1
|
Alnajdawi AM, Alsawalqa RO, Alrawashdeh MN. Suicidal ideation and their relationship with job satisfaction and job strain among Jordanian hospitals' healthcare professionals: a cross-sectional study. Front Public Health 2024; 12:1393867. [PMID: 38827605 PMCID: PMC11140093 DOI: 10.3389/fpubh.2024.1393867] [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: 02/29/2024] [Accepted: 04/30/2024] [Indexed: 06/04/2024] Open
Abstract
Suicidal ideation is a major health problem that occurs in response to complex interactions among psychological, sociocultural, and environmental factors. The phenomenon of suicidal ideation among healthcare professionals is still shrouded in mystery in Jordanian society, and there is still a scarcity of studies on its relationship with job strain and job satisfaction has been examined in the Arab world. Therefore, to fill this gap, this study aimed to reveal the prevalence of suicidal ideation among Jordanian hospitals health care professionals, and its relationship to job satisfaction and job strain. Additionally, how some sociodemographic factors were correlated with suicidal ideation levels, including age, sex, monthly income, occupation, years of experience, and sector type. Data were collected through a survey including sociodemographic characteristics, Suicidal ideation Scale (SIS), Job Satisfaction Survey (JSS), and Demand Control Support Questionnaire (DCSQ). The survey was distributed among 910 physicians and nurses of both sexes in public and private Jordanian hospitals. The survey was conducted using an anonymous online platform via Google Forms between October 2022 and December 2023. In light of the strain theory of suicide (STS), our results showed that physicians and nurses reported low levels of suicidal ideation and job satisfaction, with high levels of job strain. Suicidal ideation was positively correlated with job strain and negatively correlated with job satisfaction. Job satisfaction is negatively correlated with job strain. Job satisfaction was a significant mediator between job strain and suicidal ideation. Greater attention should be paid to the work environment in healthcare, particularly to enhance social support, increase job satisfaction levels, reduce job strain, and provide extensive training on effective prevention strategies for suicidal ideation and behaviour in the workplace. Additionally, policies and practices related to the health sector should be modified to create stable, healthy, and safe relationships and work environments.
Collapse
|
2
|
Wilgenbusch C, Stebner C, Bryce R, Geller B. Post-traumatic stress disorder in a Canadian population of medical students, residents, and physicians. INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE 2024; 35:191-201. [PMID: 38073397 DOI: 10.3233/jrs-230041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2024]
Abstract
BACKGROUND Physicians encounter stressors with potential long-term psychological consequences. However, a comprehensive picture of post-traumatic stress disorder (PTSD) prevalence and symptomatic work-related event occurrence across practice stages is lacking. OBJECTIVE To evaluate PTSD prevalence and the occurrence of work-related symptomatic events among physicians and medical learners. METHODS In 2017, we surveyed 3,036 physicians, residents, and students within the province of Saskatchewan, Canada. Participants completed the Life Events Checklist (LEC) for DSM 4 and the PTSD Checklist for DSM 4-Civilian version (PCL-C). They also reported work-related events that triggered PTSD-like symptoms. The prevalence of a positive PTSD screen (PCL-C ≥ 36) and the proportion identifying a symptomatic work event were determined. The t-test, Chi-square test, and multiple regression were used to evaluate associations between respondent characteristics and these outcomes. RESULTS Among 565 respondents, 21.2% screened positively, with similarity across career stages. Thirty-nine percent reported a symptom-inducing work event, with many training-related. Although independent PTSD predictors were not identified, partnered residents and surgical residents were more likely to identify a work-related event. Internationally trained practicing physicians were less likely to identify an event. CONCLUSION Both symptom-inducing work events and PTSD are frequent, broadly based concerns requiring better preventive strategies across career stages.
Collapse
Affiliation(s)
- Chelsea Wilgenbusch
- Department of Academic Family Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Crombie Stebner
- Department of Academic Family Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Rhonda Bryce
- Department of Academic Family Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Brian Geller
- Department of Academic Family Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| |
Collapse
|
3
|
Biggar S, van der Gaag A, Maher P, Evans J, Bondu L, Kar Ray M, Phillips R, Tonkin A, Schofield C, Ayscough K, Hardy M, Anderson S, Saar E, Fletcher M. 'Virtually daily grief'-understanding distress in health practitioners involved in a regulatory complaints process: a qualitative study in Australia. Int J Qual Health Care 2023; 35:mzad076. [PMID: 37751386 PMCID: PMC10588820 DOI: 10.1093/intqhc/mzad076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 08/24/2023] [Accepted: 09/21/2023] [Indexed: 09/28/2023] Open
Abstract
Protection of the public is the paramount aim for health practitioner regulation, yet there has been growing concern globally on the association between regulatory complaints processes and practitioner mental health and wellbeing. The objective was to understand the experience, particularly distress, of health practitioners involved in a regulatory complaints process to identify potential strategies to minimise future risk of distress. Semi-structured qualitative interviews were conducted with health practitioners in Australia who had recently been through a regulatory complaints process, together with a retrospective analysis of documentation relating to all identified cases of self-harm or suicide of health practitioners who were involved in such a process over 4 years. Data from interviews and the serious incident analysis found there were elements of the regulatory complaints process contributing to practitioner distress. These included poor communication, extended time to close the investigation, and the management of health-related concerns. The study found external personal circumstances and pre-existing conditions could put the practitioner at greater risk of distress. There were found to be key moments in the process-triggers-where the practitioner was at particular risk of severe distress. Strong support networks, both personal and professional, were found to be protective against distress. Through process improvements and, where appropriate, additional support for practitioners, we hope to further minimise the risk of practitioner distress and harm when involved in a regulatory complaints process. The findings also point to the need for improved partnerships between regulators and key stakeholders, such as legal defence organisations, indemnity providers, employers, and those with lived experience of complaints processes. Together they can improve the support for practitioners facing a complaint and address the stigma, shame, and fear associated with regulatory complaints processes. This project provides further evidence that a more compassionate approach to regulation has the potential to be better for all parties and, ultimately, the wider healthcare system.
Collapse
Affiliation(s)
- Susan Biggar
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Anna van der Gaag
- School of Health Sciences, University of Surrey, Guildford, Surrey GU2 7YH, United Kingdom
| | - Pat Maher
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Jacinta Evans
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Lakshmi Bondu
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Manaan Kar Ray
- Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Rachel Phillips
- Psychology Board of Australia Melbourne GPO 9958, Victoria 3001, Australia
| | - Anne Tonkin
- Medical Board of Australia, Melbourne GPO 9958, Victoria 3001, Australia
| | - Catherine Schofield
- Nursing and Midwifery Board of Australia, Melbourne GPO 9958, Victoria 3001, Australia
| | - Kym Ayscough
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Matthew Hardy
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Sarah Anderson
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Eva Saar
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| | - Martin Fletcher
- Australian Health Practitioner Regulation Agency, Melbourne GPO 9958, Victoria 3001, Australia
| |
Collapse
|
4
|
Sarigül A, Kaya A, Aziz IA, Yıldırım M, Özok HI, Chirico F, Zaffina S. General work stress and suicide cognitions in health-care workers: mediating effect of hopelessness and job satisfaction. Front Public Health 2023; 11:1254331. [PMID: 37942250 PMCID: PMC10629234 DOI: 10.3389/fpubh.2023.1254331] [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: 07/06/2023] [Accepted: 10/02/2023] [Indexed: 11/10/2023] Open
Abstract
Individuals with a satisfactory level of job satisfaction are much less likely to feel hopeless about their future and are more likely to perform efficiently in the workplace. General work stress (i.e., the work-related stress subjectively experienced) is a significant predictor of suicide cognitions. Furthermore, it has been posited that satisfaction and hope are fundamental to life from an existential perspective. We, therefore, tested a hypothetical model of general work stress, suicide cognitions, hopelessness, and job satisfaction. The data were collected from 416 health-care workers through a convenience sampling method. The mediation analysis results revealed significant negative and positive relationships among general work stress, suicide conceptions, hopelessness, and job satisfaction. The findings indicate that hopelessness and job satisfaction have a parallel mediating effect in the relationship between general work stress and suicide cognitions. The result of the study is of great importance, which suggests that interventions to alleviate hopelessness and work stress and to boost the job satisfaction of medical staff may help prevent suicide cognitions.
Collapse
Affiliation(s)
- Abdulselami Sarigül
- Department of Therapy and Rehabilitation, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| | - Alican Kaya
- Department of Guidance and Psychological Counselling, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
| | - Izaddin Ahmad Aziz
- Special Education Department, College of Education, Salahaddin University, Erbil, Iraq
- Department of English, College of Education, Bayan University, Erbil, Iraq
| | - Murat Yıldırım
- Faculty of Science and Letters, Department of Psychology, Ağrı İbrahim Çeçen University, Ağrı, Türkiye
- Graduate Studies and Research, Lebanese American University, Beyrut, Lebanon
| | - Halil Ibrahim Özok
- Department of Measurement and Assessment, Van Yüzüncü Yıl University, Van, Türkiye
| | - Francesco Chirico
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy
- Health Service Department, Italian State Police, Ministry of the Interior, Milan, Italy
| | - Salvatore Zaffina
- Occupational Medicine/Health Technology Assessment and Safety Research Unit, Clinical-Technological Innovations Research Area, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy
| |
Collapse
|
5
|
Hakami N, Madkhali A, Hakami F, ALshekh M, Masmali E, Hamithi D, Zogel B. Obstacles Deterring Medical Students From Pursuing a Career in the Field of Surgery in Jazan University, Saudi Arabia. Cureus 2023; 15:e43233. [PMID: 37692738 PMCID: PMC10491465 DOI: 10.7759/cureus.43233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 08/09/2023] [Indexed: 09/12/2023] Open
Abstract
BACKGROUND Particularly in Saudi Arabia, there is a dearth of trained specialists in the field of surgery. Understanding the obstacles that discourage medical students and residents from pursuing a surgical career is essential for resolving this shortage. This study intended to investigate the characteristics that influence medical students and trainees at Jazan University, Saudi Arabia, to pursue a career in surgery. METHODOLOGY This observational study employed a descriptive, cross-sectional approach. The intended audience consisted of fourth- to sixth-year medical students and medical residents. The questionnaire gathered information on demographics, academic year, previous surgical experience, perceptions of surgery as a specialty, and variables influencing career selections. RESULTS Out of 413 participants, 74.3% were considering a surgical career, with 24.4% interested in general surgery, followed by cardiac surgery (14.3%) and pediatric surgery (12.4%). Factors influencing career decisions included potential income (82%), the possibility of part-time work (82%), and partial leave (74%). A significant proportion of participants agreed or strongly agreed that the incidence of suicide (62%) and the risk of depression (72%) are higher in surgical specialties. Female participants were more likely to agree that their chance of becoming a spouse could be affected by a surgical career (p=0.002) and that meeting role models could influence their choice of surgical specialty (p=0.015). CONCLUSION Work-life balance, long working hours, and mental health concerns are identified as variables that discourage medical students and residents from pursuing a surgical career in the study. Efforts to encourage work-life balance, minimize workload, and provide support and resources for mental health issues should help surgeons suffer less stress and burnout. Moreover, encouraging an open-minded attitude and de-stigmatizing mental health concerns in the medical field should encourage individuals to seek assistance when necessary and lower the incidence of suicide and depression. Finally, tackling gender discrimination and encouraging diversity and inclusion in surgical specialties could attract more skilled surgeons.
Collapse
Affiliation(s)
| | | | | | | | - Enas Masmali
- Faculty of Medicine, Jazan University, Jazan, SAU
| | | | - Basem Zogel
- Faculty of Medicine, Jazan University, Jazan, SAU
| |
Collapse
|
6
|
Muacevic A, Adler JR, Banoon E, Abo Alshamat R, Almadani N, AlQashqri H. Prevalence of Depression and Anxiety Disorders Among Surgical Doctors in Public Hospitals in Makkah City, Saudi Arabia: An Analytical Cross-Sectional Study. Cureus 2023; 15:e33225. [PMID: 36733556 PMCID: PMC9888731 DOI: 10.7759/cureus.33225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/01/2023] [Indexed: 01/02/2023] Open
Abstract
Background Depression and anxiety are among the most prevalent illnesses worldwide. Although depression affects many individuals throughout their lives, physicians are at a heightened risk of developing the disorder due to their high-stress levels and enormous responsibilities. The study aimed to examine the prevalence of depression and anxiety disorders among surgical doctors in Makkah city hospitals as well as the risk factors. Methods Analytical cross-sectional research was performed at all public hospitals in Makkah city, Saudi Arabia. The Arabic version of the Hospital Anxiety and Depression Scale (HADS) was used as the screening tool. Results Of the 153 surgeons, 47.1% were Saudis, 81.7% were men, and 46.7% were residents. A personal history of anxiety or depression was apparent among 11.8% of the surgeons, while 4.6% had a family history of a mental disorder. Based on the HADS questionnaire responses, the prevalence rate of anxiety was 30.7%, and 27.5% of the surgeons had depression. Based on the univariate regression analysis, anxiety was significantly linked with being a participant in the Saudi Board program (p=0.010), working for more than nine hours (p=0.020), and having work-related stress (p=0.011 for moderate stress and p=0.001 for severe stress) as well as related to those who were rarely or never satisfied with their income (p=0.016 and p=0.047, respectively) and who was rarely satisfied with their career (p=0.019). Depression among surgeons was significantly linked with the age of 50 to 59 (p=0.023) as well as related to those who were usually satisfied with their career (p=0.022) and those with moderate work-related stress (p=0.016). Conclusion Psychological disorders such as depression and anxiety are prevalent among surgeons. They should be appropriately evaluated at regular intervals throughout life, especially during residency programs, to ensure physical and mental well-being, appropriate training exposure, and patient safety.
Collapse
|
7
|
Xu H, Peng L, Wang Z, Liu X. Effects of psychological capital and social support availability on anxiety and depression among Chinese emergency physicians: Testing moderated mediation model. Front Psychol 2022; 13:991239. [PMID: 36571060 PMCID: PMC9768176 DOI: 10.3389/fpsyg.2022.991239] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 11/22/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Anxiety often precedes depression, and the pathway from anxiety to depression may be affected by multiple exposures. Our research aims to explore the mediating effect of the social support availability (SSA) between anxiety and depression and how it is moderated by psychological capital. Methods A cross-sectional study was conducted among Chinese emergency physicians at the top-level general hospitals in eastern China. Data were collected via the questionnaire including anxiety and depression subscales of Symptom Checklist-90, Psychological Capital Questionnaire as well as Social Support Rating Scale. The PROCESS v3.4 macro was employed to assess the mediating role of SSA and a moderating role of psychological capital. Results A total of 536 valid samples were filtered. Anxiety, depression, SSA, and psychological capital were significant correlated. Anxiety was positively associated with depression (β = 0.82, p < 0.001), and the SSA mediated the relationship between anxiety and depression (indirect effect = 0.013, 95%BootCI [0.005, 0.023]). Psychological capital (specifically, self-efficacy, hope and resilience) further played a moderating role in the relationship between SSA and depression (β = 0.06, p < 0.01). Conclusion The mental health of emergency physicians should be concerned. In order to decrease anxiety and depression, SSA and psychological capital should be increased as the interventions for emergency physicians.
Collapse
Affiliation(s)
- Haibo Xu
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, China
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Lixin Peng
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Zhen Wang
- School of Management, Xuzhou Medical University, Xuzhou, China
| | - Xin Liu
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, China
- School of Management, Xuzhou Medical University, Xuzhou, China
| |
Collapse
|
8
|
Factors associated with depression and determining dimensions of job satisfaction among physicians in Bangladesh. Heliyon 2022; 8:e10589. [PMID: 36119885 PMCID: PMC9479015 DOI: 10.1016/j.heliyon.2022.e10589] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 03/13/2022] [Accepted: 09/05/2022] [Indexed: 11/24/2022] Open
Abstract
Background Depression in physicians emerges early in their academic and professional careers. Lengthy and irregular duty time, high levels of obligation, job dissatisfaction, workstation culture, organizational rules, and so on significantly increased the psychological pressure on physicians. Objectives The study's aim was to measure the level of depression, association, and influence of socio-demographic characteristics and job satisfaction on depression among physicians in Bangladesh, as well as to explore the factor structure of job satisfaction measure and examine its internal reliability. Methods Data were collected using a self-administered questionnaire in a cross-sectional survey of 301 physicians. The factors related to depression were investigated using a multivariable logistic regression model, and factor analysis was done to identify the important factors associated with job satisfaction. Results Male respondents made up 49.5 percent of the sample overall, while female respondents made up 50.5 percent. 24.58% of the physicians had mild depression, whereas 13.29%, 7.31%, and 0.66% of the participants had moderate, moderately severe, and severe depression, respectively. In multivariable analysis, sex (male vs. female, AOR: 2.16, 95% CI:1.28–3.62), monthly income <15000 BDT vs. >40000 BDT, (AOR: 0.35, 95% CI: 0.14–0.89), and income <15000 BDT vs. 15,000–24,999 BDT (AOR: 0.36, 95% CI: 0.15–0.89) were the essential factors associated with depression. Furthermore, with each unit increase in the job satisfaction score was related to a 71% decrease in the odds of physicians having depression. Conclusion The findings of this study indicate that providing appropriate organizational support, proper work assignments, and an adequate opportunity to develop their professional skills and career irrespective of sex may increase overall job satisfaction. Ultimately, this will serve to improve patient care as well as the whole health system's output.
Collapse
|
9
|
Sanatkar S, Counson I, Mackinnon A, Bartholomew A, Glozier N, Harvey S. Preliminary investigation of Shift, a novel smartphone application to support junior doctors’ mental health and wellbeing: Examination of symptom progression, usability, and acceptability after one month of use (Preprint). J Med Internet Res 2022; 24:e38497. [PMID: 36129745 PMCID: PMC9536518 DOI: 10.2196/38497] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 08/25/2022] [Accepted: 08/29/2022] [Indexed: 11/13/2022] Open
Abstract
Background Shift is a novel smartphone app for providing a digital-first mental health resource to junior doctors. It contains psychoeducational material, cognitive behavioral modules, guided mediations, information on common work stressors, and a section on help-seeking options for psychological problems through workplace and private avenues. Objective This study aimed to conduct a preliminary investigation of the use and potential effectiveness of Shift on depressive and anxiety symptoms (primary outcomes) and work and social functioning, COVID-19 safety concerns, and help seeking (secondary outcomes). This study also sought feedback on whether Shift was seen as an acceptable tool. Methods Junior doctors in New South Wales, Australia, were approached through promotional activities from the Ministry of Health, specialist medical colleges, and social media advertisements between June and August 2020. Consenting participants provided web-based baseline data, used the Shift app for 30 days, and were asked to complete a poststudy web-based questionnaire. Outcomes were analyzed under the intention-to-treat principle. Results A total of 222 female (n=156, 70.3%; mean age 29.2, SD 4.61 years) junior doctors provided full baseline data. Of these, 89.2% (198/222) downloaded the app, logged into the app approximately 6 times (mean 5.68, SD 7.51), completed 4 in-app activities (mean 3.77, SD 4.36), and spent a total of 1 hour on in-app activities (mean 52:23, SD 6:00:18) over 30 days. Postintervention and app use data were provided by 24.3% (54/222) of participants. Depressive and anxiety symptoms significantly decreased between the pre- and postassessment points as expected; however, physicians’ COVID-19 safety concerns significantly increased. Work and social functioning, COVID-19 concerns for family and friends, and help seeking did not change significantly. There was no significant relationship between symptom changes and app use (number of log-ins, days between first and last log-in, and total activity time). Most poststudy completers (31/54, 57%) rated Shift highly or very highly. Conclusions Despite high levels of nonresponse to the poststudy assessment and increases in COVID-19 safety concerns, junior doctors who used the app reported some improvements in depression and anxiety, which warrant further exploration in a robust manner.
Collapse
Affiliation(s)
- Samineh Sanatkar
- Black Dog Institute, Randwick, Australia
- School of Psychiatry, Faculty of Medicine, University of New South Wales Sydney, Kensington, Australia
| | - Isabelle Counson
- Black Dog Institute, Randwick, Australia
- School of Psychiatry, Faculty of Medicine, University of New South Wales Sydney, Kensington, Australia
| | | | | | - Nick Glozier
- Central Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, Australia
| | - Samuel Harvey
- Black Dog Institute, Randwick, Australia
- School of Psychiatry, Faculty of Medicine, University of New South Wales Sydney, Kensington, Australia
| |
Collapse
|
10
|
Xu H, Liu X, Zeng P. The Mediating Role of Social Support in the Relationship Between Psychological Capital and Depression Among Chinese Emergency Physicians. Psychol Res Behav Manag 2022; 15:977-990. [PMID: 35480711 PMCID: PMC9035443 DOI: 10.2147/prbm.s360611] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/08/2022] [Indexed: 01/28/2023] Open
Affiliation(s)
- Haibo Xu
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
- Correspondence: Haibo Xu, Email
| | - Xin Liu
- Center for Mental Health Education and Research, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
- School of Management, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
| | - Ping Zeng
- School of Public Health, Xuzhou Medical University, Xuzhou, Jiangsu, People’s Republic of China
| |
Collapse
|
11
|
Anxiety and depression among gastroenterologists: an online survey in Bangladesh. GASTROENTEROLOGY REVIEW 2022; 16:358-363. [PMID: 34976245 PMCID: PMC8690946 DOI: 10.5114/pg.2021.111585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 03/14/2021] [Indexed: 11/17/2022]
Abstract
Introduction Anxiety and depression negatively affect physicians’ performance, leading to them make errors in service providing. Reports regarding the prevalence of anxiety and depression among specialist physicians are limited. Aim To assess the prevalence of anxiety and depression among gastroenterologists in Bangladesh. Material and methods This cross-sectional study was conducted among gastroenterologists in Bangladesh. Survey questionnaires, including general information and the Hospital Anxiety and Depression Scale (HAD), were sent to the gastroenterologists’ email addresses. Responses were collected and analysed. Results Out of 166 gastroenterologists, 63 (37.9%, mean age: 49.77 ±8.0 years, 96.8% male, mean service length: 20.2 ±8.0 years, mean working length as specialists 13.2 ±7.2 years) responded. In this series, symptom scores of 16 (25.4%) and 13 (20.7%) respondents were consistent with anxiety and depression, respectively. Nine (14.2%) respondents had symptoms of both anxiety and depression. Anxiety was significantly more prevalent among gastroenterologists of the 41–50-years age group (p = 0.007), and those who were working as specialists less than or equal to 5 years (p = 0.014). Depression was also more common among gastroenterologists in the 41–50-years age group 7 (24.1%), doing government service 10 (19.6%), service length ≤ 15 years 5 (29.4%), and working as specialist less than or equal to 10 years 7 (31.8%), but the difference was not significant. Conclusions Anxiety and depression are more prevalent among gastroenterologists than in the general population. Further studies should be done to determine the risk factors behind anxiety and depression among gastroenterologists so that adequate preventive measures can be taken.
Collapse
|
12
|
Castro-Osorio R, Maldonado-Avendaño N, Cardona-Gómez P. Proposal for a Model of Suicidal Ideation in Medical Students in Colombia: A Simulation Study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2022; 51:17-24. [PMID: 35216953 DOI: 10.1016/j.rcpeng.2020.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 09/09/2020] [Indexed: 06/14/2023]
Abstract
Suicidal behaviour is a global public health problem, and one population group with high prevalence rates is medical students, especially in the ideation component. Various models have tried to explain it, but there are few inferential studies in the Colombian population. The structural equation models used in controlled social sciences to explain this problem and their analytical power allow generalisations to be made with a certain degree of precision. These analyses require a large amount of data for robust estimation, which limits their usability when there are restrictions to access the data, as is the case today due to Covid-19, and a question that stands out in these models is the evaluation of the fit. Through a set of 1,200 simulated data, an appropriate model fit was found (x5242 = 1.732,300, p < 0,001, CFI = 0.97, GFI = 0.97, TLI = 0.97, RMSEA = 0.04[0.042-o.046], SRMR = 0.06) for the predictors of depression and perceived burdensomeness, which were analysed using the JASP program. The role of thwarted belongingness is discussed, as well as the appropriateness of the assessment instrument used to evaluate it an considerations regarding suicidal ideation monitoring, evaluation and intervention in medical students.
Collapse
|
13
|
Shahar G. Integrative Psychotherapy With Physicians In the Trenches: Convergence of Cognitive, Existential, and Psychodynamic Processes. JOURNAL OF HUMANISTIC PSYCHOLOGY 2021. [DOI: 10.1177/00221678211065580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In this article, I present insights gleaned from over a decade of working in therapy with physicians in the trenches who practice at general hospitals located in an area afflicted by the community and political violence, and recently, by the COVID-19 pandemic. Psychotherapy with these physicians requires an integrative psychotherapeutic approach that heeds their changing needs. Espousing cognitive-existential psychodynamics (CEP), a theory-based psychotherapeutic perspective developed for complex cases, I show how cognitive, existential, and psychodynamic processes strongly converge during the treatment of physicians in the trenches. Such convergence is manifested in issues of mental representations (of death, medicine, and the hospital) and choice/meaning.
Collapse
Affiliation(s)
- Golan Shahar
- Ben-Gurion University of the Negev, Beer-Sheva, Israel
| |
Collapse
|
14
|
Abraham A, Chaabna K, Doraiswamy S, Bhagat S, Sheikh J, Mamtani R, Cheema S. Depression among healthcare workers in the Eastern Mediterranean Region: a systematic review and meta-analysis. HUMAN RESOURCES FOR HEALTH 2021; 19:81. [PMID: 34246282 PMCID: PMC8271293 DOI: 10.1186/s12960-021-00628-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 07/05/2021] [Indexed: 05/07/2023]
Abstract
BACKGROUND Depression is a major population health challenge globally. This systematic review and meta-analysis aims to (i) determine depression prevalence and (ii) identify the risk and protective factors of depression among healthcare workers (HCWs) in the Eastern Mediterranean Region (EMR). METHODS The protocol was registered on Open Science Framework (registration ID: https://osf.io/rdv27 ). We searched five databases (PubMed, Embase, PsycINFO, Al Manhal, Google Scholar) till July 22, 2020 without language restrictions. We included studies from the EMR using a depression screening or diagnostic instrument to measure the depression prevalence among HCWs. Studies were assessed and data were pooled using random-effects meta-analysis based on the Cochrane handbook. RESULTS The systematic review identified 108 studies from 12 EMR countries with varying quality. Working long hours, poor sleep quality and being female were risk factors for depression in EMR HCWs. The meta-analysis comprised 77 studies providing 122 prevalence measures across 7 EMR countries. The pooled prevalence of depression among EMR HCWs was 33.03% (95% CI = 27.40-39.19%). Emergency HCWs had markedly higher rates of depression [53.14% (95% CI = 26.63-77.99%)] compared to HCWs of other specialties. Most studies had an appropriate sample size. CONCLUSIONS Depression among EMR HCWs is a major concern. Steps must be taken to prevent, identify, and manage depression among HCWs. Fostering a compassionate and empathetic environment is critically important to building a resilient healthcare system. Generating high-quality regional data from longitudinal studies on mental health will further contribute to a better understanding and management of depression among EMR HCWs.
Collapse
Affiliation(s)
- Amit Abraham
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar.
| | - Karima Chaabna
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
| | - Sathyanarayanan Doraiswamy
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
| | - Sapna Bhagat
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
| | - Javaid Sheikh
- Office of the Dean, Weill Cornell Medicine-Qatar, Doha, Qatar
| | - Ravinder Mamtani
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
| | - Sohaila Cheema
- Institute for Population Health, Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, P.O. Box 24144, Doha, Qatar
| |
Collapse
|
15
|
Burnout, compassion fatigue and suicidal ideation in oncology healthcare professionals. JOURNAL OF SURGERY AND MEDICINE 2021. [DOI: 10.28982/josam.796290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
16
|
Freire FDO, Marcon SR, Espinosa MM, Santos HGBD, Kogien M, Lima NVPD, Faria JS. Factors associated with suicide risk among nurses and physicians: a cross-section study. Rev Bras Enferm 2021; 73Suppl 1:e20200352. [PMID: 33084840 DOI: 10.1590/0034-7167-2020-0352] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 07/27/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to estimate the prevalence and factors associated with suicide risk among nurses and physicians. METHOD a cross-sectional study carried out at a university hospital with 216 health professionals, who answered a socio-demographic-labor questionnaire, the Mini International Neuropsychiatric Interview (MINI) for assessing suicide risk, and the Depression, Anxiety and Stress Scale (DASS 21). The Poisson Regression Model was used for multiple analysis. RESULTS it was identified that variables such as not having a partner, history of attempted suicide, stress and depression symptoms were statistically associated with suicide risk. The prevalence of lifelong suicide attempts among nurses was 9.41%, and among physicians, 2.29%. CONCLUSION the findings of this investigation enable the understanding of suicidal behavior among hospital nurses and physicians, in addition to enabling the development of prevention strategies in order to reduce suicide risk prevalence in this population group.
Collapse
Affiliation(s)
- Fernanda de Oliveira Freire
- Prefeitura Municipal de São José dos Quatro Marcos. São José dos Quatro Marcos, Mato Grosso, Brazil.,Universidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil
| | | | | | - Hugo Gedeon Barros Dos Santos
- Universidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil.,Universidade Federal de Mato Grosso, Hospital Universitário Júlio Müller. Cuiabá, Mato Grosso, Brazil
| | - Moisés Kogien
- Universidade Federal de Mato Grosso. Cuiabá, Mato Grosso, Brazil
| | | | | |
Collapse
|
17
|
Hastie CR, Barclay L. Early career midwives' perception of their teamwork skills following a specifically designed, whole-of-degree educational strategy utilising groupwork assessments. Midwifery 2021; 99:102997. [PMID: 33930799 DOI: 10.1016/j.midw.2021.102997] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 03/23/2021] [Accepted: 03/25/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The aim of this study was to investigate whether a specifically designed whole-ofdegree strategy utilising groupwork assessments was effective in facilitating the development of early career midwives' teamwork skills. DESIGN AND METHODS A qualitative study using in-depth, semi-structured interviews was undertaken with early career midwives who had graduated within the previous two years. This study is the final cycle of a larger participatory action research project. Qualitative data was analysed using thematic analysis. PARTICIPANTS Nineteen early career midwives from one Australian university participated. Their preregistration education was via a Bachelor of Midwifery. Their education included a whole-of-degree educational strategy to facilitate the development of teamwork skills. FINDINGS One overarching theme "Becoming an Effective Team Member' and three sub-themes: 'Learning and developing Teamwork Skills'; 'More secure and confident' and 'Self-Assurance in interprofessional interactions' were identified in the interview data. Despite their junior status, the midwives demonstrated the knowledge, skills, and attitudes of an effective team member. Their social and emotional skills appeared well developed and they felt confident interacting with other health care workers in a professional manner. KEY CONCLUSIONS Early career midwives who were taught and practiced teamwork skills throughout their degree, appear to have developed the social and emotional competencies required for effective teamwork. IMPLICATIONS FOR PRACTICE The capacity for effective teamwork of this small group of early career midwives has the potential to improve the quality and safety of their care for childbearing women. Learning teamwork skills in the educational setting appears to have generated skills focused on conflict resolution, emotional self-regulation and social and emotional competency in these new midwives. These are favourable skills in the emotionallycharged environment of maternity care, where inter-collegial bullying is present and where new midwives can experience poor psychological wellbeing. Health care employers want new graduate health professionals to be work ready and to have the skills necessary to be effective team members. The program undertaken by these new graduates may be of assistance in developing these capabilities in other health students. THE KNOWN Teamwork skills are an intrinsic part of the day-to-day activities of maternity services, influencing the workplace culture, retention of midwives and the quality and safety of care. Poor teamwork is associated with clinical errors, bullying and high turnover of staff. THE NEW Early career midwives who were taught teamwork skills and practice these skills using their groupwork assignments throughout their undergraduate degree appear to demonstrate the social and emotional competencies required for effective teamwork. THE IMPLICATIONS Implementing a whole-of-degree program to develop teamwork skills in undergraduate midwifery students may improve early career midwives' social and emotional competencies and interactions with other health professionals. Learning teamwork skills in the educational setting may generate skills in the new midwife that focus on conflict resolution, emotional self-regulation, and social and emotional competency. These are favourable skills in the emotionally charged environment of maternity care, where inter-collegial bullying is present and where new midwives can experience poor psychological wellbeing.
Collapse
Affiliation(s)
- Carolyn Ruth Hastie
- Griffith University, School of Nursing and Midwifery, Gold Coast Campus, 1 Parklands Drive, Southport Queensland 4215.
| | - Lesley Barclay
- The University of Sydney, School of Medicine, University Centre for Rural Health, PO Box 3074 Lismore NSW Australia 2480.
| |
Collapse
|
18
|
Taylor J, Stratton E, McLean L, Richards B, Glozier N. How junior doctors perceive personalised yoga and group exercise in the management of occupational and traumatic stressors. Postgrad Med J 2021; 98:e10. [PMID: 33688068 DOI: 10.1136/postgradmedj-2020-139191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 12/12/2020] [Accepted: 02/12/2021] [Indexed: 11/04/2022]
Abstract
OBJECTIVES Junior doctors are exposed to occupational and traumatic stressors, some of which are inherent to medicine. This can result in burnout, mental ill-health and suicide. Within a crossover pilot study comparing personalised, trauma-informed yoga to group-format exercise, qualitative interviews were conducted to understand the experience of junior doctors and whether such interventions were perceived to help manage these stressors. METHODS Twenty-one doctors, 76% female, were order-randomised to consecutive 8-week yoga and exercise programmes. Fifty-two interviews were recorded before and after each programme. RESULTS Many participants reported being time poor, sleep-affected, frequently stressed and occasionally in physical pain/distress. Major stressor themes were workplace incivility, death/human suffering and shift work with minimal support. Both interventions were acceptable for different reasons. Personalised yoga offered a therapeutic alliance, time to check-in and reduced anxiety/rumination. Group exercise provided energy and social connection. One participant found yoga beneficial following an acute workplace trauma: 'It was really eye opening how much I felt my body just needed to detox … I wouldn't have gone to a group fitness the next day … I just wanted to relax and breathe …We still had a big debrief which was great … (but) I almost felt like … I dealt with it physically and emotionally before going into it (P20).' CONCLUSION Junior doctors found both interventions useful for stress management adjunctive to other organisational programmes though for different and complementary reasons, possibly related to delivery mode. Personalised, trauma-informed yoga provided a confidential therapeutic alliance whereas group exercise offered social connection.
Collapse
Affiliation(s)
- Jennifer Taylor
- Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia .,Central Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
| | - Elizabeth Stratton
- Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.,Central Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
| | - Loyola McLean
- Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.,Westmead Psychotherapy Program for Complex Traumatic Disorders, The University of Sydney and Western Sydney Local Health District, Sydney, New South Wales, Australia.,Consultant Liaison Psychiatry, Royal North Shore Hospital, Saint Leonards, New South Wales, Australia
| | - Bethan Richards
- WellMD Centre, Sydney Local Health District, Camperdown, New South Wales, Australia.,Department of Rheumatology, Royal Prince Albert Hospital, Sydney Local Health District, Camperdown, New South Wales, Australia
| | - Nicholas Glozier
- Brain and Mind Centre, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.,Central Clinical School, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
| |
Collapse
|
19
|
Seo C, Corrado M, Fournier K, Bailey T, Haykal KA. Addressing the physician burnout epidemic with resilience curricula in medical education: a systematic review. BMC MEDICAL EDUCATION 2021; 21:80. [PMID: 33526019 PMCID: PMC7849619 DOI: 10.1186/s12909-021-02495-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 01/04/2021] [Indexed: 05/31/2023]
Abstract
BACKGROUND A variety of stressors throughout medical education have contributed to a burnout epidemic at both the undergraduate medical education (UGME) and postgraduate medical education (PGME) levels. In response, UGME and PGME programs have recently begun to explore resilience-based interventions. As these interventions are in their infancy, little is known about their efficacy in promoting trainee resilience. This systematic review aims to synthesize the available research evidence on the efficacy of resilience curricula in UGME and PGME. METHODS We performed a comprehensive search of the literature using MEDLINE, EMBASE, PsycINFO, Educational Resources Information Centre (ERIC), and Education Source from their inception to June 2020. Studies reporting the effect of resilience curricula in UGME and PGME settings were included. A qualitative analysis of the available studies was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Risk of bias was assessed using the ROBINS-I Tool. RESULTS Twenty-one studies met the inclusion criteria. Thirteen were single-arm studies, 6 quasi-experiments, and 2 RCTs. Thirty-eight percent (8/21; n = 598) were implemented in UGME, while 62 % (13/21, n = 778) were in PGME. There was significant heterogeneity in the duration, delivery, and curricular topics and only two studies implemented the same training model. Similarly, there was considerable variation in curricula outcome measures, with the majority reporting modest improvement in resilience, while three studies reported worsening of resilience upon completion of training. Overall assessment of risk of bias was moderate and only few curricula were previously validated by other research groups. CONCLUSIONS Findings suggest that resilience curricula may be of benefit to medical trainees. Resilience training is an emerging area of medical education that merits further investigation. Additional research is needed to construct optimal methods to foster resilience in medical education.
Collapse
Affiliation(s)
- Chanhee Seo
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada
| | - Mario Corrado
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada
| | - Karine Fournier
- Health Sciences Library, University of Ottawa, Ottawa, ON, K1H 8M5, Canada
| | - Tayler Bailey
- Department of Family Medicine, Faculty of Medicine, McMaster University, Hamilton, ON, L8P 1H6, Canada
| | - Kay-Anne Haykal
- Department of Family Medicine, Faculty of Medicine, University of Ottawa, 451 Ch. Smyth Rd. (2024), Ottawa, ON, K1H 8M5, Canada.
| |
Collapse
|
20
|
Awan S, Diwan MN, Aamir A, Allahuddin Z, Irfan M, Carano A, Vellante F, Ventriglio A, Fornaro M, Valchera A, Pettorruso M, Martinotti G, Di Giannantonio M, Ullah I, De Berardis D. Suicide in Healthcare Workers: Determinants, Challenges, and the Impact of COVID-19. Front Psychiatry 2021; 12:792925. [PMID: 35185638 PMCID: PMC8850721 DOI: 10.3389/fpsyt.2021.792925] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 12/21/2021] [Indexed: 12/16/2022] Open
Abstract
The Coronavirus disease-19 (COVID-19), which first appeared in Wuhan, China, and was later declared a pandemic, has caused significant morbidity and mortality worldwide. Numerous efforts have been made worldwide to understand the disease's physical manifestation. However, less emphasis has been placed on the pandemic's mental health challenges for healthcare workers (HCWs) who played a critical role in fighting the disease. Existing literature shows the detrimental psychological impact and increased incidence of depression and anxiety among HCWs. It is expected that the mental health crisis will become a serious issue affecting HCWs, with long-term negative consequences following COVID. Physicians and nurses already represent the highest risk groups of suicide among the general population, and suicide can be regarded as an occupational hazard in the healthcare industry. Increased workload, burnout and fatigue, multifaceted challenges women HCWs, and increased substance abuse are contributing factors to suicide ideation. In this article, we identify the risk factors of suicide among HCWs, discuss mental health challenges exacerbated by the pandemic and its impact on suicide ideation.
Collapse
Affiliation(s)
- Sana Awan
- Department of Internal Medicine, Dow Medical College, Karachi, Pakistan
| | | | - Alifiya Aamir
- Department of Internal Medicine, Dow Medical College, Karachi, Pakistan
| | - Zoha Allahuddin
- Department of Internal Medicine, Dow Medical College, Karachi, Pakistan
| | - Muhammad Irfan
- Department of Internal Medicine, Hayatabad Medical Complex, Peshawar, Pakistan
| | - Alessandro Carano
- Department of Mental Health, Azienda Sanitaria Unica Regionale 5 Marche, San Benedetto Del Tronto, Italy
| | - Federica Vellante
- Department of Mental Health, Mental Health Center of Ortona, Azienda Sanitaria Locale Chieti, Chieti, Italy
| | | | - Michele Fornaro
- Laboratory of Molecular and Translational Psychiatry, Unit of Treatment-Resistant Psychosis, Section of Psychiatry, University of Naples Federico II, Naples, Italy
| | - Alessandro Valchera
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti - Pescara, Chieti, Italy
| | - Mauro Pettorruso
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti - Pescara, Chieti, Italy
| | - Giovanni Martinotti
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti - Pescara, Chieti, Italy
| | - Massimo Di Giannantonio
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti - Pescara, Chieti, Italy
| | - Irfan Ullah
- Department of Internal Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Domenico De Berardis
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti - Pescara, Chieti, Italy.,Department of Mental Health, Psychiatric Service for Diagnosis and Treatment, Hospital "G. Mazzini", Teramo, Italy
| |
Collapse
|
21
|
Castro-Osorio R, Maldonado-Avendaño N, Cardona-Gómez P. Proposal for a Model of Suicidal Ideation in Medical Students in Colombia: A Simulation Study. REVISTA COLOMBIANA DE PSIQUIATRIA (ENGLISH ED.) 2020; 51:S0034-7450(20)30081-0. [PMID: 33735048 PMCID: PMC7947645 DOI: 10.1016/j.rcp.2020.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 09/09/2020] [Indexed: 11/24/2022]
Abstract
Suicidal behaviour is a global public health problem, and one population group with high prevalence rates is medical students, especially in the ideation component. Various models have tried to explain it, but there are few inferential studies in the Colombian population. The structural equation models used in controlled social sciences to explain this problem and their analytical power allow generalisations to be made with a certain degree of precision. These analyses require a large amount of data for robust estimation, which limits their usability when there are restrictions to access the data, as is the case today due to Covid-19, and a question that stands out in these models is the evaluation of the fit. Through a set of 1,200 simulated data, an appropriate model fit was found (x5242=1.732,300;p<0,001, CFI = 0.97, GFI = 0.97, TLI = 0.97, RMSEA = 0.04[0.042-0.046], SRMR = 0.06) for the predictors of depression and perceived burdensomeness, which were analysed using the JASP program. The role of thwarted belongingness is discussed, as well as the appropriateness of the assessment instrument used to evaluate it an considerations regarding suicidal ideation monitoring, evaluation and intervention in medical students.
Collapse
|
22
|
Naidoo T, Tomita A, Paruk S. Burnout, anxiety and depression risk in medical doctors working in KwaZulu-Natal Province, South Africa: Evidence from a multi-site study of resource-constrained government hospitals in a generalised HIV epidemic setting. PLoS One 2020; 15:e0239753. [PMID: 33052921 PMCID: PMC7556533 DOI: 10.1371/journal.pone.0239753] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 09/11/2020] [Indexed: 11/19/2022] Open
Abstract
Globally, burnout in medical doctors (MDs) is concerning, with higher rates reported in studies conducted in South Africa (SA). This psychological syndrome leads to serious health consequences, and jeopardises patient care. Despite this, there is no data pertaining to these potential adverse mental health outcomes in KwaZulu-Natal (KZN) Province, SA, where it is overshadowed by the fight against priorities such as HIV and AIDS/TB. This study therefore aimed to establish the nature and extent of burnout, anxiety and depressive symptoms and their associations among public sector MDs in KZN. A cross sectional study was conducted among MDs at five KZN public sector training hospitals to investigate their associations with practitioner (individual) and organisational factors using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), the Generalised Anxiety Disorder-7 (GAD-7) questionnaire and the Patient Health Questionnaire-9 (PHQ-9). Of the 150 participants, 88 (59.0%) screened positive for burnout, as indicated by high scores on the emotional exhaustion or depersonalisation subscales in the MBI-HSS. One fifth screened positive for anxiety (n = 30) and depressive symptoms (n = 32). Burnout was significantly associated with individual factors of anxiety (p<0.01) and depressive (p<0.01) symptoms based on adjusted logistic regression models. Organisational factors, such as lack of clinical supervisor support (p<0.01) and hospital resources (p<0.01), were significantly associated with burnout based on the bivariate analyses. Burnout, anxiety and depressive symptoms in MDs are highly prevalent and intertwined in resource constrained KZN public training hospitals. Addressing burnout at individual and organisational levels is important to mitigate its adverse effects.
Collapse
Affiliation(s)
- Thejini Naidoo
- Postgraduate Programme (Master of Medicine), Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Andrew Tomita
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Rural Health, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Saeeda Paruk
- Discipline of Psychiatry, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| |
Collapse
|
23
|
Muhamad Ramzi NSA, Deady M, Petrie K, Crawford J, Harvey SB. Help-seeking for depression among Australian doctors. Intern Med J 2020; 51:2069-2077. [PMID: 32833296 DOI: 10.1111/imj.15035] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 08/20/2020] [Accepted: 08/20/2020] [Indexed: 01/23/2023]
Abstract
BACKGROUND Depression is common among doctors. However, concerns remain that doctors are unlikely to ask for help when symptoms of depression arise. AIMS To determine rates and patterns of help-seeking for depression among doctors and to identify predictors of and barriers to such behaviour. METHODS A secondary analysis was conducted on a nation-wide survey of 12 252 Australian doctors. The study sample consisted of doctors who reported having ever felt seriously depressed (n = 4154; 33.9% of total sample). Rates of help-seeking, professional help-seeking behaviours and self-reported barriers were explored. Logistic regression was used to examine the association between professional help-seeking and predetermined predictive factors. RESULTS Sixty percent (95% confidence interval (CI): 58.5-61.5) of doctors who have ever felt seriously depressed reported some form of professional help-seeking for depression. The most common barrier to help-seeking was 'privacy/confidentiality'. Females (odds ratio (OR) = 1.74; 95% CI: 1.50-2.01; P < 0.001), locally trained doctors (OR = 1.34; 95% CI: 1.12-1.59; P = 0.001) and senior doctors (OR = 1.35; 95% CI: 1.14-1.61; P = 0.001) were more likely to seek professional help than their counterparts. Compared with general practitioners, psychiatrists (OR = 1.565; 95% CI: 1.15-2.13; P = 0.004) were more likely to seek professional help while surgeons (OR = 0.518; 95% CI: 0.37-0.72; P < 0.001) and pathologists/radiologists (OR = 0.695; 95% CI: 0.49-0.99; P = 0.043) were less likely. CONCLUSION While it is reassuring that the majority of depressed doctors were able to seek professional help, many were not. Major barriers to professional help-seeking, particularly concerns about confidentiality and impact on career, remain a problem. Male, overseas-trained, junior doctors, surgeons and pathologists/radiologists were less likely to seek help for depression. Targeted interventions are required to increase appropriate help-seeking for depression in doctors.
Collapse
Affiliation(s)
| | - Mark Deady
- Department of Medicine, Black Dog Institute, Sydney, New South Wales, Australia
| | - Katherine Petrie
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.,Department of Medicine, Black Dog Institute, Sydney, New South Wales, Australia
| | - Joanna Crawford
- Department of Medicine, Black Dog Institute, Sydney, New South Wales, Australia
| | - Samuel B Harvey
- Department of Medicine, Black Dog Institute, Sydney, New South Wales, Australia
| |
Collapse
|
24
|
Schmid M, Michaud L, Bovio N, Guseva Canu I. Prevalence of somatic and psychiatric morbidity across occupations in Switzerland and its correlation with suicide mortality: results from the Swiss National Cohort (1990-2014). BMC Psychiatry 2020; 20:324. [PMID: 32571249 PMCID: PMC7310107 DOI: 10.1186/s12888-020-02733-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2020] [Accepted: 06/12/2020] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Suicide is a major and complex public health problem. In Switzerland, suicide accounts for about 1000 deaths yearly and is the fourth leading cause of mortality. The first nationwide Swiss study of suicides identified eight male and four female occupations with statistically significant excess of suicide compared to the general Swiss population. Working time, self-employer status, low socio-economic status and low skill level required for occupation were associated with increase in suicide risk. Presently, we aim to compare the distribution of suicide risk across occupations with the prevalence of somatic and psychiatric morbidity in Swiss working-aged adults. We hypothesized that some diseases would cluster in particular occupations, indicating potential work-relatedness of suicides found in these occupations. METHODS We used the Swiss National Cohort (SNC) and included 10575 males and 2756 females deceased by suicide between 1990 and 2014. We estimated the prevalence of 16 categories of concomitant diseases in each occupation, using national mortality records, and assessed the homogeneity of diseases distribution across occupations. For diseases, which prevalence varied significantly across occupations, we analyzed the correlation with the distribution of suicide risk, estimated as the standardized mortality ratio (SMR) of suicide. RESULTS Mental and behavioral disorders were the most commonly reported concomitant diseases in our population. In men, the prevalence of these disorders and more specifically, the prevalence of substance-related and addictive disorders, and of psychotic disorders varied significantly across occupations and was correlated with the SMR of suicide. The prevalence of malignant neoplasms and the prevalence of diseases of the musculoskeletal system and connective tissue also varied significantly across male occupations, while in women, such a variation was observed for neoplasms of uncertain or unknown behavior and diseases of the nervous system and sense organs, without being correlated with the SMR of suicide. CONCLUSION Some of the identified morbidities can be occupation-related and could negatively affect the working capacity and the employability, which in turn could be related to the suicide. Disentangling concomitant diseases according to their work-relatedness and relationship with the suicide risk is important for identifying occupation-related suicides, understanding their characteristics, and developing appropriated interventions for their prevention.
Collapse
Affiliation(s)
- M. Schmid
- grid.9851.50000 0001 2165 4204Center for Primary Care and Public Health (Unisanté), University of Lausanne, Département Sante, Travail, Environnement (DSTE), Biopôle, Route de la Corniche, 2, 1066 Epalinges-Lausanne, Switzerland ,grid.150338.c0000 0001 0721 9812Geneva University Hospital, Geneva, Switzerland
| | - L. Michaud
- grid.8515.90000 0001 0423 4662Psychiatric Liaison Service, Lausanne University Hospital, Lausanne, Switzerland
| | - N. Bovio
- grid.9851.50000 0001 2165 4204Center for Primary Care and Public Health (Unisanté), University of Lausanne, Département Sante, Travail, Environnement (DSTE), Biopôle, Route de la Corniche, 2, 1066 Epalinges-Lausanne, Switzerland
| | - I. Guseva Canu
- grid.9851.50000 0001 2165 4204Center for Primary Care and Public Health (Unisanté), University of Lausanne, Département Sante, Travail, Environnement (DSTE), Biopôle, Route de la Corniche, 2, 1066 Epalinges-Lausanne, Switzerland
| | | |
Collapse
|
25
|
Fresán A, Yoldi-Negrete M, Robles-García R, Tovilla-Zárate CA, Suárez-Mendoza A. Professional Adversities and Protective Factors Associated with Suicidal Ideation in Mexican Psychiatrists. Arch Med Res 2020; 50:484-489. [PMID: 32018070 DOI: 10.1016/j.arcmed.2019.11.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 11/13/2019] [Accepted: 11/20/2019] [Indexed: 10/25/2022]
Abstract
BACKGROUND Psychiatrists may be at an increased risk of suicide, since they encounter stressful factors in their everyday activities in addition to the sociodemographic factors for suicidal ideation reported for Mexican population. AIM OF THE STUDY To determine whether experiences inherent to the profession were related to the self-report of suicidal ideation among Mexican psychiatrists or could be attributed to factors previously reported in the general population (age, marital status, presence of a mental disorder and not having received specialized treatment). METHODS This was a cross-sectional retrospective study with 288 psychiatrists from Mexico who participated through an online survey where current working activities, self-reported mental health conditions (major depression, anxiety, burnout and suicidal ideation) and professional adversities (assaults, lawsuits, patients with suicidal ideation or who had committed suicide, perceived discrimination and social support) throughout the professional lifespan were evaluated. RESULTS Twenty-two psychiatrists (7.6%) reported having had suicidal ideation at some point in their training in psychiatry or their professional lives as psychiatrists. Depression and burnout were the most important predictors for suicidal ideation while greater satisfaction with social support was the most important protector, followed by being married/living together and having other physicians in the family. CONCLUSIONS Psychiatrist represent a risk population for suicidal ideation. As such, detection and attention are essential. Psychiatrists need to be encouraged to pursue healthy, lasting interpersonal relationships and seek professional help when required.
Collapse
Affiliation(s)
- Ana Fresán
- Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico.
| | - María Yoldi-Negrete
- Consejo Nacional de Ciencia y Tecnología, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico
| | - Rebeca Robles-García
- Centro de Investigación en Salud Mental Global. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñíz, Ciudad de México, Mexico
| | - Carlos-Alfonso Tovilla-Zárate
- División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Ranchería Sur, Cuarta Sección, Comalcalco, Tabasco, Mexico
| | | |
Collapse
|
26
|
Rees CS, Craigie MA, Slatyer S, Crawford C, Bishop M, McPhee E, Hegney DG. Pilot study of the effectiveness of a Mindful Self‐Care and Resiliency program for rural doctors in Australia. Aust J Rural Health 2020; 28:22-31. [DOI: 10.1111/ajr.12570] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 07/28/2019] [Accepted: 08/13/2019] [Indexed: 12/01/2022] Open
Affiliation(s)
- Clare S. Rees
- School of Psychology Curtin University Perth WA Australia
| | - Mark A. Craigie
- School of Psychology Curtin University Perth WA Australia
- Private Practice Perth WA Australia
| | - Susan Slatyer
- Discipline of Nursing College of Science Health Engineering and Education Murdoch University Perth WA Australia
| | - Chris Crawford
- Health Medical and Applied Sciences CQUniversity Brisbane Qld Australia
| | | | - Ewen McPhee
- Australian College of Rural and Remote Medicine Brisbane Qld Australia
| | - Desley G. Hegney
- Research Division Central Queensland University Brisbane Qld Australia
- School of Nursing The University of Adelaide Adelaide SA Australia
| |
Collapse
|
27
|
Lindsay D, Brennan D, Lindsay D, Holmes C, Smyth W. Conceal or reveal? Patterns of self-disclosure of long-term conditions at work by health professionals in a large regional Australian health service. INTERNATIONAL JOURNAL OF WORKPLACE HEALTH MANAGEMENT 2019. [DOI: 10.1108/ijwhm-05-2018-0071] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe purpose of this paper is to describe the patterns of self-disclosure of long-term conditions at work by health professionals in a large regional health service. Recent research by the authors has reported on the self-reported long-term conditions of nursing, medical and allied health staff within a large regional hospital and health service in North Queensland, Australia. Data regarding self-disclosure of health information were gathered during those two previous studies, but has yet to be reported. This current study thus offers the opportunity to explore and describe patterns of self-disclosure by a multi-disciplinary cohort of health professionals within that regional health service.Design/methodology/approachThis current study was a component of two larger studies, reported elsewhere, which explored long-term conditions among health professional staff at a large regional health service in North Queensland, Australia. A cross-sectional survey design was used.FindingsDecision-making associated with self-disclosure of long-term conditions by health professional staff in the workplace is multifactorial, and affected by considerations of age, gender, workplace circumstances and nature of the health condition. It also differs according to professional grouping. The medical profession were less likely than nurses and allied health workers to disclose to their work colleagues. Respondents with a mental health condition were more cautious and selective in their disclosures, and alone in being more likely to disclose to their supervisor than to colleagues; they were also most likely to value the sympathy and understanding of their colleagues and managers.Research limitations/implicationsThis study was conducted across only one large regional health service; a fuller picture of patterns of self-disclosure of long-term conditions by health professional staff would be gained by expanding the number of sites to include metropolitan hospitals, smaller rural or remote health services and non-hospital settings.Practical implicationsHealthcare organizations need to develop support strategies and communication processes so that staff with one or more long-term condition, particularly those that have associated stigma, are empowered to disclose information to line managers and colleagues without fear of discrimination, ostracism, incivility or bullying.Originality/valueThere is a paucity of evidence about self-disclosure of long-term conditions by health professionals and this study therefore makes an important contribution to the extant literature. The findings raise important questions about the culture and dynamics of health care organizations in respect to the patterns of self-disclosure of health professional staff.
Collapse
|
28
|
Naidu K, Torline JR, Henry M, Thornton HB. Depressive symptoms and associated factors in medical interns at a tertiary hospital. S Afr J Psychiatr 2019; 25:1322. [PMID: 31308973 PMCID: PMC6620542 DOI: 10.4102/sajpsychiatry.v25i0.1322] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Accepted: 05/10/2019] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND It is known that medical doctors suffer from increased rates of depression with medical interns being most at risk. Despite this, little is known about the prevalence of depression in interns in South Africa. OBJECTIVES This study aimed to assess the prevalence of depressive symptoms in interns employed at Groote Schuur Hospital, a tertiary hospital in the Western Cape. METHOD The study was a cross-sectional study. All 91 interns were invited to participate in the study and consenting interns were required to complete a demographic and related questionnaire and the Beck Depression Inventory 2 (BDI-2). RESULTS Fifty-four (59.3%) of all invited interns participated in the study. Twenty-two interns (40.7%) reported a BDI-2 score of 14 or greater, indicating at least mild self-reported symptoms of depression. Features associated with a BDI-2 score of 14 or greater, included female gender, a previous diagnosis of depression, seeing a psychotherapist and previously being on antidepressant medication during internship. Other features also significantly associated with higher BDI-2 scores included suicidal ideation, thoughts of emigration, wanting to leave medicine and using substances to cope. The most significant associated feature of high BDI-2 scores was a subjective feeling of being 'burnt out'. CONCLUSION Interns had a higher prevalence of depressive symptoms when compared to the general population. The feeling of being 'burnt out' was the most significant factor associated with the severity of depressive symptoms. It is imperative that the mental health of both medical students and newly qualified doctors be prioritised, supported and monitored.
Collapse
Affiliation(s)
- Kaveshin Naidu
- Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | | | - Michelle Henry
- Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa
| | - Helena B. Thornton
- Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa
| |
Collapse
|
29
|
Affiliation(s)
- K Outhoff
- Faculty of Health Sciences, University of Pretoria, South Africa
| |
Collapse
|
30
|
Arnold M. Thesis, Antithesis, and Fallacious Synthesis: The Troublesome Dialectic of Professional Behavior and Its Regulation. THE AMERICAN JOURNAL OF BIOETHICS : AJOB 2019; 19:41-44. [PMID: 31307357 DOI: 10.1080/15265161.2018.1544312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
|