Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study.
Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study.
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DOI：
10.1371/journal.pone.0103242
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Lu Z
中科院分区：
文献类型：
--
作者：
Gong Y;Han T;Chen W;Dib HH;Yang G;Zhuang R;Chen Y;Tong X;Yin X;Lu Z
医生心理健康状况不佳，不仅阻碍了他们的专业表现，影响了所提供的医疗保健的质量，而且还对患者的健康结果产生了不利影响。中国很少有研究对医生的心理健康状况进行评估。本研究的目的是量化中国医生的焦虑和抑郁症状，并评估相关的危险因素。本研究以深圳市2,641名中国南部公立医院的内科医生为被试，采用结构化问卷和验证量表对其焦虑和抑郁症状进行访谈。多变量Logistic回归模型用于确定焦虑和抑郁症状的危险因素。据估计，25.67%的医生有焦虑症状，28.13%的医生有抑郁症状，19.01%的医生同时有焦虑和抑郁症状。超过10%的参与者经常经历工作场所暴力，63.17%的人有时会遇到。在我们的研究人群中，焦虑和抑郁症状与自我报告的身体健康状况不佳、频繁的工作场所暴力、长时间工作(每周超过60小时)、频繁的夜班(每周两次或更多)以及缺乏定期体育锻炼有关。我们的研究表明，焦虑和抑郁症状在中国的医生中很常见，其中医患关系问题尤为紧张。为最大限度地减少工作量、改善医患关系并帮助医生发展更健康的生活方式而实施的干预措施，对于对抗医生中的焦虑和抑郁症状至关重要，这可能会提高他们的专业表现。
Physicians’ poor mental health not only hinders their professional performance and affects the quality of healthcare provided but also adversely affects patients’ health outcomes. Few studies in China have evaluated the mental health of physicians. The purposes of this study are to quantify Chinese physicians’ anxiety and depressive symptoms as well as evaluate associated risk factors. In our study, 2641 physicians working in public hospitals in Shenzhen in southern China were recruited and interviewed by using a structured questionnaire along with validated scales testing anxiety and depressive symptoms. Multivariable logistic regression models were used to identify risk factors for anxiety and depressive symptoms. An estimated 25.67% of physicians had anxiety symptoms, 28.13% had depressive symptoms, and 19.01% had both anxiety and depressive symptoms. More than 10% of the participants often experienced workplace violence and 63.17% sometimes encountered it. Among our study population, anxiety and depressive symptoms were associated with poor self-reported physical health, frequent workplace violence, lengthy working hours (more than 60 hours a week), frequent night shifts (twice or more per week), and lack of regular physical exercise. Our study demonstrates that anxiety and depressive symptoms are common among physicians in China, and the doctor-patient relationship issue is particularly stressful. Interventions implemented to minimize workload, improve doctor-patient relationships, and assist physicians in developing healthier lifestyles are essential to combat anxiety and depressive symptoms among physicians, which may improve their professional performance.
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影响因子：
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