Study-related health and behavior patterns of medical students: A longitudinal study

Voltmer, Edgar; Rosta, Judith; Aasland, Olaf Gjerløw; Spahn, Claudia

doi:10.3109/0142159x.2010.496008

Cited by 61 publications

(79 citation statements)

References 27 publications

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“…Some studies have found that burnout increases with each year of study among medical students [35–38]. Other studies have reported an n-shaped curve with burnout climaxes in the middle phases of the medical curriculum [39–41]. The results of the study presented here indicate that the different semesters show similar prevalence rates for burnout.…”

Section: Discussionsupporting

confidence: 59%

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Erschens¹,

Loda²,

Herrmann–Werner³

et al. 2018

Medical Education Online

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Background: High levels of burnout rates amongst medical students have been confirmed by numerous studies from diverse contexts. This study aims to explore the functional and dysfunctional coping strategies of medical students with regard to their respective burnout factors.Methods: About 845 medical students in the 3rd, 6th, and 9th semesters and students in their final year were invited to take part in the survey. The self-administered questionnaire included items on potential functional and dysfunctional behavioural-based coping strategies as well as the Maslach Burnout Inventory-Student Version (MBI-SS). In addition, a comparison of the local results with a German reference sample involving other students was calculated.Results: A total of 597 medical students (70.7%) participated in the cross-sectional study. The results showed high burnout rates, averaging 35%. Students in earlier stages of university education showed lower values for cynicism (a subdimension of burnout), but higher values for emotional exhaustion than students in higher stages. Concerning academic efficacy, there was a trend towards less efficient perception among students in higher education. The identified functional coping strategies were ‘seeking support from friends’, ‘seeking support from family’, ‘doing relaxing exercise’, ‘doing sports’ and ‘seeking support from fellow students’. The identified dysfunctional coping strategies were ‘taking tranquilizers’, ‘taking stimulants’, ‘drinking alcohol’, ‘withdrawal and ruminating’, and ‘playing games on the PC or mobile phone’. The medical students surveyed are more affected by burnout symptoms than the reference populations, but the overall result was difficult to interpret.Conclusions: The identified behavioural-based functional coping strategies suggest that social support and active relaxing exercises seem to be very important possibilities for medical students to reduce stress and exhaustion. The use of drugs and alcohol for stress reduction raises concerns. Programs are recommended to improve resilient behaviour and to impart the identified functional coping strategies to medical students.

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Section: Discussionsupporting

confidence: 59%

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Erschens¹,

Loda²,

Herrmann–Werner³

et al. 2018

Medical Education Online

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show abstract

“…This study therefore demonstrates that spontaneous recovery of burned out physicians is non-normative, without intervention. This notion is supported by studies conducted on medical students [27,28] and other professional groups such as teachers [29]. An important question regarding the work-related behavior and experience patterns is whether these are only important for the physicians' health or if they also meaningfully affect patient care.…”

Section: Discussionmentioning

confidence: 92%

Factors for and against establishing and working in private practice correlated with work-related behavior and experience patterns of Ferman physicians in Schleswig-Holstein: A 2-year longitudinal study

Voltmer¹,

Spahn²,

Frank³

2017

Int J Occup Med Environ Health

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Objectives: To identify factors in favor of or against establishing and working in private practice, to determine the quality of life and work-related behavior and experience patterns of German physicians working in private practice, and to analyze the correlation of those factors. Material and Methods: A representative sample of physicians in private practice in Schleswig-Holstein, Germany, was surveyed according to a 2-year longitudinal design (T1 -2008, N = 549 and T2 -2010, N = 414). The study included 22 items regarding the attractiveness of establishing and working in private practice, and the questionnaires: the Short Form-12 Health Survey (SF-12), and Work-related Behavior and Experience Pattern (Arbeitsbezogenes Verhaltens-und Erlebensmuster -AVEM). Results: Job satisfaction among those private practitioners decreased over time but their willingness to choose the profession once again remained unchanged. Patient care and the continuity of physician-patient relationship encouraged establishing and working in private practice; state regulation, financial risk, and administrative effort weighed against it. At both T1 and T2, physicians scored significantly lower for mental health than general population. About 20% of physicians showed a healthy behavior and experience pattern but 40% of them showed the pattern of reduced working motivation. About 20% of participants were at elevated risk for overexertion and for burnout. Physical and mental health as well as the total distribution of patterns did not change significantly during the 2-year observation period. Physicians at higher burnout risk rated tasks related to patient care considerably less positively than those with healthy pattern. Conclusions: In order to improve job satisfaction and quality of life, and to make private practice more attractive, those German physicians require a) improved legislation, b) educational programs that promote the attractiveness of private practice, and c) highly accessible counseling services for the prevention and treatment of stress, overexertion, and burnout. Int J Occup Med Environ Health 2017;30(3): [485][486][487][488][489][490][491][492][493][494][495][496][497][498]

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“…Low HRQoL in our college of pharmacy's P1, P2, and P3 student pharmacists, especially the mental component, is consistent with the results reported in medical and nursing students at similar chronological points of 3 degree programs prior to graduation. 1,38,39 Several studies have found that a high level of stress was associated with low mental health. Marshall and American Journal of Pharmaceutical Education 2014; 78 (1) Article 7.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Health-Related Quality of Life of Student Pharmacists

Payakachat

Gubbins

Ragland

et al. 2014

American Journal of Pharmaceutical Education

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Objective. To assess the health-related quality of life (HRQoL) of student pharmacists and explore factors related to HRQoL outcomes of student pharmacists in a doctor of pharmacy (PharmD) program at a public university. Methods. A survey instrument was administered to all student pharmacists in a PharmD program at a public university to evaluate differences and factors related to the HRQoL outcomes of first-year (P1), second-year (P2), third-year (P3), and fourth-year (P4) student pharmacists in the college. The survey instrument included attitudes and academic-related self-perception, a 12-item short form health survey, and personal information components.Results. There were 304 students (68.6%) who completed the survey instrument. The average health state classification measure and mental health component scale (MCS-12) scores were significantly higher for P4 students when compared with the P1through P3 students. There was no difference observed in the physical component scale (PCS-12) scores among each of the 4 class years. Significant negative impact on HRQoL outcomes was observed in students with higher levels of confusion about how they should study (scale lack of regulation) and concern about not being negatively perceived by others (self-defeating ego orientation), while school satisfaction increased HRQoL outcomes (SF-6D, p<0.001; MCS-12, p=0.013). A greater desire to be judged capable (self-enhancing ego-orientation) and career satisfaction were positively associated with the PCS-12 scores (p<0.05). Conclusion. Factors associated with the HRQoL of student pharmacists were confusion regarding how to study, ego orientation, satisfaction with the chosen college of pharmacy, and career satisfaction. First-year through third-year student pharmacists had lower HRQoL as compared with P4 students and the US general population. Support programs may be helpful for students to maintain or improve their mental and overall health.

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Study-related health and behavior patterns of medical students: A longitudinal study

Abstract: Our data provide evidence for a decrease in the healthy pattern and an increase in the burnout pattern. Intervention is needed, especially for students at risk for burnout.

Cited by 61 publications

References 27 publications

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Behaviour-based functional and dysfunctional strategies of medical students to cope with burnout

Factors for and against establishing and working in private practice correlated with work-related behavior and experience patterns of Ferman physicians in Schleswig-Holstein: A 2-year longitudinal study

Factors Associated With Health-Related Quality of Life of Student Pharmacists

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