Tjia Jennifer, Givens Jane L, Shea Judy A
University of Pennsylvania, Philadelphia, USA.
J Am Coll Health. 2005 Mar-Apr;53(5):219-24. doi: 10.3200/JACH.53.5.219-224.
The authors measured factors associated with under-treatment of medical students' depression. They administered a cross-sectional Beck Depression Inventory and sociodemographic questionnaire to students at 1 medical school, defining their outcome measure as the use of counseling services or antidepressant medication. Of an estimated 450 available student participants in the study, 322 (71.6%) completed the questionnaire. Forty-nine students (15.2%) were classified as depressed and 10 (20.4%) reported experiencing suicidal ideation during medical school, but only 13 (26.5%) of the depressed students reported treatment. The researchers observed no difference in treatment by year in school, completion of psychiatric requirement, race, or depression severity. Treatment for depression was significantly associated with older age and personal and family histories of depression. Despite the availability of effective medications and confidential mental health services, medical students with depression are undertreated. The authors' findings support the need for targeted messages to help medical students recognize their depression and refer themselves for appropriate treatment.
作者们对与医学生抑郁症治疗不足相关的因素进行了测量。他们对一所医学院的学生进行了横断面贝克抑郁量表和社会人口统计学问卷调查，将咨询服务或抗抑郁药物的使用定义为他们的结果指标。在该研究中估计有450名可参与的学生中，322名（71.6%）完成了问卷。49名学生（15.2%）被归类为抑郁，10名（20.4%）报告在医学院期间有过自杀念头，但抑郁学生中只有13名（26.5%）报告接受过治疗。研究人员观察到，在年级、是否完成精神病学要求、种族或抑郁严重程度方面，治疗情况没有差异。抑郁症治疗与年龄较大以及个人和家族抑郁症病史显著相关。尽管有有效的药物和保密的心理健康服务，但患有抑郁症的医学生仍未得到充分治疗。作者的研究结果支持需要有针对性的信息，以帮助医学生认识到自己的抑郁症并寻求适当的治疗。
