评估美国医生的不良童年经历,不良职业经历,抑郁症和倦怠
Mickey T Trockel1, Colin P West2, Liselotte N Dyrbye3
1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA.
Mayo Clinic proceedings
|December 3, 2023
概括
不利的童年经历 (ACE) 和不利的职业经历 (AOE) 与医生抑郁和倦怠的增加有关. 早期识别和预防策略对于医生福祉至关重要.
科学领域:
- 医学研究 医学研究
- 精神病学是一个精神病学.
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 不利的童年经历 (ACE) 和不利的职业经历 (AOE) 可以显著影响心理健康.
- 医生面临着独特的压力因素,这些压力因素可能会加剧ACE和AOE的影响.
- 了解这些关联对于开发有针对性的支持系统至关重要.
研究的目的:
- 调查ACE和AOE之间的相关性以及美国医生中抑郁症和倦怠的流行情况.
- 确定特定的职业和童年逆境,这些逆境有助于医生心理健康挑战.
主要方法:
- 美国医生和其他工人的代表性样本调查的二次分析.
- 利用以前建立的措施来评估ACE,AOE,倦怠和抑郁症.
- 统计分析以确定关联和赔率比率.
主要成果:
- ACE与轻度至重度抑郁症的几率增加1.58倍有关.
- 包括医疗错误和COVID-19相关事件在内的AOE与抑郁症增加有关.
- ACE,COVID-19相关的AOE和医疗错误也与倦怠有关.
结论:
- 建议在医生中评估ACE和AOE.
- 实施针对这些经历的初级预防干预措施可能有助于缓解抑郁和倦怠.
- 这些策略可以有助于改善人口健康和医生福祉.
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