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Soto-Moreno A, Martínez-López A, Sánchez-Díaz M, Martínez-García E, Buendía-Eisman A, Arias-Santiago S. Anxiety, depression, and alcohol use disorder in dermatologists: relationship with burnout and associated risk factors. Int J Dermatol 2024. [PMID: 38456484 DOI: 10.1111/ijd.17116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 02/13/2024] [Accepted: 02/15/2024] [Indexed: 03/09/2024]
Abstract
Burnout syndrome is a mental health condition related to chronic occupational stress; its prevalence, as well as its relationship with other mental health disorders in physicians, has become a topic of growing interest. However, no studies with large sample sizes evaluate this association in dermatologists. With this background, a cross-sectional study was designed, which included 420 Spanish dermatologists; the mean age was 44.5 years (12.39), and 62% (260/420) were women. Eleven percent (45/420) of the participants presented a moderate risk of burnout, more than half of the sample had at least one of the burnout symptoms, 47% (198/420) had some degree of anxiety, and 20.3% (85/420) presented some degree of depression. Less than 1% (4/420) demonstrated a high risk of alcohol use disorder. Being female was associated with a higher risk of depression and anxiety. Meanwhile, men and residents showed an increasedrisk of alcohol use disorder. Burnout and its domains showed a significative association with depression and anxiety, while no relationship with alcohol abuse was observed.
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Affiliation(s)
- Alberto Soto-Moreno
- Department of Dermatology, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - Antonio Martínez-López
- Department of Dermatology, Hospital Universitario Virgen de Las Nieves, Granada, Spain
- Group of Epidemiology and Health Promotion in Dermatology, Spanish Association of Dermatology and Venereology, Madrid, Spain
| | - Manuel Sánchez-Díaz
- Department of Dermatology, Hospital Universitario Virgen de Las Nieves, Granada, Spain
| | - Eliseo Martínez-García
- Group of Epidemiology and Health Promotion in Dermatology, Spanish Association of Dermatology and Venereology, Madrid, Spain
| | - Agustín Buendía-Eisman
- Group of Epidemiology and Health Promotion in Dermatology, Spanish Association of Dermatology and Venereology, Madrid, Spain
- Department of Dermatology, Facultad de Medicina, Universidad de Granada, Granada, Spain
| | - Salvador Arias-Santiago
- Department of Dermatology, Hospital Universitario Virgen de Las Nieves, Granada, Spain
- Department of Dermatology, Facultad de Medicina, Universidad de Granada, Granada, Spain
- TECe19-Clinical and Translational Dermatology, Instituto de Investigación Biosanitaria de Granada, Ibs., Granada, Spain
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Jullian B, Deltour M, Franchitto N. The consumption of psychoactive substances among French physicians: how do they perceive the creation of a dedicated healthcare system? Front Psychiatry 2023; 14:1249434. [PMID: 38156325 PMCID: PMC10752955 DOI: 10.3389/fpsyt.2023.1249434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 11/16/2023] [Indexed: 12/30/2023] Open
Abstract
Introduction Substance use among physicians can have negative impacts on their health, quality of life, and patient care. While Physician Health Programs (PHPs) have proven effective, many physicians with substance use disorders (SUDs) still face obstacles in seeking help. Our study explores the expectations, attitudes, and experiences of French physicians regarding the implementation of a specialized healthcare system (SHS) for addiction, and their opinions on the factors that could improve the effectiveness of such a service, with a focus on substance use disorders (SUDs). Methods We conducted a web-based survey from April 15 to July 15, 2021, which included questions about sociodemographic characteristics, substance use, and attitudes toward a specialized healthcare system (SHS) for physicians with SUDs. Results Of the 1,093 respondents (62.5% female), 921 consumed alcohol (84.2%), and 336 (36.4%) were categorized as hazardous drinkers (AUDIT-C ≥ 4 for women and ≥ 5 for men). The mean AUDIT-C score was 3.5 (±1.7 SD), with a range from 1 to 12. Factors associated with hazardous alcohol consumption included coffee consumption [OR 1.53 (1.11-2.12)], psychotropic drug use [OR 1.61 (1.14-2.26)], cannabis use [OR 2.96 (1.58-5.55)], and other drug use [OR 5.25 (1.92-14.35)]. On the other hand, having children was associated with non-hazardous alcohol consumption [OR 0.62 (0.46-0.83)]. Only 27 physicians (2.9%) had consulted a specialist in addiction medicine, while 520 (56.4%) expressed interest in such a consultation. The main barriers to accessing a dedicated consultation were denial (16.3%), physician self-medication (14.3%), fear of judgment (12.8%), and confidentiality concerns (10.2%). Conclusion A specialized consultation with trained professionals in a neutral location can improve access to care for healthcare workers and maintain patient confidentiality and anonymity. Prevention and awareness can reduce addiction stigma and help peers in need. The improvement of healthcare workers' addiction culture and detection of addictive behavior in peers depends on academic addiction medicine.
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Affiliation(s)
- Bénédicte Jullian
- Centre Hospitalier de Toulouse-Purpan, Service d’Addictologie Universitaire, Toulouse, France
| | - Marine Deltour
- Centre Hospitalier de Toulouse-Purpan, Service d’Addictologie Universitaire, Toulouse, France
| | - Nicolas Franchitto
- Centre Hospitalier de Toulouse-Purpan, Service d’Addictologie Universitaire, Toulouse, France
- CERPOP, Université de Toulouse, Inserm, UPS, Toulouse, France
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Fond G, Lucas G, Boyer L. Untreated major depression in healthcare workers: Results from the nationwide AMADEUS survey. J Clin Nurs 2023; 32:7765-7772. [PMID: 36949278 DOI: 10.1111/jocn.16673] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 12/19/2022] [Accepted: 02/20/2023] [Indexed: 03/24/2023]
Abstract
AIMS Recent studies have suggested increased rates of depression in healthcare workers (HCWs), with direct impact on care quality and productivity. The objective was to determine the proportion of HCWs adequately treated for their major depression in a nationwide survey, the proportion of lifestyle risk factors for depression, and to determine if working in psychiatry department or professional status may modulate these outcomes. DESIGN The method followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement guidelines. A survey comprising the Center for Epidemiologic Studies-Depression Scale was sent to public and private national healthcare facilities. RESULTS Overall, 10,325 participants were recruited; 3438 (33.3%) [95% confidence interval 32.4-34.2] met likely diagnostic criteria for clinical depression. Almost 80% of them declared that they had a history of major depressive episode. However, only approximately 23% of them were treated with antidepressants and approximately 13% had a psychiatric follow-up. Depressed HCWs working in psychiatry departments received slightly better care for their depression, but they also consumed more anxiolytics and hypnotics and had more risk factors for depression (including smoking and hazardous drinking). We found specificities according to professions, physicians reported higher rates of hazardous drinking while nurses, nurse assistants, and health executives had higher rates of smoking and twice as much obesity as physicians. CONCLUSION Disseminating tools to detect major depression, programs destigmatizing depression and antidepressants, promoting physical activity, weight loss, tobacco cessation and reduced alcohol consumption are promising strategies to improve the care of major depression in HCWs. RELEVANCE TO CLINICAL PRACTICE Reducing depression in healthcare workers is necessary to improve the quality of care, to limit burnout, medical errors, absenteeism and turn-over and globally to improve the wellbeing at work.
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Affiliation(s)
- Guillaume Fond
- Assistance Publique des Hôpitaux de Marseille, CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
- Fondation FondaMental, Créteil, France
| | - Guillaume Lucas
- Assistance Publique des Hôpitaux de Marseille, CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
| | - Laurent Boyer
- Assistance Publique des Hôpitaux de Marseille, CEReSS-Health Service Research and Quality of Life Center, Aix-Marseille University, Marseille, France
- Fondation FondaMental, Créteil, France
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Deutsch AJ, Alvarez A, Balint S, Pappal RD, Roseen S, Sun WW, Warren J, Stanton K, Agarwal AK. #StopTheStigmaEM: Building a social media-based movement to support emergency medicine mental health. Acad Emerg Med 2023. [PMID: 37897107 DOI: 10.1111/acem.14829] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 10/19/2023] [Accepted: 10/22/2023] [Indexed: 10/29/2023]
Affiliation(s)
| | - Al'ai Alvarez
- Stanford Hospital and Clinics, Stanford, California, USA
| | | | - Ryan D Pappal
- Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Stacey Roseen
- Society for Academic Emergency Medicine, Des Plaines, Illinois, USA
| | - Wendy W Sun
- Yale School of Medicine, New Haven, Connecticut, USA
| | | | - Kelsey Stanton
- The Ohio State University College of Medicine, Columbus, Ohio, USA
| | - Anish K Agarwal
- University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
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Sun H, Zhang T, Wang X, Wang C, Zhang M, Song H. The occupational burnout among medical staff with high workloads after the COVID-19 and its association with anxiety and depression. Front Public Health 2023; 11:1270634. [PMID: 37954047 PMCID: PMC10639132 DOI: 10.3389/fpubh.2023.1270634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Accepted: 10/12/2023] [Indexed: 11/14/2023] Open
Abstract
Objective After the end of COVID-19, medical staff were immediately faced with a high workload, leading to widespread occupational burnout. This study aims to explore the level and influencing factors of burnout among medical staff during this period, as well as its relationship with anxiety and depression. Methods The participants' levels of burnout were assessed using Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the reliability and validity of the questionnaire were evaluated through Cronbach's α and Confirmatory Factor Analysis (CFA). Independent sample t-test, chi-square test, and Pearson analysis were employed to determine the correlation between two sets of variables. Univariate and multivariate logistic regression analyses were conducted to identify significant factors influencing burnout. Finally, nomograms were used to predict the probability of burnout occurrence. Results This study collected a total of 1,550 questionnaires, and after excluding 45 questionnaires that were duplicates or incomplete, a sample of 1,505 (97.1%) participants were included in the final statistical analysis. Both Cronbach's α and the fit indices of CFA demonstrated excellent adaptability of the Chinese version of MBI-HSS in this study. The overall prevalence rates for emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (PA) were 52.4, 55.3, and 30.6%, respectively. Obtaining psychological support, health condition, relationship with family members, and insufficient sleep were identified as common contributing factors to burnout among medical staff. Additionally, age and promotion pressure were also associated with burnout among doctors, and exceeding legal working hours was an important factor for nurse burnout. The C-index for the nomograms predicting burnout among doctors and nurses was 0.832 and 0.843, respectively. Furthermore, burnout exhibited a significant linear correlation with anxiety and depression. Conclusion After the end of COVID-19, medical staff in high workload environments were facing severe burnout, which might lead to anxiety and depression. The occupational burnout of medical staff needed to be taken seriously and actively intervened.
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Affiliation(s)
- Hao Sun
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Tengfei Zhang
- Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Xinyu Wang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Caixia Wang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Mengqiao Zhang
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
| | - Hongjiang Song
- Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin Medical University, Harbin, Heilongjiang, China
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Smith NE, Sierra T, Brown H. Acknowledging the risk of suicidal ideation, depression, and anxiety in PAs. JAAPA 2023; 36:33-38. [PMID: 36913609 DOI: 10.1097/01.jaa.0000921264.94152.65] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
ABSTRACT The prevalence of suicidal ideation is unknown and limited information exists about depression and anxiety among physician associates/assistants (PAs). We set out to understand the degree of depression, anxiety, and suicidal ideation in PAs and PA students. In total, 728 PAs and 322 PA students took an online survey. Risk of depression and anxiety were present at higher levels in PA students compared with employed PAs. PA students indicated higher levels of suicidal ideation compared with clinically active PAs. One-third of those with suicidal ideation did not reveal it to anyone; among those who did, 16.2% feared the results of disclosure. This study establishes that PAs and PA students are at risk for suicidal ideation and often bypass help. The COVID-19 pandemic may have led to elevated rates of emotional distress, and longitudinal studies are needed to understand the basis for such ideation and if it is transitory.
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Affiliation(s)
- Noël E Smith
- Noël E. Smith is senior director of PA and industry research and analysis at the American Academy of Physician Associates in Alexandria, Va. Talia Sierra is an associate professor in the PA program at Idaho State University in Caldwell, Idaho. Heidi Brown practices in psychiatry in Oregon, Idaho, and Utah, and is an affiliate faculty member in the PA program at Idaho State University. The authors have disclosed no potential conflicts of interest, financial or otherwise
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FOND G, FERNANDES S, LUCAS G, Greenberg N, BOYER L. Depression in healthcare workers: results from the nationwide AMADEUS survey. Int J Nurs Stud 2022; 135:104328. [PMID: 35952535 PMCID: PMC9359895 DOI: 10.1016/j.ijnurstu.2022.104328] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 07/15/2022] [Accepted: 07/16/2022] [Indexed: 10/31/2022]
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Lucas G, Colson S, Boyer L, Gentile S, Fond G. Work environment and mental health in nurse assistants, nurses and health executives: results from the AMADEUS study. J Nurs Manag 2022; 30:2268-2277. [PMID: 35332585 DOI: 10.1111/jonm.13599] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/13/2022] [Accepted: 03/17/2022] [Indexed: 11/28/2022]
Abstract
AIM To explore work environment and mental health in nurse assistants, nurses and health executives in a national large-scale study. BACKGROUND We have data for physicians but not for other healthcare workers categories. METHODS 6935 participants were recruited between 2021 May and June by professional mailings and professional networks. RESULTS All professional categories reported high rates of high psychological demand (>90%), low social support (>60%) burnout (50 to 60%), exposure to potentially morally injurious events (>40%) depression (approximately 30%). Surgery nurses reported the highest exposure to potentially morally injurious events. Major depression was identified in approximately 30% of participants in all categories but less than 10% reported consuming antidepressants. 31 to 49% of participants reported sleep disorders and 16 to 21% reported consuming regularly hypnotics. Physicians reported high hazardous drinking behavior and nurse assistant high smoking rates. CONCLUSIONS AND IMPLICATIONS FOR NURSING MANAGEMENT Our results suggest that preventing burnout and depression in healthcare workers is a priority. To reach this goal, nursing managers could develop some interventions to reduce psychological demand and increase personal accomplishment and social support between colleagues, prevent sustained bullying at the workplace and health risk behaviors. These interventions should be further developed and evaluated.
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Affiliation(s)
- Guillaume Lucas
- AP-HM, Faculté des Sciences Médicales et Paramédicales, Aix Marseille Université, EA3279-CEReSS, Marseille Cedex, France
| | - Sébastien Colson
- AP-HM, Faculté des Sciences Médicales et Paramédicales, Aix Marseille Université, EA3279-CEReSS, Marseille Cedex, France
| | - Laurent Boyer
- AP-HM, Faculté des Sciences Médicales et Paramédicales, Aix Marseille Université, EA3279-CEReSS, Marseille Cedex, France.,Fondation FondaMental, Créteil, France
| | - Stéphanie Gentile
- AP-HM, Faculté des Sciences Médicales et Paramédicales, Aix Marseille Université, EA3279-CEReSS, Marseille Cedex, France
| | - Guillaume Fond
- AP-HM, Faculté des Sciences Médicales et Paramédicales, Aix Marseille Université, EA3279-CEReSS, Marseille Cedex, France.,Fondation FondaMental, Créteil, France
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Kowalczyk M, Karbownik MS, Kowalczyk E, Sienkiewicz M, Talarowska M. Mental Health of PhD Students at Polish Universities-Before the COVID-19 Outbreak. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212068. [PMID: 34831821 PMCID: PMC8624286 DOI: 10.3390/ijerph182212068] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/14/2021] [Accepted: 11/15/2021] [Indexed: 11/21/2022]
Abstract
Background: A group particularly exposed to the occurrence of disorders in the sphere of the psyche are young people with a newly developing personality structure and a sense of identity. In the available literature there are few reports describing the mental health of doctoral students—a group that is affected by a particular group of stressors. The aim of the research was to assess the mental health of PhD students at Polish universities. Material and Methods: The Polish adaptation of the GHQ Questionnaire-28, developed by David Goldberg et al. was used in the research. PhD students from all universities associated in the National Representation of Doctoral Students were invited to take part in the research. A total of 576 completed questionnaires were received. Results: It was found that depression is statistically more frequent in doctoral students who are not in any relationship with another person; anxiety/insomnia is more common in women than men and less frequently in doctoral students of general than in technical universities. Conclusions: (1) More than half of the surveyed students complain about the deterioration of mental health. The most commonly reported symptom groups are anxiety and insomnia, followed by social dysfunctions and somatic symptoms. (2) Depression is statistically more common in people who are not in any relationship with another person and anxiety and insomnia are statistically more common in women than in men and statistically less frequent in doctoral students of general universities than technical universities. (3) In view of the presented results, educating young adults in the field of self-awareness in the field of mental health seems to be particularly important.
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Affiliation(s)
- Mateusz Kowalczyk
- Babinski Memorial Hospital, Aleksandrowska St. 159, 91-229 Lodz, Poland;
| | - Michał Seweryn Karbownik
- Department of Pharmacology and Toxicology, Medical University of Lodz, Żeligowskiego St. 7/9, 90-752 Lodz, Poland; (M.S.K.); (E.K.)
| | - Edward Kowalczyk
- Department of Pharmacology and Toxicology, Medical University of Lodz, Żeligowskiego St. 7/9, 90-752 Lodz, Poland; (M.S.K.); (E.K.)
| | - Monika Sienkiewicz
- Department of Pharmaceutical Microbiology and Microbiological Diagnostic, Medical University of Lodz, Muszyńskiego St. 1, 90-151 Lodz, Poland
- Correspondence: ; Tel.: +48-42-272-55-60
| | - Monika Talarowska
- Department of Clinical Psychology and Psychopathology, Institute of Psychology, University of Lodz, Smugowa St. 10/12, 91-433 Lodz, Poland;
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