Kannan Lakshmi, Wheeler David S, Blumhof Scott, Gotfried Jonathan, Ferris Allison, Mathur Ajita, Hembree Elizabeth, Moyer Darilyn, Rangaswami Janani
Einstein Medical Center Philadelphia, Philadelphia, PA, USA.
University of Michigan, Ann Arbor, MI, USA.
Acad Psychiatry. 2019 Apr;43(2):167-170. doi: 10.1007/s40596-018-0911-9. Epub 2018 Apr 11.
This study sought to screen for the burden of work-related posttraumatic stress disorder (PTSD) symptoms in internal medicine residents.
A cross-sectional survey of internal medicine residents from three academic institutions was conducted using the PCL-5 screening tool.
Off all residents surveyed, 5.2% screened positive for PTSD symptoms (N = 194). 86.1% of all trainees identified stressors during training. Positive PTSD screens were significantly higher in PGY3 residents (X = 15.24, p = 0.0005). Of all PGY3 residents, 9.8% (N = 4) and 14.6% (N = 6) of residents screened positive for PTSD symptoms based on absolute and cluster score criteria, respectively. Verbal/physical assault by patients/families/colleagues were triggers for the most cases of positive screens.
Self-reported stressors are highly prevalent in internal medicine trainees. Verbal/physical assault by patients and families appear to be the triggering event for most positive screens. These observations will help with future study designs to quantify the burden of work related PTSD in internal medicine trainee physicians so that appropriate supportive measures can be provided.
本研究旨在筛查内科住院医师中与工作相关的创伤后应激障碍（PTSD）症状负担。
使用PCL-5筛查工具对来自三个学术机构的内科住院医师进行横断面调查。
在所有接受调查的住院医师中，5.2%的人PTSD症状筛查呈阳性（N = 194）。86.1%的实习生在培训期间识别出应激源。PGY3住院医师的PTSD阳性筛查率显著更高（X = 15.24，p = 0.0005）。在所有PGY3住院医师中，分别有9.8%（N = 4）和14.6%（N = 6）的住院医师根据绝对评分标准和聚类评分标准PTSD症状筛查呈阳性。患者/家属/同事的言语/身体攻击是大多数阳性筛查病例的触发因素。
自我报告的应激源在内科实习生中非常普遍。患者和家属的言语/身体攻击似乎是大多数阳性筛查的触发事件。这些观察结果将有助于未来的研究设计，以量化内科实习医师中与工作相关的PTSD负担，从而能够提供适当的支持措施。
