[Mental health in postgraduate medicine: an urgency in the systematization of strategies].

Gabriel Guzmán-Díaz, Sarahí Guerrero-Barrios, Sergio Elihu Rodríguez-Alfaro, Máximo Alejandro García-Flores, Jorge Ayón-Aguilar, Israel Aguilar-Cózatl, Socorro Méndez-Martínez
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Abstract

Several studies about mental health report a higher illness prevalence in physicians than in general population. Mental health Illness is multifactorial, and its negative consequences range from stress, anxiety, depression, burnout, somatic manifestation to suicide. Health professionals are educators and know the importance of creating and training compassionate and competent physicians. The aim of this study was to describe mental health strategies in postgraduate doctors. Out of a total of 494 articles, only 9 were analyzed which mentioned some strategy for mental health improvement, such as diffusion, timely detection of mental health conditions, in-person or online training, integral care, support groups, socialization, pairing, physical activity, follow-up and support, reinforcement of institutional norms and values, including strategies from the Puebla Decentralized Administrative Operating Body. The strategies implemented in the optimization of mental health in trainee doctors increase resilience and optimism while simultaneously reduce the prevalence of mental health conditions. In addition, they provide the necessary tools for self-care. The Mexican Institute for Social Security (IMSS, according to its initialism in Spanish) is aware of this, which is why it systematizes the different strategies.

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[医学研究生的心理健康:战略系统化的紧迫性]。
一些有关心理健康的研究报告显示,医生的患病率高于普通人群。心理健康疾病是多因素的,其负面影响包括压力、焦虑、抑郁、职业倦怠、躯体表现和自杀。卫生专业人员是教育工作者,深知培养和培训有同情心、有能力的医生的重要性。本研究旨在描述研究生医生的心理健康策略。在总共 494 篇文章中,只有 9 篇文章提到了一些改善心理健康的策略,如传播、及时发现心理健康状况、面对面或在线培训、整体护理、支持小组、社会化、结对、体育活动、跟踪和支持、加强机构规范和价值观,其中包括普埃布拉权力下放行政运行机构的策略。在优化实习医生心理健康方面实施的战略提高了他们的适应能力和乐观精神,同时降低了心理健康问题的发生率。此外,这些战略还提供了必要的自我保健工具。墨西哥社会保障局(IMSS,西班牙文缩写)意识到了这一点,因此将不同的战略系统化。
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