医学住院医生的道德骚扰与心理健康:纵向研究。

IF 3.6 3区 医学 Q1 PSYCHIATRY
Revista Brasileira de Psiquiatria Pub Date : 2025-01-01 Epub Date: 2024-09-22 DOI:10.47626/1516-4446-2024-3579
Ana Bresser Tokeshi, Renato Antunes Dos Santos, Luiz Antonio Nogueira-Martins, Maria do Patrocinio Tenório Nunes, Thiago Marques Fidalgo
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引用次数: 0

摘要

研究目的本研究探讨道德骚扰是否会导致医学住院医师的焦虑、抑郁和职业倦怠:这项分三个阶段进行的纵向研究涉及 218 名一年级住院医师,其中 76 人(34.9%)参与了所有阶段的研究。问卷内容包括人口统计学、心理健康(使用患者健康问卷-4-PHQ-4)、职业倦怠(使用马斯拉赫职业倦怠量表人类服务调查-MBI-HSS)和骚扰经历。逻辑回归分析了心理健康结果和骚扰情况:结果:研究发现,焦虑和抑郁得分存在明显差异,而职业倦怠的个人成就感维度则明显下降。骚扰发生率超过 90%,大多数受害者因遭受骚扰而感到不安。虽然没有发现骚扰受害与心理健康下降之间存在直接关联,但寻求帮助加剧了痛苦,外科住院医师抑郁和情感衰竭的增加幅度较小:据我们所知,这是第一项关于医学住院医师心理健康与骚扰的纵向研究。对骚扰采取行动后的精神痛苦表明,在住院医师培训中缺乏解决这些问题的安全环境。对外科住院医师的进一步研究可以揭示他们的痛苦程度较低。有必要进行制度改革,以接纳受害者并营造健康的环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Moral harassment and mental health in medical residents: a longitudinal study.

Objective: This study investigated whether moral harassment contributes to anxiety, depression, and burnout among medical residents.

Methods: This three-stage longitudinal study involved 218 1st-year residents, of whom 76 (34.9%) participated in all stages. The questionnaire covered demographics, mental health (using the Patient Health Questionnaire-4), burnout (using the Maslach Burnout Inventory Human Services Survey), and harassment experiences. Mental health outcomes and harassment were analyzed using logistic regression.

Results: Anxiety and depression scores varied significantly, including a notable decrease in the personal accomplishment dimension of burnout. The prevalence of harassment was above 90%, and most victims were disturbed by the harassment they suffered. While a direct correlation between harassment victimization and reduced mental health was not found, seeking help exacerbated suffering, and depression and emotional exhaustion increased less among surgical residents.

Conclusion: To the extent of our knowledge, this is the first longitudinal study on mental health and harassment among medical residents. The mental suffering experienced after taking action against harassment suggests that safe environments for addressing these issues are lacking in medical residencies. Further studies concerning surgical residents could shed light on their lower levels of suffering. Institutional changes are needed to support victims and create a healthy environment.

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来源期刊
Revista Brasileira de Psiquiatria
Revista Brasileira de Psiquiatria 医学-精神病学
CiteScore
6.60
自引率
0.00%
发文量
83
审稿时长
6-12 weeks
期刊介绍: The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry). The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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