Burnout and Alcohol Abuse/Dependence Among US Medical Students
Burnout and Alcohol Abuse/Dependence Among US Medical Students
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DOI：
10.1097/acm.0000000000001138
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发表时间：
2016-09-01
影响因子：
7.4
通讯作者：
Dyrbye, Liselotte N.
中科院分区：
文献类型：
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作者：
Jackson, Eric R.;Shanafelt, Tait D.;Dyrbye, Liselotte N.
PurposeTo探讨酒精滥用/依赖与倦怠和其他形式的困扰之间的关系，在一个国家队列的医学生MethodIn 2012年，作者完成了一项全国性的调查，医学生从美国医学会的医师主文件包含验证项目评估酒精滥用/依赖，倦怠，抑郁症，自杀，生活质量（QOL）和疲劳。描述性和比较统计分析计算，包括卡方和多元Logistic回归，以确定变量之间的关系。ResultsOf 12，500名学生，4，402（35.2%）回答。其中，1，411人（32.4%）符合酒精滥用/依赖的诊断标准。学生被烧毁（P = 0.01），抑郁（P = 0.01），或报告低精神（P = 0.01）。03)或情绪（P = 0.016）QOL更可能有酒精滥用/依赖。倦怠的情绪耗竭和去人格化领域与酒精滥用/依赖密切相关。多因素分析显示，职业倦怠（OR 1.20; 95%CI 1.05-1.37; P
PurposeTo explore the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students.MethodIn 2012, the authors completed a national survey of medical students from the American Medical Association's Physician Masterfile containing validated items assessing alcohol abuse/dependence, burnout, depression, suicidality, quality of life ( QOL), and fatigue. Descriptive and comparative statistical analyses were computed, including chi-square and multivariate logistic regression, to determine relationships between variables.ResultsOf the 12,500 students, 4,402 ( 35.2%) responded. Of these, 1,411 ( 32.4%) met diagnostic criteria for alcohol abuse/dependence. Students who were burned out ( P =.01), depressed ( P =.01), or reported low mental ( P =. 03) or emotional ( P =.016) QOL were more likely to have alcohol abuse/dependence. Emotional exhaustion and depersonalization domains of burnout were strongly associated with alcohol abuse/dependence. On multivariate analysis, burnout ( OR 1.20; 95% CI 1.05-1.37; P