Prevention of anxiety, depression and burnout during medical residency raining - The experts' opinion

Hamader, Gertrude; Nöhammer, Elisabeth

doi:10.1037/e604062012-277

Cited by 2 publications

(14 citation statements)

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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%

“…A total of seven qualitative studies were included in the review ( 87 – 92 , 94 ). Five studies were purely qualitative in design ( 87 – 91 ) and two used mixed methods ( 92 , 94 ).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, a culture of invulnerability among physicians is described by both Hamadar et al (87) and Riley et al (88) whereby admitting personal struggle and accessing support services is seen as "weakness" or "failure." Riley et al (87) noted that although feelings of chronic anxiety were prevalent among General Practitioners, even some of those affected did not identify as having mental ill-health.…”

Section: Discussion Integration Of Qualitative and Quantitative Fin...mentioning

confidence: 99%

“…Recruitment of participants was clearly described and justified by Daruvala et 89) attempted to recruit participants from groups that self-identified as living with mental illness as well as groups living without or recovered, however recruitment for those living with mental illness was much more successful than other groups. There was no mention of recruitment method in other studies (87), introducing the possibility of selection bias.…”

Section: Study Design and Recruitmentmentioning

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%

“…A total of seven qualitative studies were included in the review ( 87 – 92 , 94 ). Five studies were purely qualitative in design ( 87 – 91 ) and two used mixed methods ( 92 , 94 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussion Integration Of Qualitative and Quantitative Fin...mentioning

confidence: 99%

Section: Study Design and Recruitmentmentioning

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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“…Employees in the service sector are generally most prone to pressure from grueling workloads, decision-making situations and constant learning demands (Kubicek et al , 2015). Stress and burnout have been well documented in the field of medical practice (Alacacioglu et al , 2009; Beckman, 2015; Braunstein-Bercovitz, 2013; Cedfeldt et al , 2010; Creed et al , 2014; Dunn et al , 2008; Dyrbye et al , 2014; Gulalp et al , 2008; Hamader and Noehammer, 2013; Lefebvre, 2012; Mortada and El Seifi, 2012; Munyewende et al , 2014; Tijdink et al , 2014). Demographics, duty hours and lifestyle factors were found to have a negligent effect on burnout, while a significant role was seen to be played by issues such as lack of career feedback, career uncertainties and personality factors among resident doctors (Ripp et al , 2011).…”

Section: Literature Reviewmentioning

confidence: 99%

Burnout during early career: lived experiences of the knowledge workers in India

Packirisamy

Meenakshy

Jagannathan

2017

JEIM

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Purpose The purpose of this paper is to explore the phenomenon of burnout during early career among knowledge workers in information technology (IT) services industry in India. Design/methodology/approach The grounded theory research design was used to explore the research phenomenon. The study was based on the analysis of 43 in-depth interviews from the employees, managers and human resource professionals in IT services industry in India. Purposeful and theoretical sampling designs were used to locate the participants for the study. Grounded theory analytical procedures – open, axial and selective coding – were used to analyze and interpret the interview narratives. Atlas ti version 5.0. was used for qualitative data analysis. Findings The analysis of the interviews with the young knowledge workers reveal the following as the reasons for their burnout during early career: poor integration with the job and the organization at large, underemployment, stressful job and exhausting work environment, fear and insecurity of replacement of talent and downsizing. Strategies are discussed to deal with burnout situations among the young knowledge workers for individual and organizational well-being. Research limitations/implications The findings of the study are applicable to organizations such as the IT services industry and thus the research outcome cannot be generalized. The study includes lived experiences of employees only during their early career. Practical implications The findings are relevant and useful in the practice domain as they are grounded in field reality. It provides directions for managerial and organizational practices in preventing burnout in early career among knowledge workers. Originality/value The paper is original and the present study is among the first attempts to investigate the nature of burnout through qualitative inquiry.

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Prevention of anxiety, depression and burnout during medical residency raining - The experts' opinion

Cited by 2 publications

References 0 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

Burnout during early career: lived experiences of the knowledge workers in India

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