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墨西哥医学生中的抑郁症状:高患病率和团体心理教育干预的效果。

Depressive symptoms among Mexican medical students: high prevalence and the effect of a group psychoeducation intervention.

机构信息

Laboratorio de Neurofisiología de la Percepción, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico.

出版信息

J Affect Disord. 2012 Feb;136(3):1098-103. doi: 10.1016/j.jad.2011.10.040. Epub 2011 Nov 25.

Abstract

BACKGROUND

Several studies have demonstrated a higher prevalence of depression among medical students as compared to the general population. On the other hand, psychoeducational interventions have proven its efficacy on diminishing depressive symptoms. The aim of this study is to determine the prevalence of depressive symptoms among medical students in La Salle University and the effect that psychoeducation has on it.

METHODS

Students between the first and the eighth semester voluntarily answered the Beck Depression Inventory test in an anonymous way from 2006 to 2007. After determining the prevalence of depressive symptoms the psychoeducational program was established and prevalence of depressive symptoms was measured for two more years (2008-2009).

RESULTS

A total of 1958 students answered the test during the four years. In the first two years (2006-2007) the 36.29% of the students scored for positive depressive symptoms. The next two years (2008-2009), after the psychoeducation program, the prevalence of depressive symptoms diminishes in a significant manner, only 25.51% of the students have depressive symptoms (p<.0001).

LIMITATIONS

Because the test were answered anonymously, there is no way we can give neither specific attention nor follow-up to the students with depression. Also we can't determine the effect of the mental health group treatment among the medical students.

CONCLUSIONS

Even though the medical students have risks factors for developing depression, we prove that a psychoeducation program can be an effective alternative therapy for decreasing the prevalence of depressive symptoms among medical students.

摘要

背景

多项研究表明,与普通人群相比,医学生的抑郁患病率更高。另一方面,心理教育干预已被证明能有效减轻抑郁症状。本研究旨在确定拉萨尔大学医学生抑郁症状的患病率,以及心理教育对其的影响。

方法

2006 年至 2007 年,学生在第一学期至第八学期自愿以匿名方式回答贝克抑郁量表测试。在确定抑郁症状的患病率后,建立了心理教育计划,并在接下来的两年(2008-2009 年)再次测量抑郁症状的患病率。

结果

四年内共有 1958 名学生参加了测试。在前两年(2006-2007 年),36.29%的学生有抑郁症状。接下来的两年(2008-2009 年),在心理教育计划之后,抑郁症状的患病率显著下降,只有 25.51%的学生有抑郁症状(p<.0001)。

局限性

由于测试是匿名回答的,我们无法为有抑郁症状的学生提供具体的关注或随访。此外,我们无法确定医学生心理健康小组治疗的效果。

结论

尽管医学生有患抑郁症的风险因素,但我们证明心理教育计划可以作为降低医学生抑郁症状患病率的有效替代疗法。

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