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新冠疫情期间兽医心理健康症状负担和寻求帮助的职业阶段差异。

Career stage differences in mental health symptom burden and help seeking among veterinarians during COVID-19.

机构信息

1Department of Human Development and Family Science, College of Liberal Arts and Human Sciences, Virginia Tech, Blacksburg, VA.

2District of Columbia Department of Health, Washington, DC, USA.

出版信息

J Am Vet Med Assoc. 2023 Mar 13;261(6):898-906. doi: 10.2460/javma.22.12.0583. Print 2023 Jun 1.

Abstract

OBJECTIVE

To explore veterinarians' mental health symptom burden during COVID-19 and identify differences in symptom burden, social support, help seeking, and incentives and barriers associated with receiving help across career stages.

SAMPLE

Online survey responses from 266 veterinarians between June 4 and September 8, 2021.

PROCEDURES

Respondents were grouped by career stage (early [< 5 years of experience], middle [5 to 19 years of experience], or late [≥ 20 years of experience]), and results were compared across groups.

RESULTS

Of the 262 respondents who reported years of experience, 26 (9.9%) were early career, 130 (49.6%) were midcareer, and 106 (40.4%) were late career. The overall mean anxiety and depression symptom burden score was 3.85 ± 3.47 (0 to 2 = normal; 3 to 5 = mild; 6 to 8 = moderate; and 9 to 12 = severe), with 62 of 220 (28.1%) respondents reporting moderate to severe symptom burden. Most (164/206 [79.6%]) reported not accessing behavioral health providers, and of these, 53.6% (88/164) reported at least mild symptom burden. There were significant differences in both symptom burden and mental health help-seeking intentions across career stages, with early- and midcareer (vs late-career) veterinarians reporting higher symptom burden (P = .002) and midcareer (vs late-career) veterinarians reporting higher help-seeking intentions (P = .006). Barriers and incentives for seeking mental health care were identified.

CLINICAL RELEVANCE

Findings revealed differences in symptom burden and intentions to seek mental health care across veterinary career stages. Incentives and barriers identified serve to explain these career stage differences.

摘要

目的

探讨兽医在 COVID-19 期间的心理健康症状负担,并确定不同职业阶段的症状负担、社会支持、寻求帮助的意愿以及接受帮助的激励因素和障碍的差异。

样本

2021 年 6 月 4 日至 9 月 8 日期间,对 266 名兽医进行的在线调查回复。

程序

根据职业阶段(早期[<5 年工作经验]、中期[5-19 年工作经验]或晚期[≥20 年工作经验])对受访者进行分组,并对各群组的结果进行比较。

结果

在报告工作年限的 262 名受访者中,26 名(9.9%)为早期职业,130 名(49.6%)为中期职业,106 名(40.4%)为晚期职业。整体焦虑和抑郁症状负担平均得分为 3.85±3.47(0-2=正常;3-5=轻度;6-8=中度;9-12=重度),220 名受访者中有 62 名(28.1%)报告中度至重度症状负担。大多数(164/206 [79.6%])受访者未寻求行为健康提供者,其中 53.6%(88/164)报告至少有轻度症状负担。职业阶段之间在症状负担和寻求心理健康帮助的意愿方面存在显著差异,早期和中期职业(与晚期职业相比)兽医报告的症状负担更高(P=.002),而中期职业(与晚期职业相比)兽医报告的寻求帮助的意愿更高(P=.006)。确定了寻求心理健康护理的障碍和激励因素。

临床相关性

研究结果表明,兽医在不同的职业阶段其症状负担和寻求心理健康护理的意愿存在差异。确定的激励因素和障碍有助于解释这些职业阶段的差异。

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