Lloyd C, Musser L A
Department of Psychiatry, University of Texas Health Science Center, Houston 77030.
J Nerv Ment Dis. 1989 Feb;177(2):61-9. doi: 10.1097/00005053-198902000-00001.
Prior research has suggested that dentistry is a relatively stressful occupation that may place its practitioners at an increased mental health risk. Whether or not this susceptibility to mental distress is also evident in those who are being educated to enter the occupation has not been previously studied. The purpose of the present study was to examine the presence of psychiatric symptomatology in a sample of dental students by using the Hopkins Symptom Checklist. Results indicate that dental students evidenced considerably higher symptom levels than those previously reported in a general population survey. Compared with the general population, dental students showed a mild elevation in somatic symptomatology, a moderate elevation in anxiety and depressive symptomatology, and a marked elevation in obsessive-compulsive symptomatology and interpersonal sensitivity. It is possible that the marked elevations in obsessive-compulsive symptomatology and in interpersonal sensitivity may reflect in part a sensitization to excessive performance demands. This sensitization may manifest itself in cognitive inefficiencies such as indecisiveness, blocking or memory impairment, and excess sensitivity to the evaluative judgments of other people. In comparing dental students with other sample groups, dental students were also found to evidence more psychiatric symptomatology than general medical patients judged free of psychiatric illness, and to approach levels of symptomatology found in general medical patients judged psychiatrically ill or in need of psychiatric treatment.
先前的研究表明,牙科是一个压力相对较大的职业,可能会使其从业者面临更高的心理健康风险。那些正在接受职业教育的人是否也容易出现精神困扰,此前尚未有研究。本研究的目的是通过使用霍普金斯症状清单来检查一组牙科学生的精神症状情况。结果表明,牙科学生的症状水平明显高于之前在一般人群调查中报告的水平。与一般人群相比,牙科学生的躯体症状略有升高,焦虑和抑郁症状中度升高,强迫症状和人际敏感症状显著升高。强迫症状和人际敏感症状的显著升高可能部分反映了对过高表现要求的敏感。这种敏感可能表现为认知效率低下,如犹豫不决、思维阻塞或记忆障碍,以及对他人评价判断的过度敏感。在将牙科学生与其他样本组进行比较时,还发现牙科学生的精神症状比被判定无精神疾病的普通内科患者更多,且接近被判定患有精神疾病或需要精神治疗的普通内科患者的症状水平。