Depression and its associated factors: perceived stress, social support, substance use and related sociodemographic risk factors in medical school residents in Nairobi, Kenya.
Depression and its associated factors: perceived stress, social support, substance use and related sociodemographic risk factors in medical school residents in Nairobi, Kenya.
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DOI：
10.1186/s12888-021-03439-0
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发表时间：
2021-09-08
期刊：
影响因子：
4.4
通讯作者：
Kumar M
中科院分区：
文献类型：
--
作者：
Shah SSNH;Laving A;Okech-Helu VC;Kumar M
关于撒哈拉以南非洲地区住院医生和医生的抑郁症及其相关因素的数据很少。住院医生由于医疗实践和学术培训的压力性质，患抑郁症的风险很高。住院医师的抑郁症会导致临床效率下降，学习成绩差;它也会导致药物滥用和自杀。我们的主要目的是测量抑郁症的患病率在肯尼亚最大的国家教学和转诊医院的医疗居民。次要目的是描述抑郁症是如何与感知压力，感知社会支持，物质使用和教育环境。我们于2019年10月至2020年2月期间使用自填式问卷在这项横断面调查中抽取了来自8个不同专业的338名居民。这些文件包括：社会人口统计学，流行病学中心抑郁量表-修订版，感知压力量表，感知社会支持的多维量表，酒精，吸烟和物质参与筛选测试，以及研究生院教育环境测量。采用双变量和多变量线性回归分析抑郁症的危险因素。平均参与者年龄为31.8岁，53.4%为男性。大多数居民（70.4%）报告没有至轻度抑郁症状，12.7%有中度抑郁症状，16.9%有重度抑郁症状。大多数居民的社会支持水平较高（71.8%），压力水平中等（61.6%）。46.3%的居民对教育环境的评价是积极的，而不是消极的。双变量分析显示，抑郁症状，感知压力，物质使用，感知社会支持和教育环境之间存在显着相关。多变量分析显示，抑郁症与睡眠时间减少（β =-0.683，p = 0.002）、高感知压力（β = 0.709，p < 0.001）和低感知社会支持（β =-2.19，p < 0.001）密切相关。在我们的研究中，只有30%的住院医师有中度和重度抑郁症状。我们研究中的大多数居民报告了高水平的社会支持和中等水平的压力。虽然他们对住院医师经验的总体评价是积极的，但在医疗专业人员的培训中，心理健康支持和自我护理技能需要优先考虑。在线版本包含补充材料，可通过10.1186/s12888-021-03439-0获得。
Little data exists regarding depression and its associated factors in medical residents and doctors in Sub-Saharan Africa. Residents are at high risk of developing depression owing to the stressful nature of their medical practice and academic training. Depression in medical residents leads to decreased clinical efficiency, and poor academic performance; it can also lead to substance abuse and suicide. Our primary aim was to measure depression prevalence among medical residents in Kenya’s largest national teaching and referral hospital. Secondary aims were to describe how depression was associated with perceived stress, perceived social support, substance use, and educational environment. We sampled 338 residents belonging to 8 different specialties using self administered questionnaires in this cross-sectional survey between October 2019 and February 2020. Questionnaires included: sociodemographics, the Centres for Epidemiology Depression Scale - Revised, Perceived Stress Scale, Multidimensional Scale of Perceived Social Support, Alcohol, Smoking and Substance Involvement Screening Test, and Postgraduate Hospital Educational Environment Measure. Bivariate and multivariate linear regression were used to assess for risk factors for depression. Mean participant age was 31.8 years and 53.4% were males. Most residents (70.4%) reported no to mild depressive symptoms, 12.7% had moderate, and 16.9% had severe depressive symptoms. Most residents had high social support (71.8%) and moderate stress (61.6%). The educational environment was rated as more positive than negative by 46.3% of residents. Bivariate analyses revealed significant correlations between depressive symptoms, perceived stress, substance use, perceived social support, and educational environment. Multivariate analysis showed that depression was strongly associated with: fewer hours of sleep (β = − 0.683, p = 0.002), high perceived stress (β = 0.709, p < 0.001) and low perceived social support (β = − 2.19, p < 0.001). Only 30% of medical residents in our study had moderate and severe depressive symptoms. Most residents in our study reported high levels of social support, and moderate levels of stress. Though their overall appraisal of medical residency experience was positive, mental health support and self-care skills in the training of medical professionals needs prioritization. The online version contains supplementary material available at 10.1186/s12888-021-03439-0.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
0.6
作者：
Aissa, S. Khefacha;Ghali, H.;Latiri, H. Said
通讯作者：
Latiri, H. Said
影响因子：
4.1
作者：
Escriba-Aguir, Vicenta;Perez-Hoyos, Santiago
通讯作者：
Perez-Hoyos, Santiago
影响因子：
158.5
作者：
BRENNAN, TA;LEAPE, LL;HIATT, HH
通讯作者：
HIATT, HH
DOI：
10.3352/jeehp.2020.17.4
发表时间：
2020-01-31
影响因子：
4.4
作者：
Berrani, Hajar;Abouqal, Redouane;Izgua, Amal Thimou
通讯作者：
Izgua, Amal Thimou