Emotional exhaustion in cancer clinicians: A mixed methods exploration

Daruvala, Rhea; Ghosh, Maupali; Fratazzi, Francesca; Norzan, Siti Adibah; Laha, Anirban; Ahmed, Rosina; Panda, Samiran; Datta, Soumitra Shankar

doi:10.4103/ijmpo.ijmpo_168_17

Cited by 6 publications

(24 citation statements)

References 19 publications

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“…Sixty-one articles were subsequently included in the systematic review. Of the included studies, 53 used purely quantitative research methods ( 35 – 86 ), five studies contained only qualitative data ( 87 – 91 ) and three studies were designed using mixed methods ( 92 – 94 ). PRISMA P flow diagram of search and included studies can be seen in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…One study specifically investigated consultant physicians ( 63 ) whereas twenty studies specifically investigated residents, interns or trainees ( 36 , 37 , 39 – 42 , 44 , 46 , 47 , 49 , 50 , 54 , 55 , 62 , 69 , 73 , 74 , 81 , 93 , 97 ). Specialties investigated included Internal Medicine ( 36 – 39 , 57 , 69 , 75 , 77 ), Psychiatry ( 38 , 41 , 61 , 79 ), Orthopedics ( 40 , 71 ), Obstetrics and Gynecology ( 42 , 58 , 74 – 76 , 86 ), Pediatrics ( 44 , 57 , 75 , 93 ), Oncology ( 45 , 64 , 92 ), General Surgery ( 46 , 55 , 65 , 75 , 83 ), Family Medicine/General Practice ( 47 , 68 , 77 ), Emergency Medicine ( 48 , 57 , 73 , 81 ), Intensive care ( 59 , 84 ), Plastic Surgery ( 59 ), Anesthesia ( 60 , 72 , 75 , …”

Section: Resultsmentioning

confidence: 99%

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The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review

Ryan

Hore

Power

et al. 2023

Front. Public Health

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IntroductionThe World Health Organization defines burnout as a problem associated with employment, a category distinct from psychological disorders such as depression, anxiety, suicidality and disorders of substance abuse. Evaluating the association between burnout as an occupational exposure and psychological morbidity may indicate that burnout can act as an occupational risk factor for mental ill-health. The systematic review explores this relationship in physicians due to the increased risk in this population and the implications for healthcare delivery.MethodsA mixed methods systematic review of the literature was conducted across Medline, Cinahl Plus, PsycInfo, Web of Science and The Cochrane Library. Databases were systematically searched using keywords relating to physician burnout and depression, anxiety, suicidality and substance abuse. Identified articles were screened for eligibility by two independent researchers. Data extraction was performed and studies assessed for risk of bias. Quantitative and qualitative results were integrated using a convergent segregated approach and results portrayed as a narrative synthesis.ResultsSixty-one articles were included in the review. There was notable heterogeneity in the measurement and criteria used to define burnout limiting the assimilation of results. Despite this, all studies that measured the association between depression and burnout reported a significant association. Studies that reported association between burnout and anxiety were similarly uniformly consistent. Most studies that reported the association between burnout and suicidality indicated that a significant association exists however difficulty in measurement of suicidality may have influenced variability of results. The reported association between substance abuse and burnout was more variable, suggesting that any association is likely to be weak or influenced by other variables. Qualitative studies described the manifestations of chronic workplace stress as well as perceived links with psychological morbidity. These included lack of time for work-life balance, the contribution of professional relationships and a culture of invulnerability that exists among physicians.ConclusionThe systematic review cannot conclude causality but suggests that physician burnout is associated with depression, anxiety and suicidality. Qualitative data provides insight into the nature of this association. The review indicates the need for longitudinal research and provides considerations for intervention strategies to prevent the development and progression of burnout.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020172938, identifier: CRD42020172938.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review

Ryan

Hore

Power

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…The scale included items such as "Over the last two weeks, how often have you been bothered by the following: Feeling down, depressed or hopeless; Little interest or pleasure in doing things" Responses were recorded on a 4-point Likert scale ranging from not at all (0) to nearly every day (3). A previous study has used this scale in the Indian population [33]. We collected data on depressive symptoms at T2 and T4.…”

Section: Response Variablesmentioning

confidence: 99%

Dynamics of psychological responses to COVID-19 in India: A longitudinal study

2020

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The novel COVID-19 pandemic has created chaos around the globe. To curb its spread, the Government of India announced a nationwide lockdown on March 24th, 2020 for 21 days, which was extended further for a longer time. This long period of lockdown disrupted the routine of all citizens, affecting their psychological well-being. While recent studies showed the psychological burden of Indians during the pandemic, no study has assessed whether the psychological toll changed over time due to repeated extensions of the lockdown. We followed up 159 Indian adults during the first two months of the lockdown to assess any change in their anxiety, stress, and depressive symptoms. Multilevel linear regression models of repeated observations nested within individuals adjusted for sociodemographic covariates showed that anxiety (β = 0.81, 95% CI: 0.03, 1.60), stress (β = 0.51, CI: 0.32, 0.70), and depressive symptoms (β = 0.37, CI: 0.13, 0.60) increased over time during the lockdown. This increase was higher among women than men independent of covariates. Individual resilience was negatively associated with adverse psychological outcomes. Our findings suggested that while the lockdown may help in effectively addressing this pandemic, the state and society at large need to be sensitive to the mental health impacts of a long-drawnout lockdown. Such effects likely have long-term sequelae. The disproportionate impact on women needs immediate attention. Moreover, it behooves society to address the root causes driving the unequal distribution of psychological distress during such crises.

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“…(4). A previous study has used this scale in the Indian population [ 32 ]. We collected data on depressive symptoms at T2 and T4.…”

Section: T1mentioning

confidence: 99%

Dynamics of psychological responses to Covid-19 in India: A longitudinal study

Gopal

Sharma

Subramanyam

2020

Preprint

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To curb the spread of the novel coronavirus, India announced a nationwide lockdown on 24th March 2020 for 21 days, later extended for a longer time. This long period of lockdown greatly disrupted routine life and likely affecting citizens psychological well-being. The psychological toll of the pandemic on Indians is documented. However, no study has assessed whether the psychological toll changed over time due to repeated extensions of the lockdown. We followed up 159 Indian adults during the first two months of the lockdown to assess any change in their anxiety, stress, and depressive symptoms. Multilevel linear regression models of repeated observations nested within individuals, adjusted for socio-demographic covariates, showed that anxiety (β=0.81, CI: 0.03, 1.60), stress (β=0.51, CI: 0.32, 0.70), and depressive symptoms (β=0.37, CI: 0.13, 0.60) increased over time during the lockdown. This increase was higher among women than men independent of covariates. Individual resilience was negatively associated with the psychological outcomes. This suggests that the state needs to address the current mental health impacts of a long-drawn out lockdown and its long-term sequelae. Disproportionate burden on women needs immediate attention. Sustainable change requires addressing the root causes driving the gender inequalities in psychological distress during such crises.

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Emotional exhaustion in cancer clinicians: A mixed methods exploration

Cited by 6 publications

References 19 publications

The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review

The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review

Dynamics of psychological responses to COVID-19 in India: A longitudinal study

Dynamics of psychological responses to Covid-19 in India: A longitudinal study

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