Jafari Najmeh, Loghmani Amir, Montazeri Ali
Department of Community Medicine, Isfahan University of Medical Sciences (IUMS), Isfahan, Iran.
Int J Prev Med. 2012 Mar;3(Suppl 1):S107-12.
Medical education and training can directly contribute to the development of psychological distress in medical students. This can lead to catastrophic consequences such as impaired academic performance, impaired competency, medical errors and attrition from medical school. This study aimed to assess the prevalence of psychological morbidity among Iranian medical students.
This was a cross-sectional study. Samples of medical students in different levels of training (basic science, clinical clerkship, internship, and residency stage) were entered into the study. The 12-item General Health Questionnaire (GHQ-12) was used to measure psychological morbidity. Both univariate and multivariate analyses were used to report on findings.
In all, 220 medical students were invited to take part in the study. Of these, 192 students agreed to fill in the questionnaire. The mean age of respondents was 25.4 (SD = 5.2) and 53% were female. Overall 49.5% of the students scored above the threshold on the GHQ-12 (score > 3.5). The results obtained from logistic regression analysis indicated that female gender and level of training were the most significant contributing factors to increased psychological distress [OR for female gender = 2.99; OR for the basic science group = 6.73].
Psychological distress appears to be common in medical students and significantly varies by gender and level of training. The psychological well-being of medical students needs to be more carefully addressed, and closer attention to eliminating the risk factors is critical to prevent consequent adverse outcomes.
医学教育与培训可能直接导致医学生出现心理困扰。这可能会引发灾难性后果，如学业成绩受损、能力下降、医疗差错以及从医学院退学。本研究旨在评估伊朗医学生心理疾病的患病率。
这是一项横断面研究。纳入不同培训阶段（基础科学、临床实习、实习医生和住院医师阶段）的医学生样本进行研究。采用12项一般健康问卷（GHQ - 12）来测量心理疾病。使用单变量和多变量分析来报告研究结果。
总共邀请了220名医学生参与研究。其中，192名学生同意填写问卷。受访者的平均年龄为25.4岁（标准差 = 5.2），53%为女性。总体而言，49.5%的学生在GHQ - 12上得分高于阈值（得分 > 3.5）。逻辑回归分析结果表明，女性性别和培训阶段是心理困扰增加的最显著影响因素[女性性别的比值比 = 2.99；基础科学组的比值比 = 6.73]。
心理困扰在医学生中似乎很常见，且因性别和培训阶段存在显著差异。医学生的心理健康需要得到更仔细的关注，密切关注消除风险因素对于预防随之而来的不良后果至关重要。
