医学学生的抑郁,耻辱和自杀念头
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
概括
患有抑郁症的医学生比同龄人感受到更大的耻辱感,这影响了他们寻求帮助的意愿. 这些看法因性别和学习年份而异,强调需要有针对性的心理健康支持.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 医学学生面临高水平的抑郁和自杀念头.
- 围绕心理健康问题的耻辱感可以阻止医学学生寻求必要的护理.
- 了解这些耻辱感知对于改善学生福祉至关重要.
研究的目的:
- 调查和比较与抑郁症相关的耻辱感知在抑郁和非抑郁的医学学生.
- 根据学生的人口统计和学术进步,确定耻辱经历如何不同.
主要方法:
- 一个横截面的,基于网络的调查被管理到密歇根大学的医学学生.
- 该调查评估了自我报告的抑郁症,自杀念头和对心理健康污名的态度.
- 统计分析检查了污名感知与临床/人口统计变量之间的关联.
主要成果:
- 14.3%的医学学生报告中度至重度抑郁;女性和高级学生分别报告了更高的抑郁和自杀念头率.
- 抑郁的学生更容易相信他们的同龄人和教师会对他们有负面的看法.
- 关于尊重减少,无法处理责任和潜在的患者危害的耻辱感在抑郁学生中更为普遍.
- 性别和班级年龄影响了特定的耻辱信念,比如男性担心抑郁症的学生会危害患者,初级学生害怕看起来不那么聪明.
结论:
- 与非抑郁学生相比,患有抑郁症的医学学生表现出更高的意识和认可与抑郁症相关的耻辱感.
- 耻辱感知不均,根据学生的性别和学年有很大差异.
- 解决耻辱是鼓励寻求帮助的行为和改善医疗教育中心理健康结果的关键.
相关概念视频
Depressive Disorders: Etiology
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Stress and Mental Health
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
Depressive Disorders: MDD and Dysthymia
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
Depression: Overview
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
Psychological Responses to Stress
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
Stress Prevention and Stress Management Techniques IV
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
