医院医生常见精神障碍的患病率及其与自我报告工作能力的关系：一项横断面研究。
The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study.
机构信息
Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, PO Box 227001100, DE Amsterdam, the Netherlands.
出版信息
BMC Health Serv Res. 2012 Aug 31;12:292-8. doi: 10.1186/1472-6963-12-292.
BACKGROUND
We studied the prevalence of common mental disorders among Dutch hospital physicians and investigated whether the presence of a mental disorder was associated with insufficient self-reported work ability.
METHODS
A questionnaire was sent to all (n = 958) hospital physicians of one academic medical center, using validated scales to assess burnout, work-related fatigue, stress, posttraumatic stress disorder (PTSD), anxiety and depression. Furthermore, respondents were asked to rate their current work ability against the work ability in their own best period (adapted version of the first WAI item). The prevalence of each common mental disorder was calculated. In addition, odds ratios of reporting insufficient work ability for subjects with high complaint scores compared to physicians with low complaint scores were calculated for each mental disorder.
RESULTS
The response rate was 51%, and 423 questionnaires were eligible for analysis. The mental disorder prevalence rates were as follows: work-related fatigue 42%, depression 29%, anxiety 24%, posttraumatic stress complaints 15%, stress complaints 15% and burnout 6%. The mean score for self-reported work ability was 8.1 (range 0-10), and 4% of respondents rated their own work ability as insufficient. Physicians with high mental health complaints were 3.5- for fatigue, 5.6- for PTSD, 7.1- for anxiety, 9.5- for burnout, 10.8- for depression and 13.6-fold for stress more likely to report their work ability as insufficient.
CONCLUSIONS
The prevalence of common mental disorders among hospital physicians varied from 6% for burnout to 42% for work-related fatigue. Those physicians with high complaints had significantly 4- to 14 times increased odds of reporting their own work ability as insufficient. This work suggests that to ensure future workers health and patients safety occupational health services should plan appropriate intervention strategies.
背景
我们研究了荷兰医院医生常见精神障碍的患病率，并调查了精神障碍的存在是否与自我报告的工作能力不足有关。
方法
向一家学术医疗中心的所有（n=958）医院医生发送了一份问卷，使用经过验证的量表评估倦怠、与工作相关的疲劳、压力、创伤后应激障碍（PTSD）、焦虑和抑郁。此外，被调查者被要求将自己目前的工作能力与自己最佳时期的工作能力进行比较（第一个 WAI 项目的改编版本）。计算每种常见精神障碍的患病率。此外，对于每个精神障碍，对于报告工作能力不足的高投诉得分的受试者与低投诉得分的医生，计算报告工作能力不足的优势比。
结果
回复率为 51%，有 423 份问卷符合分析条件。精神障碍患病率如下：与工作相关的疲劳 42%、抑郁 29%、焦虑 24%、创伤后应激投诉 15%、压力投诉 15%和倦怠 6%。自我报告工作能力的平均得分为 8.1（范围 0-10），4%的受访者认为自己的工作能力不足。心理健康投诉较高的医生报告工作能力不足的可能性分别为疲劳的 3.5 倍、PTSD 的 5.6 倍、焦虑的 7.1 倍、倦怠的 9.5 倍、抑郁的 10.8 倍和压力的 13.6 倍。
结论
医院医生常见精神障碍的患病率从倦怠的 6%到与工作相关的疲劳的 42%不等。那些投诉较高的医生报告自己工作能力不足的可能性高出 4 到 14 倍。这项工作表明，为了确保未来工作人员的健康和患者的安全，职业健康服务机构应制定适当的干预策略。
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