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Depresión entre los residentes entrantes de oftalmología

Karthik Reddy1, Jaqueline Stoutin2, Zhuo Zhao3

  • 1University of Michigan Medical School, Ann Arbor, Michigan; Department of Ophthalmology, Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.

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Resumen

Las tasas de depresión aumentan significativamente durante las prácticas de oftalmología, persistiendo durante todo el año. Casi una cuarta parte de los residentes experimentaron depresión antes de comenzar el segundo año de posgrado, lo que resalta la necesidad de apoyo para la salud mental.

Palabras clave:
agotamientodepresiónoftalmologíaformación en oftalmologíaformación de residenciasalud mental de los residentes

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Área de la Ciencia:

  • Educación Médica; Salud Mental; Oftalmología

Sus antecedentes:

  • Las prácticas de internado impactan significativamente la salud mental de los residentes, y la depresión de nueva aparición persiste después de la formación.; La depresión durante la residencia afecta la satisfacción profesional, la deserción y el bienestar del médico.; La formación en oftalmología se asocia con factores estresantes únicos que afectan la salud mental de los residentes.

Objetivo del estudio:

  • Investigar las tasas de depresión entre los internos de oftalmología.; Examinar la relación entre los factores relacionados con el trabajo y la depresión en los internos.; Evaluar la persistencia de los síntomas depresivos durante el año de prácticas.

Principales métodos:

  • Estudio de cohortes prospectivo, multicéntrico.; Evaluaciones longitudinales de 98 internos de oftalmología utilizando el Patient Health Questionnaire-9 (PHQ-9).; Datos recopilados antes de las prácticas y a los 3, 6, 9 y 12 meses, analizando las horas de trabajo y de sueño.

Principales resultados:

  • El 32,7% de los internos experimentaron depresión mayor durante sus prácticas.; Los síntomas depresivos aumentaron significativamente desde antes de las prácticas hasta el final del año de prácticas.; El aumento de las horas de sueño se asoció significativamente con la disminución de las puntuaciones de depresión (p < 0,001).

Conclusiones:

  • Los síntomas depresivos aumentan y persisten durante el año de prácticas de oftalmología.; Casi el 25% de los residentes informaron depresión antes de comenzar el segundo año de posgrado.; Se necesitan intervenciones urgentes para abordar la salud mental de los residentes de oftalmología en etapas tempranas.