Jiménez-López José Luis, Arenas-Osuna Jesús, Angeles-Garay Ulises
Departamento de Psiquiatría y Psicología, División de Educación en Salud, División de Epidemiología Hospitalaria, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto, Mexicano del Seguro Social, Distrito Federal, México.
Rev Med Inst Mex Seguro Soc. 2015 Jan-Feb;53(1):20-8.
One of the causes of dissatisfaction among residents is related to burnout syndrome, stress and depression. The aim of this study is to describe the prevalence of depression, anxiety and suicide risk symptoms and its correlation with mental disorders among medical residents over an academic year.
108 medical residents registered to second year of medical residence answered the Beck Depression Inventory, the State-Trait Anxiety Inventory and the Suicide Risk Scale of Plutchik: at the entry, six months later and at the end of the academic year.
Residents reported low depressive symptoms (3.7 %), low anxiety symptoms (38 %) and 1.9 % of suicide risk at the beginning of the academic year, which increased in second measurement to 22.2 % for depression, 56.5 % for anxiety and 7.4 % for suicide risk. The statistical analysis showed significant differences between the three measurements (p < 0.001). The prevalence of depressive disorder was 4.6 % and no anxiety disorder was diagnosed. Almost all of the residents with depressive disorder had personal history of depression. None reported the work or academic environment as a trigger of the disorder. There was no association by specialty, sex or civil status.
The residents that are susceptible to depression must be detected in order to receive timely attention if they develop depressive disorder.
住院医师不满的原因之一与职业倦怠综合征、压力和抑郁有关。本研究的目的是描述在一学年期间，医学住院医师中抑郁、焦虑和自杀风险症状的患病率及其与精神障碍的相关性。
108名注册进入医学住院医师第二年的人员在入学时、六个月后和学年结束时回答了贝克抑郁量表、状态-特质焦虑量表和普卢奇克自杀风险量表。
住院医师在学年开始时报告的抑郁症状发生率较低（3.7%）、焦虑症状发生率较低（38%）和自杀风险发生率为1.9%，在第二次测量时，抑郁症状发生率增至22.2%，焦虑症状发生率增至56.5%，自杀风险发生率增至7.4%。统计分析显示三次测量之间存在显著差异（p<0.001）。抑郁症患病率为4.6%，未诊断出焦虑症。几乎所有患有抑郁症的住院医师都有抑郁症个人史。没有人报告工作或学术环境是该疾病的触发因素。在专业、性别或婚姻状况方面没有关联。
必须检测出易患抑郁症的住院医师，以便他们患抑郁症时能得到及时关注。
