Behaviour of medical students in seeking mental and physical health care: exploration and comparison with psychology students
Behaviour of medical students in seeking mental and physical health care: exploration and comparison with psychology students
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DOI：
10.1111/j.1365-2929.2006.02649.x
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发表时间：
2007-01-01
影响因子：
6
通讯作者：
Quirk, Frances
中科院分区：
文献类型：
--
作者：
Brimstone, Renee;Thistlethwaite, Jill E.;Quirk, Frances
医生通常不愿意通过通常的渠道寻求医疗保健，倾向于自我诊断和开处方。医学生从临床医生的角色模型中学习态度和价值观，也可能采取行为模式，导致他们从非正式渠道寻求身心健康问题的帮助。方法我们进行了一份问卷调查，询问人口统计学细节和对2个小插曲的反应，其中一个学生从受访者的学科首先经历了首先是心理健康问题的症状，其次是身体健康问题的症状。数据进行了分析与SPSS和单变量方差分析，以检查受访者之间的差异。结果共172名学生在心理学和医学院校在澳大利亚詹姆斯库克大学参加。我们确定了一些影响学生寻求帮助行为的障碍，其中包括担心知道他们可以在大学健康中心咨询的医生或未来与他或她打交道，以及治疗费用。两组学生之间存在差异。讨论心理学和医学专业的学生有几个障碍，以获得适当的专业精神卫生保健。医学生在需要时获得适当的身体保健方面也遇到障碍。心理学和医学专业的学生更倾向于非正式地向朋友和/或家人寻求心理健康方面的建议。
CONTEXT Doctors are often reluctant to seek health care through the usual channels and tend to selfdiagnose and prescribe. Medical students learn attitudes and values from clinician role models and may also adopt behaviour patterns that lead them to seek help for physical and mental health problems from informal sources.OBJECTIVES This study aimed to explore the behaviour of students in seeking health care for physical and mental health problems, comparing medical with psychology students, and to understand what barriers to conventional routes of seeking health care may affect this.METHODS We administered a questionnaire asking for demographic details and responses to 2 vignettes in which a student from the respondent's discipline was experiencing firstly symptoms of a mental health problem and secondly symptoms of a physical health problem. Data were analysed with SPSS and univariate ANOVAs to examine differences between respondents.RESULTS A total of 172 students at the psychology and medical schools at James Cook University in Australia participated. We identified a number of barriers affecting student behaviour in seeking help, which included worries about knowing the doctor they could consult at the university health centre or having future dealings with him or her, and cost of treatment. There were differences between the 2 groups of students.DISCUSSION There are several barriers for both psychology and medical students to accessing appropriate professional mental health care. Medical students also experience barriers to attaining appropriate physical health care when needed. Psychology and medical students were more likely to seek advice informally from friends and/or family with regard to mental health care.