Abstract
BackgroundIt is known that medical students suffer from high rates of mental health difficulties. In recent years there has been an increasing focus on the need to improve support and treatment services for those in difficulty. In order to meet these needs it is important to clarify the relevant aetiological factors. There is robust evidence from general population studies that a history of childhood trauma (including physical and sexual abuse and emotional neglect) predisposes to the subsequent development of mental health difficulties in adult life. It has previously been speculated that students with a history of such trauma might preferentially apply to study medicine.MethodsThis systematic review seeks to examine the existing evidence base with regard to rates of childhood trauma in medical student populations. Articles were identified through a literature search of psychINFO, web of science, Embase and medline.ResultsThis search generated 11 articles which were deemed to meet criteria for inclusion in this review. There is a wide range of results given for rates of childhood trauma in these studies.ConclusionsThe published research which examines rates of childhood trauma affecting medical students is limited and difficult to generalise from, or to use to draw firm conclusions. Given the possible negative outcomes of a history of childhood trauma in medical students, including that such a history may be associated with difficulties in a student progressing in their undergraduate and postgraduate examinations, well-organised prospective studies are required.
Highlights
It is known that medical students suffer from high rates of mental health difficulties
In the UK the General Medical Council (GMC) document Supporting Medical Students with Mental Health Conditions highlights the considerable stress suffered by medical students and the need for improved support services [5]
In order to provide such services and relevant and effective therapeutic interventions it is essential to establish the important aetiological factors which predispose to mental health problems in medical students
Summary
It is known that medical students suffer from high rates of mental health difficulties. In order to provide such services and relevant and effective therapeutic interventions it is essential to establish the important aetiological factors which predispose to mental health problems in medical students. One such well-established aetiological factor in general population studies is a history of childhood trauma (CHT) with a large body of evidence supporting a link with the subsequent development of mental health difficulties in adult life [6].
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