Work stress and reduced health in young physicians: prospective evidence from Swiss residents

Buddeberg-Fischer, Barbara; Klaghofer, Richard; Stamm, Martina; Siegrist, Johannes; Buddeberg, Claus

doi:10.1007/s00420-008-0303-7

Cited by 166 publications

(134 citation statements)

References 37 publications

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…So physicians' mental health should be considered an important issue for hospital management as well as health care policy; though we were unable to draw such conclusion from our empirical data. Concerning risk factors for depression status among physicians, work demands were found to significantly correlate with depression; this finding accords with those of many previous studies 18,36) . In bivariate analyses (Table 1), we identified being female as a possible risk factor for depression status among physicians; this finding is similar to findings for the general population 37,38) .…”

Section: Discussionsupporting

confidence: 91%

Active Job, Healthy Job? Occupational Stress and Depression among Hospital Physicians in Taiwan

et al. 2011

View full text Add to dashboard Cite

Adverse mental health conditions among physiciansincluding stress, burnout, and depression-can result in errors in professional conduct and interfere with the quality of healthcare provision [1][2][3] . Physicians are usually exposed to high levels of occupational stress resulting from heavy workloads and high levels of time pressure, and those in certain employment positions or specialties are at higher risk of suffering from depression disorders than the general population 4,5) . High occupational stress and depression within physicians can even lead to higher suicide ideation or suicide rates 6,7) .Among various risk factors in the work environment, job stress is central to workers' daily lives; its asso- Abstract: This study assessed the levels and association of occupational stress and depression rate among physicians, and to compare physicians' occupational stress with that of Taiwanese employees in other occupations. The subjects were physicians employed at 14 participating regional hospitals in the Around Taiwan Health Care Alliance. Self-administered questionnaires capturing data on demographics, occupational characteristics, occupational stress measured using Job Content Questionnaire (C-JCQ), and health status measured using Taiwanese Depression Questionnaire (TDQ) were sent to eligible physicians. Results revealed that the depression rate (13.3%) was higher than that found in the general population (3.7%) of Taiwan. The mean scores of the JCQ dimensions "work demands" and "job control" were both much higher than those in most occupations in Taiwan. Higher depression scores were found in subjects with higher work demands, 8-10 d of being on duty per month, and more frequent alcohol consumption, while lower depression scores were found in subjects working in the east Taiwan area, with higher job control and with greater workplace social support. On the other hand, gender, smoking, and working hour were not independently correlated with depression, but the interaction of gender and job control also had an independent effect on depression. This study suggests that job stress plays an important role in depression in physicians; it is necessary to pay attention to physicians at high risk of depression, as well as their work environments, for early detection and intervention.

show abstract

Section: Discussionsupporting

confidence: 91%

Active Job, Healthy Job? Occupational Stress and Depression among Hospital Physicians in Taiwan

et al. 2011

View full text Add to dashboard Cite

show abstract

“…Out of the surgical setting, stressors were related to a higher heart rate and lower HRV during waking as well as the sleeping period (Brosschot et al 2007). Excessive stress was reported to have negative impacts on not only decisionmaking (Flin et al 2008), surgical performance (Wetzel et al 2011), and patient safety (Horner et al 2012), but also the physicians' health (Buddeberg-Fischer et al 2008).…”

Section: Discussionmentioning

confidence: 99%

Increase in Operator’s Sympathetic Nerve Activity during Complicated Hepatobiliary Surgery: Evidence for Surgeons’ Mental Stress

Yamanouchi

Hayashida

Kuba

et al. 2015

Tohoku J. Exp. Med.

View full text Add to dashboard Cite

Surgeons often experience stress during operations. The heart rate variability (HRV) is the variability in the beat-to-beat interval, which has been used as parameters of stress. The purpose of this study was to evaluate mental stress of surgeons before, during and after operations, especially during pancreaticoduodenectomy (PD) and living donor liver transplantation (LDLT). Additionally, the parameters were compared in various procedures during the operations. By frequency domain method using electrocardiograph, we measured the high frequency (HF) component, representing the parasympathetic activity, and the low frequency (LF)/HF ratio, representing the sympathetic activity. In all 5 cases of PD, the surgeon showed significantly lower HF component and higher LF/HF during operation, indicating predominance of sympathetic nervous system and increased stress, than those before the operation (p < 0.01) and these did not return to the baseline level one hour after the operation. Out of the 4 LDLT cases, the value of HF was decreased in two and the LF/HF increased in three cases (p < 0.01) during the operation compared to those before the operation. In all cases, the value of HF was decreased and/or the LF/HF increased significantly during the reconstruction of the vessels or bile ducts than during the removal of the liver. Thus, sympathetic nerve activity increased during hepatobiliary surgery compared with the level before the operation, and various procedures during the operations induced diverse changes in the autonomic nervous activities. The HRV analysis could assess the chronological changes of mental stress by measuring the autonomic nervous balances.

show abstract

“…A vizsgálatok egy része azt mutatja, hogy a kiégés a legfi atalabb, pályakezdő korosztályt veszélyezteti leginkább. Számos kutatás tanúsága szerint a nagyfokú fi zikai és érzelmi megterhelés és a komoly felelősség -párosulva a munkavégzés feletti kontroll hiányával -, valamint az alváshiány és a rekreációs idő csökkenése együttesen eredményezik a fi atal orvosok nagyfokú lelki sérülékenységét [22,23,24]. Egy belga vizsgálat kimutatta, hogy a rezidensek körében szignifikánsan megemelkedett kortizolszint mutatható ki, ami a magas stresszválasz egyértelmű tünete [25].…”

Section: Megbeszélésunclassified

Burnout among Hungarian physicians. Who are the most jeopardized?

Győrffy

Girasek

2015

Orvosi Hetilap

View full text Add to dashboard Cite

Bevezetés: A kiégés a XXI. század orvoslásának egyik legnagyobb kihívást jelentő kérdése. Célkitűzés: A szerzők célul tűzték ki a magyarországi orvosok (n = 4784) kiégésmutatóinak felmérését, valamint e mutatók és a munkavégzés körülményeit érintő legmeghatározóbb aspektusok (munkaórák, ügyeleti munkavégzés, több munkahelyen való helytállás) összefüggéseinek elemzését. Módszer: Orvosok körében végzett országos, reprezentatív, online kvantitatív felmérés eredményeinek deskriptív elemzése. Eredmények: A vizsgálat azt mutatta, hogy hazai orvosok körében a teljesítményvesztés dimenziója a legmagasabb arányú, ezt követi az emocionális kimerülés, majd a deperszonalizáció faktora. A fi atal életkor (<35 év), a fekvőbeteg-ellátásban való munkavégzés, az ügyeleti munka, valamint a több munkahelyen való egyidejű helytállás a kiégés mindhárom dimenziójának meghatározó kockázati tényezője. Az orvos partner megléte a deperszonalizációt növeli, míg a gyerekszám protektív mindhárom aspektus esetében. Ugyanakkor a munka-család konfl iktus a kiégést egyértelműen növelő tényező. Következtetések: A betegellátásra, a lakosság egész-ségi állapotának alakulására nézve jelentős hatású a kiégés. Az eredmények fényében a prevenció és az intervenció kulcsszerepű. Orv. Hetil., 2015, 156(14), 564-570. Kulcsszavak: kiégés, orvosok, munkamegterhelés, munka-család konfl iktus Burnout among Hungarian physicians. Who are the most jeopardized?Introduction: Burnout is one of the most challenging questions of the healthcare systems in the 21st century. Aim: The aim of this study was to analyze the Hungarian physicians' burnout and its associations with workload factors (work hours, shift work, multiple workplaces). Method: Data of this representative, cross-sectional, online epidemiological study was obtained from online questionnaires completed by 4784 physicians. Results: Medium or high level personal accomplishment was present in 75.9% and emotional exhaustion in 58% among physicians, while medium or high level of depersonalization subscale was 53%. All of the 3 dimensions showed association with young ages (<35 years), work in in-patient care, shift hours and multiple workplaces. The physician partner increased the risk of depersonalization, however, children were protective factors. The work-home interface was associated with higher burnout scores. Conclusions: Physicians' burnout is an important indicator of the functioning and effectiveness of the healthcare system. The results suggest the importance of prevention and intervention.

show abstract

Work stress and reduced health in young physicians: prospective evidence from Swiss residents

Cited by 166 publications

References 37 publications

Active Job, Healthy Job? Occupational Stress and Depression among Hospital Physicians in Taiwan

Active Job, Healthy Job? Occupational Stress and Depression among Hospital Physicians in Taiwan

Increase in Operator’s Sympathetic Nerve Activity during Complicated Hepatobiliary Surgery: Evidence for Surgeons’ Mental Stress

Burnout among Hungarian physicians. Who are the most jeopardized?

Contact Info

Product

Resources

About