Medical student depression, anxiety and distress outside North America: a systematic review
Medical student depression, anxiety and distress outside North America: a systematic review
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DOI：
10.1111/medu.12512
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发表时间：
2014-10-01
影响因子：
6
通讯作者：
Henderson, Max
中科院分区：
文献类型：
--
作者：
Hope, Valerie;Henderson, Max
北美的医学生比他们的同龄人更抑郁和焦虑。在英国，监管机构现在对医学生负责，这可能会增加对他们健康的审查。这可能会帮助或阻碍医学生获得适当的护理。北美以外的医学生焦虑、抑郁和心理困扰的患病率尚不清楚。一个更好地了解的患病率，风险因素和心理困扰的结果将指导配置的支持服务，越来越多地提供给医生，为医学生too.补充本研究的目的是探讨抑郁症，焦虑症和心理困扰的学生在医学院校在英国，欧洲和北美以外的英语世界其他地方进行了系统的回顾，使用搜索词，包括医学生的心理困扰。使用OvidSP检索以下数据库：1948年至2013年10月的奥维德MEDLINE（R）; PsycINFO从1806年到2013年10月，EMBASE从1980年到2013年10月。结果仅限于欧洲的医学院和北美以外的英语世界，并对一组纳入标准进行评价，包括使用有效的评估工具。焦虑的患病率为7.7-65.5%，抑郁的患病率为6.0-66.5%，心理困扰的患病率为12.2-96.7%。结果的广泛性反映了研究质量的差异。几乎所有的都是横截面的，许多人没有提到伦理批准。质量更好的研究发现患病率更低。有很少的信息的原因或后果的抑郁症或anxiety.CONCLUSIONS之间的北美以外的医学生心理困扰的患病率是相当大的。未来的研究应该从简单的横断面研究转向更高质量的纵向研究，以确定医学生心理健康状况不佳的预测因素和结果。
CONTEXT North American medical students are more depressed and anxious than their peers. In the UK, the regulator now has responsibility for medical students, which may potentially increase scrutiny of their health. This may either help or hinder medical students in accessing appropriate care. The prevalences of anxiety, depression and psychological distress in medical students outside North America are not clear. A better understanding of the prevalence of, risk factors for and results of psychological distress will guide the configuration of support services, increasingly available for doctors, for medical students too.OBJECTIVES The aim of this study was to examine the prevalences of depression, anxiety and psychological distress in students in medical schools in the UK, Europe and elsewhere in the English-speaking world outside North America.METHODS A systematic review was conducted using search terms encompassing psychological distress amongst medical students. OvidSP was used to search the following databases: Ovid MEDLINE (R) from 1948 to October 2013; PsycINFO from 1806 to October 2013, and EMBASE from 1980 to October 2013.Results were restricted to medical schools in Europe and the English-speaking world outside North America, and were evaluated against a set of inclusion criteria including the use of validated assessment tools.RESULTS The searches identified 29 eligible studies. Prevalences of 7.7-65.5% for anxiety, 6.0-66.5% for depression and 12.2-96.7% for psychological distress were recorded. The wide range of results reflects the variable quality of the studies. Almost all were crosssectional and many did not mention ethical approval. Better-quality studies found lower prevalences. There was little information on the causes or consequences of depression or anxiety.CONCLUSIONS Prevalences of psychological distress amongst medical students outside North America are substantial. Future research should move on from simple crosssectional studies to better-quality longitudinal work which can identify both predictors for and outcomes of poor mental health in medical students.