Relationship between psycho-affective factors and knowledge forgetting in medical students at UNACH
Abstract
The mental health of medical students can be affected by multiple factors that influence knowledge forgetting and poor performance. Among these factors, academic stress, depression, and low self-esteem stand out.
Having as to determine the relationship between psycho-affective factors and knowledge forgetting in medical students enrolled in the 2019-2020 academic year at the Faculty of Human Medicine, Campus IV, Tapachula, UNACH. Behold a descriptive methodology, cross-sectional, and correlational study was conducted with a sample of 41 first-year medical students. Three instruments were used to collect information: the Rosenberg Self-Esteem Scale, the Zung Self-Esteem Scale (Depression Scale), and the Holmes and Rahe Social Adjustment Scale, after obtaining informed consent. The data were statistically processed using descriptive and multivariate statistical techniques (factor analysis).
Preliminarily, the results are 58.5% of the students presented subclinical depression, and 17.1% presented moderate depression. Regarding stress, 26.9% of participants reported high stress and 51.2% reported moderate stress. Low self-esteem was the least frequent factor, present in only 14.6%. However, the pattern differed between genders: high self-esteem predominated among women (62.1%), while high stress was more prevalent among men (50%). Factor analysis revealed that depression and stress were associated with low academic performance, but self-esteem was not. Students with high and normal self-esteem also achieved low grades.
Therefore, it is possible to argue that, the psycho-affective factors of stress and depression are associated with knowledge loss. Therefore, the implementation of preventive interventions (stress management, psychological support) is recommended to improve retention and grades in the UNACH School of Medicine.
References
Albuixech, C. A., Soto, P. F., Pérez, M. L., Monreal Pascual, M., & Rudiez Gómez. (2024). Prevalencia de la depresión en estudiantes de medicina: Revisión sistemática. Medicina General y de Familia. https://mgyf.org/prevalencia-depresion-estudiantes-medicina-revision-sistematica/
Ausubel, D. P. (1968). Educational psychology: A cognitive view. Holt, Rinehart and Winston.
Bruner, J. S. (1960). The process of education. Harvard University Press.
Cobiellas Carballo, L. I., Anazco Hernández, A., & Góngora Gómez, O. (2020). Estrés académico y depresión mental en estudiantes de primer año de medicina. Educación Médica Superior, 34(2). http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-21412020000200015&lng=es&nrm=iso
Conchado, J., Álvarez, R., Cordero, G., Gutiérrez, F., & Terán, F. (2018). Estrés académico y valores de cortisol en estudiantes de medicina. Revista Científica y Tecnológica UPSE, 5(1), 77–82. https://doi.org/10.26423/rctu.v5i1.322
Ebbinghaus, H. (1885). Über das Gedächtnis: Untersuchungen zur experimentellen Psychologie. Duncker & Humblot. http://archive.org/details/berdasgedchtnis01ebbigoog
Ettaghadouini, D. A., Gallego-Fuentes, P., Chica-Villa, A., Fontalba-Navas, A., Pérez-Costillas, L., Gutiérrez-Bedmar, M., & García-Casares, N. (2025). Estudio sobre salud mental y motivación en estudiantes del grado de medicina de la Universidad de Málaga. Educación Médica, 26(3). https://doi.org/10.1016/j.edumed.2024.101011
Granados Cosme, J. A., Gómez Landeros, O., Islas Ramírez, M. I., Maldonado Pérez, G., Martínez Mendoza, H. F., & Pineda Torres, A. M. (2020). Depresión, ansiedad y conducta suicida en la formación médica en una universidad en México. Investigación en Educación Médica, 9(35), 65–74. https://doi.org/10.22201/facmed.20075057e.2020.35.20224
Huerta Reyes, M., García, L., López, J., Hermida, R., & Ríos-Carrillo, P. (2023). Estrés y rendimiento académico. Revista Mexicana de Medicina Forense, 8(1), 1–19. https://doi.org/10.25009/revmedforense.v8i1.2981
Jaimes-Medrano, A. L., Aburto-Arciniega, M. B., Urrutia-Aguilar, M. E., & Caraveo-Anduaga, J. J. (2024). Malestar psicológico y rendimiento académico en estudiantes de medicina: Un estudio comparativo por sexo. Investigación en Educación Médica, 13(49), 9–17. https://doi.org/10.22201/fm.20075057e.2024.49.23529
Padilla, E. A. P., Maldonado, J. D. C., & Burgos, H. S. (2023). Prevalencia de depresión y ansiedad en estudiantes de medicina: Un estudio longitudinal. Revista Electrónica sobre Tecnología, Educación y Sociedad, 10(20). https://www.ctes.org.mx/index.php/ctes/article/view/813
Piaget, J. (1954). The construction of reality in the child. Basic Books.
Piaget, J. (1970). La epistemología genética (1.ª ed.). Presses Universitaires de France.
Ramírez, A. Z., Chávez, J. A. M., Nieto, A. C. C., Muñoz, G. E., Flores, C. A., Tovar, J. G., & Sierra, E. M. (2025). Depresión, ansiedad, estrés y bienestar psicológico en estudiantes de medicina: Análisis de prevalencia a nueve meses de la pandemia COVID-19. CienciaCierta, 21(82), 149–170. https://revistas.uadec.mx/index.php/CienciaCierta/article/view/234
Rodríguez Sánchez, D. A., Bojorque Iñeguez, V. M., Burgueño Alcalde, F., Ordoñez Mancheno, J. M., Coronel Sánchez, T. G., & Vásquez Pizarro, A. M. (2025). Mental health risk factors in university medical students: A systematic review. Journal of Posthumanism, 5(6), 4219–4241. https://doi.org/10.63332/joph.v5i6.2597
Romero-Méndez, C. A., Montoya-Arenas, D. A., González-Ramírez, M. T., & Ortiz-Jiménez, X. A. (2025). Ansiedad, depresión, estrés, funciones ejecutivas y rendimiento académico: Un estudio post COVID-19. Revista Mexicana de Neurociencia, 26(2), 58–66. https://doi.org/10.24875/rmn.24000042
Rotenstein, L. S., Ramos, M. A., Torre, M., Segal, J. B., Peluso, M. J., Guille, C., Sen, S., & Mata, D. A. (2016). Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: A systematic review and meta-analysis. JAMA, 316(21), 2214–2236. https://doi.org/10.1001/jama.2016.17324
Uribe, M. I. G., Márquez, M. G., & Bedolla, M. L. C. (2024). El proceso de estrés académico en estudiantes de medicina de la Universidad Autónoma de Querétaro: Un estudio longitudinal. Ciencia Latina Revista Científica Multidisciplinar, 8(2), 416–436. https://doi.org/10.37811/cl_rcm.v8i2.10479


