Akbayram Hatice Tuba, Demir Mustafa, Keten Hamit Sirri
Faculty of Medicine, Department of Family Medicine, Gaziantep University, Gaziantep, 27600, Turkey.
Psychiatr Q. 2024 Dec;95(4):517-526. doi: 10.1007/s11126-024-10086-7. Epub 2024 Aug 26.
Despite high rates of psychological symptoms, many medical students often avoid psychological help. Determining the mental status of medical students at an early stage is very important for developing necessary interventions. The aim of this study was to evaluate the barriers to seeking psychological help among first-year medical students. This cross-sectional study was conducted between January 2-20, 2023. Data were collected using an anonymous online questionnaire comprising students' self-reported psychological problems and treatment status, help-seeking barriers, and a validated mental health tool (Patient Health Survey 4). The response rate was 58.8% (n = 250). Of them, 34.4% had anxiety symptoms and 25.2% had depressive symptoms. The prevalence of self-reported psychological problems and serious psychological problems were 61.2% and 10.4%, respectively. Only 7.6% of students reported receiving psychological treatment. It was found that 5.6% of the students used psychiatric drugs (2% officially prescribed and 3.6% not officially prescribed). The most common barriers to help-seeking were not were not serious problems, lack of time, difficulty explaining psychological problems, fear of being recorded, and fear of stigmatization. The results indicated that a significant number of students had psychological problems, and some did not seek psychological help.
尽管心理症状发生率很高，但许多医科学生往往回避心理帮助。在早期阶段确定医科学生的心理状况对于制定必要的干预措施非常重要。本研究的目的是评估一年级医科学生寻求心理帮助的障碍。这项横断面研究于2023年1月2日至20日进行。使用一份匿名在线问卷收集数据，问卷包括学生自我报告的心理问题和治疗状况、寻求帮助的障碍以及一种经过验证的心理健康工具（患者健康问卷4）。回复率为58.8%（n = 250）。其中，34.4%有焦虑症状，25.2%有抑郁症状。自我报告的心理问题和严重心理问题的患病率分别为61.2%和10.4%。只有7.6%的学生报告接受过心理治疗。研究发现，5.6%的学生使用过精神科药物（2%为正规处方用药，3.6%为非正规处方用药）。寻求帮助最常见的障碍是问题不严重、缺乏时间、难以解释心理问题、害怕被记录以及害怕被污名化。结果表明，相当数量的学生存在心理问题，一些学生没有寻求心理帮助。
