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一年级和最后一年的医学生:焦虑和抑郁症状的患病率及严重程度是否存在差异?

First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms?

作者信息

Bassols Ana M, Okabayashi Lucas S, Silva Anais B da, Carneiro Bruna B, Feijó Fernando, Guimarães Guilherme C, Cortes Gabriela N, Rohde Luis A, Eizirik Claudio L

机构信息

Department of Psychiatry, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.

UFRGS, Porto Alegre, RS, Brazil.

出版信息

Braz J Psychiatry. 2014 Sep;36(3):233-40. doi: 10.1590/1516-4446-2013-1183. Epub 2014 Mar 24.

DOI:10.1590/1516-4446-2013-1183
PMID:24676042
Abstract

OBJECTIVE

Medical training is considered a significant stress factor. We sought to assess the prevalence and intensity of anxiety and depressive symptoms in medical students and compare samples of first-year and sixth-year students.

METHOD

This was a cross-sectional study of first- and sixth-year medical students who attended classes regularly. The study instruments were a sociodemographic questionnaire, the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI).

RESULTS

A total of 232 students (110 first-year, 122 sixth-year) completed the questionnaires, for a response rate of 67.4%. Overall 50.4% of respondents were male (56.4% of first-year and 45.1% of sixth-year students). Anxiety symptoms were reported by 30.8% of first-year students and 9.4% of sixth-year students (p < 0.001). Female students were more affected by anxiety. There were no significant between-group differences in depressive symptoms.

CONCLUSION

A higher prevalence of anxiety symptoms was found in first-year medical students as compared with sixth-year students. Strategies should be developed to help medical students, particularly female students, manage these symptoms at the beginning of their medical training.

摘要

目的

医学培训被认为是一个重要的压力因素。我们试图评估医学生焦虑和抑郁症状的患病率及严重程度,并比较一年级和六年级学生的样本。

方法

这是一项对正常上课的一年级和六年级医学生的横断面研究。研究工具包括一份社会人口学问卷、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)。

结果

共有232名学生(110名一年级学生,122名六年级学生)完成了问卷,回复率为67.4%。总体而言,50.4%的受访者为男性(一年级学生中占56.4%,六年级学生中占45.1%)。30.8%的一年级学生和9.4%的六年级学生报告有焦虑症状(p<0.001)。女生受焦虑影响更大。两组在抑郁症状方面无显著差异。

结论

与六年级学生相比,一年级医学生焦虑症状的患病率更高。应制定策略帮助医学生,尤其是女生,在医学培训开始时应对这些症状。

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