Depressive Symptoms in Medical Students and Residents: A Multischool Study
Depressive Symptoms in Medical Students and Residents: A Multischool Study
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DOI：
10.1097/acm.0b013e31819391bb
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发表时间：
2009-02-01
影响因子：
7.4
通讯作者：
Tate, Jodi
中科院分区：
文献类型：
--
作者：
Goebert, Deborah;Thompson, Diane;Tate, Jodi
本多地点匿名研究评估了医学实习生（医学生和住院医师）的抑郁症状和自杀意念。方法2003-2004年，作者对六个地点的医学实习生进行了调查。调查内容包括流行病学研究中心抑郁量表（CES-D）和精神障碍初级保健评估（PRIME-MD）（抑郁测量），以及人口统计内容。计算重度、轻度抑郁和自杀意念的发生率。根据培训水平、性别和种族对回答进行比较。结果共有2000多名医学生和住院医师参与调查，总体回复率为89%。根据CES-D的分类水平，12%的人可能患有重度抑郁症，9.2%的人可能患有轻度/中度抑郁症。实习医师的抑郁水平存在显著差异，医学生的抑郁率较高；女性发病率较高(chi（2) = 10.42, df = 2, P = 0.005; chi(2) = 22.1, df = 2, P < 0.001）。近6%的人报告有自杀念头，不同级别的实习生存在差异，医学生的比例更高；其中黑人/非裔美国人的患病率最高，白种人的患病率最低(chi（2) = 5.19, df = 1, P = 0.023; chi(2) = 10.42, df = 3, P = 0.015）。结论抑郁症仍然是医学实习生面临的一个重要问题。本研究强调了对医学培训生进行持续心理健康评估、治疗和教育的重要性。
BackgroundThis multisite, anonymous study assessed depressive symptoms and suicidal ideation in medical trainees (medical students and residents).MethodIn 2003-2004, the authors surveyed medical trainees at six sites. Surveys included content from the Center for Epidemiologic Studies-Depression scale (CES-D) and the Primary Care Evaluation of Mental Disorders (PRIME-MD) (measures for depression), as well as demographic content. Rates of reported major and minor depression and of suicidal ideation were calculated. Responses were compared by level of training, gender, and ethnicity.ResultsMore than 2,000 medical students and residents responded, for an overall response rate of 89%. Based on categorical levels from the CES-D, 12% had probable major depression and 9.2% had probable mild/moderate depression. There were significant differences in depression by trainee level, with a higher rate among medical students; and gender, with higher rates among women (chi(2) = 10.42, df = 2, and P = .005 and chi(2) = 22.1, df = 2, and P < .001, respectively). Nearly 6% reported suicidal ideation, with differences by trainee level, with a higher rate among medical students;, and ethnicity, with the highest rate among black/African American respondents and the lowest among Caucasian respondents (chi(2) = 5.19, df = 1, and P = .023 and chi(2) = 10.42, df = 3, and P = .0 15, respectively).ConclusionsDepression remains a significant issue for medical trainees. This study highlights the importance of ongoing mental health assessment, treatment, and education for medical trainees.