我国精神科医生心理健康状况的Meta分析

A Meta-analysis on Chinese Psychiatrists' Mental Health

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 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.