Yoldi-Negrete María, Guízar-Sánchez Diana, Robles-García Rebeca, Tovilla-Zárate Carlos-Alfonso, Saracco-Álvarez Ricardo-Arturo, Navarro-Castellanos Iñaki, Hill-de-Titto Ana-Carolina, Fresán Ana
Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Mexico City, Mexico.
Departamento de Fisiología de la Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Front Psychol. 2024 Jul 18;15:1346530. doi: 10.3389/fpsyg.2024.1346530. eCollection 2024.
Pediatricians in training are a population at risk for anxiety and depression: they face long working hours, they are confronted with the suffering and death of a vulnerable population and may have personal characteristics that put them in danger. Nonetheless, few studies have looked at their prevalence and associated factors. We aimed to compare demographic, professional activities, adversities and perfectionism personality features between a group of pediatricians in training with depression and/or anxiety and a group of pediatricians in training without depression nor anxiety and, to identify the variables that increase the probabilities of depression and/or anxiety in pediatricians in training.
Pediatric residents who voluntarily answered an online survey distributed via personal and institutional social media channels from October 2019 to April 2021, as part of a cross-sectional study with medical specialists and residents from Mexico were included. Demographic information, professional activities and adversities, perfectionism personality features (Multidimensional Perfectionism Scale), depression and anxiety (ICD-11 PHC) were evaluated. For comparison purposes Chi-square tests (χ) and independent sample -tests were used. A logistic regression analysis was used to identify those variables that increase the probabilities of depression and/or anxiety.
934 pediatric residents answered the survey. 11.6% reported having depression and 20% anxiety. Being single, a history of anxious or depressive episodes, being the resident in charge of a patient who died, aggressions from colleagues and a high concern for errors were associated with current depression and/or anxiety.
Screening for depressive and anxious symptoms should be routinely performed from entry to the residency to favor early intervention. A shift from promoting perfectionism to a more compassionate training could serve a population facing so many adversities.
接受培训的儿科医生是面临焦虑和抑郁风险的人群：他们工作时间长，面对弱势群体的痛苦和死亡，且可能具有使他们处于危险境地的个人特质。尽管如此，很少有研究关注其患病率及相关因素。我们旨在比较一组患有抑郁症和/或焦虑症的接受培训的儿科医生与一组既无抑郁症也无焦虑症的接受培训的儿科医生在人口统计学、专业活动、逆境和完美主义人格特征方面的差异，并确定增加接受培训的儿科医生患抑郁症和/或焦虑症可能性的变量。
作为一项针对墨西哥医学专家和住院医师的横断面研究的一部分，纳入了在2019年10月至2021年4月期间通过个人和机构社交媒体渠道自愿回答在线调查问卷的儿科住院医师。评估了人口统计学信息、专业活动和逆境、完美主义人格特征（多维完美主义量表）、抑郁症和焦虑症（ICD - 11初级卫生保健版）。为进行比较，使用了卡方检验（χ）和独立样本t检验。采用逻辑回归分析来确定那些增加抑郁症和/或焦虑症可能性的变量。
934名儿科住院医师回答了调查问卷。11.6%的人报告患有抑郁症，20%的人报告患有焦虑症。单身、有焦虑或抑郁发作史、负责的患者死亡、遭受同事攻击以及对错误高度担忧与当前的抑郁症和/或焦虑症相关。
从住院医师培训开始就应常规筛查抑郁和焦虑症状，以便进行早期干预。从促进完美主义转向更具同情心的培训，可能有助于这一面临诸多逆境的人群。
