Behavioral and psychosocial factors related to mental distress among medical students.
Behavioral and psychosocial factors related to mental distress among medical students.
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DOI：
10.3389/fpubh.2023.1225254
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发表时间：
2023
影响因子：
5.2
通讯作者：
Riis, Jenna L.
中科院分区：
文献类型：
--
作者：
Carlos, Kathleen M.;Ahmadi, Hedyeh;Uban, Kristina A.;Riis, Jenna L.
关键词：
医生死于自杀的比率高于一般人群，风险从医学院开始增加。为了更好地理解为什么，这项研究检查了精神痛苦的流行率（例如，抑郁症状和自杀风险）以及抑郁的行为和心理社会风险因素，以及在COVID-19前时代医学生样本中精神困扰和风险因素之间的关联。2018-2019年在加州一所大型医学院就读的学生（N = 134; 52%为女性）完成了评估社会人口学特征、抑郁症和自杀家族史、健康行为和社会心理健康的问卷。评估分数索引精神痛苦（例如，抑郁症状、过去12个月内自杀的想法、自杀风险和自杀史）和风险因素（例如，压力、主观睡眠质量、酒精使用、冒名顶替者的感觉和账单支付困难）进行了比较，并通过逻辑回归确定了精神痛苦和风险因素之间的关联。相对于一般公众，观察到精神痛苦指标升高（例如，16%的抑郁筛查阳性，17%的人在过去12个月内想过自杀，10%的自杀风险筛查阳性，34%的自杀史），以及升高的风险因素[例如，55%中度或高度压力，95%至少中度冒名顶替者的感觉，59%睡眠质量差，50%的危险饮酒筛查呈阳性（女性更有可能），25%难以支付账单。积极的抑郁症筛查与更高的压力，更高的冒名顶替者的感觉，更差的睡眠质量和支付账单的困难有关。在过去的12个月里，自杀意念，自杀风险和自杀史与更高水平的冒名顶替者的感觉独立相关。抑郁症状、自杀想法和行为的评估得分较高与几个个体水平和潜在可改变的风险因素有关（例如，压力、冒名顶替者的感觉、睡眠质量和账单支付困难）。未来的研究需要为医学界的健康提供定制的筛查和资源。然而，个人层面的风险因素的修改可能受到更大的医疗文化和系统的限制，这表明成功的干预措施降低了医疗提供者的自杀风险，需要解决多个社会生态层面的问题。
Physicians die by suicide at rates higher than the general population, with the increased risk beginning in medical school. To better understand why, this study examined the prevalence of mental distress (e.g., depressive symptoms and suicide risk) and behavioral and psychosocial risk factors for distress, as well as the associations between mental distress and risk factors among a sample of medical students in a pre–COVID-19-era. Students enrolled in a large California medical school in 2018–2019 (N = 134; 52% female) completed questionnaires assessing sociodemographic characteristics, depression and suicide family history, health behaviors, and psychosocial wellbeing. Assessment scores indexing mental distress (e.g., depressive symptoms, thoughts of suicide in the past 12 months, suicide risk, and history of suicidality) and risk factors (e.g., stress, subjective sleep quality, alcohol use, impostor feelings, and bill payment difficulty) were compared across biological sex using chi-squared tests, and associations between mental distress and risk factors were determined through logistic regression. Elevated mental distress indicators were observed relative to the general public (e.g., 16% positive depression screen, 17% thought about suicide in previous 12 months, 10% positive suicide risk screen, and 34% history of suicidality), as well as elevated risk factors [e.g., 55% moderate or high stress, 95% at least moderate impostor feelings, 59% poor sleep quality, 50% screened positive for hazardous drinking (more likely in females), and 25% difficulty paying bills]. A positive depression screen was associated with higher stress, higher impostor feelings, poorer sleep quality, and difficulty paying bills. Suicidal ideation in the previous 12 months, suicide risk, and a history of suicidality were independently associated with higher levels of impostor feelings. Higher scores on assessments of depressive symptoms and suicidal thoughts and behaviors were related to several individual-level and potentially modifiable risk factors (e.g., stress, impostor feelings, sleep quality, and bill payment difficulties). Future research is needed to inform customized screening and resources for the wellbeing of the medical community. However, it is likely that the modification of individual-level risk factors is limited by the larger medical culture and systems, suggesting that successful interventions mitigate suicide risk for medical providers need to address multiple socio-ecological levels.
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影响因子：
6
作者：
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通讯作者：
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作者：
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通讯作者：
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