Demir Figen, Ay Pinar, Erbaş Melek, Ozdil Mine, Yaşar Esra
Araş Gör., Uzm., Marmara U Tip Fak., Halk Sağliği, Istanbul, Turkey.
Turk Psikiyatri Derg. 2007 Spring;18(1):31-7.
The objectives of this study were to determine the prevalence of depression and to evaluate the association of sociodemographic factors, as well as aspects of the work environment, with depression among resident doctors working in a training hospital in Istanbul.
This cross-sectional study was conducted in a teaching hospital which has 332 residents in Istanbul. The required sample size was determined to be 207. The study population was stratified proportionally according to hospital departments and a random sampling method was used. Data were collected with a questionnaire consisting of sociodemographic variables, the Beck Depression Inventory (BDI), and the Minnesota Job Satisfaction Questionnaire (MJSQ). The associations were studied through univariate and multivariate analyses.
The study included 156 residents who agreed to participate (response rate: 75.3%). The prevalence rate of probable depression was 16.0% (95% CI: 10.7-22.7). In the multivariate analysis, the rate of depression was significantly higher among women compared to men (OR: 5.16, 95% CI: 1.51-17.68, p<0.01). Age, marital status, hospital department, duration of residency, number of night shifts, and duration of exposure to daylight in the work environment were not associated with depression. Among the participants, 90.4% did not want to get a feedback concerning their BDI scores. A negative correlation was determined between depression and job satisfaction scores.
Among resident doctors, women in particular should be evaluated as an important at-risk group for depression. Prevention and control programs that also include components for reducing stigma should be implemented.
本研究的目的是确定抑郁症的患病率，并评估社会人口学因素以及工作环境方面与在伊斯坦布尔一家培训医院工作的住院医生抑郁症之间的关联。
这项横断面研究在伊斯坦布尔一家拥有332名住院医生的教学医院进行。确定所需样本量为207。研究人群根据医院科室按比例分层，并采用随机抽样方法。通过一份由社会人口学变量、贝克抑郁量表（BDI）和明尼苏达工作满意度问卷（MJSQ）组成的问卷收集数据。通过单变量和多变量分析研究这些关联。
该研究纳入了156名同意参与的住院医生（应答率：75.3%）。可能患抑郁症的患病率为16.0%（95%置信区间：10.7 - 22.7）。在多变量分析中，女性的抑郁症患病率显著高于男性（比值比：5.16，95%置信区间：1.51 - 17.68，p<0.01）。年龄、婚姻状况、医院科室、住院医师培训时长、夜班次数以及工作环境中的日照时长与抑郁症无关。在参与者中，90.4%的人不想得到关于他们BDI分数的反馈。抑郁症与工作满意度得分之间存在负相关。
在住院医生中，尤其是女性应被视为抑郁症的重要高危人群。应实施包括减少耻辱感成分的预防和控制项目。
