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印度医生面临的心理健康挑战:现有研究的范围综述

Mental Health Challenges Among Doctors in India: A Scoping Review of Existing Research.

作者信息

Ram Dushad, Mathew Akash

机构信息

Shaqra University, College of Medicine, Shaqra, Riyadh Province, Saudi Arabia.

Department of Clinical Psychology, JSS Medical College and Hospital, Mysore, Karnataka, India.

出版信息

Indian J Psychol Med. 2025 Jul 16:02537176251349766. doi: 10.1177/02537176251349766.

DOI:10.1177/02537176251349766
PMID:40686924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12267212/
Abstract

PURPOSE OF THE REVIEW

The mental health of doctors in India is a growing public health concern due to its impact on healthcare delivery, patient outcomes, and professional fulfillment. There is a lack of comprehensive synthesis of the existing literature; hence, this scoping review was conducted. The objective of this review was to map and synthesize the literature on the mental health challenges doctors face in India and to provide a comprehensive overview of key issues.

COLLECTION AND ANALYSIS OF DATA

A detailed literature search was conducted across PubMed, EBSCO, Web of Science, and Google Scholar databases, covering studies from 2000 to 2024. Data extraction included the sample size, population characteristics, mental health issues investigated, study focus, and key findings. A descriptive synthesis and thematic analysis were performed. This review included 122 studies predominantly conducted across India. More than half of the surveyed doctors exhibited significant levels of depression and anxiety, often linked to long working hours, inadequate rest, and high occupational demands. Lifestyle disorders, including inadequate sleep, poor physical activity, and unhealthy diets, were prevalent and exacerbated stress. Work-life balance was achieved by only 25% of doctors, with gender disparities placing additional burdens on females. Higher emotional intelligence correlated with better professional and life satisfaction. Organizational stressors, including resource shortages and workplace conflicts, contributed to burnout, with rates varying across specialties.

CONCLUSIONS

Indian doctors face mental health challenges due to professional pressures, work-life imbalance, gender disparities, and resilience issues. Systemic interventions are urgently needed, including mental health support systems and emotional intelligence training.

摘要

综述目的

印度医生的心理健康因其对医疗服务、患者治疗结果和职业成就感的影响,日益成为公共卫生关注的焦点。目前缺乏对现有文献的全面综合;因此,开展了这项范围综述。本综述的目的是梳理和综合关于印度医生面临的心理健康挑战的文献,并全面概述关键问题。

数据收集与分析

在PubMed、EBSCO、科学网和谷歌学术数据库中进行了详细的文献检索,涵盖2000年至2024年的研究。数据提取包括样本量、人群特征、所调查的心理健康问题、研究重点和主要发现。进行了描述性综合和主题分析。本综述纳入了122项主要在印度开展的研究。超过一半的受访医生表现出显著程度的抑郁和焦虑,这通常与长时间工作、休息不足和高职业要求有关。生活方式紊乱,包括睡眠不足、体育活动少和不健康饮食,很普遍且加剧了压力。只有25%的医生实现了工作与生活的平衡,性别差异给女性带来了额外负担。较高的情商与更好的职业和生活满意度相关。包括资源短缺和工作场所冲突在内的组织压力源导致职业倦怠,不同专业的倦怠率有所不同。

结论

由于职业压力、工作与生活失衡、性别差异和心理韧性问题,印度医生面临心理健康挑战。迫切需要系统性干预措施,包括心理健康支持系统和情商培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7abf/12267212/6075c271a90e/10.1177_02537176251349766-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7abf/12267212/6075c271a90e/10.1177_02537176251349766-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7abf/12267212/6075c271a90e/10.1177_02537176251349766-fig1.jpg

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本文引用的文献

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Emotional Intelligence in Medicine: An Investigation of the Significance for Physicians, Residents, and Medical Students - A Systematic Review.医学中的情绪智力:对医师、住院医师和医学生意义的调查——系统评价。
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Is There a Burnout Epidemic among Medical Students? Results from a Systematic Review.医学生中存在职业倦怠流行现象吗?一项系统评价的结果
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The dark side of being a pathologist: Unravelling the health hazards.
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Association between lifestyle behaviors and health-related quality of life among primary health care physicians in China: A cross-sectional study.中国基层医疗机构医生生活方式行为与健康相关生活质量的关联:一项横断面研究。
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