Newham University Hospital NHS Trust, Glen Rd, London, E13 8SL, UK.
South London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, London, Greater London, SE5 8AZ, UK.
Eur J Obstet Gynecol Reprod Biol. 2020 Oct;253:90-94. doi: 10.1016/j.ejogrb.2020.07.060. Epub 2020 Aug 11.
To explore the impact of the COVID-19 pandemic on the mental health of Obstetricians and Gynaecologists.
A cross-section survey-based study amongst doctors working within Obstetrics and Gynaecology in the United Kingdom.
A total of 207 doctors completed the survey. Obstetricians and Gynaecologists reported significantly higher rates of both Major Depressive Disorder (versus, p = 0.023) and Generalised Anxiety Disorder (versus, p = 0.044) as compared to the UK-wide estimates. Sub-group analysis showed that anxiety was more common amongst female doctors as compared to males (versus, p = 0.047). Although the prevalence of GAD was higher amongst registrars compared to their Consultant and/or Senior House Officer counterparts, this was not statistically significant. Respondents felt that the most significant factor for work-related changes to mental health was keeping up to date with frequently changing guidelines and protocols related to COVID-19. Only of respondents felt able to talk to colleagues about their mental health.
Key findings include the high prevalence of mental health conditions amongst doctors, demonstration of the persistent taboo that mental health carries within the speciality and the key contributory factors to poor mental health. Further work should be done to assess if changes to the way new and updating guidelines, protocols and pathways are disseminated reduces the impact on the mental health of doctors. With the threat of a second COVID-19 peak looming, now more than ever, it is vital that steps are taken to break the stigmatisation of mental health amongst doctors, encouraging doctors to seek help when required.
探讨 COVID-19 大流行对妇产科医生心理健康的影响。
一项针对英国妇产科医生的横断面调查研究。
共有 207 名医生完成了调查。与英国范围内的估计相比，妇产科医生报告的重度抑郁症（p=0.023）和广泛性焦虑症（p=0.044）的发生率明显更高。亚组分析显示，与男性相比，女性医生的焦虑症更为常见（p=0.047）。尽管与顾问和/或高级住院医师相比，住院医师的 GAD 患病率较高，但这并不具有统计学意义。受访者认为，工作相关的心理健康变化的最重要因素是跟上与 COVID-19 相关的频繁变化的指南和方案。只有少数受访者表示能够与同事谈论自己的心理健康。
主要发现包括医生中心理健康状况的高发率、在该专业中精神健康持续存在的持久禁忌以及导致心理健康状况不佳的关键因素。应进一步努力评估更改新的和更新的指南、方案和途径的传播方式是否会减轻其对医生心理健康的影响。随着第二波 COVID-19 高峰的威胁迫在眉睫，现在比以往任何时候都更重要的是，必须采取措施打破医生对心理健康的污名化，鼓励医生在需要时寻求帮助。
