A Meta-analysis on Chinese Psychiatrists' Mental Health_West China Medical Journal

Authors：

 LUMeng-jie , GUOLi-ling , TANGGuo-hua , QINKen , YANGYing , HUANGYan , ZHANGFan ,  WANGYou-juan

Health Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

WANGYou-juan, Email: yjwang1963@163.com

Keywords：

Chinese; Psychiatrist; Mental health; Symptom checklist-90; Meta-analysis

DOI：

10.7507/1002-0179.20140464

Video：

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Objective To investigate Chinese psychiatrists' mental health. Methods Literatures published from January 1989 to March 31, 2013 were searched through Chinese network databases (CNKI, Weipu, Wanfang) and English network database (OVID). Factors of Symptom checklist-90 (SCL-90) were extracted and compared with Chinese norm. These were analyzed by Meta analysis method. Results Eleven articles were obtained and analyzed, including 725 psychiatrists. The research illustrated that the differences between psychiatrists and Chinese norm of somatization[WMD=0.19, 95%CI (0.05, 0.33), P=0.008], depression[WMD=0.25, 95%CI (0.06, 0.43), P=0.009], anxiety[WMD=0.28, 95%CI (0.09, 0.47), P=0.004], hostility[WMD=0.15, 95%CI (0.01, 0.30), P=0.03], and phobia[WMD=0.11, 95%CI (0.02, 0.20), P=0.02] were significant, while the other 4 factors were not significant (P>0.05). Conclusion Psychiatrists' mental health is poor and intervention measures need to be adopted to improve psychiatrists' mental health.

Citation： LUMeng-jie, GUOLi-ling, TANGGuo-hua, QINKen, YANGYing, HUANGYan, ZHANGFan, WANGYou-juan. A Meta-analysis on Chinese Psychiatrists' Mental Health. West China Medical Journal, 2014, 29(8): 1518-1524. doi: 10.7507/1002-0179.20140464 Copy

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3.	張自偉, 劉小玉, 王嵐, 等. 醫護人員心理健康狀況及應對方式的調查分析[J]. 中國健康心理學雜志, 2010, 18(2):152-155.
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15.	羅光瓊, 普建文, 李斌, 等. 精神科與綜合科醫生心理健康狀況調查[J]. 廣東醫學, 2010, 31(1):108-109.
16.	徐新華, 趙天力, 胡建國. 綜合醫院醫生心理健康狀況調查[J]. 中國臨床心理學雜志, 2006, 14(3):324-325.
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19.	賴成美, 彭芙蓉, 張大平, 等. 精神科醫護人員受病人傷害情況的調查[J]. 四川精神衛生, 2005, 18(2):116-117.
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21.	Deary IJ, Agius RM, Sadler A. Personality and stress in consultant psychiatrists[J]. Int J Soc Psychiatry, 1996, 42(2):112-123.
22.	Chen Y, Turner S, Mcnamee R, et al. The reported incidence of work-related ill-health in Scotland (2002-2003)[J]. Occup Med (Lond), 2005, 55(4):252-261.

1. 董霏, 羅園園. 醫生心理健康狀況與應對方式的初步研究[J]. 職業與健康, 2006, 22(3):161-165.
2. 葸建利, 高文玉. 精神科醫生心理壓力原因分析及干預對策[J]. 中國民康醫學, 2011, 23(12):1552-1553.
3. 張自偉, 劉小玉, 王嵐, 等. 醫護人員心理健康狀況及應對方式的調查分析[J]. 中國健康心理學雜志, 2010, 18(2):152-155.
4. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology:a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group[J]. JAMA, 2000, 283(15):2008-2012.
5. Olmos M, Antelo M, Vazquez H, et al. Systematic review and metaanalysis of Observational studies on the prevalence of fractures in coeliac disease[J]. Dig Liver Dis, 2008, 40(1):46-53.
6. Higgins J, Green S. Cochrane handbook for systematic reviews of interventions. Version 5.0.0[updated February 2008] [EB/OL].(2012-03-04)[2013-06-01]. http://www.mrc-bsu.cam.ac.uk/cochrane/handbook500/.
7. 張明園. 精神科評定量表手冊[M]. 2版. 長沙:湖南科學技術出版社, 1998:17-20.
8. 苑家金, 劉琳, 陳強. 100例精神科醫生癥狀自評量表調查[J]. 中外健康文摘, 2010, 7(5):107-108.
9. 楊嬋娟, 劉玉平, 王旭榮. 159名精神科醫生的心理健康狀況調查[J]. 中國健康心理學雜志, 2008, 16(5):562-563.
10. 陳朋月. 低年資精神科醫師心理健康狀況分析[J]. 中原精神醫學學刊, 1999, 5(1):31-32.
11. 劉躍剛, 李艷紅, 連卓. 接觸伴HIV(+)和(或)AIDS精神病患者的醫護人員心理健康狀況分析[J]. 中國民康醫學, 2009, 21(18):2306-2307.
12. 顏鴻飛, 于曉松. 精神科醫護人員心理健康狀況分析[J]. 遼寧醫學雜志, 2011, 25(4):171-173.
13. 黃國光, 羅樹群. 精神科醫生社會支持與心理健康狀態分析[J]. 右江民族醫學院學報, 2005, 27(6):821.
14. 馬繼東, 潘贊, 鮑蘇. 精神科醫生心理健康與應對方式相關性研究[J]. 中國民康醫學, 2010, 22(9):1156, 1162.
15. 羅光瓊, 普建文, 李斌, 等. 精神科與綜合科醫生心理健康狀況調查[J]. 廣東醫學, 2010, 31(1):108-109.
16. 徐新華, 趙天力, 胡建國. 綜合醫院醫生心理健康狀況調查[J]. 中國臨床心理學雜志, 2006, 14(3):324-325.
17. 周紅偉. 當代醫生心理健康狀況探討[J]. 當代醫學, 2010, 16(1):7-8.
18. Devi S. Doctors in distress[J]. Lancet, 2011, 377(5):454-455.
19. 賴成美, 彭芙蓉, 張大平, 等. 精神科醫護人員受病人傷害情況的調查[J]. 四川精神衛生, 2005, 18(2):116-117.
20. Nolan P, Dallender J, Soares J, et al. Violence in mental health care:the experiences of mental health nurses and psychiatrists[J]. J Adv Nurs, 1999, 30(4):934-941.
21. Deary IJ, Agius RM, Sadler A. Personality and stress in consultant psychiatrists[J]. Int J Soc Psychiatry, 1996, 42(2):112-123.
22. Chen Y, Turner S, Mcnamee R, et al. The reported incidence of work-related ill-health in Scotland (2002-2003)[J]. Occup Med (Lond), 2005, 55(4):252-261.

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