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Patterns of distress in US medical students.

机译:美国医学生的困扰模式。

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BACKGROUND: How multiple forms of psychological distress coexist in individual medical students has not been formally studied. AIM: To explore the prevalence of various forms of distress in medical students and their relationship to recent suicidal ideation or serious thoughts of dropping out of school. METHODS: All medical students at seven US schools were surveyed with standardized instruments to evaluate burnout, depression, stress, mental quality of life (QOL), physical QOL, and fatigue. Additional items explored recent suicidal ideation and serious thoughts of dropping out of medical school. RESULTS: Nearly all (1846/2246, 82%) of medical students had at least one form of distress with 1066 (58%) having >/=3 forms of distress. A dose-response relationship was found between the number of manifestations of distress and recent suicidal ideation or serious thoughts of dropping out. For example, students with 2, 4, or 6 forms of distress were 5, 15, and 24 fold, respectively, more likely to have suicidal ideation than students with no forms of distress assessed. All forms of distress were independently associated with suicidal ideation or serious thoughts of dropping out on multivariable analysis. CONCLUSIONS: Most medical students experience >/=1 manifestation of distress with many experiencing multiple forms of distress simultaneously. The more forms of distress experienced the greater the risk for suicidal ideation and thoughts of dropping out of medical school.
机译:背景:目前尚未正式研究医学生个体中多种形式的心理困扰并存的情况。目的:探讨医学生中各种形式的困扰的患病率及其与最近的自杀念头或辍学的严肃念头的关系。方法:对美国七所学校的所有医学生进行了标准化工具调查,以评估他们的倦怠,抑郁,压力,心理生活质量(QOL),身体质量QOL和疲劳。其他项目探讨了最近的自杀念头和对退出医学院的认真思考。结果:几乎所有(1846/2246,82%)的医学生都至少有一种困扰形式,而1066(58%)的困扰形式为> / = 3。在困扰的表现和最近的自杀念头或认真的辍学念头之间发现了剂量-反应关系。例如,遇难状态为2、4或6的学生分别比未受遇难形式的学生自杀意念高5,15和24倍。所有形式的困扰都与自杀意念或放弃多变量分析的严肃想法独立相关。结论:大多数医学生经历了> / = 1的困扰表现,其中许多人同时经历多种形式的困扰。遇难的形式越多,自杀念头和念头跳出医学院的风险就越大。

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