Goebert Deborah, Thompson Diane, Takeshita Junji, Beach Cheryl, Bryson Philip, Ephgrave Kimberly, Kent Alan, Kunkel Monique, Schechter Joel, Tate Jodi
Department of Psychiatry, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii 96813, USA.
Acad Med. 2009 Feb;84(2):236-41. doi: 10.1097/ACM.0b013e31819391bb.
This multisite, anonymous study assessed depressive symptoms and suicidal ideation in medical trainees (medical students and residents).
In 2003-2004, the authors surveyed medical trainees at six sites. Surveys included content from the Center for Epidemiologic Studies-Depression scale (CES-D) and the Primary Care Evaluation of Mental Disorders (PRIME-MD) (measures for depression), as well as demographic content. Rates of reported major and minor depression and of suicidal ideation were calculated. Responses were compared by level of training, gender, and ethnicity.
More than 2,000 medical students and residents responded, for an overall response rate of 89%. Based on categorical levels from the CES-D, 12% had probable major depression and 9.2% had probable mild/moderate depression. There were significant differences in depression by trainee level, with a higher rate among medical students; and gender, with higher rates among women (chi2 = 10.42, df = 2, and P = .005 and chi2 = 22.1, df = 2, and P < .001, respectively). Nearly 6% reported suicidal ideation, with differences by trainee level, with a higher rate among medical students; and ethnicity, with the highest rate among black/African American respondents and the lowest among Caucasian respondents (chi2 = 5.19, df = 1, and P = .023 and chi2 = 10.42, df = 3, and P = .015, respectively).
Depression remains a significant issue for medical trainees. This study highlights the importance of ongoing mental health assessment, treatment, and education for medical trainees.
这项多中心匿名研究评估了医学实习生（医学生和住院医师）的抑郁症状和自杀意念。
2003年至2004年，作者对六个地点的医学实习生进行了调查。调查内容包括流行病学研究中心抑郁量表（CES-D）和精神障碍初级保健评估（PRIME-MD）（抑郁测量指标）以及人口统计学内容。计算报告的重度和轻度抑郁症以及自杀意念的发生率。按培训水平、性别和种族对回答进行比较。
2000多名医学生和住院医师做出了回应，总回应率为89%。根据CES-D的分类水平，12%可能患有重度抑郁症，9.2%可能患有轻度/中度抑郁症。抑郁症在实习生水平和性别上存在显著差异，医学生中的发生率较高；女性中的发生率较高（卡方值分别为10.42，自由度为2，P = 0.005；卡方值为22.1，自由度为2，P < 0.001）。近6%的人报告有自杀意念，在实习生水平和种族上存在差异，医学生中的发生率较高；黑人/非裔美国受访者中的发生率最高，白人受访者中的发生率最低（卡方值分别为5.19，自由度为1，P = 0.023；卡方值为10.42，自由度为3，P = 0.015）。
抑郁症仍然是医学实习生的一个重要问题。这项研究强调了对医学实习生进行持续心理健康评估、治疗和教育的重要性。
