Depressed medical students' use of mental health services and barriers to use
Depressed medical students' use of mental health services and barriers to use
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DOI：
10.1097/00001888-200209000-00024
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发表时间：
2002-09-01
影响因子：
7.4
通讯作者：
Tjia, J
中科院分区：
文献类型：
--
作者：
Givens, JL;Tjia, J
目的。抑郁症是一种在医科学生中未被认识到但却很常见且可以治疗的疾病。关于抑郁症医学生使用心理健康服务的比率，人们知之甚少。本研究旨在了解抑郁症医学生对心理健康服务的利用水平及其报告的使用障碍。1994年春，加州大学旧金山分校医学院对194名一年级和二年级医学生进行了一次性调查。结果由13个条目组成的贝克抑郁量表(BDI)测量自我报告的咨询服务的使用情况、使用障碍、自杀意念和抑郁症状。根据BDI标准，24%(n=46)的医学生抑郁。在抑郁学生中，只有22%(n=10)的人使用心理健康咨询服务。最常被提及的使用这些服务的障碍是缺乏时间(48%)、缺乏保密性(37%)、与使用精神健康服务相关的污名(30%)、费用(28%)、害怕学习记录(24%)和害怕不必要的干预(26%)。这些数据表明，医学生中的抑郁症可能没有得到足够的治疗。医学院可以通过解决使用精神健康服务的耻辱、保密和文件等问题来帮助抑郁的学生。早期治疗受损的未来照顾者可能会对个别学生、他们的同事和他们未来的患者产生深远的影响。
Purpose. Depression is an underrecognized yet common and treatable disorder among medical students. Little is known about the rate of mental health service use by depressed medical students. This study sought to determine the level of mental health service use by depressed medical students and their reported barriers to use.Method. In the spring of 1994, a one-time survey of 194 first- and second-year medical students was conducted in the School of Medicine at the University of California, San Francisco. Outcome measures were self-reported use of counseling services, barriers to use, suicidal ideation, and depressive symptoms as measured by the 13-item Beck Depression Inventory (BDI).Results. Twenty-four percent (n = 46) of the medical students were depressed by BDI criteria. Of the depressed students, only 22% (n = 10) were using mental health counseling services. The most frequently cited barriers to using these services were lack of time (48%), lack of confidentiality (37%), stigma associated with using mental health services (30%), cost (28%), fear of documentation on academic record (24%), and fear of unwanted intervention (26%).Conclusion. These data demonstrate that depression among medical students may be undertreated. Medical schools can assist depressed students by addressing issues such as the stigma of using mental health services, confidentiality, and documentation. Early treatment of impaired future caregivers may have far-reaching implications for the individual students, their colleagues, and their future patients.