Academic Psychiatry最新文献_第5页

Efficacy and Acceptability of Digital and Web-Based Interventions for Stress and Burnout Among Physicians: A Systematic Review and Meta-analysis 数字和网络干预对医生压力和倦怠的有效性和可接受性：一项系统回顾和荟萃分析。

IF 2.6 4区医学

Academic Psychiatry Pub Date : 2026-08-14 DOI: 10.1007/s40596-026-02408-7

Conall O’Rourke, Mike Murphy, Erik Montagna, Margaret O’Rourke, Colm O’Tuathaigh

{"title":"Efficacy and Acceptability of Digital and Web-Based Interventions for Stress and Burnout Among Physicians: A Systematic Review and Meta-analysis","authors":"Conall O’Rourke, Mike Murphy, Erik Montagna, Margaret O’Rourke, Colm O’Tuathaigh","doi":"10.1007/s40596-026-02408-7","DOIUrl":"10.1007/s40596-026-02408-7","url":null,"abstract":"<div><h3>Objective</h3>The authors aimed to evaluate the efficacy of digital and web-based interventions in reducing stress and burnout among physicians and to examine the acceptability of such interventions among physicians.<h3>Methods</h3>A systematic search of PsycINFO, Web of Science, CINAHL, EMBASE, the Cochrane CENTRAL register, and three grey literature sources was conducted from inception to May 8, 2024. Controlled and uncontrolled studies evaluating digital or web-based interventions targeting stress or burnout in qualified physicians were included. Screening, data extraction, and risk-of-bias assessment (RoB-2 and ROBINS-I tools) were independently conducted by two reviewers.<h3>Results</h3>Twenty-one studies were included in the review. Interventions included digital mindfulness/meditation (n = 8), web-based coaching (n = 5), online learning modules (n = 4), activity prompts (n = 3), and reflective groups (n = 1), with variation in their content and duration. The meta-analysis identified a statistically significant reduction in burnout scores with low heterogeneity (18 comparisons: SMD = 0.29, 95% CI = 0.18, 0.41, p < 0.0001, I2 = 21%), while the pre-post stress intervention data identified a significant reduction in stress scores with high heterogeneity (7 comparisons: SMD = 0.55, 95% CI = 0.21, 0.89, p < 0.01, I2 = 33%). The between-groups meta-analysis of ten randomised controlled trials found a significant reduction in burnout scores with moderate heterogeneity (10 comparisons: SMD = −0.34, 95% CI = −0.54, −0.14, p < 0.005, I2 = 55%).<h3>Conclusions</h3>Digital and web-based interventions show promise for reducing physician stress and burnout, though current evidence is limited by small sample sizes, study design heterogeneity, and high attrition.</div>","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":"50 5","pages":"600 - 614"},"PeriodicalIF":2.6,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anxiety in Medical Students: a Pilot Study on Associated Factors. 医学生焦虑：相关因素的初步研究

IF 2.6 4区医学

Academic Psychiatry Pub Date : 2026-08-13 DOI: 10.1007/s40596-026-02418-5

Mitesh Patel

{"title":"Anxiety in Medical Students: a Pilot Study on Associated Factors.","authors":"Mitesh Patel","doi":"10.1007/s40596-026-02418-5","DOIUrl":"10.1007/s40596-026-02418-5","url":null,"abstract":"Objective: Anxiety can affect student performance and well-being. This pilot study examined the relationships between anxiety and headache, sleep disturbance, and irritability in first-year medical students 2 months before the end-of-year summative assessment.Methods: Fifty-four first-year medical students (18.8% participation, 26 male, 28 female; mean age 20.47 years) completed an anonymous online survey comprising a custom symptom questionnaire and the Trait Anxiety Inventory (TAI).Results: Headache was prevalent, with 66% reporting worsening headache since commencing medical studies; 72% reported reduced sleep and 44% reported increased anxiety. Mean TAI score was 45.98, with 27.7% scoring in the relatively severe/severe range. Increased anxiety was significantly associated with feeling overworked (OR = 3.41, p = 0.049), sleep disturbance (OR = 4.98, p = 0.011), and irritability (OR = 7.71, p < 0.001). Trait anxiety correlated with headache frequency (R = 0.414, p = 0.002).Conclusions: These findings highlight elevated anxiety and sleep disturbance during early medical training, underscoring the need for targeted well-being interventions. Medical schools should consider integrating routine mental health check-ins and accessible support pathways to facilitate earlier recognition and management of student anxiety.","PeriodicalId":7069,"journal":{"name":"Academic Psychiatry","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“Don’t You Ever Be Ashamed”: Loneliness and Psychiatric Training “你永远不要感到羞耻”：孤独和精神病学训练。

IF 2.6 4区医学

Academic Psychiatry Pub Date : 2026-08-12 DOI: 10.1007/s40596-026-02420-x

Adam M. Brenner, Alyssa C. Smith, Rashi Aggarwal, Alan K. Louie, Mary K. Morreale, Richard Balon

引用次数: 0

The Great Expansion: Are We on the Verge of a Psychiatry Program Bubble? 大扩张：我们正处于精神病学项目泡沫的边缘吗？

IF 2.6 4区医学

Academic Psychiatry Pub Date : 2026-08-11 DOI: 10.1007/s40596-026-02416-7

Samuel Dotson, Gregg A Robbins-Welty, Ann C Schwartz

引用次数: 0

One-Hour Educational Session on "How to Debrief a Traumatic Event" Increases RN Comfort in Leading Clinical Debriefing. 一小时关于“如何汇报创伤性事件”的教育课程增加了注册护士在领导临床汇报时的舒适度。