<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252021000500221</article-id>
<article-id pub-id-type="doi">10.17711/sm.0185-3325.2021.029</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Digital survey of mental health, associated psychosocial, and work factors in medical specialty residents in the Guadalajara metropolitan area]]></article-title>
<article-title xml:lang="es"><![CDATA[Encuesta digital de salud mental, factores psicosociales y labo rales asociados en residentes deespecialidades médicas en la zona metropolitana de Guadalajara]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aldana López]]></surname>
<given-names><![CDATA[Jesús Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Foulkes González]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda Palomera]]></surname>
<given-names><![CDATA[José Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carmona Huerta]]></surname>
<given-names><![CDATA[Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Fernández]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Jalisciense de Salud Mental Subdirección de Desarrollo Institucional ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Jalisciense de Salud Mental Departamento de Enseñanza ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Jalisciense de Salud Mental Departamento de Investigación ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guadalajara Centro Universitario de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Guadalajara Instituto de Investigación en Seguridad y Salud en el Trabajo del Centro Centro Universitario de Ciencias de la Salud]]></institution>
<addr-line><![CDATA[ Guadalajara]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>5</numero>
<fpage>221</fpage>
<lpage>228</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252021000500221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252021000500221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252021000500221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Medical specialty residents have become a high-risk population for mental health disorders, mainly due to long working days, limited time for rest and recreation, problems inherent in the work environment, and substance use. Since all these factors not only alter the training of future specialists, but also the care they provide for people, the study of an intervention in this population is of interest to the health system and human resource training in the health sector.  Objective To evaluate the mental health status, prevalence of work exhaustion and associated psychosocial and work factors in medical residents in the Guadalajara Metropolitan Area.  Method This was a cross-sectional, observational, descriptive, and comparative study, in which, through a digitized survey on the Google Forms platform, the GHQ-28, ASSIST, and Maslach Burnout Inventory scales were administered to medical specialty residents from various health institutions in the Guadalajara Metropolitan Area.  Results The total sample comprised 306 residents, representing 11.23% of the total residents in the Guadalajara Metropolitan Area (2,724). Female physicians had a higher percentage of participation with 61.4% (n = 188), with male physicians accounting for 38.6% (n = 118). The average age was 28.9 years and 84.9% (n = 260) were pursuing a clinical specialty, and 15.1% (n = 46) a surgical one p &#706; 05. On average, they worked 74.1 hours per week, whereas in surgical specialties they worked another 10 hours (82.63 ± 23.40 vs. 72.67 ± 19.76, p = .002). 72.5% (n = 222) showed a high risk of developing burnout. 9.2% (n = 28) obtained scores compatible with severe depression, which was related to a higher number of hours worked per week and heavier alcohol consumption than residents without depression, 21.24% (n = 65) of respondents frequently thought about dropping out, 22.5% (n = 69) felt dissatisfied with their work, while 14.05% (n = 43) of the residents had recently noticed that they had had frequent thoughts of taking their own lives.  Discussion and conclusion The higher number of hours worked per week, surgical specialties, and the presence of workplace harassment were recognized as psychosocial and occupational factors associated with mental health problems in resident physicians, such as depression, thoughts of death, burnout, and psychoactive substance use. In a country like Mexico, where medical residents are a crucial pillar of the public health system, it is necessary to ensure their well-being, and seek to improve the working and academic conditions of medical residencies to ensure that this is reflected in the quality and safety of patient care.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción Los residentes de especialidades médicas se han convertido en una población de alto riesgo para padecer alteraciones de la salud mental, principalmente por la extensión de las jornadas laborales, tiempo limitado para su descanso y recreación, los problemas propios del ambiente laboral o el consumo de sustancias. Todos estos factores alteran no solo la formación de futuros especialistas, sino la atención que brindan a las personas, por lo que el estudio e intervención en esta población es de interés para el sistema de salud y la formación de recursos humanos en salud.  Objetivo Evaluar el estado de salud mental, la prevalencia de desgaste laboral y los factores psicosociales y laborales asociados en médicos residentes de la Zona Metropolitana de Guadalajara.  Método Se trató de un estudio transversal, observacional, descriptivo y comparativo, en el cual, por medio de una encuesta digitalizada en la plataforma de Google Forms, se aplicaron las escalas GHQ-28, ASSIST y el Inventario de Burnout de Maslach a los residentes de especialidades médicas de diferentes instituciones de salud en la zona metropolitana de Guadalajara.  Resultados La muestra total fue de 306 residentes, lo que representó el 11.23% del total de residentes de la zona metropolitana de Guadalajara (2,724). Las médicas tuvieron un mayor porcentaje de participación con el 61.4% (n = 188), y los médicos 38.6% (n = 118). La edad promedio fue de 28.9 años y el 84.9% (n = 260) realizaba una especialidad clínica, el 15.1% (n = 46) una quirúrgica p &#706; 05. En promedio trabajaban, 74.1 horas por semana, mientras que en las especialidades quirúrgicas trabajaban 10 horas más (82.63 ± 23.40 vs. 72.67 ± 19.76, p = .002). El 72.5% (n = 222) presentaron alto riesgo de presentar burnout. El 9.2% (n = 28) presentaron puntuaciones compatibles con depresión grave, lo cual se relacionó con mayor cantidad de horas trabajadas por semana y un mayor consumo de alcohol que los residentes sin depresión; el 21.24% (n = 65) de los encuestados pensaban frecuentemente en renunciar, el 22.5% (n = 69) no sentían satisfacción por su trabajo; y el 14.05% (n = 43) de los residentes habían notado últimamente que la idea de quitarse la vida venía repetidamente a su cabeza.  Discusión y conclusión El mayor número de horas laboradas a la semana se manifestaba las especialidades quirúrgicas y la presencia de acoso laboral se reconocieron como factores psicosociales y laborales asociados a los problemas de salud mental en médicos residentes. Entre éstos estaban la depresión, los pensamientos de muerte, el burnout y el consumo de sustancias psicoactivas. En un país como México, en el que los médicos residentes son un pilar fundamental para el funcionamiento del sistema de salud público, es necesario asegurar su bienestar, procurando la mejora en las condiciones laborales y académicas de las residencias médicas, a fin de que se reflejen en la calidad y seguridad en la atención de sus pacientes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
<kwd lng="en"><![CDATA[medical residents]]></kwd>
<kwd lng="en"><![CDATA[depression]]></kwd>
<kwd lng="en"><![CDATA[substance use]]></kwd>
<kwd lng="en"><![CDATA[suicide risk]]></kwd>
<kwd lng="en"><![CDATA[burnout]]></kwd>
<kwd lng="en"><![CDATA[medical specialties]]></kwd>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="es"><![CDATA[residentes médicos]]></kwd>
<kwd lng="es"><![CDATA[depresión]]></kwd>
<kwd lng="es"><![CDATA[consumo de sustancias]]></kwd>
<kwd lng="es"><![CDATA[riesgo suicida]]></kwd>
<kwd lng="es"><![CDATA[burnout]]></kwd>
<kwd lng="es"><![CDATA[especialidades médicas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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