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医者知医:丹麦精神科服务领域医生和心理学家中精神疾病的患病率及自我披露情况

It takes one to know one: prevalence and self-disclosure of mental illness among physicians and psychologists working in psychiatric services in Denmark.

作者信息

Kragelund Ea Hvid, Speed Maria, Hjerrild Simon

机构信息

Psychosis Research Unit, Aarhus University Hospital, Aarhus N, Denmark.

Department for Affective Disorders, Aarhus University Hospital, Aarhus N, Denmark.

出版信息

Nord J Psychiatry. 2025 Sep 10:1-8. doi: 10.1080/08039488.2025.2553575.

Abstract

OBJECTIVE

Limited knowledge exists regarding the prevalence of mental illnesses in physicians and psychologists working in mental health services. In addition, knowledge of the positive or negative impact of lived experience in mental health care professionals is scarce. The study aimed to describe the self-reported prevalence of mental illness amongst psychologists and physicians working in mental health services in Denmark, their perception of impact on their work within mental health services, and their extent of disclosure and treatment-seeking.

METHODS

Invitations to an online survey were distributed e-mail to head consultants of all mental health services in Denmark ( = 29). The association between respondent characteristics and the lifetime mental illness group was assessed in a multivariate logistic regression analysis, with the lifetime mental illness group as outcome.

RESULTS

In total, 393 physicians and psychologists responded to the survey (response rate 67%). The combined lifetime prevalence of mental illness was 32% ( = 124). The respondents generally believed that lived experience with mental illness enhanced insight into mental illness and increased understanding and empathy towards patients. Auto-stigmatization and fear of disclosure were highly prevalent amongst respondents.

CONCLUSION

The results suggest lived experience with mental illness can be seen as a strength with increased patient understanding and empathy emphasizing that lived experience should not be perceived as a professional barrier. However, lived experience can cause negative impacts which highlights that physicians' health programs should address mental health stigma, and professional associations facilitate more openness and support for members with lived experience.

摘要

目的

关于在心理健康服务领域工作的医生和心理学家中精神疾病的患病率,目前了解有限。此外,对于心理健康护理专业人员的生活经历所产生的积极或消极影响,相关知识也很匮乏。该研究旨在描述丹麦心理健康服务领域工作的心理学家和医生自我报告的精神疾病患病率、他们对在心理健康服务领域工作的影响的认知,以及他们披露病情和寻求治疗的程度。

方法

通过电子邮件向丹麦所有心理健康服务机构的首席顾问(共29人)发送在线调查邀请。在多变量逻辑回归分析中,以终身精神疾病组为结果,评估受访者特征与终身精神疾病组之间的关联。

结果

共有393名医生和心理学家回复了调查(回复率67%)。精神疾病的终身患病率合计为32%(n = 124)。受访者普遍认为,精神疾病的生活经历增强了对精神疾病的洞察力,并增加了对患者的理解和同理心。自我污名化和对披露病情的恐惧在受访者中非常普遍。

结论

结果表明,精神疾病的生活经历可被视为一种优势,能增强对患者的理解和同理心,强调不应将生活经历视为职业障碍。然而,生活经历可能会产生负面影响,这凸显出医生健康项目应解决心理健康污名问题,专业协会应为有生活经历的成员提供更多开放性和支持。

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