Anxiety, Depression and Behavioural Changes in Junior Doctors and Medical Students Associated with the Coronavirus Pandemic: A Cross-Sectional Survey.
Anxiety, Depression and Behavioural Changes in Junior Doctors and Medical Students Associated with the Coronavirus Pandemic: A Cross-Sectional Survey.
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DOI：
10.1007/s13224-020-01366-w
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Lindow S
中科院分区：
文献类型：
--
作者：
Pandey U;Corbett G;Mohan S;Reagu S;Kumar S;Farrell T;Lindow S
众所周知，医学生在学习和训练的高压环境中有很高的抑郁、焦虑和压力。冠状病毒大流行给广大人群带来了压力和焦虑，尤其是对卫生保健专业人员。这项研究是为了评估这次大流行对医学生和实习生心理健康的影响。设计了一个在线问卷，以收集参与者与大流行有关的焦虑的信息，并包括一个经过验证的工具，用于评估焦虑和抑郁症状(分别为GAD-7和PHQ-9)。问卷是在Google Forms上编制的，问卷链接于2020年4月19日分发给113名医学生和初级医生，调查于2020年4月22日午夜结束。调查对象为113名学生，其中83名学生参与了调查。在参与者中，女性47人(56.6%)，男性36人(43.4%)，30岁以下80人(96.4%)。使用GAD-7和PHQ-9工具的正式焦虑和抑郁得分显示，15/82(18.3%)的焦虑得分为0(可能的最低得分)，21/82(25.6%)的最低可能抑郁得分为0。然而，6/82人(7.3%)的得分被归类为严重抑郁。女性焦虑(5v2，p <； 0.002)和抑郁(5v3，p = 0.025)的中位数显著高于男性。直接的患者护理和新冠肺炎患者的护理并没有导致焦虑和抑郁的显著恶化。女性学生/初级医生的焦虑和抑郁得分高于男性。在这项研究中，直接的患者护理和新冠肺炎患者的护理没有导致焦虑和抑郁的可测量的恶化。在这种压力大流行的情况下，照顾医护人员和患者的心理健康是当务之急。
Medical students are known to have high levels of depression, anxiety and stress from the high-pressure environments that they study and train in. The coronavirus pandemic presents source of stress and anxiety to large populations in general, and to healthcare professionals in particular. This study was undertaken to assess the psychological effects of this pandemic on the mental health of medical students and trainees. An online questionnaire was designed to capture information on the participant’s anxieties related to the pandemic and included a validated tool for the assessment of anxiety and depression symptoms (GAD-7 and PHQ-9, respectively). The questionnaire was prepared on Google Forms, and the link to the questionnaire was disseminated to 113 medical students and junior doctors on 19 April 2020, and the survey closed on 22 April 2020 midnight. The survey was sent to 113 students, and 83 students participated. Of the participants, 47 (56.6%) were female and 36 (43.4%) were male, and 80 (96.4%) were aged less than 30 years old. Formal anxiety and depression scores using the GAD-7 and PHQ-9 tools indicated 15/82 (18.3%) had anxiety scores of 0 (lowest possible) and 21/82 (25.6%) had the lowest possible depression score of 0. However, 6/82 (7.3%) had scores that were classified as severe depression. Females had significantly higher median anxiety (5 v 2, p < 0.002) and depression scores (5 v 3, p = 0.025) than male participants. Direct patient care and care of patients with Covid-19 did not result in significant deterioration in anxiety and depression. Female students/junior doctors showed higher anxiety and depression scores than males. Direct patient care and care of patients with Covid-19 did not result in a measurable deterioration in anxiety and depression in this study. In this stressful pandemic situation, it is imperative to look after the mental health of healthcare workers as well as patients.
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