Psychiatric Division, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Sagol Brain Institute, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Physician Affairs, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Division of Anesthesia, Pain Management and Intensive Care, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Gen Hosp Psychiatry. 2022 Sep-Oct;78:111-116. doi: 10.1016/j.genhosppsych.2022.08.002. Epub 2022 Aug 19.
To examine the prevalence of mental health symptoms among medical interns working for the first time as physicians in a large tertiary hospital in Israel during the 1st COVID year.
All interns who worked for at least 2 months during the 1st COVID year (March 2020-February 2021) at the Tel-Aviv Sourasky Medical Center (TASMC), a large tertiary general hospital in Israel were approached simultaneously during April-May 2021, and were requested to fill in an online survey. In each questionnaire, the interns were asked to refer to the worst time they endured the symptoms described. Included were all medical. Depression and anxiety symptoms, post-traumatic stress symptoms and Burnout measures were evaluated using validated questionnaires. Depressive/anxiety symptoms were defined as primary end measures. We assessed the association between depression and anxiety symptoms, and demographic, post-traumatic and burnout measures.
145 out of 188 interns completed the study (77% overall response rate). The mean age was 30.36 ± 2.97. Almost half the interns (47%) reported depression/anxiety symptoms. The high depression/anxiety group was characterized by a lower mean age (29.87 ± 2.93 vs. 30.92 ± 2.91, p = 0.041), higher post-traumatic symptoms (15.62 ± 13.32 vs. 3.63 ± 5.59, p < 0.0001) and higher scores in 2/3 burnout subscales - emotional exhaustion (5.09 ± 1.29 vs. 3.61 ± 1.38, p = 0.000001) and depersonalization (3.83 ± 1.71 vs. 2.94 ± 1.46, p = 0.002). 11.4% of interns in the full sample reported they used cannabis or alcohol as "self-medication".
medical interns serving for their first year as physicians during the COVID pandemic, developed mental symptoms in alarming numbers. The findings point to a crucial need to implement active interventions to protect these doctors, so that they can safely embark on their medical careers, specifically in times of global health crises.
在以色列一家大型三级医院，调查在新冠大流行第一年首次作为医生工作的实习医生心理健康症状的流行情况。
所有在 2020 年 3 月至 2021 年 2 月（新冠大流行第一年）期间在特拉维夫索拉斯基医疗中心（TASMC）工作至少 2 个月的实习医生均于 2021 年 4 月至 5 月期间同时接受在线调查。在每个问卷中，要求实习医生在他们忍受症状最严重的时间中进行选择。包括所有医学专业。使用经过验证的问卷评估抑郁和焦虑症状、创伤后应激症状和倦怠措施。使用抑郁/焦虑症状作为主要终点指标。我们评估了抑郁和焦虑症状与人口统计学、创伤后和倦怠措施之间的关系。
188 名实习医生中有 145 名完成了研究（总体应答率为 77%）。平均年龄为 30.36 ± 2.97。近一半的实习医生（47%）报告有抑郁/焦虑症状。高抑郁/焦虑组的平均年龄较低（29.87 ± 2.93 与 30.92 ± 2.91，p = 0.041），创伤后症状较高（15.62 ± 13.32 与 3.63 ± 5.59，p < 0.0001），并且在 2/3 个倦怠子量表中的分数较高-情感衰竭（5.09 ± 1.29 与 3.61 ± 1.38，p = 0.000001）和去个性化（3.83 ± 1.71 与 2.94 ± 1.46，p = 0.002）。在全体样本中，有 11.4%的实习医生报告他们使用大麻或酒精作为“自我治疗”。
在新冠大流行期间，首次作为医生服务的实习医生出现了大量的心理健康症状。这些发现表明，迫切需要实施积极的干预措施来保护这些医生，以便他们能够安全地开始他们的医疗生涯，特别是在全球卫生危机时期。
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