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[本科医学生情绪和躯体主诉筛查:一项纵向研究]

[Screening of emotional and somatic complaints in undergraduate medical students: a longitudinal study].

作者信息

Grässel Elmar, Lampen-Imkamp Stefanie, Lehrl Siegfried, Kahl Kai Günter

机构信息

Bereich Medizinische Psychologie und Medizinische Soziologie der Psychiatrischen Universitätsklinik Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany.

出版信息

Psychiatr Prax. 2013 Jan;40(1):30-5. doi: 10.1055/s-0032-1327195. Epub 2013 Jan 14.

Abstract

OBJECTIVES

  1. Do easy-to-administer screening tests for anxiety, depression, and somatic complaints detect more abnormal results in medical students than in the "normal" population? 2) Can the complaints already be recognized at the beginning of university studies? 3) Do they occur more seldom in medical students who are related to doctors?

METHODS

Study with 146 of 150 enrolled medical students undergoing 2 self-rating scales during the first 3 terms: "Hospital Anxiety and Depression Scale" (HADS-D) and "Gießener Beschwerdebogen GBB" (GBB-24).

RESULTS

  1. More abnormal values were measured than in the normal population. 2) The grades of anxiety, depression, and total somatic complaints, but not exhaustion, could be recognized at the start of the first term. 3) Students from medical families showed less anxieties and depressions. Nevertheless, the prevalence is remarkably high.

CONCLUSIONS

HADS-D and GBB-24 are efficient aids to early detection of conspicuous emotional and somatic complaints of medical students who did not reduce their symptoms when not being treated.

摘要

目的

1)与“正常”人群相比,易于实施的焦虑、抑郁和躯体不适筛查测试在医学生中检测出的异常结果是否更多?2)这些不适在大学学习开始时能否被识别?3)在与医生有亲属关系的医学生中,这些不适出现的频率是否更低?

方法

对150名入学医学生中的146名进行研究,他们在头三个学期接受了两种自评量表测试:“医院焦虑抑郁量表”(HADS-D)和“吉森症状问卷GBB”(GBB-24)。

结果

1)检测到的异常值比正常人群更多。2)焦虑、抑郁和总体躯体不适的程度,而非疲惫程度,在第一学期开始时就能被识别。3)来自医学家庭的学生表现出的焦虑和抑郁较少。然而,患病率仍然非常高。

结论

HADS-D和GBB-24有助于早期发现医学生明显的情绪和躯体不适,这些学生在未接受治疗时症状并未减轻。

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