Prevalence of and Associations With Distress and Professional Burnout Among Otolaryngologists: Part II, Attending Physicians

2020 ◽  
pp. 019459982095927
Author(s):  
Matthew L. Carlson ◽  
David P. Larson ◽  
Erin K. O’Brien ◽  
Christine M. Lohse ◽  
Matthew L. Kircher ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Generalized Anxiety ◽  
Professional Burnout ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hours Worked ◽  
Attending Physicians

Objective To ascertain the prevalence of and associations with distress and professional burnout among academic otolaryngology attending physicians. Study Design Cross-sectional survey. Setting Twelve US academic otolaryngology programs. Methods A questionnaire was administered that encompassed sociodemographic and professional features, the Expanded Physician Well-being Index for distress, the 2-item Maslach Burnout Inventory for professional burnout, the Patient Health Questionnaire–2 screen for major depressive disorder, and the Generalized Anxiety Disorder–2 screen for generalized anxiety disorder. Results The survey response rate was 56% and included 186 attending physicians. The average respondent age was 47 years; 72% were men; 93% were married or partnered; and 86% had children. Distress was present in 40%, professional burnout in 26%, positive depression screening in 8%, and positive anxiety screening in 11%. In a univariable setting, age, hours worked in a typical week, nights on call in a typical week, and years of practice were significantly associated with distress, although in a multivariable setting, only hours worked in a typical week remained significantly associated with a positive Expanded Physician Well-being Index screen (odds ratio for each 10-hour increase, 2.61; 95% CI, 1.73-3.93; P < .001). In a univariable setting, hours worked in a typical week was significantly associated with a positive Maslach Burnout Inventory screen. Conclusion Distress or professional burnout occurs in more than a quarter of academic otolaryngology attending physicians, whereas the prevalence of depression or anxiety is approximately 10%. The number of hours worked per week had the strongest association with distress and burnout. These findings may be used to develop and implement programs to promote physician well-being and mitigate professional burnout.

Mental health impact of COVID-19 pandemic among physicians, nurses, and other healthcare providers, in the province of Alberta (Preprint)

2021 ◽  
Author(s):  
Hany ElGindi ◽  
Reham Shalaby ◽  
April Gusnowski ◽  
Wesley Vuong ◽  
Shireen Surood ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
High Stress ◽  
Well Being ◽  
Self Report ◽  
Generalized Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND During the COVID-19 pandemic, threats to mental health, psychological safety, and well-being are evident, particularly among the first responders and the healthcare staff. OBJECTIVE This study aimed to examine the prevalence and the potential predictors of the likely stress, generalized anxiety disorder, and major depressive disorder among healthcare workers (HCW). METHODS A cross-sectional survey was used through a survey link sent to gather demographic information and responses on several self-report scales, including the Perceived Stress Scale (PSS), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire-9 (PHQ-9) among the various HCW groupings who subscribed to the Text4Hope program. RESULTS This study revealed that the HCW expressed an estimated high prevalence of moderate/high stress rates 840 (81.2%), while the likelihood of moderate/severe anxiety and depressive symptoms were 369 (38.6%), and 317 (32.7%), respectively, during COVID-19 pandemic. Nurses and other HCW were significantly more likely to report depressive symptoms, compared to physicians, (F (2, 159.47) =15.89, 95% CI= (-5.05) -(-2.04). Younger age groups of HCW (≤30 y) were more prone to report likely stress, anxiety, and depressive symptoms, compared to HCW 41-50y and >50y (Odd’s ratio range: 1.82- 3.03). Similarly, females and those who reported a lack of social support (separated/divorced and single) among HCW, had a higher likelihood to report likely stress and depressive symptoms, respectively (OR=1.8 and 1.6). CONCLUSIONS This cross-sectional study revealed the significant impact of COVID-19 pandemic on mental health and indicated significant vulnerability among groups of HCW in Alberta. CLINICALTRIAL Ethical approval for this research was obtained through the University of Alberta Health Research Ethics Board (Pro00086163).

scholarly journals Burden and factors associated with Generalized Anxiety Disorder symptoms among the Pakistani population during the Corona-virus disease 2019

2021 ◽  
Author(s):  
Maryam Pyar Ali Lakhdir ◽  
Apsara Ali Nathwani ◽  
Ghazal Peerwani ◽  
Syed Iqbal Azam ◽  
Romaina Iqbal ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Perceived Stress ◽  
Virus Disease ◽  
Well Being ◽  
Generalized Anxiety ◽  
Cross Sectional Survey ◽  
Pakistani Population ◽  
Factors Associated ◽  
First Case

Abstract Background Psychological impact of the COVID 19 pandemic has been expected and widely predicted, but its associated factors are not measured predominantly in low- and middle-income countries. This study aims to determine the burden and factors associated with generalized-anxiety-disorder in the Pakistani population amidst the COVID 19 pandemic Methods We conducted a web-based cross-sectional survey on 1679 Pakistani residents who had access to the study questionnaire broadcasted via the Google form. Generalized-anxiety-disorder was screened through a validated tool of the Generalized-Anxiety-Disorder 7 scale. Multiple Ordinal Regression was used to identify the factors associated generalized anxiety disorder and the results were reported as adjusted odds ratios with 95% confidence intervals. Results Most of the participants (70.8%; n = 1189) were screened positive for generalized-anxiety-disorder, out of which moderate and severe symptoms were seen in 22% (n = 365) and 18% (n = 301) of them, respectively. The mean score for generalized-anxiety was 8.57(SD = ± 5.88). A significant interaction was seen between gender and perceived stress, indicating that females with high perceived stress had 30 times greater odds of generalized-anxiety as compared to females with low perceived stress (95% CI: 20.02, 44.46). Additionally, during the complete down, the odds of generalized-anxiety among respondents who frequently watched news were 1.72(95% CI: 1.06, 2.77) times compared to participants who rarely watched the news. Furthermore, participant’s current psychiatric illness, anxiousness about uncertainty, fear of getting infected from COVID, fear of loved one getting infected from COVID 19, worrying when the first case of COVID 19 was reported, indulgence in recreational activities, and current health status were found to be significantly associated with generalized-anxiety. Conclusion Study findings indicate an alarming increase in generalized anxiety adversely affecting the psychological well-being of respondents. Immediate interventions for offering psychological support need to be implemented to curtail the rapidly increasing morbidity due to anxiety related to the pandemic.

scholarly journals Generalized Anxiety Disorder and Associated Factors among Indian Pediatricians during the Coronavirus Disease 2019 Outbreak: A Web- based Cross-sectional Survey

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Srivastava Geetika ◽  
Nanda Chhavi ◽  
Shamsi Sumaiya ◽  
Goel Amit ◽  
Bhatnagar Shrish
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Categorical Variables ◽  
Generalized Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Survey Tool

Background: Healthcare workers (HCW) are at risk of developing anxiety and other mental health symptoms while rendering health services during Coronavirus Disease 2019 (COVID 19) pandemic. Current study is probably first of its kind to quantify the anxiety levels among pediatricians along with its potential risk factors. Aim : The aim of the study was to find the prevalence of anxiety using the generalized anxiety disorder (GAD-7) score among pediatricians during COVID-19 pandemic. Design This was a cross-sectional web-based survey. Materials and Methods: Data were collected from 702 pediatricians over a period of 10 days using online Electronic “Survey Monkey” questionnaire as the survey tool. Statistical Analysis Categorical variables are expressed as ratios and proportions. Numerical variables are expressed as median (range). Analysis was performed using non-parametric tests as applicable. Results: 702 pediatricians responded to the survey. Mean GAD score was 8.48 ± 5.64 and prevalence of anxiety was 72.65%. Significant anxiety was seen in 281 (40.03%). Mean GAD score was significantly high in female gender, age between 25 and 40 years, married pediatricians and among front line workers. Conclusions: This study is first of its kind from India assessing anxiety among pediatricians reflecting mental health among HCW. Female pediatricians and pediatricians who are married are at risk of having significant anxiety. We recommend formation of social support circles to maintain optimal mental health of all HCW.

Prevalence of and Associations With Distress and Professional Burnout Among Otolaryngologists: Part I, Trainees

2020 ◽  
pp. 019459982095927
Author(s):  
David P. Larson ◽  
Matthew L. Carlson ◽  
Christine M. Lohse ◽  
Erin K. O’Brien ◽  
Matthew L. Kircher ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Odds Ratio ◽  
Depressive Disorders ◽  
Multivariable Analysis ◽  
Maslach Burnout Inventory ◽  
Female Gender ◽  
Well Being ◽  
Work Place ◽  
Professional Burnout ◽  
Attending Physicians

Objective To assess the prevalence of distress and burnout in otolaryngology trainees, including associations with relevant sociodemographic and professional factors, and to compare these results with those of attending otolaryngologists. Study Design A cross-sectional survey of trainees and attending physicians. Setting Twelve academic otolaryngology programs. Methods Distress and burnout were measured with the Expanded Physician Well-being Index and the 2-item Maslach Burnout Inventory. The Patient Health Questionnaire–2 and Generalized Anxiety Disorder–2 were used to screen for depressive disorders and anxiety disorders, respectively. Associations with sociodemographic and professional characteristics were assessed. Results Of the 613 surveys administered to trainees and attending physicians, 340 were completed (56%). Among 154 trainees, distress was present in 49%, professional burnout in 35%, positive depressive disorder screening in 5%, and positive anxiety disorder screening in 16%. In univariable analysis, female gender, hours worked in a typical week (HW), and nights on call in a typical week (NOC) were significantly associated with distress. In multivariable analysis, female gender (odds ratio, 3.91; P = .001) and HW (odds ratio for each 10 HW, 1.89; P = .003) remained significantly associated with distress. Female gender, HW, and NOC were significantly associated with burnout univariably, although only HW (odds ratio for each 10 HW, 1.92; P = .003) remained significantly associated with burnout in a multivariable setting. Attending physicians had less distress than trainees ( P = .02) and felt less callous and less emotionally hardened than trainees ( P < .001). Conclusion Otolaryngology trainees experience significant work-place distress (49%) and burnout (35%). Gender, HW, and NOC had the strongest associations with distress and burnout.

Psychometric Properties of the Spontaneous and Deliberate Mind Wandering Scales

2019 ◽  
Vol 35 (6) ◽  
pp. 878-890 ◽  
Author(s):  
David Marcusson-Clavertz ◽  
Oscar N. E. Kjell
Keyword(s):  
Anxiety Disorder ◽  
Psychometric Properties ◽  
Generalized Anxiety Disorder ◽  
Social Desirability ◽  
Cognitive Task ◽  
Experience Sampling ◽  
Well Being ◽  
Mind Wandering ◽  
Generalized Anxiety ◽  
Psychological Variables

Abstract. Thinking about task-unrelated matters (mind wandering) is related to cognition and well-being. However, the relations between mind wandering and other psychological variables may depend on whether the former commence spontaneously or deliberately. The current two studies investigated the psychometric properties of the Spontaneous and Deliberate Mind Wandering Scales (SDMWS; Carriere, Seli, & Smilek, 2013 ). Study 1 evaluated the stability of the scales over 2 weeks ( N = 284 at Time 1), whereas Study 2 ( N = 323) evaluated their relations to Generalized anxiety disorder symptoms, Openness, Social desirability, and experience-sampling reports of intentional and unintentional mind wandering during an online cognitive task. The results indicated that the SDMWS were better fitted with a two-factor than a one-factor solution, although the fit was improved with the exclusion of one item. The scales exhibited strong measurement invariance across gender and time, and moderately high test-retest reliability. Spontaneous mind wandering predicted Generalized anxiety disorder and experience-sampling reports of unintentional mind wandering, whereas Deliberate mind wandering predicted Openness and experience-sampling reports of intentional mind wandering. Furthermore, Spontaneous mind wandering showed a negative association with social desirability of weak-to-medium strength. In sum, the scales generally showed favorable psychometric properties.

scholarly journals Are Different Forms of Repetitive Negative Thinking Associated With Interpretation Bias in Generalized Anxiety Disorder and Depression?

2019 ◽  
Vol 7 (5) ◽  
pp. 969-981 ◽  
Author(s):  
Charlotte Krahé ◽  
Jessica Whyte ◽  
Livia Bridge ◽  
Sofia Loizou ◽  
Colette R. Hirsch
Keyword(s):  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Cognitive Processing ◽  
Cross Sectional Study ◽  
Interpretation Bias ◽  
Generalized Anxiety ◽  
Repetitive Negative Thinking ◽  
Cross Sectional ◽  
Negative Thinking ◽  
Negative Thought

Worry and rumination, two forms of repetitive negative thinking (RNT), are prevalent in generalized anxiety disorder (GAD) and depression. Cognitive processing biases, especially the tendency to draw negative conclusions from ambiguous information (interpretation bias), may maintain worry and rumination. Yet the relationship between interpretation bias and both forms of RNT has not been explored in clinical versus nonclinical samples. In this cross-sectional study, participants with GAD ( n = 72), depression ( n = 79), or neither disorder ( n = 71) completed two tasks assessing interpretation bias, measures of worry and rumination, and reported negative thought intrusions during a behavioral task. Interpretation bias was associated with higher levels of worry, rumination, and negative thought intrusions. Both clinical groups generated significantly more negative interpretations than healthy comparison participants. These findings link interpretation bias to worry and rumination and establish the need for research investigating the causal role of interpretation bias in maintaining RNT.

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