Aix-Marseille Univ, Faculté de Médecine - Secteur Timone, EA 3279: CEReSS -Centre d'Etudeetde Recherche sur les Services de Santéetla Qualité de vie,27 Boulevard Jean Moulin, Marseille 13005, France.
Aix-Marseille Univ, Faculté de Médecine - Secteur Timone, EA 3279: CEReSS -Centre d'Etudeetde Recherche sur les Services de Santéetla Qualité de vie,27 Boulevard Jean Moulin, Marseille 13005, France.
J Affect Disord. 2018 Oct 1;238:534-538. doi: 10.1016/j.jad.2018.05.074. Epub 2018 Jun 15.
Physicians are at risk for burnout, anxiety and depression.
To explore the self-reported mental health status, substance use behavior and motives of a national sample of interns in psychiatry compared to other specialties.
Interns of the 35 French Medicine faculties were recruited through mailing lists and social networks between December 2016 and May 2018 and fulfilled internet anonymized questionnaires.
Overall, 2165 interns (302 interns in psychiatry and 1863 in other specialties) mean aged 25.9 years (±2.8), 35% males were included in the present study. In multivariate analyses, interns in psychiatry were found to have higher rates of current tobacco smoking (aOR = 1.9 [1.4-2.5], p < 0.001), alcohol use disorder (aOR = 1.5 [1.2-2.0], p = 0.001), cannabis use disorder (aOR = 2.7 [1.8-4.2], p < 0.001)). They were more frequently followed by a psychiatrist and/ or a psychologist (aOR = 2.5 1.9-3.3], p < 0.001), they consumed more often antidepressants (aOR = 3.8 [2.2-6.6], p < 0.001) and anxiolytic (aOR = 1.8[1.2-2.8]; p = 0.006). They reported to have been more frequently exposed to sexual assault (aOR = 2.2 [1.1-4.8], p = 0.04) and physical assault (aOR = 1.9[1.3-2.9], p = 0.002), and to have lower vitality (β = 3.5 [0.6-6.4], p = 0.02). Interns in psychiatry reported to have more often experienced ecstasy (aOR = 1.6 [1.2-2.3], p = 0.004), mushrooms (aOR = 1.5 [1.1-2.2], p = 0.04), amphetamines (aOR = 1.9 [1.2-3.1], p = 0.009) and LSD (aOR = 1.8 [1.1-3.1], p = 0.04). Beyond classical motives for this consumption (party, group effect), interns in psychiatry reported to seek more frequently disinhibition (aOR = 1.7 [1.3-2.2], p < 0.001), dealing with anxiety (aOR = 1.7 [1.3-2.3], p = 0.001), and to seek both stimulant (aOR = 1.4 [1.1-1.9], p = 0.04) and sedative effects (aOR = 1.9[1.3-2.7], p = 0.001).
Interns in psychiatry are more exposed to violence during medical studies, they report lower vitality and increased substance use behavior. Their motives for consumption suggest mental health problems associated with increased engagement in psychotherapy and self-medication of antidepressant/anxiolytic. This population should be targeted as a specific vulnerable population among interns in medicine to prevent ulterior bad health outcomes.
医生面临着倦怠、焦虑和抑郁的风险。
探讨与其他专业相比，全国范围内的精神病学实习医生的自我报告心理健康状况、物质使用行为和动机。
通过邮件列表和社交网络，于 2016 年 12 月至 2018 年 5 月期间招募了来自 35 所法国医学院的实习医生，并完成了互联网匿名问卷调查。
共有 2165 名实习医生（302 名精神病学实习医生和 1863 名其他专业实习医生），平均年龄为 25.9 岁（±2.8），35%为男性。在多变量分析中，发现精神病学实习医生目前吸烟（aOR=1.9[1.4-2.5]，p<0.001）、酒精使用障碍（aOR=1.5[1.2-2.0]，p=0.001）和大麻使用障碍（aOR=2.7[1.8-4.2]，p<0.001）的比例更高。他们更频繁地接受精神科医生和/或心理学家的随访（aOR=2.5[1.9-3.3]，p<0.001），更经常使用抗抑郁药（aOR=3.8[2.2-6.6]，p<0.001）和抗焦虑药（aOR=1.8[1.2-2.8]；p=0.006）。他们报告说，更频繁地遭受性侵犯（aOR=2.2[1.1-4.8]，p=0.04）和身体攻击（aOR=1.9[1.3-2.9]，p=0.002），活力较低（β=3.5[0.6-6.4]，p=0.02）。精神病学实习医生报告说，更频繁地使用摇头丸（aOR=1.6[1.2-2.3]，p=0.004）、蘑菇（aOR=1.5[1.1-2.2]，p=0.04）、安非他命（aOR=1.9[1.2-3.1]，p=0.009）和 LSD（aOR=1.8[1.1-3.1]，p=0.04）。除了这种消费的典型动机（聚会、群体效应）外，精神病学实习医生报告说，他们更频繁地寻求抑制作用（aOR=1.7[1.3-2.2]，p<0.001）、应对焦虑（aOR=1.7[1.3-2.3]，p=0.001），并同时寻求兴奋剂（aOR=1.4[1.1-1.9]，p=0.04）和镇静剂作用（aOR=1.9[1.3-2.7]，p=0.001）。
精神病学实习医生在医学研究期间更容易遭受暴力，他们报告说活力较低，物质使用行为增加。他们的消费动机表明存在与增加心理治疗和使用抗抑郁药/抗焦虑药自我治疗相关的心理健康问题。这一人群应作为医学实习医生中一个特定的弱势群体进行针对性治疗，以预防不良健康后果的发生。
