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卡塔尔不同国籍医学生心理健康问题及心理健康污名化的患病率与决定因素

Prevalence and Determinants of Mental Health Problems and Mental Health Stigma Among Medical Students of Different Nationalities in Qatar.

作者信息

Mahgoub Yasmine, Daher-Nashif Suhad, Al-Shebly Rafal, Wali Hamza Said, Khan Aisha, Almarkhi Ameera, Al-Motawa Maryam, AlObaidan Ghalya, Al-Muhannadi Zamzam

机构信息

College of Medicine, QU Health, Qatar University, Doha, Qatar.

Population Medicine Department, College of Medicine, QU Health, Qatar University, Doha, Qatar.

出版信息

Adv Med Educ Pract. 2022 Aug 24;13:969-979. doi: 10.2147/AMEP.S371053. eCollection 2022.

Abstract

INTRODUCTION

Past studies have shown high prevalence of mental illness among medical students. This is often linked to the demands of the medical curriculum, and to mental health stigma that prevents students from seeking help. This study aimed to examine experiences of mental health problems among medical students of different nationalities in Qatar and to uncover sociodemographic factors related to their prevalence and associated stigma.

METHODS

A cross-sectional online survey was conducted with medical students in their second through fifth years at the College of Medicine at Qatar University. The survey began with a consent form, and those agreed to take the survey were directed to the questionnaire. The survey comprised 64 items across three sections. The first section collected sociodemographic data. The second section screened depressive symptoms using the PHQ-9; anxiety symptoms using GAD-7; and psychological distress symptoms using Kessler-6. The third section included 27 questions adopted from Schwenk et al, which evaluate students' perceptions of stigma and their attitudes toward seeking help with their mental health.

RESULTS

One hundred and eighty-two students participated in the study. The prevalence of self-reported symptoms of severe depression, anxiety, and psychological distress was 4.4% (95% CI 2-9), 10.4% (95% CI 7-16), and 39.6% (95% CI 33-47), respectively; the prevalence of high stigma was 31.9% (95% CI 25-39). Parental education, repetition of an academic year, progress in medical studies, gender, and nationality had statistically significant correlations with mental health problems and stigma.

CONCLUSION

In addition to the impact of the requirements of medical study, the high prevalence of reported mental illness among medical students is impacted by sociodemographic factors and the mental health stigma that constitutes a barrier to seeking help. Preventive wellbeing programs should be an essential component of medical curricula.

摘要

引言

过去的研究表明,医学生中精神疾病的患病率很高。这通常与医学课程的要求以及阻碍学生寻求帮助的心理健康污名化有关。本研究旨在调查卡塔尔不同国籍医学生的心理健康问题经历,并揭示与其患病率和相关污名化相关的社会人口因素。

方法

对卡塔尔大学医学院二至五年级的医学生进行了一项横断面在线调查。调查从一份同意书开始,同意参与调查的学生被引导至问卷。该调查包括三个部分的64个项目。第一部分收集社会人口数据。第二部分使用PHQ-9筛查抑郁症状;使用GAD-7筛查焦虑症状;使用凯斯勒6项量表筛查心理困扰症状。第三部分包括从施温克等人那里采用的27个问题,这些问题评估学生对污名化的认知以及他们对寻求心理健康帮助的态度。

结果

182名学生参与了该研究。自我报告的严重抑郁、焦虑和心理困扰症状的患病率分别为4.4%(95%置信区间2-9)、10.4%(95%置信区间7-16)和39.6%(95%置信区间33-47);高污名化率为31.9%(95%置信区间25-39)。父母教育程度、学年重复情况、医学学业进展、性别和国籍与心理健康问题及污名化在统计学上有显著相关性。

结论

除了医学学习要求的影响外,医学生中报告的精神疾病高患病率还受到社会人口因素和构成寻求帮助障碍的心理健康污名化的影响。预防性健康计划应成为医学课程的重要组成部分。

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