Reinhardt Jana, Linde Katja, Kersting Anette
Department of Psychosomatic Medicine and Psychotherapy, https://ror.org/03s7gtk40University of Leipzig, Leipzig, Germany.
Eur Psychiatry. 2025 Sep 19;68(1):e132. doi: 10.1192/j.eurpsy.2025.10084.
The medical profession is associated with high demands and occupational stressors - including confrontation with illness and death, extended work hours, and high workload - which may increase the risk of traumatization and posttraumatic stress disorder (PTSD). This systematic review aimed to synthesize evidence on prevalence of PTSD among physicians and examine potential moderators, including the COVID-19 pandemic, specialties, and geographic regions.
A systematic search was conducted in PubMed, Web of Science, PsychINFO, and PubPsych up to April 2025. Included studies were English-language, peer-reviewed, observational studies, reporting PTSD prevalence in physicians, using validated instruments. Studies focusing on preselected PTSD cases or mixed healthcare samples were excluded. Data extraction included study methodology, measurement tools, geographic region, specialty, and survey timing (pre-/"post"-COVID). Risk of bias was assessed using the Quantitative synthesis and moderator analyses were performed. The review was registered with PROSPERO (ID CRD42023401984).
Based on 81 studies ( = 41,051), the pooled PTSD prevalence using a random-effects model was 14.9% (95% CI [0.132-0.168]). Prevalence estimates were lower in high-income (13.6%) compared to middle-income countries (21.1%) ( < 0.036). Studies employing brief screening tools (≤10 items) yielded significantly lower prevalence estimates (10.2%) than those using longer instruments (16.4%) ( < 0.027). No other significant moderators were identified.
PTSD prevalence among physicians is elevated relative to the general population, with notable variation across regions and measurement approaches. Future research should address gaps in representativeness and geographic coverage to improve prevalence estimates and guide prevention strategies.
医疗行业面临着高要求和职业压力源，包括面对疾病和死亡、工作时间延长以及工作量大等，这些可能会增加受创伤和创伤后应激障碍（PTSD）的风险。本系统评价旨在综合关于医生中PTSD患病率的证据，并研究潜在的调节因素，包括新冠疫情、专业和地理区域。
截至2025年4月，在PubMed、科学网、PsychINFO和PubPsych中进行了系统检索。纳入的研究为英文、同行评审的观察性研究，使用经过验证的工具报告医生中的PTSD患病率。聚焦于预先选定的PTSD病例或混合医疗样本的研究被排除。数据提取包括研究方法、测量工具、地理区域、专业和调查时间（新冠疫情前/后）。使用 评估偏倚风险，并进行定量综合和调节因素分析。该评价已在PROSPERO注册（ID CRD42023401984）。
基于81项研究（ = 41,051），使用随机效应模型得出的PTSD合并患病率为14.9%（95%CI[0.132 - 0.168]）。与中等收入国家（21.1%）相比，高收入国家的患病率估计值较低（13.6%）（ < 0.036）。使用简短筛查工具（≤10项）的研究得出的患病率估计值（10.2%）显著低于使用较长工具的研究（16.4%）（ < 0.027）。未发现其他显著的调节因素。
医生中PTSD的患病率相对于普通人群有所升高，不同地区和测量方法存在显著差异。未来的研究应填补代表性和地理覆盖方面的空白，以改进患病率估计并指导预防策略。
