Braquehais María Dolores, Arrizabalaga Pilar, Lusilla Pilar, Valero Sergi, Bel Miquel Jordi, Bruguera Eugeni, Sher Leo, Casas Miquel
Integral Care Program for Sick Health Professionals, Galatea Clinic, Galatea Foundation, Collegi Oficial de Metges de Barcelona, Barcelona, Spain; Department of Psychiatry, Hospital Universitari Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Barcelona, Spain.
Department of Nephrology, Hospital Clínic , Barcelona , Spain.
Front Psychiatry. 2016 Nov 25;7:181. doi: 10.3389/fpsyt.2016.00181. eCollection 2016.
To examine the demographic and clinical differences between men and women admitted to a Physicians' Health Programme (PHP).
Retrospective chart review of 778 medical records of physicians admitted to the Barcelona PHP from February 1, 1998 until December 31, 2015.
Women admitted to the Barcelona PHP were younger than men, were more likely to be self-referred and to be admitted for a non-addictive mental disorder. Prevalence of unipolar affective disorders (60.1 vs. 37.6%), adjustment disorders (62.4 vs. 37.6%), and obsessive-compulsive disorder (61.1 vs. 38.9%) was significantly higher among women, whereas prevalence of alcohol use disorders was lower (32.7 vs. 67.3%). Nevertheless, both groups were similar with regard to medical specialty, working status, length of their first treatment episode, and presence of hospitalization during that episode. After multivariate analysis, age, type of referral, and main diagnosis (addictive disorders vs. other mental disorders) discriminated the differences between groups.
Women physicians seem to be more prone to voluntarily ask for help from PHPs and are more likely to suffer from mood and anxiety disorders compared to men. However, mental disorders' severity may be similar in both groups. More studies are needed to clarify the gender factors related to this behavior.
研究参加医师健康计划（PHP）的男性和女性在人口统计学和临床方面的差异。
对1998年2月1日至2015年12月31日期间入住巴塞罗那PHP的778名医师的病历进行回顾性分析。
入住巴塞罗那PHP的女性比男性年轻，更有可能是自我转诊，且因非成瘾性精神障碍入院。女性中单相情感障碍（60.1%对37.6%）、适应障碍（62.4%对37.6%）和强迫症（61.1%对38.9%）的患病率显著更高，而酒精使用障碍的患病率较低（32.7%对67.3%）。然而，两组在医学专业、工作状态、首次治疗疗程的时长以及该疗程期间的住院情况方面相似。多变量分析后，年龄、转诊类型和主要诊断（成瘾性障碍与其他精神障碍）可区分两组之间的差异。
与男性相比，女医师似乎更倾向于主动向PHP寻求帮助，且更易患情绪和焦虑障碍。然而，两组精神障碍的严重程度可能相似。需要更多研究来阐明与此行为相关的性别因素。
