Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No. 44 Wenhuaxilu Rd, Jinan, 250012, Shandong, China.
Department of Education, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwuweiqilu Rd., Jinan, 250021, Shandong, China.
BMC Psychiatry. 2021 Apr 29;21(1):217. doi: 10.1186/s12888-021-03219-w.
Social support is an important factor for individual's mental health. However, the association between social support and depressive symptoms among physicians in China' tertiary hospitals has not been explored. This study aimed to investigate its association among physicians stratifying by sex.
Six hundred fifty-six physicians were enrolled from 12 tertiary hospitals of Shandong Province, China. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale. Social support was evaluated using the Social Support Rating Scale. Multiple linear regression analysis was used to examine the relationship between social support and depressive symptoms among physicians.
The prevalence of depressive symptoms was 42.3% and the average social support score was 38.82 ± 7.53 among physicians. Lower subjective social support scores (male: β = - 0.317, p < 0.001; female: β = - 0.241, p < 0.001) and lower objective social support scores (male: β = - 0.218, p = 0.038; female: β = - 0.277, p = 0.035) were associated with high depressive symptoms among physicians. Lower support utilization scores (β = - 0.472, p < 0.001) were associated with high depressive symptoms among male physicians.
Chinese physicians had a higher prevalence of depressive symptoms and lower social support than the Chinese general population. Objective and subjective social support were inversely associated with depressive symptoms among male and female physicians while support utilization was inversely associated with depressive symptoms among male rather than female physicians. It is critical to improve physicians' mental health through strengthening social support in China.
社会支持是个体心理健康的重要因素。然而，中国三级医院医生的社会支持与抑郁症状之间的关系尚未得到探讨。本研究旨在探讨其在按性别分层的医生中的相关性。
从中国山东省的 12 家三级医院招募了 656 名医生。使用 10 项中心流行病学研究抑郁量表评估抑郁症状。使用社会支持评定量表评估社会支持。采用多元线性回归分析方法检验医生社会支持与抑郁症状之间的关系。
医生中抑郁症状的患病率为 42.3%，社会支持平均得分为 38.82±7.53。较低的主观社会支持得分（男性：β=-0.317，p<0.001；女性：β=-0.241，p<0.001）和较低的客观社会支持得分（男性：β=-0.218，p=0.038；女性：β=-0.277，p=0.035）与医生中较高的抑郁症状相关。较低的支持利用得分（β=-0.472，p<0.001）与男性医生中较高的抑郁症状相关。
中国医生的抑郁症状患病率和社会支持水平均高于中国一般人群。客观和主观社会支持与男女医生的抑郁症状呈负相关，而支持利用与男性医生的抑郁症状呈负相关，而不是女性医生。在中国，通过加强社会支持来改善医生的心理健康至关重要。
