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哈萨克斯坦医学专业教师中抑郁、焦虑和压力的患病率及相关因素:一项横断面研究。

Prevalence and associated factors of depression, anxiety, and stress among academic medicine faculty in Kazakhstan: a Cross-sectional Study.

作者信息

Uristemova Assem, Myssayev Ayan, Meirmanov Serik, Migina Lyudmila, Pak Laura, Baibussinova Assel

机构信息

Department of Public Health, Semey Medical University, Semey, Kazakhstan.

Department of Science and Human Resources, Ministry of Health of the Republic of Kazakhstan, Astana, Kazakhstan.

出版信息

J Prev Med Hyg. 2023 Aug 1;64(2):E215-E225. doi: 10.15167/2421-4248/jpmh2023.64.2.2932. eCollection 2023 Jun.

Abstract

INTRODUCTION

Psychological distress refers to a set of painful mental and physical symptoms of anxiety and depression, which often coexist and coincide with common somatic complaints and chronic conditions. In Kazakhstan, mental disorders are the second leading cause of years lived with disability. Currently, medical education in Kazakhstan is undergoing comprehensive reform, which creates an additional burden on faculty, fostering mental health concerns.

METHODS

A quantitative observational cross-sectional study was conducted in 6 large medical universities in Kazakhstan. Data were obtained from 715 faculty academics by using an online self-reported DASS-21. Statistical analysis was performed using the SPSS version 20.0. Bivariate and multivariate logistic regression analyses were applied to evaluate the relationship between predictor and outcome variables.

RESULTS

The total prevalence of depression, anxiety, and stress was 40.6%, 41.3%, and 53.0%, respectively. Younger age (p = 0.002), female gender (p = 0.001), being single (p = 0.044) or in a relationship (p = 0.001), having chronic diseases (p < 0.001), holding Master (p = 0.036) or PhD degree (p = 0.040), employment status (p = 0.034), and being involved in additional activities (p = 0.049) were significantly associated with different dimensions of distress.

CONCLUSIONS

Nearly half of the study population reported symptoms of depression, anxiety, and stress. Due to the higher prevalence of psychological distress amongst academic medicine faculty, determined risk factors must be taken into consideration in developing policies for mental issues prevention.

摘要

引言

心理困扰是指一系列焦虑和抑郁的痛苦身心症状,这些症状往往与常见的躯体不适和慢性病共存并同时出现。在哈萨克斯坦,精神障碍是导致残疾生存年数的第二大原因。目前,哈萨克斯坦的医学教育正在进行全面改革,这给教师带来了额外负担,引发了对心理健康的担忧。

方法

在哈萨克斯坦的6所大型医科大学进行了一项定量观察性横断面研究。通过在线自我报告的DASS-21从715名教师学者那里获取数据。使用SPSS 20.0版进行统计分析。应用双变量和多变量逻辑回归分析来评估预测变量和结果变量之间的关系。

结果

抑郁、焦虑和压力的总患病率分别为40.6%、41.3%和53.0%。年龄较小(p = 0.002)、女性(p = 0.001)、单身(p = 0.044)或处于恋爱关系(p = 0.001)、患有慢性病(p < 0.001)、拥有硕士学位(p = 0.036)或博士学位(p = 0.040)、就业状况(p = 0.034)以及参与额外活动(p = 0.049)与不同维度的困扰显著相关。

结论

近一半的研究人群报告有抑郁、焦虑和压力症状。由于医学院教师中心理困扰的患病率较高,在制定预防心理问题的政策时必须考虑已确定的风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5720/10468191/28aa36f14570/jpmh-2023-02-e215-g001.jpg

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