Chambers R, Belcher J
Centre for Primary Health Care, University of Keele, Stoke-on-Trent, UK.
Occup Med (Lond). 1994 Sep;44(4):212-6. doi: 10.1093/occmed/44.4.212.
A total of 704 general practitioners completed questionnaires enquiring about mental health problems (response rate = 82.0%). Excessive anxiety was reported by 31.1%, troublesome depression by 13.4%, exhaustion or stress (on three or more weekdays) by 60.7%, and sleep difficulties by 47.6%. General practitioners aged 40-49 years old were most likely to report anxiety, exhaustion or stress, sexual and sleep difficulties. Retired doctors reported mental health problems markedly less often. Predictive factors for anxiety were depression, one or more nights on-call per week, and exhaustion or stress; predictive factors for depression were anxiety, and exhaustion or stress; predictive factors for exhaustion or stress were anxiety, depression, no hobbies, paperwork on three or more evenings per week, and sleep difficulties. Gender, country of origin, being single-handed, excessive alcohol consumption, and having no coping methods were not predictive factors for mental health problems.
共有704名全科医生完成了关于心理健康问题的问卷调查(回复率=82.0%)。报告有过度焦虑的占31.1%,有严重抑郁的占13.4%,(在三个或更多工作日)感到疲惫或压力大的占60.7%,有睡眠困难的占47.6%。40至49岁的全科医生最有可能报告焦虑、疲惫或压力、性方面及睡眠方面的困难。退休医生报告心理健康问题的频率明显较低。焦虑的预测因素是抑郁、每周值一个或多个夜班以及疲惫或压力;抑郁的预测因素是焦虑以及疲惫或压力;疲惫或压力的预测因素是焦虑、抑郁、没有爱好、每周三个或更多晚上有文书工作以及睡眠困难。性别、原籍国、独自执业、过度饮酒以及没有应对方法并非心理健康问题的预测因素。