What Are Some Stressful Adversities in Psychiatry Residency Training, and How Should They Be Managed Professionally?

Coverdale, John; Balon, Richard; Beresin, Eugene V.; Brenner, Adam M.; Louie, Alan K.; Guerrero, Anthony P. S.; Roberts, Laura Weiss

doi:10.1007/s40596-019-01026-w

Cited by 14 publications

(12 citation statements)

References 65 publications

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“…As in psychiatrists, mental health problems have been reported as common experiences during residency training [ 14 ]. Being a psychiatry trainee confers additional risks that could affect their mental health: long working hours including night shifts, a sense of vulnerability to possible aggression by patients, the imbalance between their professional experience and the responsibility of treating patients, academic demands, and learning-curve errors perceived as failures [ 13 , 15 , 16 ], together with poor-quality relations within institutions: (1) abuse, harassment, or discrimination by supervisors, peers, and other health care providers, and (2) a collaborative climate and sense of belonging are not fostered [ 17 ].…”

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confidence: 99%

Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico

et al. 2021

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Objective The objective was to determine and compare demographic features, professional activities and adversities, physical health conditions, and self-care behaviors related to the most frequently self-reported mental health problems among psychiatrists and psychiatry trainees. Methods A cross-sectional, retrospective, comparative study was conducted on a total of 330 (48.2%) psychiatry trainees and 355 (51.8%) psychiatrists from Mexico through an online survey. Demographic features, professional activities and adversities, physical and mental health problems, self-care behaviors, and social support were examined. Comparative analyses and multiple logistic regression models were performed. Results Major depression, anxiety, and burnout were the most common mental health problems reported with a higher frequency of anxiety disorders in psychiatry trainees. Being a woman, having a physical health problem, and lack of restful sleep were the main risk factors in both groups. Consultation in the government sector and having patients with severe suicidal ideation affected more psychiatry trainees. Perceived discrimination and inadequate eating schedules were risk factors for mental health problems for psychiatrists. Conclusion Psychiatry trainees constitute a vulnerable group for anxiety disorders. Particular attention should be paid to how students cope with the training experience to determine whether additional support is required. These professionals face major stressors leading to a high prevalence of depression, burnout, and anxiety. Encouraging psychiatrists to have better health habits is a step in the right direction, which must be accompanied by tangible organizational avenues to do so and creating a culture that truly promotes self-care.

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confidence: 99%

Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico

et al. 2021

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“…The institutional culture should readily enable disclosure and discussion of stress or adversities. 43 Speaking up about personal adversities and mental health challenges empowers others to do the same and mitigates the shame and stigma associated with mental illness. With this in mind, institutional leaders and professional organizations must continue to work to minimize stigma and remove reprisals for self-disclosure at all levels of training and practice.…”

Section: Our Perspectivementioning

confidence: 99%

Courage and Mental Health: Physicians and Physicians-in-Training Sharing Their Personal Narratives

Coverdale¹,

West²,

Roberts³

2021

Academic Medicine

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Stress, distress, and symptoms of depression and anxiety are common among medical students, 1,2 residents, 3 and physicians. [4][5][6] Physicians are at risk for suicide, with women, nonmajorityidentifying individuals, and members of certain specialties being particularly at risk. 7,8 Suicide is a leading cause of death among residents in programs accredited by the Accreditation Council for Graduate Medical Education 9 and is a tragic occurrence in medical students as well. 10,11

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“…Postgraduate psychiatry training may expose one to stressful situations with adverse psychologic consequences. 1 Furthermore, when caring for patients, psychiatry trainees frequently need to face issues of death and dying in the form of suicide risk assessments, grief and bereavement processes, near-death experiences, posttraumatic stress disorder, and psycho-oncology rotations. Because these interactions are incredibly personal, the emotions they provoke inevitably affect every interaction, theoretical discussion, diagnostic workup, and treatment plan.…”

Section: The Far-reaching Effects Of Death Anxietymentioning

confidence: 99%

Death anxiety among psychiatry trainees during COVID19

Chachar¹

2020

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What Are Some Stressful Adversities in Psychiatry Residency Training, and How Should They Be Managed Professionally?

Cited by 14 publications

References 65 publications

Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico

Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico

Courage and Mental Health: Physicians and Physicians-in-Training Sharing Their Personal Narratives

Death anxiety among psychiatry trainees during COVID19

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