Supplementary Material for: Psychological State Experienced by Gastroenterologists Following Endoscopic Adverse Events: Insights from a Nationwide Cross-Sectional Study

Background: Adverse events (AEs) are unintentional patient outcomes expected in medicine, but their impact on physicians remains underexplored. Objectives: This study assessed the psychological state experienced by gastroenterologists following endoscopic AEs. Methods: A nationwide online survey was sent to all registered gastroenterologists (n=709). Psychological state was assessed using validated scales assessing psychological distress (DASS-21), professional quality of life (ProQOL-5), self-compassion (SCS-12), and shame feelings (OAS2). Results are presented as mean and 95% confidence interval (CI). Results: Seventy responded (9.87% response rate; median age 41; 41% female). Nearly all (99%) experienced AEs, most during polypectomy/mucosectomy (66%). None consulted psychological support. Stress (9.4 [7.3-11.5]), anxiety (5.1 [3.5-6.7]), and depression (5.2 [3.7-6.8]) were normal; while burnout (25.9 [24.5-27.2]) and traumatic stress (24.3 [23.0-25.5]) were moderate. Higher compassion satisfaction was associated with consultant status (41.5 vs. 37.7, p=0.039), >10 years’ experience (44.3 vs 40.2, p=0.032), age >50 years (41.9 vs 39.3, p=0.008) and those involved in legal actions (45.5 vs 40.6; p=0.023). Age >50 was also associated with higher stress (15.2 vs 8.7, p=0.023) and traumatic stress (26.3 vs 23.8, p=0.035. Stopping procedures after AEs was associated with higher anxiety (12.0 vs 4.8, p=0.026). Conclusions: This is among the first studies to assess the psychological state of AEs on gastroenterologists. Participants showed moderate burnout and traumatic stress, but none consulted psychological support. Findings highlight the need for targeted healthcare support and further research on the emotional burden of AEs among endoscopists.背景：不良事件（Adverse Events, AEs）指临床实践中发生的非预期患者不良结局，但其对医师群体的影响仍未得到充分探索。 研究目的：本研究旨在评估内镜操作相关不良事件发生后，消化科医师所经历的心理状态。 研究方法：本研究向所有注册消化科医师发放了一项全国性线上调查问卷（总样本量n=709）。采用经临床验证的量表评估受试者心理状态，包括心理痛苦评估量表（DASS-21）、职业生活质量量表（ProQOL-5）、自我同情量表（SCS-12）及羞耻感量表（OAS2）。研究结果以均值及95%置信区间（Confidence Interval, CI）形式呈现。 研究结果：本次调查共回收有效问卷70份，应答率为9.87%；受访者年龄中位数为41岁，女性占比41%。近99%的受访者曾遭遇内镜相关不良事件，其中66%发生于息肉切除术/黏膜切除术操作过程中。所有受访者均未寻求专业心理支持。受试者的心理压力得分（9.4 [7.3-11.5]）、焦虑得分（5.1 [3.5-6.7]）及抑郁得分（5.2 [3.7-6.8]）处于正常水平；而职业倦怠得分（25.9 [24.5-27.2]）及创伤后应激得分（24.3 [23.0-25.5]）则处于中等水平。 更高的共情满足感与以下因素显著相关：专科医师职称（得分41.5 vs 37.7，p=0.039）、临床从业年限＞10年（得分44.3 vs 40.2，p=0.032）、年龄＞50岁（得分41.9 vs 39.3，p=0.008）以及涉及医疗法律诉讼的受访者（得分45.5 vs 40.6，p=0.023）。年龄＞50岁的受访者同时表现出更高的心理压力（15.2 vs 8.7，p=0.023）及创伤后应激水平（26.3 vs 23.8，p=0.035）。在遭遇不良事件后停止内镜操作的受访者，其焦虑水平显著更高（12.0 vs 4.8，p=0.026）。 研究结论：本研究是首批评估内镜相关不良事件对消化科医师心理状态影响的研究之一。受访医师表现出中等程度的职业倦怠与创伤后应激反应，但无人寻求专业心理支持。本研究结果凸显了为内镜医师提供针对性医疗支持的必要性，同时也呼吁针对内镜医师遭遇不良事件后的情绪负担开展更多后续研究。