Association of Depression and Suicidal Ideation with Unreasonable Patient Demands and Complaints Among Japanese Physicians: A National Cross-sectional Survey

Wada, Koji; Yoshikawa, Toru; Goto, Takahisa; Hirai, Aizan; Matsushima, Eisuke; Nakashima, Yoshifumi; Akaho, Rie; Kido, Michiko; Hosaka, Tetsuya

doi:10.1007/s12529-010-9132-7

Cited by 47 publications

(41 citation statements)

References 19 publications

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“…For example, the prevalence of depressive symptoms among physicians in the US, Britain (intensive care unit physicians), Canada, Norway, Japan, and Benin were 11.3%, 12%, 15.5%, 11%, 8.8%, and 14%, respectively [9]–[14]. The relatively poor mental health status among physicians in China may be attributed to various reasons.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Gong

Han

Chen³

et al. 2014

PLoS ONE

184

155

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BackgroundPhysicians’ poor mental health not only hinders their professional performance and affects the quality of healthcare provided but also adversely affects patients’ health outcomes. Few studies in China have evaluated the mental health of physicians. The purposes of this study are to quantify Chinese physicians’ anxiety and depressive symptoms as well as evaluate associated risk factors.MethodsIn our study, 2641 physicians working in public hospitals in Shenzhen in southern China were recruited and interviewed by using a structured questionnaire along with validated scales testing anxiety and depressive symptoms. Multivariable logistic regression models were used to identify risk factors for anxiety and depressive symptoms.ResultsAn estimated 25.67% of physicians had anxiety symptoms, 28.13% had depressive symptoms, and 19.01% had both anxiety and depressive symptoms. More than 10% of the participants often experienced workplace violence and 63.17% sometimes encountered it. Among our study population, anxiety and depressive symptoms were associated with poor self-reported physical health, frequent workplace violence, lengthy working hours (more than 60 hours a week), frequent night shifts (twice or more per week), and lack of regular physical exercise.ConclusionsOur study demonstrates that anxiety and depressive symptoms are common among physicians in China, and the doctor-patient relationship issue is particularly stressful. Interventions implemented to minimize workload, improve doctor-patient relationships, and assist physicians in developing healthier lifestyles are essential to combat anxiety and depressive symptoms among physicians, which may improve their professional performance.

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Section: Discussionmentioning

confidence: 99%

“…Previous studies indicated that the prevalence of depressive symptoms among physicians ranged from 10% to 15% in the US, Britain, Norway, and Japan [9]–[14]. A recent Dutch investigation concluded that anxiety and depressive symptoms were prevalent in 24% and 29% of physicians, respectively [15].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Gong

Han

Chen³

et al. 2014

PLoS ONE

184

155

View full text Add to dashboard Cite

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“…Wall et al [22] demonstrated a cross-sectional association between interpersonal conflicts such as Brecent degrading experiences^or Bharassment at work^and the risk of suicidal ideation among a total of 421 Italian and Swedish doctors. In Japan, Wada et al [31] conducted a cross-sectional study with 3862 doctors and found a significant association between interpersonal conflicts (unreasonable patient demands and complaints) reported in the previous 6 months and their suicidal ideation. Our results also presented that interpersonal conflict had higher levels of OR with the risk of suicidal ideation in both genders.…”

Section: Discussionmentioning

confidence: 99%

Association of Suicidal Ideation with Job Demands and Job Resources: a Large Cross-Sectional Study of Japanese Workers

et al. 2016

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“…OPEN ACCESS association of depressive symptoms with dietary habits. We adjusted for age, working factors which were associated with depressive symptoms in previous studies [1,6] such as the number of overnight works, on-calls, and off-duties, average hour of sleeping not doing overnight work, and unreasonable violence at work. We also adjusted for lifestyle factors such as smoking, alcohol intake, and regular exercise.…”

Section: Methodsmentioning

confidence: 99%

Association of depressive symptoms with dietary habits among Japanese physicians

Wada¹,

Suehiro²,

Ohta³

et al. 2012

OJPM

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The aim of this study was to determine the association of depressive symptoms with dietary habits among physicians working in hospitals in Japan. We mailed an anonymous questionnaire with the Quick Inventory of Depressive Symptomatology and items about dietary habits to 10,000 randomly selected physicians. Logistic regression analysis was used to explore the association of depressive symptoms with dietary habits. The participants comprised 3862 physicians (3025 men and 837 women). Among the respondents, 252 (8.3%) men and 88 (10.5%) women were determined to be in depressive symptoms. For men, "never eat a balanced diet" (Odds ratio; 95% confidence interval, 2.54; 1.70 -3.80), and for women "eat quite small meals" (3.81; 1.14 -13.1), "always eat until full" (4.40; 1.48 -13.1), and "never eat a balanced diet" (3.05; 1.49 -6.23) were associated with depressive symptoms. For men, "do not eat too much" (0.57; 0.39 -0.83) was associated with prevention of depression. Physicians should recognize the important role of healthy dietary habits in good mental health. Hospitals should intervene to help physicians address depressive symptoms and dietary habits.

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Association of Depression and Suicidal Ideation with Unreasonable Patient Demands and Complaints Among Japanese Physicians: A National Cross-sectional Survey

Abstract: Physicians should recognize the health risks of unreasonable demands and complaints, and hospitals should provide support for physicians dealing with these stressors.

Cited by 47 publications

References 19 publications

Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Association of Suicidal Ideation with Job Demands and Job Resources: a Large Cross-Sectional Study of Japanese Workers

Association of depressive symptoms with dietary habits among Japanese physicians

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