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[初级医生中焦虑症和抑郁症的患病率及其与工作的关联]

[Prevalence of anxiety disorders and depression among junior doctors and their links with their work].

作者信息

Kerrien Margaux, Pougnet Richard, Garlantézec Ronan, Pougnet Laurence, Le Galudec Mickaël, Loddé Brice, Dewitte Jean-Dominique

机构信息

CHRU de Brest, hôpital de Bohars, pôle psychiatrie, 29820 Bohars, France; Université européenne de Bretagne, université de Bretagne occidentale, 29238 Brest, France.

Université européenne de Bretagne, université de Bretagne occidentale, 29238 Brest, France; CHRU de Brest, service de consultations de pathologies environnementales, maritimes et professionnelles, médecine du travail du personnel hospitalier, 29609 Brest, France.

出版信息

Presse Med. 2015 Apr;44(4 Pt 1):e84-91. doi: 10.1016/j.lpm.2014.06.042. Epub 2015 Jan 29.

Abstract

UNLABELLED

The caregivers are exposed to several occupational hazards, including psychosocial risks. Among these occupational groups, junior doctors have been little studied. The aim of this study was to evaluate the prevalence of depression and anxiety among junior doctors and their links with their work.

METHODS

This is a prospective study using an anonymous online questionnaire between October 2011 and June 2012. Every junior doctor of Brest medical school was included without exclusion criteria. The questionnaire asked about demographic and health data. It included four validated scales: the Center for Epidemiologic Studies Depression Scale (CES-D), the Spielberger anxiety questionnaire, the Quality of Life Questionnaire of WHO (WHO-QOL) and the Job Content Questionnaire of Karasek.

RESULTS

One hundred and ninety-two junior doctors were included; 68.2 % of them were women. They were 13.0 % suffering from depression; 28.7 % from anxiety; 32.8 % of junior doctors were in job strain and 29.7 % in iso strain. Depression was correlated with high psychological demands and anxiety. The lack of organizational support from senior doctors and competition between junior doctors increased the junior doctors' anxiety.

CONCLUSION

A part of junior doctors is anxious and depressed, somehow due to the psychological demands of work and relationships with other junior doctors and with senior doctors.

摘要

未标注

护理人员面临多种职业危害,包括心理社会风险。在这些职业群体中,初级医生的研究较少。本研究的目的是评估初级医生中抑郁和焦虑的患病率及其与工作的关系。

方法

这是一项前瞻性研究,于2011年10月至2012年6月使用匿名在线问卷进行。布雷斯特医学院的每位初级医生均被纳入,无排除标准。问卷询问了人口统计学和健康数据。它包括四个经过验证的量表:流行病学研究中心抑郁量表(CES-D)、斯皮尔伯格焦虑问卷、世界卫生组织生活质量问卷(WHO-QOL)和卡拉克工作内容问卷。

结果

纳入了192名初级医生;其中68.2%为女性。他们中有13.0%患有抑郁症;28.7%患有焦虑症;32.8%的初级医生处于工作压力状态,29.7%处于等压状态。抑郁与高心理需求和焦虑相关。缺乏上级医生的组织支持以及初级医生之间的竞争增加了初级医生的焦虑。

结论

一部分初级医生焦虑且抑郁,某种程度上是由于工作的心理需求以及与其他初级医生和上级医生的关系。

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