Rahmati Farhad, Safari Saeed, Hashemi Behrooz, Baratloo Alireza, Khosravi Rad Roozbeh
Emergency Medicine Department, Shohadaye Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emergency Medicine Department, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2019 Jan 25;7(1):e5. eCollection 2019 Winter.
Emergency medicine physicians are constantly under psychological trauma due to encountering critically ill patients, mortality, and violence, which can negatively affect their mental and physical health. The present study was performed with the aim of determining the rate of depression and personality disorders in first-year emergency medicine residents and comparing it with the time they reach the 3rd year.
In the present prospective cross-sectional study, emergency medicine residents working in multiple teaching hospitals were included via census method and evaluated regarding the rate of depression and personality disorders using the standard MMPI-2 questionnaire upon admission to the program and graduation and their status regarding the evaluated disorders were compared between the 2 phases of evaluation.
99 residents with the mean age of 33.93 ± 5.92 years were evaluated. 85 (85.85%) rated their interest in their discipline as moderate to high. The rates of stress (p = 0.020), anxiety (p < 0.001), and hypomania (p = 0.015) had significantly increased during the 3 years and psychasthenia rate had decreased significantly during this time (p = 0.002). Changes in the prevalence of other disorders on the third year compared to the year of admission to emergency medicine program were not significant.
Considering the results of the present study, it seems that paying more attention to mental problems and decreasing environmental stressors of medical residents, especially emergency medicine residents, should be among the priorities of managers and policymakers of this discipline.
急诊医学医生由于接触危重症患者、死亡率以及暴力事件，一直承受着心理创伤，这会对他们的身心健康产生负面影响。本研究旨在确定急诊医学一年级住院医师的抑郁症和人格障碍发生率，并将其与他们进入第三年时的情况进行比较。
在本前瞻性横断面研究中，采用普查法纳入多家教学医院工作的急诊医学住院医师，并在进入该项目时和毕业时使用标准的MMPI-2问卷对其抑郁症和人格障碍发生率进行评估，比较两个评估阶段中他们在所评估障碍方面的状况。
对99名平均年龄为33.93±5.92岁的住院医师进行了评估。85人（85.85%）将他们对本学科的兴趣评为中等至高。在这3年中，压力（p = 0.020）、焦虑（p < 0.001）和轻躁狂（p = 0.015）的发生率显著增加，而神经衰弱发生率在此期间显著下降（p = 0.002）。与进入急诊医学项目当年相比，第三年其他障碍患病率的变化不显著。
考虑到本研究结果，似乎更加关注医学住院医师，尤其是急诊医学住院医师的心理问题并减少其环境压力源，应成为该学科管理人员和政策制定者的优先事项之一。
