在医疗住院期间新出现的抑郁症状的持续时间
Erin Kim1, Brandy R Sinco2,3, Joan Zhao1,4
1University of Michigan Medical School, Ann Arbor.
JAMA network open
|June 21, 2024
概括
在医生住院期间新出现的抑郁症预示着长期的心理健康问题. 经过积极抑郁症查的实习生表现得持续更高的分数,并增加了未来抑郁症状的可能性.
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:
- 在医疗住院期间新出现的抑郁症状对心理健康的长期影响,特别是对于第一年医生 (实习生) 来说,仍然基本上是未知的.
- 了解这些影响对于为医生开发有针对性的支持系统至关重要.
研究的目的:
- 调查实习生中新发作和长期抑郁症状之间的关联和持久性.
- 分析医生在实习期间经历抑郁症的长期心理健康轨迹.
主要方法:
- 从2007年起,每年进行一项前性队列研究 (内部健康研究),涉及美国居民医生.
- 使用9项患者健康问卷-9 (PHQ-9) 进行抑郁症查,正面查被定义为分数≥10.
- 在10年的随访期间,使用线性混合模型和通用估计方程 (GEE) 对PHQ-9分数进行纵向分析.
主要成果:
- 在最初没有抑郁症的858名医生中,在实习期间查阳性的人在实习后5年和10年平均PHQ-9分数明显高于没有抑郁症的人.
- 实习生在实习一年期间有积极抑郁症选结果的实习生在随后的每年随访时更有可能达到抑郁症值.
- 在随访期间,平均PHQ-9分数在两组中都没有恢复到基线水平 (实习期间的阳性或阴性查).
结论:
- 在实习一年期间的积极抑郁查与持续较高的抑郁症状得分和长期复发抑郁症状的可能性增加有关.
- 这些发现凸显了医生在住院期间和整个职业生涯中支持医生心理健康的干预措施的迫切需要.
- 解决内部抑郁症对于维持医生福祉和预防长期心理健康挑战至关重要.
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