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目的探讨国内精神科医生的心理健康状况。方法通过维普中文科技期刊数据库、中国知网数据库、万方数据库、OVID医学全文期刊数据库对1989年1月-2013年3月31日文献进行检索,提取符合纳入条件文献的90项症状自评量表(SCL-90)各因子分,并与全国常模进行比较,采用Meta统计方法分析数据。结果检索到11篇符合纳入条件的文献,共725名精神科医生。分析显示,精神科医生与全国常模相比,SCL-90中躯体化[WMD=0.19,95%CI(0.05,0.33),P=0.008]、抑郁[WMD=0.25,95%CI(0.06,0.43),P=0.009]、焦虑[WMD=0.28,95%CI(0.09,0.47),P=0.004]、敌对[WMD=0.15,95%CI(0.01,0.30),P=0.03]、恐怖[WMD=0.11,95%CI(0.02,0.20),P=0.02]两组差异有统计学意义,强迫、人际关系、偏执、精神病性4个因子两组差异无统计学意义(P>0.05)。结论精神科医生心理健康水平不佳,应采取干预措施改善精神科医生的心理健康水平。
Objective To investigate the mental health of domestic psychiatrists. Methods A total of 90 Symptom Checklist 90 (90%) were included in the literature from January 1989 to March 31, 2013 according to the databases of Chinese Pop Journal, Chinese Knowledge Network Database, Wanfang Database and OVID Medical Full-text Journal Database. Table (SCL-90) factor scores, and compared with the national norm, using Meta statistical methods to analyze the data. Results There were 11 articles eligible for inclusion, of which 725 were psychiatrists. Analysis showed that psychiatrists had more than 80% of patients with SCL-90 in somatization [WMD = 0.19, 95% CI (0.05,0.33), P = 0.008], depression [WMD = 0.25,95% CI 0.45), 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] WMD = 0.11, 95% CI (0.02,0.20), P = 0.02] There was significant difference between the two groups. There was no significant difference between the two groups in compulsion, interpersonal relationship, paranoid and psychosis (P> 0.05). Conclusion The mental health of psychiatrists is not good. Interventions should be taken to improve the mental health of psychiatrists.