Survey and analysis of factors influencing mental health of residency trainees

doi:10.3760/cma.j.cn115259-20220617-00796

Abstract

Abstract: Objective To investigate the mental health status of trainees in residency training programs (hereafter referred to as residency trainees) and the predictors to inform psychological intervention for residency trainees. Methods Questionnaire survey was used in this study. From February to March 2022, residency trainees from the First Affiliated Hospital of Kunming Medical University were selected for the study, the depression, anxiety and stress symptoms of whom were assessed by the Depression-Anxiety-Stress Scale (DASS-21), and the effects of residency characteristics, sleep and exercise on their mental health were analyzed, and the relevant data were subjected to chi-square tests and regression analysis. Results A total of 386 valid questionnaires were returned. Among professional degree masters (n=201), unit-commissioned trainees (n=161), and social trainees (n=24), the proportion of trainees with anxiety symptoms was 104(51.7%), 78(48.4%), and 5(20.8%), respectively. The percentages of trainees with depression or anxiety symptoms in their own speciality department (n=251) were 119(47.4%), 134(53.4%), which were higher than 45(33.3%) and 53(39.3%) of the trainees who were rotating ((n=135). The differences were statistically significant (all P<0.05). Among resident trainees, sleep duration was found to significantly influence depression [OR (95% CI) = 0.298(0.163-0.546), anxiety [OR (95% CI) = 0.369(0198-0.685), and stress [OR (95% CI) = 0.292(0.143-0.595)]. The frequency of exercises had an important impact on anxiety symptoms [OR (95% CI) =0.369(0.164-0.831)]. The differences were statistically significant (all P<0.05). Conclusions The high detection rate of mental health problems in residency trainees must be taken seriously. Sleep and exercise are conducive to improving their mental health; mental health problems are more prominent among trainees studying in their own specialty department and professional degree masters, to which timely attention should be given.

Key words: Questionnaires, Resident trainees, Mental health, Predictors, Intervention

CLC Number:

R-05

Luo Jiahui, Yang Lingli, Wang Ruiheng, Zeng Xiaoju, Zhang Changlin, Liu Fang. Survey and analysis of factors influencing mental health of residency trainees[J]. Chinese Journal of Medical Education, 2023, 43(4): 293-297.

References

[1] Janosy NR, Beacham A, Vogeli J, et al. Well-being curriculum for anesthesiology residents: development, processes, and preliminary outcomes[J]. Paediatr Anaesth, 2021,31(1):103-111. DOI: 10.1111/pan.14062.
[2] 孙雪萍, 周晓娜, 胡涛, 等. 云南高等中医药院校规培研究生心理健康状况调查与对策分析[J].中国高等医学教育,2020(3):12-13. DOI: 10.3969/j.issn.1002-1701.2020.03.006.
[3] Khoodoruth M, Al-Nuaimi SK, Al-Salihy Z, et al. Factors associated with mental health outcomes among medical residents exposed to COVID-19[J]. BJPsych Open, 2021,7(2):e52. DOI: 10.1192/bjo.2021.12.
[4] Cellini MM, Serwint JR, Chaudron LH, et al. Availability of emotional support and mental health care for pediatric residents[J]. Acad Pediatr, 2017,17(4):424-430. DOI: 10.1016/j.acap.2017.01.011.
[5] Herrman H , Saxena S , Moodie R . Promoting mental health: concepts, emerging evidence, practice: report of the World Health Organization[EB/OL]. [2022-06-10].https://apps.who.int/iris/bitstream/handle/10665/43286/9241562943_eng.pdf;jsessionid=0860EC868C34032754A79919FD08DFC3?sequence=1.
[6] Solms L, van Vianen A, Koen J, et al. Turning the tide: a quasi-experimental study on a coaching intervention to reduce burn-out symptoms and foster personal resources among medical residents and specialists in the Netherlands[J]. BMJ Open, 2021,11(1):e041708. DOI: 10.1136/bmjopen-2020-041708.
[7] Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services[J]. Acad Med, 2019,94(8):1150-1156. DOI: 10.1097/ACM.0000000000002778.
[8] 李娟, 韦道祥, 谢静. COVID-2019疫情常态化防控期间蚌埠市规范化培训住院医师心理健康状况调查分析[J].中华全科医学,2022,20(2):278-281. DOI: 10.16766/j.cnki.issn.1674-4152.002332.
[9] 李娟, 张超, 覃涵睿. 不同年级麻醉科规范化培训医师的心理状态与疏导[J].中国卫生产业,2019,16(25):125-127. DOI: 10.16659/j.cnki.1672-5654.2019.25.125.
[10] 肖铮, 张水华, 杨滨滨, 等. 住院医师规范化培训学员的心理压力分析及心理干预[J].中国继续医学教育,2018,10(18):3-5. DOI: 10.3969/j.issn.1674-9308.2018.18.002.
[11] 龚栩, 谢熹瑶, 徐蕊, 等. 抑郁-焦虑-压力量表简体中文版(DASS-21)在中国大学生中的测试报告[J].中国临床心理学杂志,2010,18(4):443-446.
[12] 陈丽红, 赵卓, Srijan Sen, 等. 住院医师培训期间抑郁的发展和相关因素:一项前瞻性队列研究[J].中国临床心理学杂志,2021,29(5):1019-1022,942. DOI: 10.16128/j.cnki.1005-3611.2021.05.025.
[13] 刘芳, 唐大龙, 刘伟楠, 等. 全科专业住院医师规范化培训学员职业倦怠及其影响因素研究[J].中国全科医学,2020,23(9):1151-1157. DOI: 10.12114/j.issn.1007-9572.2019.00.713.
[14] 彭天元, 宋瑰琦, 范西真, 等. 新冠肺炎疫情期间某院住院医师规范化培训学员焦虑与抑郁水平调查分析[J].中华全科医学,2022,20(1):92-94,108. DOI: 10.16766/j.cnki.issn.1674-4152.002285.
[15] Nobleza D, Hagenbaugh J, Blue S, et al. Resident mental health Care: a timely and necessary resource[J]. Acad Psychiatry, 2021,45(3):366-370. DOI: 10.1007/s40596-021-01422-1.
[16] Zhang WJ, Yan C, Shum D, et al. Responses to academic stress mediate the association between sleep difficulties and depressive/anxiety symptoms in Chinese adolescents[J]. J Affect Disord, 2020,263:89-98. DOI: 10.1016/j.jad.2019.11.157.
[17] 刘志军, 孙文彦, 李现群, 等. 工作压力对医学规培生主观幸福感的影响:心理资本的中介作用[J].遵义医学院学报,2018,41(5):635-638. DOI: 10.3969/j.issn.1000-2715.2018.05.021.
[18] Nutting R, Grant JT, Ofei-Dodoo S, et al. Increasing resident physician well-being through a motivational fitness curriculum: a pilot study[J]. Kans J Med, 2020,13:228-234.