关键词: Common mental health problems interventions medical students and/or junior doctors overview of systematic reviews prevalence

来  源:   DOI:10.1080/09638237.2023.2278095

Abstract:
UNASSIGNED: Common mental health problems (CMHP) are prevalent among junior doctors and medical students, and the COVID-19 pandemic has brought challenging situations with education disruptions, early graduations, and front-line work. CMHPs can have detrimental consequences on clinical safety and healthcare colleagues; thus, it is vital to assess the overall prevalence and available interventions to provide institutional-level support.
UNASSIGNED: This overview summarises the prevalence of CMHPs from existing published systematic reviews and informs public health prevention and early intervention practice.
UNASSIGNED: Four electronic databases were searched from 2012 to identify systematic reviews on the prevalence of CMHPs and/or interventions to tackle them.
UNASSIGNED: Thirty-six reviews were included: 25 assessing prevalence and 11 assessing interventions. Across systematic reviews, the prevalence of anxiety ranged from 7.04 to 88.30%, burnout from 7.0 to 86.0%, depression from 11.0 to 66.5%, stress from 29.6 to 49.9%, suicidal ideation from 3.0 to 53.9% and one obsessive-compulsive disorder review reported a prevalence of 3.8%. Mindfulness-based interventions were included in all reviews, with mixed findings for each CMHP.
UNASSIGNED: The prevalence of CMHPs is high among junior doctors and medical students, with anxiety remaining relatively stable and depression slightly increasing during the COVID-19 pandemic. Future research on mindfulness-based interventions is required for a resilient and healthy future workforce.
UNASSIGNED: the researchers have followed PRISMA guidance. This overview was not registered with PROSPERO as it was conducted as part of an MSc research project.
摘要:
常见的心理健康问题(CMHP)在初级医生和医学生中普遍存在,COVID-19大流行带来了教育中断的挑战性局面,早期毕业,一线工作。CMHP可能对临床安全和医疗保健同事产生不利影响;因此,评估总体患病率和可用干预措施以提供机构层面的支持至关重要.
本概述总结了现有已发表的系统评价中CMHP的患病率,并为公共卫生预防和早期干预实践提供了信息。
从2012年开始搜索四个电子数据库,以确定有关CMHP患病率和/或干预措施的系统评价。
共纳入36篇综述:25篇评估患病率,11篇评估干预措施。在系统审查中,焦虑的患病率从7.04到88.30%不等,倦怠从7.0到86.0%,抑郁症从11.0%到66.5%,压力从29.6%到49.9%,自杀意念从3.0%到53.9%,一项强迫症综述报告的患病率为3.8%。基于正念的干预措施被纳入所有综述,每个CMHP的结果参差不齐。
CMHP在初级医生和医学生中的患病率很高,在COVID-19大流行期间,焦虑保持相对稳定,抑郁略有增加。未来对基于正念的干预措施的研究需要一个有弹性和健康的未来劳动力。
研究人员遵循了PRISMA的指导。此概述未在PROSPERO注册,因为它是作为MSc研究项目的一部分进行的。
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