PDF(Pubmed)
Abstract：
Unhealthy behaviors (UBs) can affect mental health. The most impactful of these are alcohol abuse, sedentary behavior, and sleep disturbances. Since these UBs are not well explored in medical residents, this study aims to overcome this gap, focusing on outcomes such as depression and anxiety. The Public Health Residents\' Anonymous Survey in Italy (PHRASI) is a nationwide cross-sectional study based on an 88-item questionnaire. UBs were explored through validated questionnaires: the Alcohol Use Disorders Identification Test-c (AUDIT-C), the International Physical Activity Questionnaire (IPAQ), and the Insomnia Severity Index (ISI). Depressive symptoms and anxiety were detected by Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), respectively. Hierarchical cluster analysis described clusters using responses from the AUDIT-C, IPAQ, and ISI. A total of 375 participants were included in this study. Three distinct clusters (CL) were identified: CL1 was characterized by a moderate risk for alcohol abuse and high insomnia dissatisfaction, with a significantly higher frequency of depressive symptoms (46%, p < 0.001) and anxiety (53%, p < 0.001); CL2 had no risk for alcohol abuse, high sleep satisfaction, and better mental health profile, with the lowest prevalence of depressive symptoms (15%, p < 0.001); CL3 had the highest risk of alcohol abuse, the highest rate of physical activity (40%, p = 0.013), and the lowest prevalence of anxiety (27%, p < 0.001). Subjects belonging to CL1 required much more attention to prevent the worsening of mental outcomes. Interventions for promoting mental health should be addressed in all Public Health schools to create more sustainable working conditions.
摘要：
不健康行为（UB）会影响心理健康。其中影响最大的是酗酒,久坐的行为，和睡眠障碍。由于这些UB在医疗居民中没有得到很好的探索，这项研究旨在克服这一差距，关注抑郁和焦虑等结果。意大利公共卫生居民匿名调查（PHRASI）是一项基于88项问卷的全国性横断面研究。UB通过验证问卷进行了探索：酒精使用障碍识别测试-c(AUDIT-C)，国际身体活动问卷(IPAQ)失眠严重程度指数（ISI）。通过患者健康问卷-9（PHQ-9）和广泛性焦虑症-7（GAD-7）检测抑郁症状和焦虑，分别。分层聚类分析使用AUDIT-C的响应描述了聚类，IPAQ,还有ISI.总共375名参与者被纳入这项研究。确定了三个不同的簇（CL）：CL1的特征是适度的酗酒风险和高度失眠不满，抑郁症状的频率明显更高(46%，p<0.001)和焦虑(53%，p<0.001)；CL2没有酗酒的风险，睡眠满意度高,和更好的心理健康档案，抑郁症状患病率最低(15%，p<0.001)；CL3的酗酒风险最高，体力活动率最高(40%，p=0.013),焦虑患病率最低(27%，p<0.001)。属于CL1的受试者需要更多的关注以防止精神结果的恶化。所有公共卫生学校都应解决促进心理健康的干预措施，以创造更可持续的工作条件。
