تاثير فعاليت در رشته تحصيلي بيهوشي بر شاخص هاي سلامت رواني : بررسي مقدماتي در دستياران

Anesthesiology impact on mental health:preliminary study in residents

Anesthesiology has been known as a stressful speciality with unique characteristics since its appearance. Stressful environment and availability of opioids and sedatives as well as the necessity of a vigilant anesthesiologist to catch up the dangerous fatal moments and immediate action, emphasize the importance of mental health of anesthesiologists. This study was aimed at primary evaluation and determination of problems threatening mental health and performing an easy and reliable method for the assessment of mental status in anesthesiologists and residents . Thirty-nine year-one residents before beginnig the residency (group A) and 85 year-one to-three residents who had passed at least three month (group B) answered SCL-90-R screening test questionnaire. Answers to 90 questions of the test ranked 0 to 4 and averaged within 9 subscales. Then, the score of each subscale was compared with the norm of Iranian students . Scores of all subscales in group A were higher than group B. There was inequality in scores of men and women. Sensitivity and obssessive-compulsive subscales were ranked the highest in groups A and B, respectively. Phobia andpsychotism were ranked the lowest in both groups . Exposure to anesthesiology produces some changes in the subscales of residents mental test. Moreover, respecting obssession-compulsion as one end of depression spectrum, the risk of depression in anesthesiology residents is serious. This study remarkes the importance of anesthesiology derived mental conflicts and emphasizes the necessity of performing screening test for residents and anesthesiologists in different time sections .