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临床前医学生的抑郁与绝望

Depression and hopelessness in pre-clinical medical students.

作者信息

Coskun Ozlem, Ocalan Ali Ozgurcan, Ocbe Cetin Batuhan, Semiz Huseyin Omer, Budakoglu Irem

机构信息

Gazi University, Ankara, Turkey.

出版信息

Clin Teach. 2019 Aug;16(4):345-351. doi: 10.1111/tct.13073.

Abstract

BACKGROUND

Mental distress seriously affects the quality of life of medical students. Medical students face mental health problems such as depression, anxiety and hopelessness. The pre-clinical years include substantial changes in a student's life, such as moving cities and losing friends, which can complicate an already stressful life, leading to depression and hopelessness. This study aims to determine the levels of depression and hopelessness, and the habits that can affect these levels, among pre-clinical medical students.

METHODS

A descriptive cross-sectional study was conducted using anonymous questionnaires composed of the Beck Depression Scale (BDS), the Beck Hopelessness Scale (BHS), and questions about sociodemographic and perceived reasons for happiness or unhappiness. We invited pre-clinical medical students to join the study. Particularly during the pre-clinical years, medical students face the adverse effects of changing cities, social circles co-workers RESULTS: A total of 1015 (70.5%) students participated in the study. The prevalence of depression among pre-clinical students was found to be 27.7 per cent and mild levels of hopelessness were found in 54.4 per cent. A meaningful positive correlation was found between the BDS scores and BHS scores of medical students (r = 0.535; p < 0.0001). The BDS scores of students who were ex-smokers, daily consumers of fizzy beverages and energy drinks, and students with chronic diseases were significantly higher (p < 0.05). The BHS scores of the students who were ex-smokers and daily consumers of fizzy drinks, as well as intersex students, had significantly higher scores than the other groups (p < 0.05).

DISCUSSION

A healthy social life and effective psychological counselling services are very much needed for mental well-being among medical students in their pre-clinical year.

摘要

背景

精神困扰严重影响医学生的生活质量。医学生面临抑郁、焦虑和绝望等心理健康问题。临床前几年,学生的生活发生了很大变化,如搬到其他城市和失去朋友,这会使本就压力重重的生活更加复杂,进而导致抑郁和绝望。本研究旨在确定临床前医学生的抑郁和绝望水平,以及可能影响这些水平的习惯。

方法

采用描述性横断面研究,使用由贝克抑郁量表(BDS)、贝克绝望量表(BHS)以及关于社会人口统计学和感知到的幸福或不幸福原因的问题组成的匿名问卷。我们邀请临床前医学生参与研究。特别是在临床前几年,医学生面临城市变化、社交圈、同事等带来的不利影响。结果:共有1015名(70.5%)学生参与了研究。发现临床前学生中抑郁的患病率为27.7%,54.4%的学生存在轻度绝望情绪。医学生的BDS得分与BHS得分之间存在显著的正相关(r = 0.535;p < 0.0001)。曾经吸烟的学生、每天饮用碳酸饮料和能量饮料的学生以及患有慢性病的学生的BDS得分显著更高(p < 0.05)。曾经吸烟的学生、每天饮用碳酸饮料的学生以及双性学生的BHS得分显著高于其他组(p < 0.05)。

讨论

临床前医学生的心理健康非常需要健康的社交生活和有效的心理咨询服务。

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