Instituto da Criança, Universidade de São Paulo, São Paulo, Brazil.
Instituto de Psiquiatria, Universidade de Sao Paulo, 1967, Oscar Freire, São Paulo, 05409011, Brazil.
BMC Med Educ. 2019 Jun 11;19(1):193. doi: 10.1186/s12909-019-1621-z.
Several studies correlate medical residency with the occurrence of mental health disorders, Burnout Syndrome and quality of life impairment. It has been demonstrated that mental health disorders increase medical errors and lead to less effective patient care. Considering such context, this study aimed to evaluate the prevalence of anxiety, depression, stress and to identify its correlates with Burnout Syndrome and quality of life in a sample of medical residents and fellow physicians of the largest Brazilian academic health system.
In 2017, 1648 participants were voluntarily and anonymously surveyed online about demographic characteristics, Burnout Syndrome, mental symptoms, and quality of life measured by validated questionnaires. Responses were captured through REDCap platform and multivariate statistical analyses were performed with STATA 15.
A total of 606 (36.8%) residents/fellows physicians completed the survey. Depression symptoms were present in 19%, anxiety symptoms in 16% and stress symptoms in 17.7% of the sample. Burnout Syndrome was present in 63% of the sample. Multivariate analysis showed a statistical significant positive correlation between Burnout Syndrome and depression, anxiety and stress symptoms and a negative correlation between mental symptoms and quality of life scores.
Mental health symptoms prevalence in this study is similar to other studies and their occurrence is positively correlated with Burnout Syndrome among medical residents/fellow physicians of the largest Brazilian academic health system. These results are relevant and must be confirmed by multicentric longitudinal studies. This study reinforces the importance of debating interventions to improve mental health among doctors in training.
多项研究表明，住院医师规范化培训与心理健康障碍、 burnout 综合征和生活质量受损有关。研究表明，心理健康障碍会增加医疗差错，并导致患者护理效果下降。有鉴于此，本研究旨在评估焦虑、抑郁、压力在巴西最大的学术医疗系统的住院医师和专科医师样本中的发生率，并分析其与 burnout 综合征和生活质量的相关性。
2017 年，1648 名参与者在线自愿匿名接受了关于人口统计学特征、 burnout 综合征、精神症状和生活质量的调查，采用经过验证的问卷进行评估。通过 REDCap 平台收集应答，使用 STATA 15 进行多变量统计分析。
共有 606 名（36.8%）住院医师/专科医师完成了调查。该样本中，19%存在抑郁症状，16%存在焦虑症状，17.7%存在压力症状。该样本中 63%存在 burnout 综合征。多变量分析显示，burnout 综合征与抑郁、焦虑和压力症状呈正相关，与精神症状和生活质量评分呈负相关。
本研究中精神健康症状的发生率与其他研究相似，其发生与巴西最大学术医疗系统的住院医师/专科医师中的 burnout 综合征呈正相关。这些结果具有重要意义，必须通过多中心纵向研究加以证实。本研究强调了讨论针对培训医生的精神健康干预措施的重要性。
