Abstract：
OBJECTIVE: Medical residency training is associated with a range of sociodemographic, lifestyle and mental health factors that may confer higher risk for psychotic-like experiences (PLEs) in residents, yet little research has examined this question. Thus, we aimed to document the prevalence and associated factors of PLEs among resident physicians.
METHODS: Physicians enrolled in residency programmes in the Province of Québec, Canada (four universities) were recruited in Fall 2022 via their programme coordinators and social media. They completed an online questionnaire assessing PLEs in the past 3 months (the 15-item Community Assessment of Psychic Experiences), as well as sociodemographic characteristics, lifestyle and mental health. Analyses included survey weights and gamma regressions.
RESULTS: The sample included 502 residents (mean age, 27.6 years; 65.9% women). Only 1.3% (95% CI: 0.5%, 4.0%) of residents met the screening cut-off for psychotic disorder. Factors associated with higher scores for PLEs included racialised minority status (relative difference: +7.5%; 95% CI: +2.2%, +13.2%) and English versus French as preferred language (relative difference: +7.9% 95% CI: +3.1%, +12.9%), as well as each additional point on scales of depression (relative difference: +0.8%; 95% CI: +0.3%, +1.3%) and anxiety (relative difference: +1.3%; 95% CI: +0.8%, +1.7%). In secondary analyses, racialised minority status was associated with persecutory items, but not with other PLEs. Gender, residency programmes and lifestyle variables were not associated with PLEs.
CONCLUSIONS: This study found low reports of PLEs in a sample of resident physicians. Associations of PLEs with minoritised status may reflect experiences of discrimination.
METHODS: Physicians enrolled in residency programmes in the Province of Québec, Canada (four universities) were recruited in Fall 2022 via their programme coordinators and social media. They completed an online questionnaire assessing PLEs in the past 3 months (the 15-item Community Assessment of Psychic Experiences), as well as sociodemographic characteristics, lifestyle and mental health. Analyses included survey weights and gamma regressions.
RESULTS: The sample included 502 residents (mean age, 27.6 years; 65.9% women). Only 1.3% (95% CI: 0.5%, 4.0%) of residents met the screening cut-off for psychotic disorder. Factors associated with higher scores for PLEs included racialised minority status (relative difference: +7.5%; 95% CI: +2.2%, +13.2%) and English versus French as preferred language (relative difference: +7.9% 95% CI: +3.1%, +12.9%), as well as each additional point on scales of depression (relative difference: +0.8%; 95% CI: +0.3%, +1.3%) and anxiety (relative difference: +1.3%; 95% CI: +0.8%, +1.7%). In secondary analyses, racialised minority status was associated with persecutory items, but not with other PLEs. Gender, residency programmes and lifestyle variables were not associated with PLEs.
CONCLUSIONS: This study found low reports of PLEs in a sample of resident physicians. Associations of PLEs with minoritised status may reflect experiences of discrimination.
摘要：
目的：医学住院医师培训与一系列社会人口统计学有关，生活方式和心理健康因素可能会给居民带来更高的精神病样经历（PLE）风险，然而，很少有研究研究这个问题。因此，我们旨在记录住院医师中PLEs的患病率和相关因素.
方法：在魁北克省注册住院医师课程的医师，加拿大（四所大学）于2022年秋季通过其计划协调员和社交媒体招募。他们在过去3个月中完成了一份评估PLE的在线问卷（15项社区心理体验评估），以及社会人口特征，生活方式和心理健康。分析包括测量权重和伽马回归。
结果：样本包括502名居民(平均年龄，27.6岁；65.9%的女性）。只有1.3%（95%CI：0.5%，4.0%)的居民符合精神障碍筛查截止日期。与PLE得分较高相关的因素包括种族化的少数民族地位（相对差异：7.5％；95％CI：2.2％，+13.2%)和英语与法语作为首选语言(相对差异：+7.9%95%CI：+3.1%，+12.9%），以及抑郁量表上的每个额外点（相对差异：0.8％；95％CI：0.3％，+1.3%)和焦虑(相对差异：+1.3%；95%CI：+0.8%，+1.7%）。在二级分析中，种族化的少数民族地位与迫害项目有关，但不是与其他PLE。性别,住院医师计划和生活方式变量与PLE无关.
结论：这项研究发现，住院医师样本中PLE的报告较低。与按人数计算的平等地位联系可能反映了歧视的经历。
方法：在魁北克省注册住院医师课程的医师，加拿大（四所大学）于2022年秋季通过其计划协调员和社交媒体招募。他们在过去3个月中完成了一份评估PLE的在线问卷（15项社区心理体验评估），以及社会人口特征，生活方式和心理健康。分析包括测量权重和伽马回归。
结果：样本包括502名居民(平均年龄，27.6岁；65.9%的女性）。只有1.3%（95%CI：0.5%，4.0%)的居民符合精神障碍筛查截止日期。与PLE得分较高相关的因素包括种族化的少数民族地位（相对差异：7.5％；95％CI：2.2％，+13.2%)和英语与法语作为首选语言(相对差异：+7.9%95%CI：+3.1%，+12.9%），以及抑郁量表上的每个额外点（相对差异：0.8％；95％CI：0.3％，+1.3%)和焦虑(相对差异：+1.3%；95%CI：+0.8%，+1.7%）。在二级分析中，种族化的少数民族地位与迫害项目有关，但不是与其他PLE。性别,住院医师计划和生活方式变量与PLE无关.
结论：这项研究发现，住院医师样本中PLE的报告较低。与按人数计算的平等地位联系可能反映了歧视的经历。
