报告医学生虐待的心理健康后果和相关性
J A Richman1, J A Flaherty, K M Rospenda
1Department of Psychiatry, University of Illinois, Chicago 60612.
JAMA
|February 5, 1992
概括
大多数医学学生都经历了虐待的培训经历,导致了严重的心理健康问题. 在医疗教育中解决性别角色对于改革至关重要.
科学领域:
- 医疗教育 医学教育
- 精神病学是一个精神病学.
- 卫生社会学 卫生社会学
背景情况:
- 医疗培训环境可以使学生暴露在各种形式的虐待中.
- 了解这些体验的普遍性和影响对于学生的福祉至关重要.
研究的目的:
- 确定与医学培训相关的滥用行为有多普遍.
- 确定与这些滥用相关的因素.
- 检查这种经历对心理健康的影响.
主要方法:
- 一项纵向队列研究跟踪了137名医学学生.
- 从医学院入学到最后一年收集的数据.
- 评估了训练滥用和心理健康结果,包括抑郁,焦虑和酒精使用.
主要成果:
- 72%的学生报告至少有一次虐待经历.
- 女性报告的性别歧视和性骚扰率更高.
- 滥用与负面的心理健康结果有关,即使考虑到先前的条件.
结论:
- 很大一部分医学学生面临滥用培训,并遭受心理健康后果.
- 需要改革医学教育,重点关注与性别有关的问题.
- 学生的福祉受到培训环境的影响.
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