New South Wales Institute of Psychiatry, Sydney, NSW, Australia.
Med J Aust. 2010 Aug 2;193(3):161-6. doi: 10.5694/j.1326-5377.2010.tb03837.x.
To identify factors associated with psychiatric morbidity and hazardous alcohol use in Australian doctors.
DESIGN, SETTING AND PARTICIPANTS: Cross-sectional postal survey of 2999 doctors (including all major specialty groups, trainees and general practitioners) insured with an Australian medical insurance company. The potential for psychiatric morbidity was measured by the General Health Questionnaire (GHQ), and the potential for hazardous alcohol use by the Alcohol Use Disorders Identification Test (AUDIT). The survey was conducted in 2007.
Demographic, work-related and personality factors associated with a GHQ score > 4 and an AUDIT score > or = 8.
Factors significantly associated with psychiatric morbidity in doctors were: having a current medicolegal matter, not taking a holiday in the previous year, working long hours, type of specialty, and having personality traits of neuroticism and introversion. Factors significantly associated with potentially hazardous alcohol use were being male, being Australian-trained, being between 40 and 49 years of age, having personality traits of neuroticism and extroversion, failing to meet Continuing Medical Education requirements, and being a solo practitioner.
The mental health of medical practitioners is crucial to the quality of care their patients receive. Doctors should reflect on their hours of work and need for holidays. Involvement with medicolegal processes, such as lawsuits, complaints and inquiries, is a stressful part of medical practice today. Doctors need to be educated about these processes and understand how the experience may affect their health, work and loved ones.
确定与澳大利亚医生的精神疾病和危险饮酒相关的因素。
设计、地点和参与者：对一家澳大利亚医疗保险公司承保的 2999 名医生（包括所有主要专业群体、受训者和全科医生）进行横断面邮寄调查。通过一般健康问卷（GHQ）测量精神疾病的潜在风险，通过酒精使用障碍识别测试（AUDIT）测量危险饮酒的潜在风险。该调查于 2007 年进行。
与 GHQ 得分>4 和 AUDIT 得分≥8 相关的人口统计学、工作相关和人格因素。
与医生精神疾病相关的显著因素有：当前存在医疗法律问题、上一年度未休假、工作时间长、专业类型以及神经质和内向的人格特质。与潜在危险饮酒相关的显著因素有：男性、澳大利亚培训、40 至 49 岁之间、神经质和外向的人格特质、未能满足继续医学教育要求以及个体从业者。
医疗从业者的心理健康对患者接受的护理质量至关重要。医生应反思自己的工作时间和休假需求。参与医疗法律程序，如诉讼、投诉和调查，是当今医疗实践中的一个压力大的部分。医生需要接受这些程序的教育，并了解这些经历可能如何影响他们的健康、工作和亲人。
