Depression among emergency medicine residents over an academic year
Depression among emergency medicine residents over an academic year
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DOI：
10.1197/j.aem.2005.10.009
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发表时间：
2006-03-01
影响因子：
4.4
通讯作者：
Ferguson, E
中科院分区：
文献类型：
--
作者：
Katz, ED;Sharp, L;Ferguson, E
目的：描述抑郁症的频率在急诊医学（EM）居民按月，性别，轮换类型，研究生年（PGY），和小时worked.Methods：这是一个前瞻性的，非盲，队列研究同意EM居民在一个为期四年，51名居民EM居住计划，从2003年7月至2004年6月。参与者每月通过网站接受一次匿名调查，调查内容包括流行病学研究中心抑郁量表（CESD）和住院医生的性别、PGY、前一周工作小时数（80）和轮换类型（EM、重症监护室、非EM临床或其他）。如果居民在每个季节没有完成至少一项调查，则将其排除在分析之外。对于每个居民，每三个月期间的峰值分数记录和分析的混合模型方差分析，占重复测量effect.Results：50的51（98.0%）居民同意参与。19例（38%）因数据不完整而被排除。抑郁症的患病率为12.1%（95%置信区间[95% CI] = 7.5%-19.0%; 124分中有15分）。女性CESD评分的平均标准差在数值上显著低于男性（6.4 +/- 6.8 vs. 8.7 +/- 8.6，p = 1.0），但无统计学意义。平均CESD评分按月，PGY，旋转类型，或小时worked.Conclusions：季节，工作小时数，旋转类型，PGY和性别都没有预测EM居民在这个单中心试验中的抑郁症。抑郁症的患病率与一般人群相当。
Objectives: To describe the frequency of depression among emergency medicine (EM) residents by month, gender, rotation type, postgraduate year (PGY), and number of hours worked.Methods: This was a prospective, nonblinded, cohort study of consenting EM residents in a four-year, 51-resident EM residency program from July 2003 to June 2004. Participants received an anonymous monthly survey via Web site that consisted of the Center for Epidemiologic Studies Depression Scale (CESD) and the resident's gender, PGY, number of hours worked in the previous week ( 80), and rotation type (EM, intensive care unit, non-EM clinical, or other). Residents were excluded from analysis if they did not complete at least one survey during each season. For each resident, the peak score for each three-month period was recorded and analyzed with a mixed-model analysis of variance to account for a repeated-measures effect.Results: Fifty of 51 (98.0%) residents consented for participation. Nineteen (38%) were excluded because of incomplete data. The prevalence of depression was 12.1% (95% confidence interval [95% CI] = 7.5% to 19.0%; 15 of 124 scores). The women had numerically, but not statistically, significantly lower mean standard deviation CESD scores than the men (6.4 +/- 6.8 vs. 8.7 +/- 8.6, p = 1.0). There was no significant difference in mean CESD score by month, PGY, rotation type, or number of hours worked.Conclusions: Season, number of hours worked, rotation type, PGY, and gender all failed to predict depression among EM residents in this single-center trial. The prevalence of depression was comparable to that of the general population.