医学生心理困扰和精神疾病与普通人群的关系：一项加拿大横断面调查。

Medical Student Psychological Distress and Mental Illness Relative to the General Population: A Canadian Cross-Sectional Survey.

机构信息

B. Maser is resident physician and PhD student, Department of Paediatrics and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. M. Danilewitz is resident physician, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. E. Guérin is biostatistician, Hôpital Montfort, Ottawa, Ontario, Canada. L. Findlay is senior research analyst, Health Analysis Division, Analytical Studies, Methodology and Statistical Infrastructure Field, Statistics Canada, Government of Canada, Ottawa, Ontario, Canada. E. Frank is professor, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, and Canada Research Chair in Preventive Medicine and Population Health, Government of Canada, Ottawa, Ontario, Canada.

出版信息

Acad Med. 2019 Nov;94(11):1781-1791. doi: 10.1097/ACM.0000000000002958.

DOI:10.1097/ACM.0000000000002958

PMID:31436626

Abstract

PURPOSE

To provide national data on Canadian medical students' mental health and show how their mental health compares with that of similarly aged postsecondary graduates from the general population.

METHOD

In 2015-2016, the authors conducted a survey of medical students in all years of study at all 17 Canadian medical schools. The surveys included validated items and instruments to assess for psychological distress, suicidal ideation, and diagnosed mood and anxiety disorders. Comparative analyses were performed between medical students and similarly aged postsecondary graduates using data from the Canadian Community Health Survey-Mental Health 2012.

RESULTS

The participation rate across all medical students was 40.2% (4,613/11,469). Relative to the general population of postsecondary graduates aged 20-34, medical students aged 20-34 had significantly higher rates of diagnosed mood disorders, diagnosed anxiety disorders, suicidal ideation, and psychological distress. Among medical students, being female was associated with having a mood or anxiety disorder, lifetime suicidal ideation, moderate or severe psychological distress, and higher mean Kessler Psychological Distress Scale 6-item summative scores. Being in clinical training was associated with having suicidal ideation, moderate or severe psychological distress, and mood and anxiety disorders.

CONCLUSIONS

Compared with postsecondary graduates from the general population, medical student respondents had significantly higher rates of psychological distress, suicidal ideation, and mood and anxiety disorders. Further research is needed to understand the factors that are contributing to these higher rates.

摘要

目的

提供加拿大医学生心理健康状况的全国数据，并展示其心理健康状况与一般人群中同龄高等教育毕业生的心理健康状况相比如何。

方法

在 2015-2016 年，作者对所有 17 所加拿大医学院的所有学习年级的医学生进行了调查。这些调查包括评估心理困扰、自杀意念以及确诊的情绪和焦虑障碍的经过验证的项目和工具。通过 2012 年加拿大社区健康调查-心理健康的数据，对医学生和同龄高等教育毕业生进行了比较分析。

结果

所有医学生的参与率为 40.2%（4613/11469）。与 20-34 岁的同龄高等教育毕业生相比，20-34 岁的医学生中，确诊的情绪障碍、确诊的焦虑障碍、自杀意念和心理困扰的发生率明显更高。在医学生中，女性与患有情绪或焦虑障碍、有过自杀意念、中度或重度心理困扰以及较高的 Kessler 心理困扰量表 6 项总和评分相关。处于临床培训阶段与自杀意念、中度或重度心理困扰以及情绪和焦虑障碍有关。