<?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>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132024000600005</article-id>
<article-id pub-id-type="doi">10.24875/gmm.24000263</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados a síntomas psicopatológicos en estudiantes de medicina en el contexto de la pandemia de COVID-19: comparación 2019-2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with psychopathological symptoms in medical students in the context of the COVID-19 pandemic: comparison 2019-2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barragán-Pérez]]></surname>
<given-names><![CDATA[Virginia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fouilloux-Morales]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mahuina Campos-Castolo]]></surname>
<given-names><![CDATA[Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tafoya]]></surname>
<given-names><![CDATA[Silvia A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Departamento de Psiquiatría y Salud Mental  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Medicina Departamento de Informática Biomédica]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>160</volume>
<numero>6</numero>
<fpage>618</fpage>
<lpage>627</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132024000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132024000600005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132024000600005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: Los efectos de la pandemia en la salud mental del personal sanitario constituyen un problema de salud pública.  Objetivo: Conocer factores asociados a sintomatología psicopatológica en estudiantes de medicina de pregrado.  Material y métodos: Entre agosto de 2019 y septiembre de 2022, el GHQ-28 en línea fue contestado por 2961 estudiantes en cuatro momento de la pandemia y en poblaciones distintas: n1, prepandemia (n = 758); n2, fase inicial (n = 581); n3, fase aguda (n = 705); n4, fase de regreso protegido (n = 917). Mediante modelos de regresión logística multivariantes, se identificaron factores asociados a sintomatología psicopatológica.  Resultados: Se identificó sintomatología en 51.9 % de los estudiantes: síntomas depresivos (22.9 %), síntomas somáticos y perturbación del sueño (11.1 %). El momento de la pandemia (n2, RM = 12.69; n3, RM = 8.45; y n4, RM = 5.62), el antecedente personal de depresión mayor (RM = 4.35), el antecedente familiar de depresión (RM = 1.96), los recursos económicos limitados (RM = 1.54) e insuficientes (RM = 2.09) y ser mujer (RM = 1.46) se asociaron significativamente a la sintomatología.  Conclusiones: La pandemia afectó la salud mental de los estudiantes de medicina de pregrado. Se requieren acciones que promuevan ambientes educativos saludables, así como estrategias de prevención y atención de la sintomatología psicopatológica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The pandemic effects on the mental health of healthcare personnel is a public health problem.  Objective: To determine factors associated with psychopathological symptomatology in undergraduate medical students.  Material and methods: 2961 students from four generations answered the GHQ-28 online: n1. Pre-pandemic (n = 758) n2. Initial phase (n = 581), n3. Acute phase (n = 705), and n4. Protected return phase (n = 917), between August 2019 and September 2022. Using multivariable logistic regression models, factors associated (sociodemographic and clinical) with psychopathological symptomatology were identified.  Results: 51.9% of students presented symptomatology, with a higher prevalence of depressive symptoms (22.9%), and somatic and sleep disturbance (11.1%). The pandemic phase (n2. OR = 12.69, n3. OR = 8.45, n4. OR = 5.62), having a personal history of major depression (OR = 4.35), family history of depression (OR = 1.96), limited (OR = 1.54) and insufficient economic resources (OR = 2.09) and being female (OR = 1.46) were significantly associated with symptomatology.  Conclusions: The pandemic influenced the mental health of undergraduate medical students. Actions aimed at promoting healthy educational environments, and strategies for prevention and care of psychopathological symptomatology are necessary.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estudiantes de medicina]]></kwd>
<kwd lng="es"><![CDATA[Pandemia]]></kwd>
<kwd lng="es"><![CDATA[Salud mental]]></kwd>
<kwd lng="en"><![CDATA[Medical students]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[Mental health]]></kwd>
</kwd-group>
</article-meta>
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