{"title":"沙特阿拉伯医生的心理健康问题：范围审查","authors":"Dushad Ram, Hathim Yousef Alharbi","doi":"10.4103/sjmms.sjmms_128_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Physicians in Saudi Arabia encounter significant occupational stressors that elevate their risk of mental health challenges.</p><p><strong>Objective: </strong>This review maps research on the mental health of physicians in Saudi Arabia, identifies key themes and gaps, and contributes to understanding physician well-being. It aims to inform future research and targeted interventions to improve both physician well-being and healthcare quality.</p><p><strong>Methods: </strong>This scoping review mapped literature (2000-2024) on the mental health of physicians in Saudi Arabia. Inclusion criteria were primary research studies (quantitative or mixed methods) on the mental health of physician (interns to consultants) in Saudi Arabia. PubMed, Scopus, Web of Science, and Google Scholar were searched. Thematic synthesis was performed.</p><p><strong>Results: </strong>Eighty-eight cross-sectional studies (sample size range: 55-1205; <i>N</i> ~11,000) revealed significant mental health challenges. Workplace bullying (70%, 95% CI: 65.2%-74.6%) and harassment (83.6%, 95% CI: 79.7%-87.0%) were prevalent. Psychiatric issues included high stress (>50%, 95% CI: varied according to study), depression (up to 75.8%, 95% CI: 70.2%-80.8% in residents), anxiety (up to 50%, 95% CI: 43.0%-57.0%), and sleep disturbances (up to 87%, 95% CI: 82.0%-91.1% in residents). Substance use (smoking 16%-47.7%) and self-prescription of psychotropics were observed. Adaptive coping (e.g., religion and planning) was common, while maladaptive coping (e.g., self-blame) was associated with higher stress, particularly in females. Job satisfaction varied, with lower satisfaction in intensive care and plastic surgery.</p><p><strong>Conclusions: </strong>This review highlights significant, interconnected mental health challenges among physicians in Saudi Arabia, particularly in high-stress specialties and among female physicians. Targeted interventions and future research are needed to address work-related stress, improve coping, enhance institutional support, and promote physician well-being and healthcare quality.</p>","PeriodicalId":21442,"journal":{"name":"Saudi Journal of Medicine & Medical Sciences","volume":"13 3","pages":"157-172"},"PeriodicalIF":1.5000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366854/pdf/","citationCount":"0","resultStr":"{\"title\":\"Mental Health Issues among Physicians in Saudi Arabia: A Scoping Review.\",\"authors\":\"Dushad Ram, Hathim Yousef Alharbi\",\"doi\":\"10.4103/sjmms.sjmms_128_25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Physicians in Saudi Arabia encounter significant occupational stressors that elevate their risk of mental health challenges.</p><p><strong>Objective: </strong>This review maps research on the mental health of physicians in Saudi Arabia, identifies key themes and gaps, and contributes to understanding physician well-being. It aims to inform future research and targeted interventions to improve both physician well-being and healthcare quality.</p><p><strong>Methods: </strong>This scoping review mapped literature (2000-2024) on the mental health of physicians in Saudi Arabia. Inclusion criteria were primary research studies (quantitative or mixed methods) on the mental health of physician (interns to consultants) in Saudi Arabia. PubMed, Scopus, Web of Science, and Google Scholar were searched. Thematic synthesis was performed.</p><p><strong>Results: </strong>Eighty-eight cross-sectional studies (sample size range: 55-1205; <i>N</i> ~11,000) revealed significant mental health challenges. Workplace bullying (70%, 95% CI: 65.2%-74.6%) and harassment (83.6%, 95% CI: 79.7%-87.0%) were prevalent. Psychiatric issues included high stress (>50%, 95% CI: varied according to study), depression (up to 75.8%, 95% CI: 70.2%-80.8% in residents), anxiety (up to 50%, 95% CI: 43.0%-57.0%), and sleep disturbances (up to 87%, 95% CI: 82.0%-91.1% in residents). Substance use (smoking 16%-47.7%) and self-prescription of psychotropics were observed. Adaptive coping (e.g., religion and planning) was common, while maladaptive coping (e.g., self-blame) was associated with higher stress, particularly in females. Job satisfaction varied, with lower satisfaction in intensive care and plastic surgery.</p><p><strong>Conclusions: </strong>This review highlights significant, interconnected mental health challenges among physicians in Saudi Arabia, particularly in high-stress specialties and among female physicians. Targeted interventions and future research are needed to address work-related stress, improve coping, enhance institutional support, and promote physician well-being and healthcare quality.</p>\",\"PeriodicalId\":21442,\"journal\":{\"name\":\"Saudi Journal of Medicine & Medical Sciences\",\"volume\":\"13 3\",\"pages\":\"157-172\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366854/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Saudi Journal of Medicine & Medical Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/sjmms.sjmms_128_25\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Saudi Journal of Medicine & Medical Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/sjmms.sjmms_128_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/14 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Mental Health Issues among Physicians in Saudi Arabia: A Scoping Review.
Background: Physicians in Saudi Arabia encounter significant occupational stressors that elevate their risk of mental health challenges.
Objective: This review maps research on the mental health of physicians in Saudi Arabia, identifies key themes and gaps, and contributes to understanding physician well-being. It aims to inform future research and targeted interventions to improve both physician well-being and healthcare quality.
Methods: This scoping review mapped literature (2000-2024) on the mental health of physicians in Saudi Arabia. Inclusion criteria were primary research studies (quantitative or mixed methods) on the mental health of physician (interns to consultants) in Saudi Arabia. PubMed, Scopus, Web of Science, and Google Scholar were searched. Thematic synthesis was performed.
Results: Eighty-eight cross-sectional studies (sample size range: 55-1205; N ~11,000) revealed significant mental health challenges. Workplace bullying (70%, 95% CI: 65.2%-74.6%) and harassment (83.6%, 95% CI: 79.7%-87.0%) were prevalent. Psychiatric issues included high stress (>50%, 95% CI: varied according to study), depression (up to 75.8%, 95% CI: 70.2%-80.8% in residents), anxiety (up to 50%, 95% CI: 43.0%-57.0%), and sleep disturbances (up to 87%, 95% CI: 82.0%-91.1% in residents). Substance use (smoking 16%-47.7%) and self-prescription of psychotropics were observed. Adaptive coping (e.g., religion and planning) was common, while maladaptive coping (e.g., self-blame) was associated with higher stress, particularly in females. Job satisfaction varied, with lower satisfaction in intensive care and plastic surgery.
Conclusions: This review highlights significant, interconnected mental health challenges among physicians in Saudi Arabia, particularly in high-stress specialties and among female physicians. Targeted interventions and future research are needed to address work-related stress, improve coping, enhance institutional support, and promote physician well-being and healthcare quality.
期刊介绍：
Saudi Journal of Medicine & Medical Sciences (SJMMS) is the official scientific journal of Imam Abdulrahman Bin Faisal University. It is an international peer-reviewed, general medical journal. The scope of the Journal is to publish research that will be of interest to health specialties both in academic and clinical practice. The Journal aims at disseminating high-powered research results with the objective of turning research into knowledge. It seeks to promote scholarly publishing in medicine and medical sciences. The Journal is published in print and online. The target readers of the Journal include all medical and health professionals in the health cluster such as in medicine, dentistry, nursing, applied medical sciences, clinical pharmacology, public health, etc.
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