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[交流] 【Share】Depression in Med School: You're Not Alone

Medical students are exposed to a host of new, stressful experiences during their training, and they often process these moments in isolation. Although it has been studied considerably, the effects of depression and burnout on attitudes and actions are still being realized.

Depression is more common among medical students, residents, and physicians than in the general population, though estimates of its prevalence vary. About 14% of medical students have symptoms of moderate to severe depression, according to a study published last September in JAMA. In addition, roughly 5% of the 505 students surveyed revealed that they had suicidal thoughts at some point during training.
Medical students with more severe depression also may be less likely to seek treatment, the JAMA study suggests. In particular, compared with their healthier peers, students with depression more frequently agree that "if I were depressed, fellow medical students would respect my opinions less" and that faculty members would view them as being unable to handle their responsibilities. Attitudes differ between class years, with first- and second-year depressed students more often agreeing that seeking help for depression would make them feel less intelligent, the study found.

Even medical students who don't have depression could be suffering from burnout, a measure that includes depersonalization, emotional exhaustion, and feelings of professional inadequacy. According to a survey of about 2500 students from 7 US medical schools, about 53% of students met those criteria. In addition, students with burnout are more likely to report having done something dishonest, like cheat, and are also more likely to seriously consider dropping out.

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