Original Article
Investigation of mental health of residents in general practice standardized training
Chen Nan, Dai Xinyu, Huang Liu, Yan Hong, Tang Zhongquan, Ou Ting, Wang Ronghua, Li Yuntao
Published 2021-02-04
Cite as Chin J Gen Pract, 2021, 20(2): 205-209. DOI: 10.3760/cma.j.cn114798-20200514-00574
Abstract
ObjectiveTo investigate the mental health status of residents in standardized general practice training.
MethodsA total 184 residents participating in general practice training in the Second Affiliated Hospital of Nanjing Medical University were selected for study by cluster random sampling from October 2018 to May 2019. The mental health status of participants was evaluated with symptom check list 90(SCL-90). The results were compared with several norms.
ResultsThe overall positive detection rate of SCL-90 scale was 26.3% among participants. Compared with the national norm the hostile factor score of the study group was higher than that of the norm (t=4.863), the anxiety(t=-9.853), fear(t=-8.407) and paranoia(t=-5.434)scores were lower than those of the norm (P<0.05). Compared with the norm of Jiangsu Province in 2009, the scores of all the factors except the forcing factor were lower than those of the norm (t=-4.508, -7.138, -4.760, -4.541, -8.017, -6.740, -11.881, all P<0.01). Compared with the norm of national physicians, the somatization(t=-7.447), interpersonal sensitivity(t=-6.483), depression(t=-7.810), anxiety(t=-11.750), hostility(t=-7.659), fear(t=-4.657,) and paranoia(t=-11.075)scores were all significantly lower than those of the norm (P<0.01). Compared with the norm of medical students in Jiangsu province, all factors were lower than those of the norm (t=-2.304, -7.300, -12.049, -8.115, -9.853, -8.374, -5.490, -15.910, -9.059, allP<0.05). Meanwhile, results varied among residents at different educational levels. The positive rate of residents with college level or below, with undergraduate level and graduate level or above were 35.2%(32/91), 13.2%(10/76) and 41.7%(5/12),respectively(χ2=11.936,P<0.05).
ConclusionCompared with the national norm, the national norm of physicians, the norm of Jiangsu Province′s, and the norm of medical students in Jiangsu Province, the mental health of residents in standardized general practice training programs in Nanjing are generally better. The mental health status of the residents with postgraduate education is worse than that of those with college education and undergraduate education.
Key words:
Education， continuing; Community medicine; Mental health; Questionnaires
Contributor Information
Chen Nan
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Dai Xinyu
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Huang Liu
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Yan Hong
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Tang Zhongquan
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Ou Ting
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Wang Ronghua
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
Li Yuntao
Department of General Practice, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011,China
