McPherson S, Hale R, Richardson P, Obholzer A
Tavistock and Portman NHS Trust, London, UK.
Emerg Med J. 2003 May;20(3):230-1. doi: 10.1136/emj.20.3.230.
To identify levels of psychological distress in accident and emergency (A&E) senior house officers (SHOs).
Questionnaire survey given to SHOs at training sessions.
General Health Questionnaire (GHQ) and the Brief COPE.
Over half of the 37 respondents (51%; 95% CI: 36% to 67%) scored over the threshold for psychological distress on the GHQ. This is considerably higher than for other groups of doctors and for other professional groups. Correlational analysis revealed that the coping style Venting was significantly related to greater anxiety (r=0.34; p<0.05) and depression (r=0.33; p<0.05), while the coping style Active was significantly related to lower anxiety (r=-0.38; p<0.05), somatic complaints (r=-0.46; p<0.001) and years since qualification (r=0.40; p<0.05).
Replicating findings from a study of stress in A&E consultants, this study shows higher levels of overt psychological distress among A&E SHOs than among other groups of doctors. An intervention to improve coping strategies may be useful for this group of doctors.
确定急诊（A&E）高级住院医师（SHOs）的心理困扰水平。
在培训课程上向高级住院医师发放问卷调查。
一般健康问卷（GHQ）和简易应对方式问卷（Brief COPE）。
37名受访者中超过半数（51%；95%置信区间：36%至67%）在一般健康问卷上的得分超过心理困扰阈值。这一比例显著高于其他医生群体和其他职业群体。相关分析显示，应对方式“宣泄”与更高的焦虑水平（r = 0.34；p < 0.05）和抑郁水平（r = 0.33；p < 0.05）显著相关，而应对方式“积极应对”与更低的焦虑水平（r = -0.38；p < 0.05）、躯体不适（r = -0.46；p < 0.001）以及获得资格后的年限（r = 0.40；p < 0.05）显著相关。
本研究重复了一项关于急诊会诊医生压力的研究结果，表明急诊高级住院医师的明显心理困扰水平高于其他医生群体。改善应对策略的干预措施可能对这群医生有用。
