Wigg Luisa, Li Wendy Wen, Leow Timothy
James Cook Drive, James Cook University, Townsville, QLD 4811 Australia.
Mental Health Services, Townsville University Hospital, Townsville, Australia.
Med Sci Educ. 2024 Nov 4;35(1):569-585. doi: 10.1007/s40670-024-02213-7. eCollection 2025 Feb.
This systematic review and meta-analysis investigated the frequency of teaching by humiliation (TBH) in medical science education and its impact on the mental health outcomes of medical trainees. TBH is defined as teaching activities by educators resulting in feelings of humiliation amongst trainees. Seven databases were searched. Twenty-eight studies with 34,821 participants were retrieved for systematic review using narrative synthesis, 20 of which were included in the meta-analysis. The pooled frequency of TBH was 57.1% (95%CI [0.413, 0.716], ranging from 8.0 to 90.8%. Experiencing TBH appears to be associated with mental health problems in medical trainees, including symptoms of depression, anxiety, stress, burnout, substance abuse, and suicidal ideation. Experiencing TBH also seems to be associated with fear, anger, frustration, humiliation, shame, and embarrassment. Built upon the findings, a model has been proposed to explain how experiencing TBH affects mental health through basic and self-conscious emotions.
The online version contains supplementary material available at 10.1007/s40670-024-02213-7.
本系统评价和荟萃分析调查了医学教育中羞辱式教学（TBH）的频率及其对医学生心理健康结果的影响。TBH被定义为教育工作者的教学活动导致学员产生羞辱感。检索了七个数据库。通过叙述性综合分析检索到28项研究，共34821名参与者进行系统评价，其中20项纳入荟萃分析。TBH的合并频率为57.1%（95%CI[0.413,0.716]），范围为8.0%至90.8%。经历TBH似乎与医学生的心理健康问题有关，包括抑郁、焦虑、压力、倦怠、药物滥用和自杀意念等症状。经历TBH似乎还与恐惧、愤怒、沮丧、羞辱、羞耻和尴尬有关。基于这些发现，提出了一个模型来解释经历TBH如何通过基本情绪和自我意识情绪影响心理健康。
在线版本包含可在10.1007/s40670-024-02213-7获取的补充材料。
