The Association of Needlestick Injury with Depressive Symptoms among First-year Medical Residents in Japan

Wada, Koji; Sakata, Yumi; Fujino, Yoshihisa; Yoshikawa, Toru; Miyajima, Eriko; Watanabe, Mitsuyasu; Aizawa, Yoshifusa

doi:10.2486/indhealth.45.750

Cited by 19 publications

(15 citation statements)

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“…Many factors might contribute to the development of depression among physicians [23][24][25][26]. In a previous study among the same population tested in the current report, being on-call five times or more per month, sleeping less than 5 h while not engaged in overnight work, and a lack of any days off in a month were found to be independent factors significantly associated with depressive symptoms [15].…”

Section: Discussionmentioning

confidence: 75%

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

et al. 2010

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Section: Discussionmentioning

confidence: 75%

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

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“…In a secondary analysis of 7 longitudinal studies, 4,58,59,66-68,70 the temporal relationship between exposure to residency training and increased depressive symptoms was assessed (Table 3) . Because studies used different assessment instruments, the relative change in depressive symptoms was calculated for each study individually (ie, follow-up divided by baseline prevalence), and then the relative changes derived from individual studies were meta-analyzed.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Depression and Depressive Symptoms Among Resident Physicians

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Ramos

Bansal

et al. 2015

JAMA

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IMPORTANCE Physicians in training are at high risk for depression. However, the estimated prevalence of this disorder varies substantially between studies. OBJECTIVE To provide a summary estimate of depression or depressive symptom prevalence among resident physicians. DATA SOURCES AND STUDY SELECTION Systematic search of EMBASE, ERIC, MEDLINE, and PsycINFO for studies with information on the prevalence of depression or depressive symptoms among resident physicians published between January 1963 and September 2015. Studies were eligible for inclusion if they were published in the peer-reviewed literature and used a validated method to assess for depression or depressive symptoms. DATA EXTRACTION AND SYNTHESIS Information on study characteristics and depression or depressive symptom prevalence was extracted independently by 2 trained investigators. Estimates were pooled using random-effects meta-analysis. Differences by study-level characteristics were estimated using meta-regression. MAIN OUTCOMES AND MEASURES Point or period prevalence of depression or depressive symptoms as assessed by structured interview or validated questionnaire. RESULTS Data were extracted from 31 cross-sectional studies (9447 individuals) and 23 longitudinal studies (8113 individuals). Three studies used clinical interviews and 51 used self-report instruments. The overall pooled prevalence of depression or depressive symptoms was 28.8% (4969/17 560 individuals, 95% CI, 25.3%-32.5%), with high between-study heterogeneity (Q = 1247, τ2 = 0.39, I2 = 95.8%, P < .001). Prevalence estimates ranged from 20.9% for the 9-item Patient Health Questionnaire with a cutoff of 10 or more (741/3577 individuals, 95% CI, 17.5%-24.7%, Q = 14.4, τ2 = 0.04, I2 = 79.2%) to 43.2% for the 2-item PRIME-MD (1349/2891 individuals, 95% CI, 37.6%-49.0%, Q = 45.6, τ2 = 0.09, I2 = 84.6%). There was an increased prevalence with increasing calendar year (slope = 0.5% increase per year, adjusted for assessment modality; 95% CI, 0.03%-0.9%, P = .04). In a secondary analysis of 7 longitudinal studies, the median absolute increase in depressive symptoms with the onset of residency training was 15.8% (range, 0.3%-26.3%; relative risk, 4.5). No statistically significant differences were observed between cross-sectional vs longitudinal studies, studies of only interns vs only upper-level residents, or studies of nonsurgical vs both nonsurgical and surgical residents. CONCLUSIONS AND RELEVANCE In this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among resident physicians was 28.8%, ranging from 20.9% to 43.2% depending on the instrument used, and increased with calendar year. Further research is needed to identify effective strategies for preventing and treating depression among physicians in training.

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“…Potentially high rates of psychosocial stresses suggested in the current study are supported by previous research which found that depressive symptoms affected around 28% of Japanese medical resi- dents 41) . Another study of medical residents also found that depressive symptoms were associated with NSI events 13) , while a Korean investigation revealed that HCW who had sustained an NSI experienced higher scores of depression and anxiety 42) . In the US, 15% of non hospital-based nurses reported being very adversely affected by environmental conditions at their workplace, with understaffing and feeling unappreciated being the most troubling 6) .…”

Section: Discussionmentioning

confidence: 96%

“…Factors can include high mental pressure, time pressure, feeling fatigued after work, inadequate staffing levels, and many others [10][11][12] . In Japan psychosocial risk factors have been associated with NSI among medical residents 13) and hospital nurses 10) . Organizational climate has important repercussions for nurses' occupational health outcomes 14) , with safety climate having been shown to affect nurses' compliance with universal precautions 15) .…”

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confidence: 99%

Hospital Safety Climate, Psychosocial Risk Factors and Needlestick Injuries in Japan

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The Association of Needlestick Injury with Depressive Symptoms among First-year Medical Residents in Japan

Cited by 19 publications

References 21 publications

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

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

Prevalence of Depression and Depressive Symptoms Among Resident Physicians

Hospital Safety Climate, Psychosocial Risk Factors and Needlestick Injuries in Japan

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