Mehanna Z, Richa S
Hôtel-Dieu de France.
Encephale. 2006 Nov-Dec;32(6 Pt 1):976-82. doi: 10.1016/s0013-7006(06)76276-5.
Evaluate the emotional state of medical students and compare them to a control population (chemistry students), in order to assess the bad effect of academic studies on the mood of medical students.
Beginning of September 2003, a questionnaire composed of three parts was distributed to all students in medicine and chemistry at the Saint-Joseph University (USJ), either at the start or at the end of their cours, to be filled-in anonymously. The first part was composed of demographic data; the second and the third parts were, respectively, the Beck questionnaire for depression and Hamilton's questionnaire for anxiety.
There was no statistically significant difference between the two populations studied concerning the scores of Beck and Hamilton, neither depending on the classes nor on the depression or anxiety threshold. The prevalence found in the USJ medical students for depression (27.63%) and for anxiety (69%) was far greater than that found in the literature (23% for depression among American students and 41% for anxiety), but lower than that found in the university of Hong-Kong (48% of students having a Beck13 score>8). The forth year was the one that presented the most anxiety and depressive disorders in the seven years of medicine (44.32% of depression and 79.24% of anxiety). The psychiatric antecedents are the strongest predictors of anxiety and depressive disorders.
The prevalence of anxiety and depressive disorders is not greater in medical students than in chemistry students.
评估医学生的情绪状态,并与对照组人群(化学专业学生)进行比较,以评估学业对医学生情绪的不良影响。
2003年9月初,一份由三部分组成的问卷被分发给圣约瑟夫大学(USJ)所有医学和化学专业的学生,在课程开始或结束时填写,要求匿名。第一部分由人口统计学数据组成;第二部分和第三部分分别是贝克抑郁问卷和汉密尔顿焦虑问卷。
在贝克和汉密尔顿评分方面,所研究的两个人群之间没有统计学上的显著差异,无论是根据班级还是抑郁或焦虑阈值。在圣约瑟夫大学医学生中发现的抑郁症患病率(27.63%)和焦虑症患病率(69%)远高于文献中报道的(美国学生抑郁症患病率为23%,焦虑症患病率为41%),但低于香港大学的患病率(48%的学生贝克13评分>8)。在医学专业的七年中,四年级学生出现焦虑和抑郁障碍的情况最为严重(抑郁症患病率为44.32%,焦虑症患病率为79.24%)。精神病史是焦虑和抑郁障碍最强的预测因素。
医学生中焦虑和抑郁障碍的患病率并不高于化学专业学生。