Secteur Timone, EA 3279: CEReSS - Centre d'étude et de recherche sur les services de Santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France.
Secteur Timone, EA 3279: CEReSS - Centre d'étude et de recherche sur les services de Santé et la qualité de vie, faculté de médecine, Aix-Marseille Université, 27, boulevard Jean-Moulin, 13005 Marseille, France.
Encephale. 2022 Feb;48(1):26-30. doi: 10.1016/j.encep.2021.02.005. Epub 2021 Apr 20.
Physicians are at risk of anxiety and depression.
To determine the prevalence of anxiety and depression in a national sample of young physicians and their associated factors.
The study is a cross-sectional observational epidemiological national study. An online anonymous questionnaire was administered to the young physicians of all French medical faculties. Anxiety and depression were assessed with the Hamilton Anxiety & Depression scale subscores for anxiety and depression. Psychotropic drug consumption, psychotherapy follow-up and other variables were self-declared.
Of the 2003 study participants, 32.3% reported a current anxiety disorder and 8.7% a current major depressive disorder according to their HAD scores and less than one on five of them was followed-up in psychotherapy or treated by antidepressant. Moral harassment, a bad quality of initial formation regarding dealing with disease and alcohol consumption were all associated with respectively anxiety disorder and major depression in multivariate analyses. Medical vocation was specifically associated with decreased major depression while being woman and increased coffee consumption were specifically associated with increased anxiety disorders.
Almost one third of medical students reported anxiety disorder or major depression and less than one on five received the recommended treatment (psychotherapy or antidepressant). The prevention and treatment of psychiatric disorders should be improved in this population. Moral harassment exposure, alcohol and coffee consumptions, bad quality of initial formation regarding dealing with disease have been identified as modifiable factors associated with poor mental health. Despite the absence of causal associations, these results yield some clues to guide future mental health prevention strategies in this population.
医生面临焦虑和抑郁的风险。
确定焦虑和抑郁在全国年轻医生样本中的流行率及其相关因素。
该研究是一项横断面观察性全国性研究。对所有法国医学系的年轻医生进行了在线匿名问卷调查。使用汉密尔顿焦虑和抑郁量表的焦虑和抑郁子量表评估焦虑和抑郁。精神药物的使用、心理治疗的随访和其他变量都是自我报告的。
在 2003 名研究参与者中，根据 HAD 评分，32.3%的人目前患有焦虑症，8.7%的人目前患有重度抑郁症，不到五分之一的人接受心理治疗或抗抑郁药物治疗。道德骚扰、疾病处理初始培训质量差和饮酒都与焦虑症和重度抑郁症在多变量分析中相关。医学职业与重度抑郁症的发生呈负相关，而女性和咖啡摄入量的增加与焦虑症的发生呈正相关。
近三分之一的医学生报告有焦虑症或抑郁症，不到五分之一的人接受了推荐的治疗（心理治疗或抗抑郁药）。应改善这一人群的精神疾病预防和治疗。道德骚扰、酒精和咖啡的摄入、疾病处理初始培训质量差等可改变因素与不良心理健康相关。尽管没有因果关系，但这些结果为指导这一人群未来的心理健康预防策略提供了一些线索。
