Survey of job burnout and depression in standardized residency training programs in China

Zhang, Yun; Chu, Xiaotian; Sha, Yue; Zeng, Xuejun; Shen, Ti

doi:10.1097/md.0000000000016890

Cited by 13 publications

(22 citation statements)

References 22 publications

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“…On the one hand, not only has the patient-physician relationship remained poor but the patients' distrust of the current healthcare system and policies is also increasing, and the number of violent incidents against healthcare providers are increasing each year (The Lancet, 2014). On the other hand, because of the huge workload, the proportion of residents experiencing burnout syndrome in China is as high as 61-71% (Li et al, 2020;Huang et al, 2020;Zhang et al, 2019). In addition, as SRTP in China was initiated nationally, residents face increased challenges, such as three years of highstress training, career uncertainty, and low salary.…”

Section: Discussionmentioning

confidence: 99%

Is There a Relation Between Work-related Perception and Empathy with the Clinical Performance of Residents in China?

Zhu

Wang

Zhong

et al. 2023

Preprint

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Since the nationwide launch of the Standardized Residency Training Program (SRTP) in China, residents have faced multiple barriers from work and the environment, and their empathy, work-related perception, and clinical performance are constantly scrutinized by training administrators and educators. This study aimed to investigate the influence of empathy of residents on their clinical performance and the possible mediating role of work-related perception. A multi-center cross-sectional study was conducted including 1160 residents from 10 cities in Liaoning Province between March and October 2020. Participants completed an array of self-reported questionnaires, regarding demographic characteristics, work-related perception, clinical performance, and empathy (measured by the Perspective Taking and Empathic Concern subscales of the Chinese version of Interpersonal Reactivity Index). The relationships among empathy, work-related perception, and clinical performance were examined using a structural equation model (SEM). Of the 1160 residents, 961 (82.8%) completed the questionnaires. The final SEM produced a good fit to the sample data, with CMIN/DF = 2.11 (P < 0.001), CFI = 0.97, GFI = 0.98, AGFI = 0.97, RMSEA (90% CI) = 0.034 (0.024, 0.044), and SRMR = 0.031. The model indicated the following: (1) work-related perception of residents had a significant positive predictive effect on clinical performance; (2) empathy had a significant positive predictive effect on work-related perception; and (3) work-related perception partially mediated the relationship between empathy and clinical performance among residents. These findings provide a reference for SRTP administrators and educators to apply work-related interventions for directly or indirectly improve the clinical performance of residents.

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Section: Discussionmentioning

confidence: 99%

Is There a Relation Between Work-related Perception and Empathy with the Clinical Performance of Residents in China?

Zhu

Wang

Zhong

et al. 2023

Preprint

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“…This may be because insufficient sleep reduces work efficiency, resulting in reduced sense of satisfaction and achievement [ 43 , 44 ]. Dental postgraduates with children had a lower risk of job burnout, probably because children bring happiness to parents [ 45 ]. Having children has been shown to mitigate psychological burnout [ 46 ].…”

Section: Discussionmentioning

confidence: 99%

“…Depressive symptoms and career choice regret were risk factors for job burnout. Previous studies have shown that symptoms and related factors for job burnout and depression exhibit obvious overlaps [ 26 , 45 ]. We established that job burnout is strongly associated with career and specialty choice regret, consistent with previous studies [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Job Burnout, Depressive Symptoms, and Career Choice Regret among Chinese Postgraduates of Stomatology

Zhong

et al. 2022

IJERPH

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A qualified Chinese dental postgraduate requires at least eight years of training. The huge academic burden, strict clinical requirements, and high workload increases the risk of job burnout, depression symptoms, and career choice regret of dental postgraduates, which may cause one to waver in their choice of a career as a doctor. Therefore, we aimed at assessing the relationship between job burnout, depressive symptoms, and career choice regret among Chinese dental postgraduates. The Chongqing Stomatological Association conducted an online cross-sectional study among 558 dental postgraduates in China, with an average age of 22.54 ± 2.44. Demographic information, the Maslach Burnout Inventory, the 2-item Primary Care Evaluation of Mental Disorders scale, and career choice regret scale were included in the questionnaire. About 41.0% of dental postgraduates experienced job burnout, 44.1% had depressive symptoms, and 41.6% reported career choice regret. Logistic regression analysis indicated the risk factors for job burnout were time worked/studied per week, depressive symptoms, and career choice regret. Job burnout and career choice regret was significantly related to depressive symptoms (p < 0.001). Risk factors for career choice regret were gender, postgraduate entrance examination score, daily hours of sleep, job burnout, and depressive symptoms. Such results suggest that job burnout, depressive symptoms, and career choice regrets are prevalent among dental postgraduates. Accurate measures should be taken to change this situation.

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“…Especially, residents in the SRTP could be most vulnerable to anxiety and depression, because they may not be capable of heavy workloads, the morbidity and mortality of patients, pressure of patient and service demands, and challenging daily work routines [ 15 ]. A previous study has shown that the rate of depression was 28.3% among residents in the SRTP [ 16 ]. Given that mental health can have a detrimental impact on residents in the SRTP and health services, including quality of patient care and medical errors, research needs to identify the mechanism between social support, emotional exhaustion, and depression/anxiety to inform effective interventions.…”

Section: Introductionmentioning

confidence: 99%

Social support, anxiety symptoms, and depression symptoms among residents in standardized residency training programs: the mediating effects of emotional exhaustion

et al. 2021

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Background Although studies indicate that social support is related to emotional exhaustion, depression symptoms, and anxiety symptoms, the underlying mechanism between those variables remains unknown. Methods Based on a sample of 254 residents in standardized residency training programs, two mediation models were tested in which emotional exhaustion served as a mediator in the relationship between social support and anxiety symptoms/depression symptoms. We used the following self-reported questionnaires as instruments to collect data: zung self-rating depression scale, zung self-rating anxiety scale, social support rating scale, and emotional exhaustion scale. Results In the final study sample, the mean age of the residents was 25.92 years old (SD =1.88), and a total of 41.3% were male, and 58.7% were female. This current study suggested that social support was proven to be a relevant factor affecting anxiety symptoms and depression symptoms. Particularly, the results also indicated that emotional exhaustion partially mediated the impact of social support on anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. Conclusions Our study signifies that enhancements in social support and reduction of emotional exhaustion can directly or indirectly affect anxiety symptoms and depression symptoms among Chinese residents in the standardized residency training program. These findings will offer insight for health-sector managers to develop programs aimed at social support and adopt individual-level interventions and organization-level interventions to reduce emotional exhaustion.

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Survey of job burnout and depression in standardized residency training programs in China

Cited by 13 publications

References 22 publications

Is There a Relation Between Work-related Perception and Empathy with the Clinical Performance of Residents in China?

Is There a Relation Between Work-related Perception and Empathy with the Clinical Performance of Residents in China?

Relationship between Job Burnout, Depressive Symptoms, and Career Choice Regret among Chinese Postgraduates of Stomatology

Social support, anxiety symptoms, and depression symptoms among residents in standardized residency training programs: the mediating effects of emotional exhaustion

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