医学部生におけるうつ病,汚名,自殺念頭
Thomas L Schwenk1, Lindsay Davis, Leslie A Wimsatt
1Department of Family Medicine, University of Michigan, Ann Arbor, USA. tschwenk@umich.edu
JAMA
|September 16, 2010
まとめ
鬱病の医学生は,同級生よりも大きな汚名を感じ,助けを求める意欲に影響を与えます. これらの認識は,性別や学年によって異なるため,対象を絞った精神保健支援の必要性を強調しています.
科学分野:
- 医療教育 医療教育について
- 精神科医は精神病を患っている.
- 公衆衛生は公衆衛生である.
背景:
- 医学部生は,高い割合のうつ病と自殺念頭に直面しています.
- メンタルヘルスの問題をめぐる不名誉は,医学生に必要なケアを求めることを妨げる可能性があります.
- これらのステグマの認識を理解することは,学生の福祉を改善するために不可欠です.
研究 の 目的:
- 鬱病と非鬱病の医学生の間でうつ病に関連するステグマの認識を調査し,比較する.
- 学生の人口統計と学業の進歩に基づいて,ステグマの経験がどのように異なるかを特定する.
主な方法:
- ミシガン大学の医学生に対して,横断的な,ウェブベースの調査が行われました.
- この調査では,自己報告されたうつ病,自殺念頭,および精神衛生の汚名に対する態度が評価されました.
- 統計的分析では,スティグマの認識と臨床的/人口統計的変数との関連を調査した.
主要な成果:
- 医学生の14.3%が中等から重度のうつ病を報告し,女性とシニアの学生はそれぞれ,うつ病と自殺思考の割合が高いと報告した.
- 鬱を患っている学生は,同級生や教員が彼らを否定的に見ると信じる可能性が著しく高かった.
- 尊敬の欠如,責任の負うことのできないこと,および患者を危険にさらす可能性があることに関する汚名感は,うつ病のある学生の間でより一般的であった.
- ジェンダーとクラス年は,うつ病の生徒が患者を危険にさらすという男性の懸念や,若年生の知能が低いと思われることを恐れるという男性の懸念などの特定のスティグマ信念に影響を与えました.
結論:
- 鬱を患っている医学生は,鬱を患っていない同級生と比較して,鬱に関連した汚名に対する意識と支持が高くなります.
- スティグマに対する認識は均一ではないが,学生の性別や学年によって大きく異なる.
- ステグマに対処することは,助けを求める行動を奨励し,医学教育におけるメンタルヘルス結果を改善するために不可欠です.
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