|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Medical student depression and its correlates across three international medical schools显示文摘BACKGROUND Medical students have high rates of depression, anxiety, and burnout that have been found to affect their empathy, professional behaviors, and performance as a physician. While studies have examined predictors for burnout and depression in the United States (US), no study, to our knowledge, has compared depression in medical students cross-culturally, or has attempted to examine the effect of factors influencing rates including burnout, exercise, stress, unmet mental health needs, and region. AIM To examine rates of depression in three international cohorts of medical students, and determine variables that may explain these differences. METHODS Convenience samples of medical students from three countries (US, China, and a Middle Eastern country whose name remains anonymous per request from the school) were surveyed in this observational study. Using the Patient Health Questionnaire-2 (PHQ-2) and a modified Maslach Burnout Inventory, depression and burnout were examined among medical students from the three cohorts (n = 473). Chi-square test and analysis of variance were used to examine differences in demographics, behavioral, and psychological variables across these three schools to identify potentially confounding descriptive characteristics. Analysis of covariance compared depression and the emotional exhaustion component of burnout identified through Principal Component Analysis across countries. Multiple linear regression was used to analyze the impact of demographic, behavioral, and psychological variables on screening positive for depression. RESULTS Medical students from the Middle Eastern country had the highest rates of positive depression screens (41.1%), defined as a PHQ-2 score of ≥ 3, followed by China (14.1 %), and then the US (3.8%). More students in the Middle Eastern school had unmet mental health needs (50.8%) than at the medical school in China (34.8%) or the school in the US (32.8%)(Pearson chi-square significance < 0.05). Thus, PHQ-2 scores were adjusted for unmet mental health needs;however, the Middle Eastern country continued to have the highest depression. Adjusting for PHQ-2 score, medical students from the US scored the highest on emotional exhaustion (a measure of burnout). Demographic variables did not significantly predict medical student depression;however, lack of exercise, unmet mental health needs, stress, and emotional exhaustion predicted nearly half of depression in these cohorts. In comparison to the US, coming from the Middle Eastern country and China predicted higher levels of depression. CONCLUSION Depression rates differ in three international cohorts of medical students. Measured factors contributed to some observed differences. Identifying sitespecific prevention and intervention strategies in medical student mental health is warranted. | Jessica A Gold Xinran Hu Gan Huang Wan-Zhen Li Yi-Fan Wu Shan Gao Zhe-Ning Liu Mickey Trockel Wan-Zhen Li Yi-Fan Wu Shan Gao Zhe-Ning Liu Robert M Rohrbaugh Kirsten M Wilkins | 2019 | World Journal of Psychiatry2019，9，4： | 2 |
| 2 | Detection of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Hennerici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 3 | Detection of early atherosclerotic by duplex scanning of the carotid artery显示文摘 | Hennerici M Reifschnneider G Trockel U | 1984 | J Chin Ultrasound1984，12，： | 1 |
| 4 | Effects of an internet-based intervention for subthreshold eating disorders:a randomized control ed trial显示文摘 | Jacobi C Volker U Trockel MT Taylor CB | | 0，，02： | 1 |
| 5 | Detection of early atherotic lesions by dupplex Scanning of the carotid artery显示文摘 | Hennerici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 6 | Detection of early atherosclerotic lesions by duplex scanning of the carotid artery 显示文摘 | Hennerici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，： | 1 |
| 7 | Detect ion ofearlyatherosclerot ic lesions by dup lex scann ing of the carotid artery显示文摘 | Hennerici M Reifschnneider G Trockel U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 8 | Detection of early atherosclerotic lesions by duplex scanning o f the carotid artery显示文摘 | Hennerici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 9 | Health-related variables and academic performance among first-year college students: implica- tions for sleep and other behaviors 显示文摘 | Trockel MT Barnes MD Egget DL | 2000 | J Am Coll Health2000，49，3： | 1 |
| 10 | Detect of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，： | 1 |
| 11 | Cognitive behavioral therapy for insomnia with veterans:evaluation of effec- tiveness and correlates of treatment outcomes 显示文摘 | Trockel M Karlin BE Taylor CB | 2014 | Beha- viour Research and Therapy2014，53，： | 1 |
| 12 | D Eetection of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Hennerici M Reifschnneider G Trockel U | 1984 | J Chin Ultrasound1984，12，： | 1 |
| 13 | Detection of early atherosclerotic lesin by duplex scanning of the carotid artery显示文摘 | HENNERICI M REIFSCHNEIDIDER G TROCKEL U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 14 | Detection of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，： | 1 |
| 15 | Detection of early atheroslerotic lesions by duplex scanning of the carotid artery 显示文摘 | Hennerici M Reifschneider G Trockel LL | 1984 | J Cliu Ultrasound1984，12，： | 1 |
| 16 | Health--related variables and academic performance among first- year college students: Implica- tions for sleep and other behaviors显示文摘 | Trockel M T Barnes M D Egget D L | 2000 | J Am Coll Health2000，49，3： | 1 |
| 17 | Detection of early artherosclerotic lesions by duplex scanning of the carotid artery 显示文摘 | Hennerici M Reifscheider G Trockel U | 1984 | J Clin Ultrasound1984，12，： | 1 |
| 18 | Detection of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Hennelici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，8： | 1 |
| 19 | Detection of early atherosclerotic lesions by duplex scanning of the carotid artery显示文摘 | Henneerici M Reifschneider G Trockel U | 1984 | J Clin Ultrasound1984，12，： | 1 |
| 20 | Detection of early atherosclerotic lesoions by duplex scanning of the carotid artery显示文摘 | Hennerici M Reifschneider G Trockel U | 1984 | Clin Ultrasound1984，12，8： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员