在医学学生中制定心理健康披露决策框架:定性试点研究
Sofia Schlozman1, Lars Osterberg2, Aliya Kassam3
1School of Medicine, University of California, San Francisco, CA, USA.
American journal of health promotion : AJHP
|March 23, 2025
概括
医学学生面临着重大的心理健康挑战,但往往不寻求帮助. 这项研究揭示了关于披露心理健康症状的决定是复杂的,受预期结果和接受者评估的影响.
科学领域:
- 医学教育 医学教育
- 精神病学是一个精神病学.
- 定性研究是指质量研究.
背景情况:
- 与普通人群相比,美国医学学生报告的抑郁,焦虑和心理困扰率更高.
- 绝大多数医学学生对这些心理健康状况不寻求专业帮助.
- 披露症状或诊断是寻求心理健康支持的关键先决条件.
研究的目的:
- 探索医学学生在心理健康披露中所涉及的决策过程.
- 开发一个初步的框架,以了解医学学生如何决定是否披露心理健康问题.
主要方法:
- 进行了半结构化的定性采访,对来自美国9所机构的20名医学学生进行了采访.
- 利用构造主义立足理论 (CGT) 进行代分析,包括集中和理论编码.
- 采访被录音,转录和分析,以开发一个概念框架.
主要成果:
- 制定了一个框架,确定了影响披露决策的三个关键因素:评估预期结果,评估优先事项和确定适当的受益人.
- 两个调节变量,披露目标和症状的严重程度和类型,被确定为影响学生对结果和接受者的看法.
- 这些发现强调了心理健康披露决策的复杂性质.
结论:
- 医学学生之间的心理健康披露是一个复杂的过程,受到多种因素的影响.
- 未来的干预措施应考虑学生对披露收件人的观点和沟通策略.
- 了解这些复杂性对于改善医学生心理健康支持和福祉计划至关重要.
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