The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study.
The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study.
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医学学生和培训期间医学生抑郁症状的特征：一项横断面研究。
DOI：
10.1186/1472-6920-8-60
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发表时间：
2008-12-11
影响因子：
3.6
通讯作者：
Nogueira Martins LA
中科院分区：
文献类型：
--
作者：
Baldassin S;Alves TC;de Andrade AG;Nogueira Martins LA
医学教育和培训可能会导致抑郁症状的发展，从而可能导致学术和职业后果。我们旨在调查 481 名医学生（占入学总人数的 79.8%）的抑郁症状特征。为了更好地描述抑郁症状的特征，使用了贝克抑郁量表（BDI）和聚类分析。巴西的医学教育和培训分为基础期（第一年和第二年）、中间期（第三年和第四年）和实习期（第五年和第六年）。该研究将 BDI 中的每个项目分为以下三类：情感、认知和躯体。使用方差分析 (ANOVA) 进行统计分析，并对多重比较进行事后 Tukey 校正。有 184 名（38.2%）学生有抑郁症状（BDI > 9）。与基础期 (p < .001) 和中间期 (p < .001) 相比，实习期的 BDI 分数最高。情感、认知和躯体集群在实习期间显着较高。对可能的危险因素的探索性分析表明，女性 (p = .020) 没有父母行医 (p = .016) 和实习期 (p = .001) 是抑郁症状发生的因素。实习阶段的医学生，特别是女性，抑郁症状的患病率很高，主要涉及躯体和情感集群，并且没有父母行医。积极评估这些学生的抑郁症状对于预防合并症和自杀风险的发展非常重要。
Medical education and training can contribute to the development of depressive symptoms that might lead to possible academic and professional consequences. We aimed to investigate the characteristics of depressive symptoms among 481 medical students (79.8% of the total who matriculated). The Beck Depression Inventory (BDI) and cluster analyses were used in order to better describe the characteristics of depressive symptoms. Medical education and training in Brazil is divided into basic (1st and 2nd years), intermediate (3rd and 4th years), and internship (5th and 6th years) periods. The study organized each item from the BDI into the following three clusters: affective, cognitive, and somatic. Statistical analyses were performed using analysis of variance (ANOVA) with post-hoc Tukey corrected for multiple comparisons. There were 184 (38.2%) students with depressive symptoms (BDI > 9). The internship period resulted in the highest BDI scores in comparison to both the basic (p < .001) and intermediate (p < .001) periods. Affective, cognitive, and somatic clusters were significantly higher in the internship period. An exploratory analysis of possible risk factors showed that females (p = .020) not having a parent who practiced medicine (p = .016), and the internship period (p = .001) were factors for the development of depressive symptoms. There is a high prevalence towards depressive symptoms among medical students, particularly females, in the internship level, mainly involving the somatic and affective clusters, and not having a parent who practiced medicine. The active assessment of these students in evaluating their depressive symptoms is important in order to prevent the development of co-morbidities and suicide risk.