Roane David M, Botticelli Lisa M, Macy Mary A, Todman McWelling, Zisook Sidney
Lenox Hill Hospital, Northwell Health, 111 E. 77th St, New York, NY 10075 USA.
Department of Clinical Psychology, The New School for Social Research, New York, NY USA.
Med Sci Educ. 2019 May 23;29(3):825-830. doi: 10.1007/s40670-019-00745-x. eCollection 2019 Sep.
Residents in training have high rates of depression and are reluctant to seek treatment. The goal of the study was to conduct a survey with a high response rate to better understand resident attitudes about mental health.
A multi-site study of residents from three teaching hospitals in the USA completed a 21-item anonymous questionnaire, on their smartphones, during mandatory lecture sessions.
Three-hundred and sixteen resident surveys were completed during 24 didactic sessions. The overall response rate from resident-only presentations was 87.8% and ranged from 76.9% to 100% in presentations that included both residents and other attendees. A significant majority of residents indicated that physicians who seek treatment for medical conditions would not seek treatment for depression (87.7%), physicians do not see acceptance of mental health treatment as a sign of strength (80.1%), and most residents with depression cope with it alone (69.0%). Factors that would encourage residents to seek treatment, including easy access to mental healthcare and acceptance of treatment in the workplace environment, varied significantly when residents were grouped by age and gender.
While residents believe that physicians are highly resistant to mental health treatment, targeted strategies may increase the acceptance of treatment. Administration of surveys to physicians on smartphones at the time of lecture or presentation may improve the response rate.
住院医师培训学员的抑郁症发病率很高，且不愿寻求治疗。本研究的目的是进行一项高回应率的调查，以更好地了解住院医师对心理健康的态度。
一项针对美国三家教学医院住院医师的多中心研究，在强制性讲座期间，让他们在智能手机上完成一份包含21个条目的匿名问卷。
在24次教学课程期间共完成了316份住院医师调查问卷。仅面向住院医师的讲座的总体回应率为87.8%，在包括住院医师和其他参会者的讲座中，回应率在76.9%至100%之间。绝大多数住院医师表示，因身体疾病寻求治疗的医生不会因抑郁症寻求治疗（87.7%），医生不认为接受心理健康治疗是力量的象征（80.1%），且大多数患有抑郁症的住院医师独自应对（69.0%）。当按年龄和性别对住院医师进行分组时，包括易于获得心理保健服务和工作场所环境中对治疗的接受度等鼓励住院医师寻求治疗的因素存在显著差异。
虽然住院医师认为医生对心理健康治疗的抵触情绪很大，但有针对性的策略可能会提高对治疗的接受度。在讲座或演示时通过智能手机对医生进行调查管理可能会提高回应率。
