Associação entre síndrome de burnout e ansiedade em residentes e anestesiologistas do Distrito Federal

Govêia, Cátia Sousa; Cruz, Tiago Tolentino Mendes da; Miranda, Denismar Borges de; Guimarães, Gabriel Magalhães Nunes; Ladeira, Luis Cláudio Araújo; Tolentino, Fernanda D’Ávila Sampaio; Amorim, Marco Aurélio Soares; Magalhães, Edno

doi:10.1016/j.bjan.2018.02.007

Cited by 23 publications

(20 citation statements)

References 15 publications

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“…Presence of one significantly predicted the occurrence of the others two. Studies done in different settings have found a significant association of burnout with depression [38,46] and anxiety [46] which were consistent with our finding. In the same study [46], anxiety was identified as the significant predictor of depression.…”

Section: Predictors Of Depressionsupporting

confidence: 93%

“…The first-year residents had significantly higher odds of being burnt out than others. The finding is consistent with a study in which a higher proportion of burnout was seen in first [38,92] and secondyear residents [92]. Another study reported that the second-year residents were less emotionally exhausted and had less psychosomatic symptoms compared to the time when they were in their first year [93].…”

Section: Predictors Of Burnoutsupporting

confidence: 90%

“…Burnout also increases the risk of suicidal ideation [27,36]. Burnout is significantly associated with state-anxiety [37] and depression [38,39]. Neglected burnout also results in other serious consequences such as substance abuse, depression, insomnia and, impaired interpersonal and marital relationship [40].…”

Section: Introductionmentioning

confidence: 99%

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Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Pokhrel

Khadayat

Tulachan

2020

Preprint

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Background: Medical students and residents were found to have suffered from depression, anxiety, and burnout in various studies. However, these entities have not been adequately explored in the context of Nepal. We proposed to determine the prevalence of depression, anxiety, burnout, their associated factors, and identify their predictors in a sample of medical students and residents in a Nepalese medical school.Methods: It was a cross-sectional study with 651 medical students and residents chosen at random between December 2018 and February 2019. The validated Nepali version of Hospital Anxiety and Depression Scale, the Copenhagen Burnout Inventory, and Medical Students' Stressor Questionnaire were used to assess depression, anxiety, burnout, and stressors respectively. We used univariate and multivariable logistic regression analyses to identify the correlation of predictor variables with depression, anxiety, and burnout.Results: The overall prevalence of burnout (48.8%; 95% CI 44.9-52.7) and anxiety (45.3%; 95% CI 41.4-49.2) was more than that of depression (31%; 95% CI 27.5-34.7). Burnout and depression were more prevalent in residents than in medical students (burnout: 64.5% vs 37.6%, P-value < 0.0001; depression: 33.7% vs 29.1%, P-value 0.21). Whereas, medical students were found more anxious than residents (46.3% versus 43.96%, P-value 0.55). Academic related stressors caused high-grade stress to participants. Multivariable model for depression significantly showed anxiety, personal burnout, and work-related burnout as risk enhancing correlates; satisfaction with academic performance as a protective correlate. Similarly, the multivariate model for anxiety significantly identified female gender, depression, personal burnout, teaching and learning related stressors, and past history of mental illness as risk enhancing correlates; being satisfied with academic performance, getting adequate sleep, and being a second-year resident as protective correlates. The logistic model for burnout significantly showed being a first-year resident, depression, anxiety, and drive and desire related stressors as positive predictors. None of the variables were identified as significant negative predictors of burnout. Conclusions: A high prevalence of depression, anxiety, and burnout was seen among medical students and residents. Most of them were stressed with academic-related factors. A strong correlation between teaching and learning-related stressors with depression and anxiety may be a call for an efficient and more student-friendly curriculum.

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Section: Predictors Of Depressionsupporting

confidence: 93%

Section: Predictors Of Burnoutsupporting

confidence: 90%

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Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Pokhrel

Khadayat

Tulachan

2020

Preprint

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“…Burnout also increases the risk of suicidal ideation [21,31]. Burnout is significantly associated with state-anxiety [32] and depression [33,34]. Neglected burnout also results in other serious consequences such as substance abuse, depression, insomnia and, impaired interpersonal and marital relationship [35].…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Pokhrel

Khadayat

Tulachan

2019

Preprint

View full text Add to dashboard Cite

Background Medical students and residents were found to have suffered from depression, anxiety, and burnout in various studies. However, these entities have not been adequately explored in the context of Nepal. We proposed to determine the prevalence of depression, anxiety, burnout, their associated factors, and identify their predictors in a sample of medical students and residents in a Nepalese medical school.Methods It was a cross-sectional study with 651 medical students and residents chosen at random between December 2018 and February 2019. The validated Nepali version of Hospital Anxiety and Depression Scale, the Copenhagen Burnout Inventory, and Medical Students' Stressor Questionnaire were used to assess depression, anxiety, burnout, and stressors respectively. We used univariate and multivariable logistic regression analyses to identify the correlation of predictor variables with depression, anxiety, and burnout.Results The overall prevalence of burnout (48.8%; 95% CI 44.9-52.7) and anxiety (45.3%; 95% CI 41.4-49.2) was more than that of depression (31%; 95% CI 27.5-34.7). Burnout and depression were more prevalent in residents than in medical students (64.5% and 33.7% versus 37.6% and 29.1% respectively). Whereas, medical students were found more anxious than residents (46.3% versus 43.96%). Academic related stressors caused high-grade stress to participants. Multivariable model for depression significantly showed anxiety and personal burnout as risk enhancing correlates; satisfaction with academic performance as a protective correlate. Similarly, the multivariate model for anxiety significantly identified female gender, depression, personal burnout, patient-related burnout, teaching and learning related stressors, and past history of mental illness as risk enhancing correlates; being satisfied with academic performance, getting adequate sleep, being an intern or a resident and less frequent involvement in extracurricular activities as protective correlates. The logistic model for burnout significantly showed depression, anxiety, being a first-year resident, drive and desire related stressors and a rare/never involvement in extracurricular activities as positive predictors.Conclusions A high prevalence of depression, anxiety, and burnout was seen among medical students and residents. Most of them were stressed with academic-related factors. A strong correlation between teaching and learning-related stressors with anxiety may be a call for an efficient and more student-friendly curriculum.

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“…Muitos dos artigos selecionados relataram a necessidade de um suporte adequado na própria instituição de atuação como apoio para o profissional de modo a prevenir a síndrome de Burnout ou para o auxiliar na recuperação [2,8,12,17,19,24]. Dentre as propostas estão: maior acompanhamento do preceptor para com o residente de modo a orientar adequadamente nos procedimentos auxiliando nas dúvidas e dificuldades; reuniões mensais entre os residentes para discussão desse fator que cada vez mais tem afetado a classe médica, principalmente os recémformados; padronizar as horas de estágio evitando longas jornadas por semana; criação de programa de treinamento dedicado à resiliência e habilidades de enfrentamento; otimizar um ambiente respeitoso de trabalho; além do incentivo aos residentes a frequentarem tais grupos de apoio (Tabela 2).…”

Section: Discussionunclassified

Burnout Em Residentes De Anestesiologia: Uma Revisão Sistemática

Silva¹,

Canga²,

Saltão³

et al. 2018

Blucher Medical Proceedings

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Os profissionais da área da saúde, principalmente os médicos, possuem um alto grau de responsabilidade, logo estão passíveis de maiores efeitos estressantes. Do mesmo modo que o estresse pode ser benéfico, pode não ser, sobretudo quando for em alto grau, com enfrentamento pessoal ineficaz e em momentos de situações adversas na profissão. Ademais, as constantes mudanças na medicina e no comportamento do paciente ao longo do tempo fez com que os médicos se tornassem mais acometidos pela síndrome psicológica conhecida como Burnout. Dentre as diversas áreas da medicina, o anestesiologista é o profissional que mais é acometido por essa síndrome devido as condições em que é exposto diariamente na prática de sua atividade, e possui diversos fatores agravantes do estresse. Não obstante, os recém-formados e residentes ainda são os sujeitos mais predispostos a desenvolver Burnout por não estarem acostumados às novas rotinas. OBJETIVO: Considerando que os anestesistas são os principais profissionais acometidos pelo Burnout e ser residente ou recém-formado constitui um importante fator de risco para o desenvolvimento da síndrome, objetiva-se avaliar a possível incidência e as características do Burnout nos médicos residentes de anestesiologia. METODOLOGIA: pesquisa bibliográfica sistemática sobre o tema Burnout em residentes de anestesiologia utilizando a Bireme e PubMed. O trabalho foi realizado de acordo com os critérios de PRISMA e contou com a análise para síntese qualitativa de 19 estudosapenas 1 estudo foi excluído na triagem por não estar associado ao tema da pesquisa de acordo com a análise do respectivo resumo. RESULTADOS: diversos estudos relataram que os residentes de anestesiologia são os indivíduos com maiores riscos de desenvolver Burnout, e é um dos problemas mais comuns de diversas instituições. Na maioria dos estudos o sexo feminino foi considerado como um fator de risco maior, apesar de não ser unânime dentre os estudos analisados. CONCLUSÃO: Os residentes de anestesiologia estão propensos a desenvolveram a síndrome do Burnout por diversos fatores de risco diretamente relacionadas com suas atividades diárias, e apesar de existir meios para lidar com essa problemática, são ferramentas superficiais e que não abrangem o profissional que necessita de apurado cuidado.

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Associação entre síndrome de burnout e ansiedade em residentes e anestesiologistas do Distrito Federal

Cited by 23 publications

References 15 publications

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Burnout Em Residentes De Anestesiologia: Uma Revisão Sistemática

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