Hôpitaux Universitaires de Marseille, Faculté de Médecine-Secteur Timone, CEReSS-Centre d'Etude et de Recherche sur les Services de Santé et la Qualité de Vie, HUM, Aix-Marseille Univ, 27 Boulevard Jean Moulin EA 3279, 13005, Marseille, France.
Eur Arch Psychiatry Clin Neurosci. 2021 Sep;271(6):1123-1131. doi: 10.1007/s00406-020-01144-9. Epub 2020 May 27.
Despite clues indicating high Bullying at the Work Place (BWP) rates in French hospitals, there has been no quantitative study so far. To determine the prevalence of repeated BWP in a national sample of French young physicians; its risk factors, and the mental health consequences of BWP. The study is a cross-sectional observational epidemiological national study addressed to young physicians. The online internet anonymous questionnaire was elaborated according to previous studies exploring BWP. In addition, we explored the quality of initial training. BWP was defined according to the French legal definition. Mental health was assessed by Hamilton Anxiety and Depression scale, psychotropic drug consumption and psychotherapy follow-up. A Structured Equation Modeling (SEM) was carried out to confirm our theoretical model. 2003 participants of the 37 French medical faculties were included. At least one history of BWP was identified in 41.7% of the participants. The SEM model showed good fit (RMSEA = 0.025, CFI = 0.93, TLI = 0.92, WRMR = 1.285). In the SEM model, BWP was associated with age and number of monthly night shifts and weekly worked hours. Obstetric gynecology, psychiatry, surgery, and medical specialties and low-quality initial training were associated with higher risk of BWP. BWP was associated with increased anxiety and depressive symptoms, daily antidepressant and anxiolytic consumption, and psychotherapy follow-up. Decreasing worked hours and night shifts and improving the quality of the initial training may help preventing BWP among medical students and young physicians. Obstetric gynecology, surgical and medical specialties, and psychiatry should be targeted with a focus on developing prevention programs.
尽管有迹象表明法国医院的工作场所欺凌（BWP）发生率很高，但迄今为止还没有进行定量研究。为了确定法国年轻医生中全国样本中反复发生的 BWP 的流行率；其危险因素，以及 BWP 对心理健康的影响。这项研究是一项针对年轻医生的横断面观察性全国性研究。在线互联网匿名问卷是根据以前探索 BWP 的研究制定的。此外，我们还探讨了初始培训的质量。BWP 根据法国的法律定义进行定义。心理健康通过汉密尔顿焦虑和抑郁量表、精神药物使用和心理治疗随访来评估。进行了结构方程建模（SEM）以确认我们的理论模型。纳入了 37 所法国医学院的 2003 名参与者。参与者中有 41.7%至少有一次 BWP 病史。SEM 模型显示出良好的拟合度（RMSEA=0.025，CFI=0.93，TLI=0.92，WRMR=1.285）。在 SEM 模型中，BWP 与年龄和每月夜班次数以及每周工作时间有关。妇产科、精神病学、外科和医学专业以及初始培训质量低与更高的 BWP 风险相关。BWP 与焦虑和抑郁症状增加、每日抗抑郁药和抗焦虑药使用以及心理治疗随访有关。减少工作时间和夜班，提高初始培训质量，可能有助于预防医学生和年轻医生的 BWP。妇产科、外科和医学专业以及精神病学应成为目标，重点是制定预防计划。
