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住院医师的心理健康:与个人、工作相关及社会人口统计学变量的关系。

Mental health in medical residents: relationship with personal, work-related, and sociodemographic variables.

作者信息

Pereira-Lima Karina, Loureiro Sonia R, Crippa José A

机构信息

Programa de Pós-Graduação em Saúde Mental, Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil.

出版信息

Braz J Psychiatry. 2016 Oct-Dec;38(4):318-324. doi: 10.1590/1516-4446-2015-1882. Epub 2016 May 17.

Abstract

OBJECTIVE

: To examine association of sociodemographic characteristics, personality traits, social skills, and work variables with anxiety, depression, and alcohol dependence in medical residents.

METHODS

: A total of 270 medical residents completed the following self-report instruments: sociodemographic and work questionnaire, Patient Health Questionnaire-4 (PHQ-4), Alcohol Use Disorders Identification Test-3 (AUDIT-3), Revised NEO-Five Factor Inventory (NEO-FFI-R), and Social Skills Inventory (SSI-Del-Prette). Data were analyzed using descriptive statistics and univariate and multivariate logistic regression analyses.

RESULTS

: Multivariate analysis showed an association of neuroticism (odds ratio [OR] 2.60, p < 0.001), social skills (OR 0.41, p < 0.01), and number of shifts (OR 1.91, p = 0.03) with anxiety or depression, and of male sex (OR 3.14, p = 0.01), surgical residency (OR 4.40, p = 0.001), extraversion (OR 1.80, p < 0.01), and number of shifts (OR 2.32, p = 0.04) with alcohol dependence.

CONCLUSION

: The findings support a multidetermined nature of mental health problems in medical residents, in addition to providing data that may assist in the design of preventive measures to protect the mental health of this group.

摘要

目的

探讨社会人口学特征、人格特质、社交技能及工作变量与住院医师焦虑、抑郁和酒精依赖之间的关联。

方法

共有270名住院医师完成了以下自我报告工具:社会人口学和工作调查问卷、患者健康问卷-4(PHQ-4)、酒精使用障碍识别测试-3(AUDIT-3)、修订的大五人格问卷(NEO-FFI-R)和社交技能量表(SSI-Del-Prette)。使用描述性统计以及单因素和多因素逻辑回归分析对数据进行分析。

结果

多因素分析显示,神经质(优势比[OR]2.60,p<0.001)、社交技能(OR 0.41,p<0.01)和轮班次数(OR 1.91,p = 0.03)与焦虑或抑郁有关,男性(OR 3.14,p = 0.01)、外科住院医师(OR 4.40,p = 0.001)、外向性(OR 1.80,p<0.01)和轮班次数(OR 2.32,p = 0.04)与酒精依赖有关。

结论

研究结果支持住院医师心理健康问题具有多因素性质,此外还提供了有助于设计预防措施以保护该群体心理健康的数据。

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