医学院期间的心理健康和倦怠:纵向演变和共同变量
Valerie Carrard1, Sylvie Berney2, Céline Bourquin1
1Department of Psychiatry, Psychiatric Liaison Service, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
PloS one
|April 16, 2024
概括
医学学生的心理健康在学习期间总体上有所改善,但在结束时,倦怠显著恶化. 应对策略,如社会支持,对幸福感产生积极影响.
科学领域:
- 医学教育研究 医学教育研究
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 与普通人群相比,医学学生的抑郁,焦虑和倦怠率更高.
- 对医学学生心理健康的长度研究是有限的,并产生了相互矛盾的结果.
- 这项研究调查了整个医学院的长期心理健康和倦怠轨迹.
研究的目的:
- 分析心理健康指标 (抑郁症,自杀念头,焦虑,压力) 和医学生的倦怠的纵向演变.
- 确定影响这些心理健康和倦怠轨迹的生物心理社会因素.
- 为了比较医学学生的心理健康与一般人口.
主要方法:
- 一项开放的队列研究设计跟踪了1595名医学学生从第一年到第六年.
- 年度问卷评估了抑郁症,自杀念头,焦虑,压力,倦怠和生物心理社会共变量.
- 线性混合模型被用来分析纵向变化和共变量影响.
主要成果:
- 医学学生报告的抑郁和焦虑症状比一般人群更多.
- 心理健康改善了抑郁症,自杀念头和压力,尽管自杀念头在最后一年上升.
- 从医学院开始到结束,倦怠感显著恶化.
- 不那么专注于情感的应对,更多的社会支持,更高的健康满意度与更好的心理健康和更少的倦怠相关.
结论:
- 医学院与心理健康的改善和增加的倦怠有关.
- 早期存在影响心理健康的压力因素,而晚年则带来了导致倦怠的挑战.
- 需要针对特定年级压力因素的有针对性的干预措施,以支持学生的福祉.
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