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荷兰医学生常见精神障碍的患病率及相关心理健康护理的使用情况与需求:一项横断面研究。

Prevalence of common mental disorders among Dutch medical students and related use and need of mental health care: a cross-sectional study.

作者信息

Gaspersz Roxanne, Frings-Dresen Monique H W, Sluiter Judith K

机构信息

Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

Int J Adolesc Med Health. 2012 Feb 15;24(2):169-72. doi: 10.1515/ijamh.2012.025.

Abstract

OBJECTIVE

The purpose of the study was to assess common mental disorders and the related use and need for mental health care among clinically not yet active and clinically active medical students.

METHODS

All medical students (n=2266) at one Dutch medical university were approached. Students from study years 1-4 were defined as clinically not yet active and students from study years 5 and 6 as clinically active. An electronic survey was used to detect common mental disorders depression (BSI-DEP), anxiety (BSI-ANG), stress (4DSQ) and post-traumatic stress disorder (IES). The use of mental health services in the past 3 months and the need for mental health services were asked for. The prevalence of common mental disorders, the use and need for mental health services and differences between groups were calculated.

RESULTS

The response rate was 52%: 814 clinically not yet active and 316 clinically active students. The prevalence of common mental disorders among clinically not yet active and clinically active students was 54% and 48%, respectively. The use of mental health services was 14% in clinically not yet active and 12% in clinically active students with common mental disorders (n.s.). The need for mental health services by clinically not yet active and clinically active students was 52% and 46%, respectively (n.s.).

CONCLUSIONS

The prevalence of probable common mental disorders are higher among clinically not yet active than among clinically active students. The need of mental health services exceeds use, but is the same in the two groups of students.

摘要

目的

本研究旨在评估临床尚未活跃和临床活跃的医学生中常见精神障碍以及相关的心理健康护理使用情况和需求。

方法

对一所荷兰医科大学的所有医学生(n = 2266)进行了调查。将1 - 4年级的学生定义为临床尚未活跃,5 - 6年级的学生定义为临床活跃。采用电子调查问卷来检测常见精神障碍,包括抑郁症(BSI - DEP)、焦虑症(BSI - ANG)、压力(4DSQ)和创伤后应激障碍(IES)。询问了过去3个月内心理健康服务的使用情况以及对心理健康服务的需求。计算了常见精神障碍的患病率、心理健康服务的使用情况和需求以及不同组之间的差异。

结果

回复率为52%:814名临床尚未活跃的学生和316名临床活跃的学生。临床尚未活跃和临床活跃的学生中常见精神障碍的患病率分别为54%和48%。患有常见精神障碍的临床尚未活跃学生中,心理健康服务的使用率为14%,临床活跃学生中为12%(无显著差异)。临床尚未活跃和临床活跃的学生对心理健康服务的需求分别为52%和46%(无显著差异)。

结论

临床尚未活跃的学生中可能的常见精神障碍患病率高于临床活跃的学生。心理健康服务的需求超过了使用,但两组学生的需求相同。

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