Analysis on the current situation of psychological stress of residents in the standardized training base / 中华医学教育探索杂志

Objective To analyze the status of psychological stress of trainees in the standardized cooperation training base for municipal hospital residents, and to discuss their mental health problems. Methods Cluster random sampling method was used to select the standardized training trainees of resident physicians in a municipal cooperative base as the research object. Self-made psychological stress evaluation scale was divided into two dimensions: psychological stress and emotion . The emotional dimension was given 1 to 10 points respectively. Descriptive statistics and analysis of variance were used to evaluate the general situation and stress status of residents in standardized training . Results The psychological stress of trainees is prominent, and the employment pressure is the biggest source of stress (4.583±2.939). Other source are work pressure (4.269±2.791), study pressure (3.398±2.782), economic pressure (3.167 ±2.715), interpersonal pressure (1.222 ±2.088), environmental pressure (1.065 ±1.906), and emotional pressure (0.824±1.723). There are significant differences between different types of stress (F=44.68, P=0.000). Trainees' mental health problems are quite serious. 59.26％ of the standardized training students occasionally feel pressure, 35.19％ often feel pressure, and 4.63％ always feel pressure. The detection rate of anxiety, depression and inferiority is 64％, 26％ and 26％, respectively. There are significant differences in the average scores of various emotions (F=24.19, P=0.000). Conclusion The psychological stress and mental health problems of residents in standardized training are prominent. Positive measures should be taken to deal with the mental health problems in prospective doctors groups in their transformation stage of development.

Effects of social support on depression and anxiety among standardized training residents / 中华全科医师杂志

Objective To investigate the influence of social support on the depression and anxiety of standardized training residents.Methods Three hundred and eighteen standardized training residents selected by random sampling method from 4 training bases in Shanghai participated in this survey.ResultsThe average score of PHQ-9 was(7.24±5.20), and 67.30%(n=214)of participants had different degrees of depression;the average score of GAD-7 was(5.57±4.55), and 55.03%(n=175)of participants had different degrees of anxiety.One-way analysis of variances showed that standardized training residents who had work experience, longer training years and less salary satisfaction got higher scores in PHQ-9 and GAD-7.Male physicians had higher scores in GAD-7 than female ones.The scores of PHQ-9 (r=-0.390, P<0.01) and GAD-7 (r=-0.376, P<0.01) were both negatively correlated with social support.Regression analysis showed that training years,salary satisfaction,objective social support and the availability of support were significant for predicting the scores of PHQ-9(adjusted R2=0.242,F=17.893), work experience, salary satisfaction,objective social support and the availability of support were significant for predicting the scores of GAD-7(adjusted R2=0.228,F=14.390).After controlled the demographic variables, social support explained the variation rate of 0.119 to the score of PHQ-9 and 0.126 to the score of GAD-7.Conclusion The depression and anxiety of standardized training residents in this study is in a serious situation.Providing the objective social support and the availability of support as well as improving the salary satisfaction of standardized training residents may relieve the depression and anxiety and enhance their mental health.