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医生中与压力相关的精神障碍的认识不足和治疗不足:决定因素、挑战以及新冠疫情的影响。

Underrecognition and un-dertreatment of stress-related psychiatric disorders in physicians: Determinants, challenges, and the impact of the COVID-19 pandemic.

作者信息

Huang Charles Lung-Cheng

机构信息

Department of Psychiatry, Chi Mei Medical Center, Tainan 710, Taiwan.

Department of Medicinal and Applied Chemistry, Kaohsiung Medical University, Kaohsiung 807, Taiwan.

出版信息

World J Psychiatry. 2023 Apr 19;13(4):131-140. doi: 10.5498/wjp.v13.i4.131.

Abstract

Medical practitioners' duties are highly stressful and performed in a particularly challenging and competitive work environment. Stress and burnout among physicians have emerged as a worldwide public health problem in recent years. A high level of distress and burnout can lead to clinically significant behavioral health problems, such as stress-related psychiatric disorders. Mounting evidence shows that physicians have higher risks of insomnia, anxiety, and depression than the general population, especially during the coronavirus disease 2019 pandemic. However, the behavioral health problems of these vulnerable healthcare professionals are noteworthy for being underrecognized and undertreated. In this mini-review, we summarize the current progress of studies on the prevalence and determinants of distress and stress-related psychiatric disorders among phy-sicians and their healthcare-seeking behaviors. We discuss future research directions and the clinical approach that may maximize self-awareness and promote prompt and adequate treatment for clinically significant behavioral health problems of physicians.

摘要

医疗从业者的职责压力极大,且是在一个极具挑战性和竞争性的工作环境中履行。近年来,医生的压力和职业倦怠已成为一个全球性的公共卫生问题。高水平的痛苦和职业倦怠会导致临床上显著的行为健康问题,如与压力相关的精神障碍。越来越多的证据表明,医生比普通人群患失眠、焦虑和抑郁的风险更高,尤其是在2019冠状病毒病大流行期间。然而,这些弱势医疗保健专业人员的行为健康问题因未得到充分认识和治疗而值得关注。在这篇小型综述中,我们总结了关于医生中痛苦及与压力相关的精神障碍的患病率和决定因素及其就医行为的研究现状。我们讨论了未来的研究方向以及临床方法,这些方法可能会最大限度地提高自我意识,并促进对医生临床上显著的行为健康问题进行及时和充分的治疗。

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