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<p>We conducted an updated systematic review and meta-analysis on the effectiveness of interventions for reducing or preventing symptoms of common mental disorder (CMD) and suicidality among physicians. Databases were searched for randomized and non-randomized controlled trials of interventions to reduce or prevent depression, anxiety, general psychological distress or suicidality among physicians. The primary outcome was differences in symptoms of CMD following intervention. Random-effects meta-analyses and subgroup and sensitivity analyses were conducted. Twenty-four studies were included in the qualitative synthesis, of which 21 were included in the meta-analysis. Compared with controls, physician-directed interventions significantly reduced symptoms of CMD among physicians at post-intervention (standardized mean difference 0.45; 95% confidence interval 0.26–0.65; <i>P</i> &lt; 0.001; moderate heterogeneity) and follow-up with a small to moderate effect size. Preliminary findings suggest that group-based, face-to-face and skills-based interventions show promise for reducing symptoms of CMD among physicians. Research regarding organizational-level interventions is urgently required. Systematic review registration: PROSPERO <a href="https://www.crd.york.ac.uk/PROSPERO/view/CRD42018091646">CRD42018091646</a>.</p>

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A systematic review and meta-analysis of interventions to reduce or prevent symptoms of common mental disorders and suicidality in physicians

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年7月9日

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  • Katherine Petrie,
  • Mikayla Gregory,
  • Daniel A. J. Collins,
  • Aimee Gayed,
  • Samineh Sanatkar,
  • Kimberlie Dean,
  • Mark Deady,
  • Samuel B. Harvey

摘要

We conducted an updated systematic review and meta-analysis on the effectiveness of interventions for reducing or preventing symptoms of common mental disorder (CMD) and suicidality among physicians. Databases were searched for randomized and non-randomized controlled trials of interventions to reduce or prevent depression, anxiety, general psychological distress or suicidality among physicians. The primary outcome was differences in symptoms of CMD following intervention. Random-effects meta-analyses and subgroup and sensitivity analyses were conducted. Twenty-four studies were included in the qualitative synthesis, of which 21 were included in the meta-analysis. Compared with controls, physician-directed interventions significantly reduced symptoms of CMD among physicians at post-intervention (standardized mean difference 0.45; 95% confidence interval 0.26–0.65; P < 0.001; moderate heterogeneity) and follow-up with a small to moderate effect size. Preliminary findings suggest that group-based, face-to-face and skills-based interventions show promise for reducing symptoms of CMD among physicians. Research regarding organizational-level interventions is urgently required. Systematic review registration: PROSPERO CRD42018091646.