Depression in medical students: current insights.
Depression in medical students: current insights.
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DOI：
10.2147/amep.s137384
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发表时间：
2018
影响因子：
2
通讯作者：
Chen Y
中科院分区：
文献类型：
--
作者：
Moir F;Yielder J;Sanson J;Chen Y
医学生在他们的学术和临床研究期间暴露于多种因素，这些因素已被证明有助于高水平的抑郁，焦虑和压力。本文的目的是探讨抑郁症在医学生人群中的问题，包括患病率，原因和关键问题，沿着新西兰一所医学院的早期识别和支持的建议。在确定医学生抑郁症的患病率高于一般人群后，探讨的关键问题包括该计划中使用的评估，学生群体的特征（如A型人格和完美主义），弹性，选择程序，学生的动机和临床环境的性质。这项审查包括几项建议，以改善学生的心理健康，如定位在一个总体的全面工作场所健康模式的福祉，并整合到机构的日常运作同行和教师为主导的支持。它还强调了增加福祉课程的好处，因为预防和管理痛苦和抑郁症的技能与支持医疗从业人员所需的能力有关。它的结论是，医学院需要广泛的战略，以解决与特定的学生群体吸引到医学和呼吁教育工作者采取行动的复杂性，通过注意到他们可以将这些举措引入他们的医疗计划的机会。
Medical students are exposed to multiple factors during their academic and clinical study that have been shown to contribute to high levels of depression, anxiety, and stress. The purpose of this article was to explore the issue of depression in the medical student population, including prevalence, causes, and key issues, along with suggestions for early identification and support from one medical school in New Zealand. After establishing that the prevalence of depression is higher for medical students than the general population, the key issues explored include assessment used in the program, characteristics of the student population (such as Type A personality and perfectionism), resilience, selection procedures, students’ motivation, and the nature of the clinical environment. This review includes several recommendations to improve students’ psychological health such as positioning well-being within an overarching comprehensive workplace wellness model and integrating peer and faculty-led support into the day-to-day running of the institution. It also highlights the advantages of the addition of a well-being curriculum, as skills to prevent and manage distress and depression are relevant in supporting the competencies required by medical practitioners. It concludes that medical schools need wide-ranging strategies to address the complexities associated with the particular student population attracted to medicine and calls for educators to act, by noticing opportunities where they can introduce such initiatives into their medical programs.