纳米比亚大学医学生中抑郁、焦虑和职业倦怠的患病率。
Prevalence of depression, anxiety and burnout in medical students at the University of Namibia.
作者信息
Mhata Nelao T, Ntlantsana Vuyokazi, Tomita Andrew M, Mwambene Kissah, Saloojee Shamima
机构信息
Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Discipline of Psychiatry, KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
出版信息
S Afr J Psychiatr. 2023 May 31;29:2044. doi: 10.4102/sajpsychiatry.v29i0.2044. eCollection 2023.
BACKGROUND
There is an increased prevalence of depression, anxiety, and burnout among medical students worldwide with no information from Namibia.
AIM
This study aimed to determine the prevalence and factors associated with depression, anxiety, and burnout among medical students at the University of Namibia (UNAM).
METHODS
A quantitative descriptive cross-sectional survey was conducted utilising a specially designed questionnaire for the study and standardised instruments to evaluate depression, anxiety, and burnout.
RESULTS
Of the 229 students in this study, 71.6% were female and 28.4% were male. The prevalence of depression, anxiety, and burnout was 43.6%, 30.6%, and 36.2%, respectively. The prevalence of emotional exhaustion (EX), cynicism (CY), and professional efficacy (EF) was 68.1% ( = 156), 77.3% ( = 177) and 53.3% ( = 122), respectively. In the final regression model, participants with a current psychiatric illness were more likely to screen positive for depression (adjusted odds ratio [aOR] 4.06, confidence interval [CI] 1.28-12.91; = 0.02) and anxiety (aOR: 3.63, CI: 1.17-11.23; = 0.03). Emotional exhaustion and cynicism were significantly associated with female gender (EX: aOR, 0.40, CI: 0.20-0.79; = 0.01) (CY: aOR, 0.42, CI: 0.20-0.91; = 0.03).
CONCLUSION
More than one in three medical students at the UNAM were either depressed or burnt out.
CONTRIBUTION
This is the first study to highlight the mental health needs of medical students at the University of Namibia.
背景
全球医学生中抑郁、焦虑和职业倦怠的患病率呈上升趋势，而纳米比亚尚无相关信息。
目的
本研究旨在确定纳米比亚大学（UNAM）医学生中抑郁、焦虑和职业倦怠的患病率及相关因素。
方法
采用专门设计的调查问卷和标准化工具进行定量描述性横断面调查，以评估抑郁、焦虑和职业倦怠。
结果
本研究中的229名学生中，71.6%为女性，28.4%为男性。抑郁、焦虑和职业倦怠的患病率分别为43.6%、30.6%和36.2%。情绪耗竭（EX）、玩世不恭（CY）和职业效能感（EF）的患病率分别为68.1%（=156）、77.3%（=177）和53.3%（=122）。在最终回归模型中，目前患有精神疾病的参与者更有可能抑郁筛查呈阳性（调整优势比[aOR]4.06，置信区间[CI]1.28 - 12.91；P = 0.02）和焦虑筛查呈阳性（aOR：3.63，CI：1.17 - 11.23；P = 0.03）。情绪耗竭和玩世不恭与女性性别显著相关（EX：aOR，0.40，CI：0.20 - 0.79；P = 0.01）（CY：aOR，0.42，CI：0.20 - 0.91；P = 0.03）。
结论
纳米比亚大学超过三分之一医学生存在抑郁或职业倦怠。
贡献
这是第一项强调纳米比亚大学医学生心理健康需求的研究。
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