Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, 40225 Düsseldorf, Germany.
Int J Environ Res Public Health. 2018 Jul 11;15(7):1462. doi: 10.3390/ijerph15071462.
Medical students are at increased risk of experiencing mental health problems. Certain personality traits may be associated with elevated vulnerability to study-related stress and poor mental health. This study aimed to investigate the relationship between such personality traits and mental health outcomes among medical students. We drew on cross-sectional data from 251 medical students who had been enrolled for one-year at a medical school in Germany. Depressive symptoms were measured using the Patient Health Questionnaire-8 (PHQ-8) and suicidal ideation was assessed by item 9 from the Patient Health Questionnaire-9 (PHQ-9). Personality traits were captured using the Business-Focused Inventory of Personality 6 Factors (BIP-6F). Multivariable logistic regression analyses were used to quantify the associations between work-related personality factors and mental health outcomes, controlling for demographic and social factors. Odds ratios (ORs) as outcome measures with 95% confidence intervals (CIs) were used. After controlling for important confounders, medical students who scored highly on Stability had lower odds of depressive symptoms (OR: 0.19, 95% CI: 0.09⁻0.42, < 0.001) and suicidality (OR: 0.38, 95% CI: 0.16⁻0.87, < 0.05) than those with high scores in other work-related personality factors. Findings also showed that those who scored highly on Dominance had greater odds of depressive symptoms (OR: 2.46, 95% CI: 1.22⁻4.97), < 0.01). Work-related personality-informed interventions, which promote students' mental well-being and reduce academic stress should be considered at various stages of their medical training.
医学生面临更高的心理健康问题风险。某些人格特质可能与对学习相关压力的易感性增加和心理健康状况不佳有关。本研究旨在探讨这些人格特质与医学生心理健康结果之间的关系。我们利用了德国一所医学院的 251 名医学生的横断面数据。使用患者健康问卷-8(PHQ-8)测量抑郁症状,使用患者健康问卷-9(PHQ-9)的第 9 项评估自杀意念。使用商业聚焦人格 6 因素量表(BIP-6F)捕捉人格特质。使用多变量逻辑回归分析来量化与工作相关人格因素和心理健康结果之间的关联,控制人口统计学和社会因素。使用比值比(OR)作为结果衡量标准,并给出 95%置信区间(CI)。在控制了重要混杂因素后,在稳定性方面得分较高的医学生出现抑郁症状(OR:0.19,95%CI:0.09⁻0.42, < 0.001)和自杀意念(OR:0.38,95%CI:0.16⁻0.87, < 0.05)的可能性低于其他工作相关人格因素得分较高的医学生。研究结果还表明,在支配性方面得分较高的学生出现抑郁症状的可能性更大(OR:2.46,95%CI:1.22⁻4.97), < 0.01)。应该在医学生的医学培训的各个阶段考虑实施以工作相关人格为依据的干预措施,以促进学生的心理健康并减轻学业压力。