Mental health and working conditions among French medical students: A nationwide study

Autor: Franck Rolland, Nawale Hadouiri, Adrien Haas-Jordache, Evan Gouy, Loona Mathieu, Anne Goulard, Yannick Morvan, Ariel Frajerman
Přispěvatelé: Hôpital Bicêtre, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, InterSyndicale Nationale des Internes (ISNI), Santé mentale et santé publique (SMSP - U1178), Université Paris-Sud - Paris 11 (UP11)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), CHU Dijon, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), InterSyndicale Nationale Autonome Représentative des Internes de Médecine Générale [Lyon] (ISNAR-IMG), Hospices Civils de Lyon (HCL), Association nationale des étudiants en médecine de France (ANEMF), Clinique, Psychanalyse, Développement (CliPsyD), Université Paris Nanterre (UPN), Institut de psychiatrie et neurosciences de Paris (IPNP - U1266 Inserm), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Martinez Rico, Clara
Rok vydání: 2021
Předmět:
Zdroj: Journal of Affective Disorders
Journal of Affective Disorders, 2022, 306, pp.124-130. ⟨10.1016/j.jad.2022.03.001⟩
Journal of Affective Disorders, Elsevier, 2022, 306, pp.124-130. ⟨10.1016/j.jad.2022.03.001⟩
ISSN: 1573-2517
0165-0327
DOI: 10.1016/j.jad.2022.03.001⟩
Popis: International audience; Background: Medical students' mental health is a public health problem that has worsened with COVID 19's pandemic. There is a lack of French data. The principal aim was to assess French medical students' mental health. Methods: An online cross-sectional survey was performed between May 27 and June 27, 2021. An anonymous questionnaire was sent via academic email addresses by medical faculties and secondly on social media. We assessed 7-day anxiety and depressive symptoms were evaluated with the Hospitalization Anxiety and Depression scale, 12-month major depressive episode (MDE) with the Composite International Diagnostic Interview-Short Form, burnout with the Maslach Burnout Inventory, 12-month suicidal ideation, humiliation, sexual harassment, and sexual aggression during their curriculum. Multivariable logistic regression was performed to identify main MDE associated factors. Outcomes: 11,754 participants (response rate: 15.3%) were included. Prevalence of 7-day anxiety symptoms, 7day depressive symptoms, 12-month MDE, and 12-month suicidal thoughts were 52%, 18%, 25%, and 19% respectively. Burnout syndrome concerned 67% of clinical students and residents and 39% of preclinical students. Prevalence of humiliation, sexual harassment, and sexual abuse during their curriculum were 23%, 25%, and 4%, respectively. Having important (OR = 1.44, IC 95 [1.31-1.58], p < 0.001) or very important financial issues (OR = 2.47, IC 95 [2.15-2.85], p < 0.001), experienced humiliation (OR = 1.63, IC 95 [1.46-1.81], p < 0.001), sexual harassment (OR = 1.43, IC 95 [1.28-1.59], p < 0.001) and sexual abuse (OR = 1.52, IC 95 [1.24-1.85], p < 0.001) were associated with an increased risk of MDE. Interpretation: This is the largest study on French medical students' mental health. These results point to very particular conditions in French students environment that need to be addressed to improve their mental health.
Databáze: OpenAIRE
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