Mental health in medical and biomedical doctoral students during the 2020 COVID-19 pandemic and racial protests.
Mental health in medical and biomedical doctoral students during the 2020 COVID-19 pandemic and racial protests.
复制标题
2020年COVID-19大流行和种族抗议期间医学和生物医学博士生的心理健康。
DOI：
10.7554/elife.69960
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发表时间：
2022-09-06
期刊：
影响因子：
7.7
通讯作者：
Cook, Jeanette Gowen
中科院分区：
文献类型：
--
作者：
Schad, Allison;Layton, Rebekah L.;Ragland, Debra;Cook, Jeanette Gowen
关键词：
多年来，人们对大学和医学院的学生、实习生和教职员工的心理健康的担忧与日俱增。最近，新冠肺炎的流行，以及2020年美国对系统性种族主义的一段时间的高度清算和抗议，加剧了这些问题。为了更好地了解北卡罗来纳大学教堂山分校医学生和生物医学博士生在这一具有挑战性的时期的心理健康状况，我们进行了一项横断面研究(n=957)，使用机构年度调查数据，衡量抑郁、焦虑、危险酒精使用、与药物使用相关的问题和自杀意念。这些数据是在2019年和2020年收集的，并按培训计划类型、种族/民族、性别、性取向和调查年份进行了分析。结果表明，抑郁、焦虑和自杀意念的发生率存在显著差异，生物医学博士生的发生率高于医科学生，历史上被排除在外的学生(如有色人种、女性、LGBQ+实习生)的发生率高于同龄人。值得注意的是，2020年生物医学博士生的心理健康状况仍然很差，而那些属于历史上被排除在外的人群的心理健康状况有所下降。据报道，抑郁、焦虑和自杀意念的高比率表明，培训环境需要改善，对心理健康的支持需要增加。
Concerns about the mental health of students, trainees and staff at universities and medical schools have been growing for many years. Recently, these have been exacerbated by the COVID-19 pandemic and a period of heightened reckoning and protests about systemic racism in the United States in 2020. To better understand the mental health of medical students and biomedical doctoral students at the University of North Carolina at Chapel Hill during this challenging period, we performed a cross-sectional study (n=957) using institutional annual survey data on measures of depression, anxiety, hazardous alcohol use, problems related to substance use, and suicidal ideation. These data were collected in 2019 and 2020, and were analyzed by type of training program, race/ethnicity, gender, sexual orientation, and survey year. Results indicated significant differences for rates of depression, anxiety, and suicidal ideation, with biomedical doctoral students showing greater incidence than medical students, and historically excluded students (e.g., people of color, women, LGBQ+ trainees) showing greater incidence compared to their peers. Of note, mental health remained poor for biomedical doctoral students in 2020 and declined for those belonging to historically excluded populations. The high rates of depression, anxiety, and suicidal ideation reported suggest that training environments need to be improved and support for mental health increased.