{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:00:12Z","timestamp":1790697612181,"version":"4.1.0"},"reference-count":24,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"unspecified","delay-in-days":29,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,6,16]]},"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To assess the mental health and working constraints perception of first-year PhD in France.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>It is a cross-sectional study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>The study was conducted by the team of the Lyon 1 University\u2019s Occupational Health and Medical Service for Staff, from October 2019 to February 2020. First-year PhD students employed by the university were seen during the routine occupational health medical check-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>A total of 161 PhD students in science from the 2019 intake were included in the study (participation rate 98%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Outcome measures<\/jats:title>\n                  <jats:p>Data were collected using a self-questionnaire on psychosocial constraints at work (Job Content Questionnaire), the quality of the professional relationship with the supervisor (Advisory Working Alliance Inventory, Student perspective (AWAI-S)), medical conditions, anxiety (Generalized Anxiety Disorder-7) and depressive symptoms (Patient Health Questionnaire-9).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 161 PhD students from the 2019 intake were included in the study (participation rate 98%). Most of the PhD students reported high psychological demands (58%), high decision latitude (53%), high social support (55%) and good professional relationships with their supervisor (mean of global score of AWAI-S=114.5). However, 34% showed signs of at least mild depression, 19% showed signs of anxiety and 20% were referred to a mental health professional after the survey. Bivariate analyses showed that history of psychiatric disorders, their relationship with their supervisor, having complementary teaching activities and stressful working conditions contributed to anxiety and depression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Even in the first year of their PhD, some students had mental health issues. It seems relevant to generalise the medical follow-up of all PhD students as soon as they enter the doctoral programme in order to detect and treat their health problems and psychological disorders at an early stage.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-057679","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T11:51:02Z","timestamp":1656589862000},"page":"e057679","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Mental health and working constraints of first-year PhD students in health and science in a French university: a cross-sectional study in the context of occupational health monitoring"],"prefix":"10.1136","volume":"12","author":[{"given":"Saloua","family":"Ahalli","sequence":"first","affiliation":[{"name":"UMRESTTE, UMR T_9405, University Claude Bernard Lyon 1, Villeurbanne, France"},{"name":"Service de M\u00e9decine et Sant\u00e9 au Travail, University Claude Bernard Lyon 1, Villeurbanne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1419-9914","authenticated-orcid":false,"given":"Emmanuel","family":"Fort","sequence":"additional","affiliation":[{"name":"UMRESTTE, UMR T_9405, University Claude Bernard Lyon 1, Villeurbanne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yamina","family":"Bridai","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine et Sant\u00e9 au Travail, University Claude Bernard Lyon 1, Villeurbanne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Baborier","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine et Sant\u00e9 au Travail, University Claude Bernard Lyon 1, Villeurbanne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Charbotel","sequence":"additional","affiliation":[{"name":"UMRESTTE, UMR T_9405, University Claude Bernard Lyon 1, Villeurbanne, France"},{"name":"Service des Maladies Professionnelles, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Pierre B\u00e9nite, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"2025101812040025000_12.6.e057679.1","unstructured":"Legifrance . Arr\u00eat\u00e9 du 25 mai 2016 fixant le cadre national de la formation et les modalit\u00e9s conduisant la d\u00e9livrance du dipl\u00f4me national de doctorat [Internet], 2016. Available: https:\/\/www.legifrance.gouv.fr\/loda\/id\/JORFTEXT000032587086\/2020-10-05\/"},{"key":"2025101812040025000_12.6.e057679.2","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1038\/d41586-019-03459-7","article-title":"PhDs: the tortuous truth","volume":"575","author":"Woolston","year":"2019","journal-title":"Nature"},{"key":"2025101812040025000_12.6.e057679.3","doi-asserted-by":"crossref","unstructured":"Marais G , Shankland R , Haag P . A positive psychology study and intervention on the well-being of French PhD students in biology 2017:25.","DOI":"10.31234\/osf.io\/rht94"},{"key":"2025101812040025000_12.6.e057679.4","first-page":"1","article-title":"Stress per\u00e7u et sant\u00e9 physique des doctorants dans les universit\u00e9s fran\u00e7aises","volume":"24","author":"Haag","year":"2018","journal-title":"Prat Psychol"},{"key":"2025101812040025000_12.6.e057679.5","first-page":"134","article-title":"Niveau de stress per\u00e7u par les doctorants et strat\u00e9gies de coping dysfonctionnelles","volume":"29","author":"G\u00e9rard","year":"2017","journal-title":"Rech En \u00c9ducation"},{"key":"2025101812040025000_12.6.e057679.6","doi-asserted-by":"crossref","DOI":"10.1080\/17482631.2018.1508171","article-title":"Doctoral students' well-being: a literature review","volume":"13","author":"Schmidt","year":"2018","journal-title":"Int J Qual Stud Health Well-being"},{"key":"2025101812040025000_12.6.e057679.7","first-page":"35","article-title":"Doctoral Students\u2019 Emotional Exhaustion and Intentions to Leave Academia","volume":"11","author":"Hunter","year":"2016","journal-title":"Int J Dr Stud"},{"key":"2025101812040025000_12.6.e057679.8","first-page":"517","article-title":"Burnout acad\u00e9mique en doctorat. 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