais Brasil MÉTODOS fibromialgia lombar Forms Drive 202 2021 preditores RESULTADOS 97 pessoas 635 63 5 63,5 983 98 3 98,3 feminino 395 ß (ß 1,375 1375 1 375 OR 3,956 3956 956 p 0,001 0001 0 001 623 62 62,3 0,474 0474 474 -0,474 0,623 0623 p=0,001. p0001 p=0,001 . p=0,001) 1869 186 9 186,9 0,625 0625 625 1,869 869 1604 160 4 160,4 0,472 0472 472 1,604 604 CONCLUSÃO dolorosos COVID1 COVID- 20 6 63, 98, 39 1,37 137 37 3,95 95 0,00 000 00 62, 0,47 047 47 -0,47 0,62 062 p000 p=0,00 18 186, 1,86 86 16 160, 1,60 60 2 1,3 13 3,9 0,0 0,4 04 -0,4 0,6 06 p00 p=0,0 1,8 8 1,6 1, 3, 0, -0, p0 p=0, -0 p=0 -

ABSTRACT Objective The aim of the present study was to investigate the association of perceived stress, eating behaviors and anthropometric measurements related to obesity in the university students. Methods A cross-sectional study was carried out with 658 university students (128 males, 530 females). A questionnaire comprising socio-demographic characteristics, eating habits, perceived stress using the Perceived Stress Scale-14, eating behaviors assessed with the Dutch Eating Behavior Questionnaire and measured anthropometric parameters was administered by researchers. Results Perceived stress was higher in pre-obesity/obese participants compared to those were underweight and had normal weight (p<0.001). Emotional and external eating behaviors were higher in pre-obesity/obese participants compared to others (p<0.001). The total score of the Perceived Stress Scale-14 showed significant correlations with body mass index (r=0.245, p<0.001), hip circumference (r=0.223, p<0.001), mid-upper arm circumference (r=0.248, p<0.001) and triceps skinfold thickness (r=0.178, p<0.001). In addition, after adjusting for mediators, a positive association was detected between the perceived stress score and body mass index (β=0.358, 95% CI [0.185, 0.531], p<0.001). Increased Dutch Eating Behavior Questionnaire score showed a mediating effect in this relationship (β=0.073, 95% CI [0.056, 0.091], p<0.001). Conclusion The findings of this study suggest a notable correlation between perceived stress, eating behaviors, and anthropometric measurements associated with obesity in university students. Enhancing stress coping strategies for individuals could potentially lead to improvements in eating behaviors and reduce risk of obesity. crosssectional cross sectional 65 128 (12 males 53 females. females . females) sociodemographic socio demographic characteristics habits Scale14, Scale14 Scale 14, 14 researchers preobesity/obese preobesityobese pre obesity/obese obese p<0.001. p0001 p p<0.001 0 001 (p<0.001) Scale-1 r=0.245, r0245 r 245 (r=0.245 p<0.001, , r=0.223, r0223 223 (r=0.223 midupper mid upper r=0.248, r0248 248 (r=0.248 r=0.178, r0178 178 (r=0.178 addition mediators β=0.358, β0358 β 358 (β=0.358 95 0.185, 0185 185 [0.185 0.531, 0531 0.531 531 0.531] β=0.073, β0073 073 (β=0.073 0.056, 0056 056 [0.056 0.091, 0091 0.091 091 0.091] 6 12 (1 5 Scale1 1 preobesity obesityobese p000 p<0.00 00 (p<0.001 Scale- r=0.245 r024 24 (r=0.24 r=0.223 r022 22 (r=0.22 r=0.248 r=0.178 r017 17 (r=0.17 β=0.358 β035 35 (β=0.35 9 0.185 018 18 [0.18 053 0.53 β=0.073 β007 07 (β=0.07 0.056 005 05 [0.05 009 0.09 09 ( p00 p<0.0 (p<0.00 r=0.24 r02 2 (r=0.2 r=0.22 r=0.17 r01 (r=0.1 β=0.35 β03 3 (β=0.3 0.18 01 [0.1 0.5 β=0.07 β00 (β=0.0 0.05 [0.0 0.0 p0 p<0. (p<0.0 r=0.2 r0 (r=0. r=0.1 β=0.3 β0 (β=0. 0.1 [0. 0. β=0.0 p<0 (p<0. r=0. (r=0 β=0. (β=0 [0 p< (p<0 r=0 (r= β=0 (β= [ (p< r= (r β= (β (p

RESUMO Objetivo O objetivo do presente estudo foi investigar a associação do estresse percebido, dos comportamentos alimentares e das medidas antropométricas relacionadas à obesidade em universitários. Métodos Um estudo transversal foi realizado com 658 estudantes universitários (128 homens, 530 mulheres). Por meio de um questionário, indagou-se sobre as características sociodemográficas, alguns hábitos alimentares, estresse percebido com Perceived Stress Scale-14, comportamentos alimentares com o Dutch Eating Behavior Questionnaire e medidas antropométricas e medidas por pesquisadores. Resultados O estresse percebido foi maior em participantes pré-obesos/obesos em comparação ao baixo peso e normais (p<0.001). A alimentação emocional e externa foi maior nos participantes pré-obesos/obesos em relação aos demais (p<0.001). Além disso, a pontuação total Perceived Stress Scale-14 foi determinada significativamente correlacionada ao índice de massa corporal (r=0.245, p<0.001), circunferência do quadril (r=0.223, p<0.001), circunferência do braço (r=0.248, p<0.001), e dobra cutânea tricipital (r=0.178, p<0.001). Ademais, quando o efeito dos mediadores foi levado em consideração, a relação positiva entre o escore de estresse percebido e o índice de massa corporal foi mantida (β=0.358, IC 95% [0.185, 0.531], p <0.001). O aumento do escore Dutch Eating Behavior Questionnaire teve um efeito mediado nessa relação (β=0.073, IC 95% [0.056, 0.091], p<0.001). Conclusão Os resultados deste estudo indicam que há uma relação significativa entre estresse percebido, comportamentos alimentares e medidas antropométricas relacionadas à obesidade em estudantes universitários. Melhorar as estratégias de enfrentamento do estresse para os indivíduos pode acurar os comportamentos alimentares e reduzir o risco de obesidade. 65 128 (12 homens 53 mulheres. mulheres . mulheres) questionário indagouse indagou se sociodemográficas Scale14, Scale14 Scale 14, 14 pesquisadores préobesos/obesos préobesosobesos pré obesos/obesos obesos p<0.001. p0001 p<0.001 0 001 (p<0.001) disso Scale-1 r=0.245, r0245 r 245 (r=0.245 p<0.001, , p<0.001) r=0.223, r0223 223 (r=0.223 r=0.248, r0248 248 (r=0.248 r=0.178, r0178 178 (r=0.178 Ademais consideração β=0.358, β0358 β 358 (β=0.358 95 0.185, 0185 185 [0.185 0.531, 0531 0.531 531 0.531] <0.001. 0001 <0.001 <0.001) β=0.073, β0073 073 (β=0.073 0.056, 0056 056 [0.056 0.091, 0091 0.091 091 0.091] 6 12 (1 5 Scale1 1 préobesos obesosobesos p000 p<0.00 00 (p<0.001 Scale- r=0.245 r024 24 (r=0.24 r=0.223 r022 22 (r=0.22 r=0.248 r=0.178 r017 17 (r=0.17 β=0.358 β035 35 (β=0.35 9 0.185 018 18 [0.18 053 0.53 000 <0.00 β=0.073 β007 07 (β=0.07 0.056 005 05 [0.05 009 0.09 09 ( p00 p<0.0 (p<0.00 r=0.24 r02 2 (r=0.2 r=0.22 r=0.17 r01 (r=0.1 β=0.35 β03 3 (β=0.3 0.18 01 [0.1 0.5 <0.0 β=0.07 β00 (β=0.0 0.05 [0.0 0.0 p0 p<0. (p<0.0 r=0.2 r0 (r=0. r=0.1 β=0.3 β0 (β=0. 0.1 [0. 0. <0. β=0.0 p<0 (p<0. r=0. (r=0 β=0. (β=0 [0 <0 p< (p<0 r=0 (r= β=0 (β= [ < (p< r= (r β= (β (p

ABSTRACT Introduction: Adherence to treatment in chronic diseases is one of the most widely discussed topics in health psychology. Objective: To describe the therapeutic adherence and its association with psychosocial and clinical factors in people with primary hypothyroidism seen at the National Institute of Endocrinology in Havana. Material and Methods: Descriptive and cross-sectional study that included 63 subjects (56 women and 7 men) who attended the thyroid dysfunction consultation in the period July-December, 2019. Data were collected from the review of clinical histories, patients’ interviews, a questionnaire to evaluate the therapeutic adherence (MBG), and interviews to specialists. Results: In the population studied, total adherence to treatment was found in 42.9% of the patients, partial adherence in 46% of them, and no adherence was found in 11.1% of the cases; there was more adherence to pharmacological treatment than non-pharmacological treatment. Adherence was significantly associated with having spouse, coping styles, and disease control (p< 0,05). Conclusions: Partial adherence to treatment was predominant, followed by total adherence. The variable related to appropriate therapeutic adherence was significantly associated with the clinical control of primary hypothyroidism, which supports that people with adherence behavior have a much greater chance of having a successful therapeutic treatment.

RESUMEN Introducción: La adherencia al tratamiento en enfermedades crónicas es uno de los temas más abordados por la psicología de la salud. Objetivo: Describir la adherencia terapéutica de personas con hipotiroidismo primario y su asociación con factores psicosociales y clínicos atendidos en el Instituto Nacional de Endocrinología, La Habana. Material y Método: Estudio descriptivo transversal, que incluyó a las personas que asistieron a consulta de disfunciones tiroideas en el período comprendido de julio a diciembre 2019 (63 sujetos, 56 mujeres y 7 hombres). La recogida de datos se hizo a partir de la revisión de historias clínicas, entrevista a los pacientes, cuestionario de evaluación de la adherencia terapéutica (MBG) y entrevista a especialistas. Resultados: En la población estudiada se encontró adherencia total en 42,9 % de las personas, adherencia parcial en 46 % y no adherencia en 11,1 % de los casos; con mayor adherencia al tratamiento farmacológico que al no farmacológico. La adherencia se asoció significativamente a la tenencia de pareja, estilos de afrontamiento y control de la enfermedad con una p< 0,05. Conclusiones: La adherencia terapéutica adecuada resultó ser una variable vinculada de manera significativa con el control clínico del hipotiroidismo primario, lo que avala que las personas con un comportamiento adherente tienen más posibilidades de tener éxito terapéutico.

Resumen Introducción: El estrés académico surge de una interacción entre factores estresantes ambientales y las reacciones de los estudiantes, asociándose con frustración y fracaso académico. Además, algunos factores demográficos y familiares influyen en el estrés. Objetivo: Analizar estrés académico, factores demográficos y familiares en estudiantes de Odontología en Escuela privada de Cartagena. Materiales y métodos: Estudio descriptivo de corte transversal, en 158 estudiantes. Se aplicó cuestionario sociodemográfico, APGAR familiar e inventario SISCO. Se analizó los datos mediante estadística descriptiva y prueba X2. Resultados: Se encontró disfuncionalidad familiar y mal soporte de amigos en casi la mitad de los participantes, niveles de preocupación moderada cercana a 70%, alta frecuencia de demandas del entorno (estresores), reacciones comportamentales y presencia de síntomas ante estímulo estresor. Hubo asociación entre alta frecuencia de inquietud en situaciones cotidianas y pertenecer a semestres básicos, baja frecuencia de uso de estrategias de afrontamiento y sexo femenino, alta frecuencia de reacciones comportamentales y disfunción familiar. Conclusiones: Los principales factores identificados fueron pertenecer a semestres básicos, ser mujer y presencia de disfuncionalidad familiar. Los niveles de estrés y disfuncionalidad familiar sugieren una alerta para intervenir desde bienestar universitario, previniendo condiciones desfavorables en la salud y rendimiento académico de los estudiantes.

Abstract Introduction: Academic stress arises from an interaction between environmental stressors and student reactions, which are associated with academic frustration and academic failure. Likewise, there are demographic and family factors that affect stress. Objective: To analyze academic stress, demographic and family factors in Dentistry students at a private school in Cartagena. Materials and methods: A descriptive cross-sectional study with 158 students. The APGAR family sociodemographic questionnaire and SISCO inventory were used. Descriptive statistics and the X2 test were applied to analyze data. Results: Family dysfunction and low friend support were observed in almost half of the participants, 70% displayed moderate anxiety levels. Also, a high frequency of environmental demands (stressors), behavioral reactions, and the presence of symptoms in response to the stressors were found. There were associations between: high frequency of restlessness in everyday situations and belonging to initial semesters; low frequency of using coping strategies and female gender; and high frequency of behavioral reactions and family dysfunction. Conclusions: The main factors identified were belonging to initial semesters, being a woman, and family dysfunction. Levels of stress and family dysfunction can be used as a signal for university welfare services to intervene and prevent unfavorable student health and academic performance conditions.

Resumo Introdução: O estresse acadêmico surge de uma interação entre os estressores ambientais e as reações dos alunos, associados à frustração e ao fracasso acadêmico. Além disso, alguns fatores demográficos e familiares influenciam o estresse. Objetivo: Analisar o estresse acadêmico, fatores demográficos e familiares em estudantes de odontologia de uma escola particular de Cartagena. Materiais e métodos: Estudo transversal descritivo, em 158 estudantes. Questionários sociodemográficos, APGAR familiar e inventário SISCO foram aplicados. Os dados foram analisados por meio de estatística descritiva e teste X2. Resultados: Disfunção familiar e pouco apoio dos amigos foram encontrados em quase metade dos participantes, níveis de preocupação moderada próximos a 70 %, alta frequência de demandas do ambiente (estressores), reações comportamentais e presença de sintomas diante de estímulos estressantes. Houve associação entre alta frequência de inquietação em situações cotidianas e pertencimento aos semestres básicos, baixa frequência do uso de estratégias de enfrentamento e sexo feminino, alta frequência de reações comportamentais e disfunção familiar. Conclusões: Os principais fatores identificados foram pertencer aos semestres básicos, ser mulher e a presença de disfunção familiar. Os níveis de estresse e disfuncionalidade familiar sugerem um alerta para intervir da unidade de bem-estar da universidade para prevenir condições desfavoráveis na saúde e desempenho acadêmico dos estudantes.

Resumen El presente trabajo es una revisión sistemática documental para el desarrollo de un marco de referencia sobre los factores psicológicos de estudiantes universitarios en relación con la calidad de vida prepandemia. Se utilizó un método cualitativo descriptivo a través de una revisión sistemática documental a partir de la metodología PRISMA (Khan et al., 2003; Moher et al., 2009). Como fuente de información, se utilizaron trabajos publicados en las bases de datos RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline y Psychology and Behavioral Sciences Collection durante el período 2015 al 2020. Para el análisis descriptivo, se seleccionaron 29 documentos que cumplían con los criterios de selección en el marco del proceso de búsqueda, identificación, selección, elección e interpretación. Los resultados muestran la prevalencia de estudios de tipo cuantitativo, así como el interés vigente por el momento del ciclo vital adolescencia-juventud en uno de sus contextos de desarrollo: la universidad, y los factores psicológicos sumados a los aspectos contextuales emergentes como la ansiedad, la ideación suicida y la depresión. Asimismo, se evidencia el efecto de estos aspectos en la percepción de la calidad de vida y del bienestar psicológico y emerge el concepto de estilos de vida como variable que actúa como producto y condición en el desarrollo de los estudiantes en esta etapa del ciclo vital. Finalmente, se evidencian categorías como la inteligencia emocional, la resiliencia y el afrontamiento, que se constituyen en insumos para formular propuestas que permitan favorecer el desarrollo de adolescentes-jóvenes en el contexto universitario.

Abstract This work presents a systematic documentary review for the development of a frame of reference on the psychological factors of university students in relation to the pre-pandemic quality of life. Psychological factors are understood as psychological well-being and present the development of individual capabilities and human growth from self-acceptance, autonomy, positive relationships, life purpose and personal growth, which reflect attitudes and values of people, which are directly related to their quality of life. Likewise, it is evident in the literature that the stage of university life is framed by biopsychosocial changes that establish it as a period of attention for mature development and is considered as a transition for the later stages of the human life cycle. In this sense, from an ecological theory perspective, the environment in which people relate has a direct influence on their formative development (Bronfenbrenner, 1987), since the levels of environment in which they are immersed determine positive or negative behavior, affecting their social and cultural conditions (Shelton, 2019). Therefore, changes in behavior are associated with some risk factors that can affect the health and quality of life of university students. The methodological approach used is focused on a descriptive qualitative study, through a systematic documentary review by the PRISMA methodology (Khan et al., 2003 y Moher et al., 2009) with the main characteristics, trends and particularities existing in the literature on psychological factors in young university students. For the systematic review of this work, we chose to use the five stages called: Search, Identification, Screening, Eligibility, and Interpretation. The Search procedure was initiated from the categories of psychological factors related to the quality of life in university students and from the search equations. As a source of information, papers published in the databases of RedALyC, Scopus, Elsevier, EBSCO, Springer Link, Medline and Psychology and Behavioral Sciences Collection during the period between January 2015 and first half of the year 2020 were used. For the Identification stage, inclusion and exclusion criteria were elaborated considering articles published in scientific journals of psychology and health in the period covered. In the Screening stage, they found a total of 41 950 papers in 82 journals registered in the databases. The following were eliminated: 28 125 papers outside the selection period, 1 457 duplicate studies, and 11 733 articles from other disciplines. Therefore, in the Eligibility stage, 635 papers were selected for the reading of the title and summary; of these, 263 documents were chosen for the reading of the complete texts and, a total of 29 papers were left in the last stage of Interpretation for the study and analysis of the results. The results show the prevalence of quantitative studies, as well as the current interest for the moment of the life cycle of adolescence-youth in one of its developmental contexts: the university; and the psychological factors added to the contextual aspects involved in the emergence and approach of problems such as anxiety, suicidal ideation and depression. Likewise, the effect of these aspects on the perception of quality of life and psychological well-being is evident. Similarly, the concept of lifestyles emerges as a variable that acts as a product and condition in the development of students at this stage of the life cycle. Finally, categories such as emotional intelligence, resilience, and coping are shown to be inputs to formulate proposals that can favor the development of adolescents and young people. In conclusion, it is necessary to carry out more studies on psychological factors and the problems associated with them, as a reflection of the quality of life from the perspective of promoting the health of university students.

Objectives: To synthesize and reinterpret findings from primary qualitative studies on the emotional experience of health care professionals working with mental health and mental health professionals providing care for people with suicidal behavior. Methods: We conducted a systematic review of the literature with the SPIDER structured search strategy in six databases (PubMed, Web of Science, Scopus, PsycINFO, CINAHL, and LILACS). A meta-synthesis was performed with data from qualitative studies published between 2005 and 2021. Two independent reviewers screened and assessed the articles. They evaluated methodological quality of included articles, extracted data, and performed the thematic synthesis. Results: Of 852 articles, 21 met the inclusion/exclusion criteria and were synthesized. The meta-synthesis revealed three descriptive themes: coping with adverse experiences; coming across fortunate experiences; professional-personal implications. Based on these descriptive themes, we elaborated the analytical theme: bittersweet experiences of personal and professional transformation. Conclusions: Mental health professionals working with people manifesting suicidal behaviors must cope with complex emotional experiences that involve controversial and ambivalent feelings. Such feelings have repercussions that may transform personal and professional life. The present results are useful for the development and implementation of interventions that promote better overall mental health outcomes for healthcare providers. Registration number: PROSPERO CRD42021257237. Objectives behavior Methods PubMed, PubMed (PubMed Science Scopus PsycINFO CINAHL LILACS. LILACS . LILACS) metasynthesis meta synthesis 200 2021 articles Results 85 2 inclusionexclusion inclusion exclusion synthesized themes professionalpersonal implications theme transformation Conclusions life providers number CRD42021257237 CRD 20 202 8 CRD4202125723 CRD420212572 CRD42021257 CRD4202125 CRD420212 CRD42021 CRD4202 CRD420 CRD42 CRD4

Abstract The aim of the present study was to investigate the impact of oral health literacy (OHL) on conceptions of care and behaviors related to COVID-19. The sample came from two preliminary cross-sectional studies that determined the level of OHL of parents/guardians of six-to-12-year-old children in two major Brazilian cities (Curitiba and Belo Horizonte). Functional OHL was measured using the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) and the Health Literacy Dental Scale (HeLD-14) for the evaluation of interactive OHL. Participants were recruited through e-mail, social media, and telephone contact. The questionnaire on conceptions of care and behaviors related to COVID-19 was created based on the guidelines of the World Health Organization. Two hundred nineteen individuals participated in the study. There was no significant difference in socioeconomic and demographic variables and in the medians of BREALD and HeLD-14 between the two cities (P>0.05). Higher levels of functional OHL were associated with an appropriate conception that individual care affects collective care (P=0.038), but with an inappropriate conception of seeking medical assistance in cases of mild symptoms (P=0.030). Higher levels of interactive OHL were related to social distancing behavior in the city of Curitiba (P=0.049) and in the overall sample (P=0.040). It is concluded that functional OHL was associated with two of the investigated conceptions about COVID-19, while interactive OHL was associated with social distancing behavior. These data may suggest that different dimensions of the OHL can have an impact on different aspects of coping with the pandemic. (OHL COVID19. COVID19 COVID 19. 19 crosssectional cross sectional parentsguardians parents guardians sixto12yearold sixtoyearold six 12 year old Horizonte. Horizonte . Horizonte) BREALD30 30 (BREALD-30 HeLD14 HeLD 14 (HeLD-14 email, email e mail, mail e-mail media contact COVID-1 Organization HeLD-1 P>0.05. P005 P P>0.05 0 05 (P>0.05) P=0.038, P0038 P=0.038 , 038 (P=0.038) P=0.030. P0030 P=0.030 030 (P=0.030) P=0.049 P0049 049 (P=0.049 P=0.040. P0040 P=0.040 040 (P=0.040) COVID19, 19, pandemic COVID1 1 sixto yearold BREALD3 3 (BREALD-3 HeLD1 (HeLD-1 COVID- HeLD- P00 P>0.0 (P>0.05 P003 P=0.03 03 (P=0.038 (P=0.030 P=0.04 P004 04 (P=0.04 (P=0.040 (BREALD- (HeLD- P0 P>0. (P>0.0 P=0.0 (P=0.03 (P=0.0 (BREALD (HeLD P>0 (P>0. P=0. (P=0. P> (P>0 P=0 (P=0 (P> P= (P= (P

Resumen La distancia social causada por la pandemia de COVID-19 condujo a cambios profundos en la rutina de las familias con niños pequeños, aumentando el estrés en el entorno del hogar. Este estudio analizó la experiencia de planificar e implementar un proyecto de extensión universitaria que ofreció orientación a los padres con niños de cero a 11 años a través de llamadas de audio durante la pandemia COVID-19. El protocolo de atención se desarrolló para satisfacer las necesidades de las familias de bajos ingresos y enumeró problemas específicos relacionados con el confinamiento en el hogar y el cierre de la escuela, seguido de una variedad de estrategias de afrontamiento. El análisis de 223 quejas informadas por los usuarios en 130 llamadas reveló que el 94% de los problemas informados por los padres fueron abordados por el protocolo de atención y estaban relacionados con los problemas de externalización (39%) o internalización (26%) de los niños o la disminución del bienestar subjetivo de los padres (29%). Los servicios de apoyo deberían aconsejar a los padres sobre el uso de prácticas receptivas y asertivas que promuevan el bienestar emocional del niño y establezcan expectativas de comportamiento en contextos estresantes. La reducción de los conflictos entre padres e hijos como resultado del uso de estas estrategias tiende a reducir el sufrimiento de los padres, aumentando su sensación de bienestar subjetivo. Se recomienda una amplia difusión de estas iniciativas y seguimiento de casos. COVID19 COVID 19 COVID-1 pequeños 1 COVID19. 19. escuela afrontamiento 22 13 94 39% 39 (39% 26% 26 (26% 29%. 29 29% . (29%) estresantes casos COVID1 COVID- 2 9 3 (39 (26 (29% (3 (2 (29 (

Abstract The social distancing the COVID-19 pandemic entailed has led to profound changes in the routine of families with young children, increasing stress in the home environment. This study analyzed the experience of planning and implementing a university extension program that offered support to parents with children from 0 to 11 years old via audio calls during the COVID-19 pandemic. The service protocol was developed to meet the needs of low-income families and listed specific problems related to home confinement and school closure followed by a variety of coping strategies. The analysis of 223 complaints reported by users in 130 calls revealed that 94% of the problems reported by parents were addressed by the protocol and were related to children’s externalizing (39%) or internalizing (26%) problems or to the decline in parents’ subjective well-being (29%). Support services should guide parents on the use of responsive and assertive practices that promote the child’s emotional well-being and set behavioral expectations in stressful contexts. The reduction in conflicts between parents and children resulting from the use of these strategies tends to reduce parents’ suffering, increasing their sense of subjective well-being. Wide dissemination of these initiatives and case follow-up are recommended. COVID19 COVID 19 COVID-1 environment 1 lowincome low income 22 13 94 childrens s 39% 39 (39% 26% 26 (26% wellbeing well being 29%. 29 29% . (29%) childs child contexts suffering wellbeing. being. followup follow up recommended COVID1 COVID- 2 9 3 (39 (26 (29% (3 (2 (29 (

Resumo O distanciamento social ocasionado pela pandemia de Covid-19 levou a profundas mudanças na rotina das famílias com crianças pequenas, aumentando o estresse no ambiente doméstico. Este estudo analisou a experiência de planejamento e implementação de um projeto de extensão universitária que ofereceu orientação a pais com filhos de 0 a 11 anos por meio de chamadas de áudio durante a pandemia. O protocolo de atendimento foi desenvolvido para atender às necessidades de famílias de baixa renda e listava problemas específicos relacionados ao confinamento em casa e ao fechamento das escolas seguidos por uma variedade de estratégias de enfrentamento. A análise de 223 queixas relatadas pelos usuários em 130 ligações revelou que 94% dos problemas referidos pelos pais foram contemplados pelo protocolo de atendimento e estavam relacionados aos problemas externalizantes (39%) ou internalizantes (26%) das crianças ou ao declínio do bem-estar subjetivo dos pais (29%). Serviços de apoio devem orientar os pais quanto ao uso de práticas responsivas e assertivas que promovam o bem-estar emocional da criança e estabeleçam expectativas comportamentais em contextos estressantes. A diminuição dos conflitos entre pais e filhos resultante do uso dessas estratégias tende a reduzir o sofrimento dos pais, aumentando sua sensação de bem-estar subjetivo. Recomenda-se ampla divulgação dessas iniciativas e seguimento dos casos. Covid19 Covid 19 Covid-1 pequenas doméstico 1 enfrentamento 22 13 94 39% 39 (39% 26% 26 (26% bemestar bem estar 29%. 29 29% . (29%) estressantes Recomendase Recomenda se casos Covid1 Covid- 2 9 3 (39 (26 (29% (3 (2 (29 (

Resumen El racismo es un fenómeno que impacta la vida de la población negra, llevándola a una condición de marginación social, incluso a nivel profesional. Así, este estudio cualitativo, tuvo por objetivo analizar las estrategias de afrontamiento el racismo que utilizan los universitarios negros de una Institución Pública de Educación Superior en el proceso de construcción de sus carreras. Tomando como referencia la Teoría de Construcción de Carrera, se realizaron 27 entrevistas semiestructuradas a estudiantes (16 mujeres y 11 hombres) autodeclarados negros de una universidad en la región Sureste de Brasil. Los datos recolectados se sometieron a un Análisis de Similitud, desarrollado utilizando el software IRaMuTeQ, que demostró, a partir de un árbol máximo, que los discursos de los participantes se centraron en el término “racismo” y en cuatro troncos de similitud relacionados con las palabras: “negro”, “hablar”, “situación” y “pasar”. Los resultados indicaron que el racismo es uno de los factores que impactan la carrera, especialmente por sostener prácticas discriminatorias veladas y limitar las oportunidades profesionales. En respuesta a ello, se identificaron cuatro estrategias de afrontamiento: a) diálogo con sujetos cercanos; b) búsqueda de apoyo en la red constituida en la universidad; c) denuncia de sus impactos; y d) adopción de acciones individuales para transformar la realidad. Los hallazgos permiten identificar la adopción de diferentes estrategias, individuales y colectivas, para enfrentar el racismo, las cuales deben tener su desarrollo estimulado por las instituciones de educación superior, para que se conviertan en prácticas sistematizadas que favorezcan la discusión del fenómeno en el ámbito académico y profesional. negra social profesional Así cualitativo carreras Carrera 2 16 (1 1 hombres Brasil Similitud IRaMuTeQ demostró máximo “racismo palabras negro, negro , “negro” hablar, hablar “hablar” situación “situación pasar. pasar . “pasar” carrera profesionales ello cercanos b c impactos d realidad colectivas superior ( “negro “hablar “pasar

Abstract The phenomenon of racism impacts the lives of Black population, leading them to social marginalization, including professionally. Thus, this qualitative study analyzes the coping strategies adopted by Black undergraduates from a public higher education institution to confront racism during career construction. Adopting the Career Construction Theory as a framework, 27 semi-structured interviews were conducted (16 women and 11 men) with self-declared black undergraduates from a university located in southeastern Brazil. Similarity analysis of the collected data, performed using the IRaMuTeQ software, showed that, from a maximum tree, the participants’ speeches centered around the term “racism” and on four similarity trunks related to the words: “black”, “talk”, “situation” and “happen”. Results indicated that racism majorly impacts the subjects’ careers, especially by upholding veiled discriminatory practices and limiting professional opportunities. To cope with it, undergraduates adopt four main strategies: a) dialogue with close subjects; b) search for support with the support network established at the university; c) denunciation of its impacts; and d) adoption of individual strategies to transform reality. The findings point to different actions, individual and collective, adopted to fight racism, whose development should be supported by higher education institutions so that they become systemic practices that favor discussing the phenomenon in academic and professional fields. population marginalization professionally Thus construction framework 2 semistructured semi structured 16 (1 1 men selfdeclared self declared Brazil data software tree participants “racism words black, , “black” talk, talk “talk” situation “situation happen. happen . “happen” subjects careers opportunities it b c d reality actions collective fields ( “black “talk “happen

Resumo O racismo é um fenômeno que impacta a vida da população negra, direcionando-a para uma condição de marginalização social, inclusive profissionalmente. Diante disso, o presente estudo, qualitativo, objetivou analisar as estratégias de enfrentamento ao racismo adotadas por universitários negros de uma instituição pública de ensino superior no processo de construção de suas carreiras. Adotando-se como referencial a Teoria de Construção da Carreira, 27 entrevistas semiestruturadas foram conduzidas com graduandos (16 do gênero feminino e 11 do gênero masculino) autodeclarados negros de uma universidade situada na região Sudeste do Brasil. Os dados coletados foram submetidos a Análise de Similitude, por meio do software IRaMuTeQ, que demonstrou, a partir de uma árvore máxima, que os discursos dos participantes estiveram centrados no termo “racismo” e em quatro troncos de similitude relacionados aos vocábulos: “negro”, “falar”, “situação” e “acontecer”. Os resultados indicaram que o racismo é um dos fatores que impactam a carreira dos sujeitos, sobretudo por sustentar práticas discriminatórias veladas e limitar oportunidades profissionais. Em resposta a ele, quatro estratégias de enfrentamento foram identificadas: a) diálogo com sujeitos próximos; b) busca por suporte junto à rede de apoio constituída na universidade; c) denúncia de seus impactos; e d) adoção de ações individuais de transformação da realidade. Os achados permitem identificar a adoção de diferentes estratégias individuais e coletivas de enfrentamento ao racismo, que devem ter seu desenvolvimento estimulado pelas instituições de ensino superior, a fim de que se tornem práticas sistematizadas que favoreçam a discussão sobre o fenômeno em âmbitos acadêmico e profissional. negra direcionandoa direcionando social profissionalmente disso estudo qualitativo carreiras Adotandose Adotando Carreira 2 16 (1 1 masculino Brasil Similitude IRaMuTeQ demonstrou máxima “racismo vocábulos negro, negro , “negro” falar, falar “falar” situação “situação acontecer. acontecer . “acontecer” profissionais ele identificadas próximos b c impactos d realidade profissional ( “negro “falar “acontecer

Resumen Objetivo El presente estudio tuvo como objetivo identificar las medidas sanitarias adoptadas por las universidades públicas nacionales en el contexto de la pandemia de COVID-19. Métodos Se trata de un estudio cuali-cuantitativo, exploratorio y descriptivo, realizado mediante el análisis documental de los protocolos, directrices, resoluciones y cartillas confeccionadas en el contexto universitario nacional de Brasil. Los criterios de inclusión fueron la disponibilidad del documento en el sitio web de cada universidad nacional en el período de la recopilación y la libre consulta del acervo por internet. El período de recopilación fue de marzo de 2020 a noviembre de 2021. Resultados Se encontraron 51 documentos. Las universidades del nordeste y del sudeste fueron responsables por el 46,4 % de las publicaciones totales de las universidades nacionales de Brasil. Conclusión Ante las medidas adoptadas por las instituciones nacionales de educación superior, se percibió congruencia para intentar establecer rutinas y procedimientos estandarizados que fueran capaces de controlar y minimizar la diseminación de COVID-19 dentro de la universidad. COVID19. COVID19 COVID 19. 19 cualicuantitativo, cualicuantitativo cuali cuantitativo, cuantitativo cuali-cuantitativo descriptivo protocolos directrices Brasil internet 202 2021 5 documentos 464 46 4 46, superior COVID-1 COVID1 1 20 COVID- 2

Abstract Objective The present study aimed to identify the health measures adopted by federal public universities in the context of the COVID-19 pandemic. Methods This is a qualitative-quantitative, exploratory and descriptive research carried out through documental analysis of protocols, guidelines, ordinances and booklets made in the federal university scope of Brazil. As for the inclusion criteria, documents must be available on the website of each federal university during the collection period and free consultation of the collection on the internet. The collection period was from March 2020 to November 2021. Results We found 51 documents. Northeastern and southeastern universities were responsible for 46.4% of the total publications of federal universities in Brazil. Conclusion Considering the measures adopted by Higher Education Federal Institutions, the congruence in trying to establish standardized routines and procedures that were able to manage and minimize the spread of COVID-19 within the university was noticeable. COVID19 COVID 19 COVID-1 pandemic qualitativequantitative, qualitativequantitative qualitative quantitative, quantitative qualitative-quantitative protocols guidelines Brazil criteria internet 202 2021 5 464 46 4 46.4 Institutions noticeable COVID1 1 COVID- 20 46. 2

Resumo Objetivo O presente estudo teve como objetivo identificar as medidas sanitárias adotadas pelas universidades públicas federais no contexto da pandemia da COVID-19. Métodos Trata-se de uma pesquisa quali-quantitativa, exploratória e descritiva feita por meio da análise documental dos protocolos, diretrizes, portarias e cartilhas confeccionadas no âmbito universitário federal do Brasil. Quanto aos critérios de inclusão foram o documento estar disponível no site de cada universidade federal no período da coleta e a livre consulta do acervo pela internet. O período de coleta foi de março de 2020 a novembro de 2021. Resultados Foram encontrados 51 documentos. As universidades do Nordeste e Sudeste foram responsáveis por 46,4% das publicações totais das universidades federais do Brasil. Conclusão Diante das medidas adotadas pelas Instituições Federais de Ensino Superior, foi perceptível a congruência em tentar estabelecer rotinas e procedimentos padronizados que fossem capazes de controlar e minimizar a disseminação da COVID-19 dentro da universidade. COVID19. COVID19 COVID 19. 19 Tratase Trata se qualiquantitativa, qualiquantitativa quali quantitativa, quantitativa quali-quantitativa protocolos diretrizes Brasil internet 202 2021 5 documentos 464 46 4 46,4 Superior COVID-1 COVID1 1 20 46, COVID- 2

Abstract Introduction There is evidence that the coronavirus disease 2019 (COVID-19) pandemic impacted students on health care courses, including evidence of associations between anxiety or depression and inadequate coping mechanisms or unhealthy habits. However, little is known about possible predictors of mental health or psychiatric symptoms in Brazilian health care students during this period. Objective To evaluate possible factors associated with anxiety and depressive symptoms, used to measure psychiatric outcomes, and quality of life, used as a parameter of overall functionality, in Brazilian students on health care courses during the COVID-19 pandemic. Methods A cross-sectional study was conducted with Brazilian students on health care courses from May to December 2020. Participants were recruited through social media and answered a 71-item open online questionnaire exploring demographic characteristics and personal behavior during the pandemic, anxiety, depression, and quality of life. We searched for variables potentially associated with psychiatric symptoms and mental health in these individuals using Poisson regression models. Results Multivariate models showed depression and anxiety were associated with poor quality of life and medication abuse was associated with greater anxiety and poor quality of life. Psychotherapy was an effective coping strategy for anxiety and meditation or mindfulness practice and physical activity improved the students’ quality of life. Conclusions Our study presents important information about the factors associated with psychological impacts of the COVID-19 pandemic and strategies for coping with them that should be helpful to reflect on and for designing appropriate interventions. 201 COVID19 COVID 19 (COVID-19 habits However period outcomes functionality COVID-1 crosssectional cross sectional 2020 71item item 71 interventions 20 COVID1 1 (COVID-1 COVID- 202 7 2 (COVID- (COVID