Wolf Megan R, Rosenstock Jason B
University of Connecticut School of Medicine, Farmington, CT, USA.
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Acad Psychiatry. 2017 Apr;41(2):174-179. doi: 10.1007/s40596-016-0526-y. Epub 2016 Mar 14.
The authors studied whether low levels of exercise or inadequate sleep correlated with higher levels of burnout and depression in medical students.
Medical students of all years at the University of Pittsburgh School of Medicine, Pittsburgh, PA, USA, were invited to participate in an anonymous online survey in Fall 2012 and Winter 2013. Validated measures were used to assess exercise, sleep, burnout, and depression.
Response rates were 28.7 % at the beginning of the school year and 22.6 % at the middle of the school year. Burnout rates overall were 22.4 % at the beginning of the year and 19.2 % in the middle of the year. Eight percent of students screened positive for depression at the beginning of the year and 9.3 % in the middle of the year. Decreased exercise frequency was significantly correlated with lower professional efficacy. Pathological sleepiness was significantly associated with a higher prevalence of burnout. Inadequate sleep correlated with significantly lower professional efficacy and higher exhaustion scores. Burnout was associated with a positive depression screen. Positive depression screening, pathological sleepiness, and sleeping less than 7 h a night were independent predictors of burnout.
Sleep habits, exercise, and a positive depression screen were associated with burnout risk within the medical student population.
作者研究了运动量少或睡眠不足是否与医学生更高水平的职业倦怠和抑郁相关。
邀请美国宾夕法尼亚州匹兹堡大学医学院各年级的医学生参加2012年秋季和2013年冬季的匿名在线调查。使用经过验证的方法来评估运动、睡眠、职业倦怠和抑郁情况。
学年开始时的回复率为28.7%，学年中期为22.6%。年初职业倦怠率总体为22.4%，年中为19.2%。年初8%的学生抑郁筛查呈阳性，年中为9.3%。运动频率降低与职业效能降低显著相关。病理性嗜睡与职业倦怠的较高患病率显著相关。睡眠不足与职业效能显著降低和疲惫得分较高相关。职业倦怠与抑郁筛查呈阳性相关。抑郁筛查呈阳性、病理性嗜睡和每晚睡眠少于7小时是职业倦怠的独立预测因素。
睡眠习惯、运动和抑郁筛查呈阳性与医学生群体中的职业倦怠风险相关。
