Psychiatric symptoms, burnout and associated factors in psychiatry residents

Monteiro, Gabriela Massaro Carneiro; Marcon, Grasiela; Gabbard, Glen O.; Baeza, Fernanda Lucia Capitanio; Hauck, Simone

doi:10.47626/2237-6089-2020-0040

Cited by 3 publications

(3 citation statements)

References 23 publications

(39 reference statements)

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“…In a narrative review on associated factors for students in tertiary education including medical trainees in the Arabian Gulf countries, it was noted that poor mental health problems were strongly associated with substance misuse, high screen time, course difficulties, and resultant poor academic performance and sleep problems [ 41 ]. In Brazilian populations, Carneiro Monteiro et al [ 42 ] have reported that factors associated with stress and distress among resident physicians included one’s age, the nature of their relationships with mentors in their respective institutions, and “home issues,” such as relationships with significant others. From Lebanon, Zarzour et al [ 43 ] have reported that anxiety symptoms were strongly associated with being female, belonging to a younger age group in the sample cohort, and living with the elderly.…”

Section: Discussionmentioning

confidence: 99%

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

AlJahwari

AlKamli²,

Al‐Huseini³

et al. 2022

Middle East Curr Psychiatry

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Background Anxiety disorders are a significant factor associated with physician burnout and poor patient care, reported to have a significant frequency among the youth in the Middle East. However, to date, no study has explored the prevalence of anxiety among resident physicians in the Arabian Gulf country of Oman. This cross-sectional study, conducted among a random sample of residents affiliated with the Oman Medical Specialty Board, aimed to examine the frequency and factors associated with anxiety symptoms among them. Participants were asked to complete the General Anxiety Disorder Assessment (GAD-7) to assess anxiety, as well as a socio-demographic questionnaire. Results In a total of 251 residents, the prevalence of anxiety was 14.7% (GAD-7 cut-off score ≥ 10). More than 60% of the respondents were female (68.9%). The age breakdown ranged from 25 to 30 years old (66.5%) and the majority were married (64.9%). More than 70% of respondents attended at least 5 shifts in their weekly schedule and received at least 5 on-call shifts from the hospital per week. Logistic regression showed that residents with chronic disease were 2.5 times (95% CI 1.36–4.72, p = 0.003) more likely to have anxiety than those without them. Those residents who did not exercise were 2.1 times (95% CI 1.04–4.46, p = 0.038) more likely to have anxiety than those who exercise often or regularly. Residents who received 6 or more on-calls from the hospital were 2.6 times (95% CI 1.35–5.25, p = 0.005) more likely to have anxiety than those who received 5 or fewer on-calls in a month. Conclusions The factors seemingly responsible for anxiety symptoms in this sample of resident physicians are those that are typically associated with poor work-life balance and unhealthy lifestyles. Pending further scrutiny, these results could be used to lay the groundwork for the identification of those who will require more protracted help during their training in Oman and in other culturally similar Middle Eastern countries.

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Section: Discussionmentioning

confidence: 99%

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

AlJahwari

AlKamli²,

Al‐Huseini³

et al. 2022

Middle East Curr Psychiatry

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“… 1 , 2 Recent studies have documented significant rates of depression, anxiety, psychological distress, and burnout among medical students, 3–5 with some research noting higher rates of these conditions among medical students (58% depression, 27.2–33.8% anxiety, 49.6% burnout) compared to age-matched population samples. 6–8 Significant rates of depression, anxiety, and burnout have also been reported among medical residents (7% to 47% depression, 9–15 18% to 56% anxiety, 9–18 and 37% to 85% burnout) 9 , 11–14 , 19 and practicing physicians (22% to 40% depression, 6 , 9 44% anxiety, 9 and 37% to 73% burnout). 6 , 9 …”

Section: Introductionmentioning

confidence: 99%

“…1,2 Recent studies have documented significant rates of depression, anxiety, psychological distress, and burnout among medical students, [3][4][5] with some research noting higher rates of these conditions among medical students (58% depression, 27.2-33.8% anxiety, 49.6% burnout) compared to age-matched population samples. [6][7][8] Significant rates of depression, anxiety, and burnout have also been reported among medical residents (7% to 47% depression, [9][10][11][12][13][14][15] 18% to 56% anxiety, [9][10][11][12][13][14][15][16][17][18] and 37% to 85% burnout) 9,[11][12][13][14]19 and practicing physicians (22% to 40% depression, 6,9 44% anxiety, 9 and 37% to 73% burnout). 6,9 While increasing attention has been appropriately paid to these concerning levels of depression, anxiety, and burnout in medical students, residents, and practicing physicians, comparatively little attention has been devoted to the occurrence of symptoms of attention deficit hyperactivity disorder (ADHD) in medical learners and physicians.…”

Section: Introductionmentioning

confidence: 99%

Attention Deficit Hyperactivity Disorder in Medical Learners and Physicians and a Potentially Helpful Educational Tool

Im¹,

Tamarelli²

2023

AMEP

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Purpose Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by functionally impairing levels of inattention and/or hyperactive-impulsive behavior. It affects 3% to 5% of adults. This perspective piece aims to highlight the occurrence of ADHD in medical learners and physicians, including its reported prevalence in these groups, why reported rates may reflect underestimates, consequences of untreated symptoms, and a potentially helpful innovative educational tool to assist these individuals with a critical aspect of medical training and practice. Results Despite recent attention being paid to concerning levels of depression, anxiety, and burnout in medical learners and physicians, comparatively little attention has been devoted to the occurrence of ADHD in these groups. Reported rates of ADHD in medical learners and physicians, though low compared to rates of other mental health conditions and compared to rates of ADHD in the general population, may represent underestimates for a variety of reasons. The consequences of untreated ADHD symptoms are likely numerous and significant for these groups. Research has shown that about half of adults with ADHD discontinue prescribed treatment (stimulant medication) over time due to lack of perceived effectiveness, highlighting the need for durable, effective interventions to help medical learners and physicians with ADHD during and after their training. An innovative educational tool to assist medical learners and physicians with ADHD with a critical facet of their training and practice – the reading of scientific articles – is proposed, including a description of the tool, rationale for its design, practical considerations around implementation, and proposed directions for future research. Conclusion Untreated ADHD in medical learners and physicians may have numerous and significant consequences that can adversely impact training, practice, and ultimately patient care. These challenges warrant proper support for medical learners and physicians with ADHD via evidence-based treatments, program-based accommodations, and innovative educational tools.

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Stress and burnout in the context of workplace psychosocial factors among mental health professionals during the later waves of the COVID-19 pandemic in Hungary

Molnár,

Zana,

Stauder

2024

Front. Psychiatry

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BackgroundWhile literature is abundant on the negative mental health impact of the COVID-19 outbreak, few studies focus on the Central and Eastern European region.ObjectivesWe examined stress, burnout, and sleeping troubles among mental health professionals in the context of psychosocial risk factors related to participation in COVID care during the fourth and fifth waves.Materials and methodsMental health professionals (N=268) completed an online cross-sectional survey in Hungary, between November 2021 and April 2022. Of the respondents, 58.2% directly participated in COVID care. The main data collection instrument was the Copenhagen Psychosocial Questionnaire (COPSOQ II), including 20 subscales on work-related psychosocial factors and 3 outcome scales (stress, burnout, and sleeping troubles). We added a question on competence transgression, and items on sociodemographic and professional background.ResultsParticipation in COVID care was associated with higher work pace (59.08 versus 49.78), more role conflicts (55.21 versus 45.93), lower scores on the influence at work (38.18 versus 51.79), predictability (44.71 versus 57.03), reward (55.82 versus 65.03), role clarity (70.19 versus 75.37), social support from supervisor (59.24 versus 65.55), job satisfaction (54.36 versus 62.84), trust regarding management (55.89 versus 67.86), justice and respect (44.51 versus 54.35) scales. Among those involved in COVID care, only the stress score was higher (47.96 vs. 42.35) in the total sample; however, among psychiatrists, both stress (52.16 vs. 38.60) and burnout scores (58.30 vs. 47.06) were higher. Stepwise multiple regression revealed that work-family conflict, emotional demands and workplace commitment were independent predictors of higher stress and burnout scores; furthermore, competence transgression had a significant effect on stress, and being a psychiatric specialist had a significant effect on burnout. These models explained 40.5% of the variance for stress and 39.8% for burnout.ConclusionDuring the fourth and fifth waves, although COVID care was more well-organized, psychiatrists, as specialist physicians responsible for the quality of the care, were still experiencing challenges regarding their competence and influence at work, which may explain their increased levels of stress and burnout.

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Psychiatric symptoms, burnout and associated factors in psychiatry residents

Cited by 3 publications

References 23 publications

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

Attention Deficit Hyperactivity Disorder in Medical Learners and Physicians and a Potentially Helpful Educational Tool

Stress and burnout in the context of workplace psychosocial factors among mental health professionals during the later waves of the COVID-19 pandemic in Hungary

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