scholarly journals ‘The hardest job I’ve ever done’: a qualitative exploration of the factors affecting junior doctors’ mental health and well-being during medical training in Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine Petrie ◽  
Mark Deady ◽  
Deborah Lupton ◽  
Joanna Crawford ◽  
Katherine M. Boydell ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Training ◽  
Well Being ◽  
Poor Mental Health ◽  
Junior Doctors ◽  
Structured Interviews ◽  
Related Factors ◽  
Emotional Labour ◽  
Work Related ◽  
Health And Well Being

Abstract Background Medical practitioners can experience considerable stress and poor mental health during their careers, with doctors in training known to be particularly vulnerable. Previous research has documented work-related factors that may play a role in the mental health status of junior doctors. However, these and additional factors, need to be explored further by considering theory-driven, social, structural and contextual issues. This qualitative study aimed to explore the experiences of junior doctors working in Australian hospitals to identify factors that impact their mental health during medical training. Method Semi-structured interviews were conducted with 12 junior medical officers (JMOs) employed across six hospitals in Australia. Transcribed de-identified interviews were analysed thematically using a data-driven inductive approach. Results Four interrelated main themes were identified: i) professional hierarchies; ii) occupational stress; iii) emotional labour, and iv) taking distress home; which detail the complex affective, relational and professional experiences of JMOs. The accounts demonstrate how the social, professional and organisational dimensions of these experiences impact upon trainee’s well-being and mental health, both positively and negatively. Together, the findings document the dynamic, nuanced aspects of junior doctors’ experiences of medical training and practice and highlights the importance of relational connections and the workplace environment in shaping JMOs’ social and emotional well-being. Conclusion The current study adds to the understanding of how junior doctors navigate medical training in Australian hospitals and highlights the complexities of this experience, particularly the ways in which mental health and well-being are shaped by different elements. These findings have important implications to inform new strategies to improve JMO mental health and to leverage work and non-work contexts to better support JMOs during medical training.

scholarly journals The Impact of the Sars Cov-2 Pandemic on the Mental Health and Well-Being of Seniors in Social Care Facilities

2021 ◽  
Vol 12 (3) ◽  
pp. 104-110
Author(s):  
Z. Budayova ◽  
L. Ludvigh Cintulova
Keyword(s):  
Mental Health ◽  
Social Services ◽  
Research Study ◽  
Social Care ◽  
Well Being ◽  
Structured Interviews ◽  
Care Facilities ◽  
Open Coding ◽  
The Impact ◽  
Health And Well Being

The research study analyses the effects of the Covid-19 pandemic and identifies changes in the life satisfaction of seniors in social services facilities. The research sample consisted of 79 seniors in social services facilities, the sample consisted of ten participants, data collection took place in the period from November 2020 to April 2021, where the method of qualitative research was used in empirical research, through semi-structured interviews to determine the impact of Covid-19 on We collected the data collected by open coding and pointed to those dimensions of the lives of seniors that were most marked by pandemic measures against the spread of Covid-19.

scholarly journals Migration and Mental Health in the Aftermath of Disaster: Evidence from Mt. Merapi, Indonesia

2019 ◽  
Author(s):  
Jonathan A. Muir ◽  
Michael R. Cope ◽  
Leslie R. Angeningsih ◽  
Jorden Jackson ◽  
Ralph B. Brown
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Return Migration ◽  
Volcanic Eruptions ◽  
Well Being ◽  
Poor Mental Health ◽  
Mental Health Status ◽  
Factors Associated ◽  
Poor Mental Health Status ◽  
Health And Well Being

Migration is a standard survival strategy in the context of disasters. While prior studies have examined factors associated with return migration following disasters, an area that remains relatively under explored is whether moving home to one's original community results in improved health and well-being compared to other options such as deciding to move on. In the present study, we seek to address this gap in the literature through examining whether return migration, compared to other migration options, results in superior improvements to mental health. We draw upon data from a pilot study conducted 16 months after a series of volcanic eruptions in Merapi, Indonesia. Using ordinal logistic regression, we find that compared to respondents who were still displaced, respondents who had ``moved home'' were less likely to report poor mental health status (OR = 0.50 [95\% CI = 0.26, 0.95]). Likewise, respondents who had ``moved on'' were less likely to report poor mental health status (OR = 0.38 [95\% CI = 0.13, 1.04]). The results suggest that while moving home was an improvement from being displaced, it may have been better to move on, as this yielded superior associations with self-reported mental health.

scholarly journals Adolescent Social Media User Types and their Mental Health and Well-being: results from a longitudinal survey of 13–14-year-olds in the United Kingdom

2021 ◽  
Author(s):  
Lizzy Winstone ◽  
Becky Mars ◽  
CMA Haworth ◽  
Jon Heron ◽  
Judi Kidger
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Screen Time ◽  
Online Survey ◽  
Latent Class ◽  
Media Use ◽  
Well Being ◽  
Poor Mental Health ◽  
Social Media Use ◽  
Health And Well Being

Background There is mixed evidence as to the effects of different types of social media use on mental health, but previous research has been platform-specific and has focused on an oversimplified distinction between active and passive use. This study aimed to identify different underlying subgroups of adolescent social media user based on their pattern of social media activities and test associations between user type and future mental health. Methods Students from nineteen schools (N=2,456) in south-west England completed an online survey measuring thirteen social media activities and four psychosocial outcomes (past year self-harm, depression, anxiety and poor well-being) at age 13 years (October 2019) and repeated a year later (October 2020; aged 14 years). Latent class analysis using Mplus identified distinct classes of social media user. A bias-adjusted three-step model was used to test associations between class membership at baseline and mental health at follow-up. Analyses were adjusted for gender, ethnicity, sexual orientation, socio-economic status, disability, social media screen-time and baseline mental health.Results A four-class model of social media user at baseline was selected based on fit statistics and interpretability. User types were labelled High Communicators; Moderate Communicators; Broadcasters; and Minimal users. Broadcasters at age 13 had the poorest mental health outcomes at age 14, with mental health and well-being generally better in the two Communicator groups. Conclusions Findings suggest that adolescents with high levels of content sharing – in addition to socialising and browsing online – are most likely to be experiencing poor mental health a year later. Recommendations regarding social media use should move beyond screen-time to consider different user types, and mental health implications of their engagement with different online activities.

scholarly journals The impact on the mental health and well-being of unpaid carers affected by social distancing, self-isolation and shielding during the COVID 19 pandemic in England – a systematic review

2021 ◽  
Author(s):  
Tabo Akafekwa ◽  
Elizabeth Dalgarno ◽  
Arpana Verma
Keyword(s):  
Mental Health ◽  
At Risk ◽  
Well Being ◽  
Poor Mental Health ◽  
List Type ◽  
Digital Platforms ◽  
Health And Wellbeing ◽  
The People ◽  
The Impact ◽  
Health And Well Being

AbstractObjectiveThis study explores the impact of the COVID 19 lockdown measures on the mental health and well-being of unpaid carers, who make up the largest number of the carer population in England.Study designA systematic review research protocol was designed and used to conduct the review along with the Enhancing Transparency in Reporting the synthesis of Qualitative Research - ENTREQ statement [43]. Pre-determined inclusion and exclusion criteria were used. EndNote X9 reference management was used and the search process was represented using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram [76]. Appraisal of the included research was carried out using the Critical Appraisal Skills Programme (CASP) [57]. Line by line coding was done using inductive thematic synthesis and EPPI Reviewer 4 software [60].ResultsFour themes emerged; immediate worries or fears, adapting to change, post pandemic fears and use of technology.ConclusionThe measures put in place during the first lockdown period have had detrimental impacts on unpaid carers, putting them at greater risk of burnout. However, use of digital platforms could have a positive impact on well-being. Recommendations for further research are provided.What is new?Key findings?Discontinued or reduced access to activities and services during the first lockdown during the pandemic has had a negative impact on both people who require care and their carers.Carers prioritise the mental health and wellbeing needs of the people they care for over their own.Further qualitative research from different groups of carers would be useful to gain a deeper understanding of the impact of the COVID 19 pandemic measures on unpaid carers.Use of digital technology and digital platforms may be useful tools for carers both during the pandemic and after.What this adds to what is known?There have been very few qualitative studies on the impact of the COVID 19 pandemic on the mental health and wellbeing of unpaid carers, this review has synthesised their findings and will contribute to future research.Unpaid carers are known to be at risk of poor mental health and wellbeing outcomes, this review demonstrates that they are even more at risk due to the increased reliance on them during the pandemic.What is this implication and what should change?There is limited qualitative data available from a range of different groups of carers for example, spouse carers, parent carers, carers of people who have specific needs or conditions. Therefore, purposeful sample research to determine the needs of groups of carers during the COVID 19 pandemic could be valuable.Unpaid carers who do not have appropriate support are more at risk of poor mental health and wellbeing outcomes. During the pandemic services have had to adapt to the various rules implemented. Digital adaptations to the provision of support to both carers and the people they care for could be beneficial both during and after the pandemic.

scholarly journals Exposure to psychosocial risk factors in the context of work: a systematic review

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Cláudia Fernandes ◽  
Anabela Pereira
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Systematic Review ◽  
Psychosocial Factors ◽  
Well Being ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Sample Type ◽  
Related Factors ◽  
Health And Well Being

ABSTRACT OBJECTIVE To analyze the scientific literature about the effects of exposure to psychosocial risk factors in work contexts. METHODS A systematic review was performed using the terms “psychosocial factors” AND “COPSOQ” in the databases PubMed, Medline, and Scopus. The period analyzed was from January 1, 2004 to June 30, 2012. We have included articles that used the Copenhagen Psychosocial Questionnaire (COPSOQ) as a measuring instrument of the psychosocial factors and the presentation of quantitative or qualitative results. German articles, psychometric studies or studies that did not analyze individual or work factors were excluded. RESULTS We included 22 articles in the analysis. Individual factors, such as gender, age, and socioeconomic status, were analyzed along with work-related factors such as labor demands, work organization and content, social relationships and leadership, work-individual interface, workplace values, justice and respect, personality, health and well-being, and offensive behaviors. We analyzed the sample type and the applied experimental designs. Some population groups, such as young people and migrants, are more vulnerable. The deteriorated working psychosocial environment is associated with physical health indicators and weak mental health. This environment is also a risk factor for the development of moderate to severe clinical conditions, predicting absenteeism or intention of leaving the job. CONCLUSIONS The literature shows the contribution of exposure to psychosocial risk factors in work environments and their impact on mental health and well-being of workers. It allows the design of practical interventions in the work context to be based on scientific evidences. Investigations in specific populations, such as industry, and studies with more robust designs are lacking.

scholarly journals Mental health and well-being of fathers of children with intellectual disabilities: systematic review and meta-analysis

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Kirsty Dunn ◽  
Deborah Kinnear ◽  
Andrew Jahoda ◽  
Alex McConnachie
Keyword(s):  
Mental Health ◽  
General Population ◽  
Intellectual Disabilities ◽  
Meta Analysis ◽  
Well Being ◽  
Poor Mental Health ◽  
Exclusion Criteria ◽  
General Mental Health ◽  
Significant Difference ◽  
Health And Well Being

Background Caring for a child with intellectual disabilities can be a very rewarding but demanding experience. Research in this area has primarily focused on mothers, with relatively little attention given to the mental health of fathers. Aims The purpose of this review was to summarise the evidence related to the mental health of fathers compared with mothers, and with fathers in the general population. Method A meta-analysis was undertaken of all studies published by 1 July 2018 in Medline, PsycINFO, CINAHL and EMBASE, using terms on intellectual disabilities, mental health and father carers. Papers were selected based on pre-defined inclusion and exclusion criteria. Results Of 5544 results, 20 studies met the inclusion criteria and 12 had appropriate data for meta-analysis. For comparisons of fathers with mothers, mothers were significantly more likely to have poor general mental health and well-being (standardised mean difference (SMD) −0.38, 95% CI −0.56 to −0.20), as well as higher levels of depression (SMD, −0.46; 95% CI −0.68 to −0.24), stress (SMD, −0.32; 95% CI −0.46 to −0.19) and anxiety (SMD, −0.30; 95% CI −0.50 to −0.10). Conclusions There is a significant difference between the mental health of father and mother carers, with fathers less likely to exhibit poor mental health. However, this is based on a small number of studies. More data is needed to determine whether the general mental health and anxiety of father carers of a child with intellectual disabilities differs from fathers in the general population.

scholarly journals 18.M. Workshop: Institutional barriers and support influencing the health and well-being of LGBT individuals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Well Being ◽  
Poor Mental Health ◽  
Elevated Risk ◽  
Same Sex ◽  
Institutional Barriers ◽  
The World ◽  
Health And Well Being ◽  
Lgbt Individuals

Abstract Research studies from many parts of the world have demonstrated significantly elevated risk of poor mental health among lesbian, gay, bisexuals, and transgender (LGBT) individuals compared to cisgender and heterosexual individuals. A growing body of evidence suggests that the elevated risk of poor mental health among LGBT people can be partly attributed to greater exposure to stigma-related stress and institutional barriers, such as, limited access to adequate health care, discriminatory legislation (e.g., regarding recognition of same-sex unions), and limitations in open expression of identity. Today many governmental public health agencies call for policy and intervention programs addressing specific needs of LGBT individuals. Still, the public health consequences of discrimination towards LGBT individuals have only recently been a topic of investigation and current knowledge in the area is limited. This workshop will include presentations of studies on strategies to reduce healthcare inequalities including the barriers LGBT individuals face when they access care and give examples of how institutional support can be provided. Laetitia Zeeman and Nigel Sherriff from University of Brighton, will present results from a European Union funded pilot project. Dr Corina Lelutiu-Weinberger from Rutgers University will present results from a study of the influence of gender affirmation and discrimination on transgender individuals mental health in a large US sample. Next, Daniel Hagen from New York University will present data analysing the protective effects of legal same-sex unions on the mental health of lesbian and gay couples. Lovro Markovic will present a study of predictors of being open with an LGBT identity in the workplace among employees in Austria. Key messages Although encouraging promising practices to reduce LGBT healthcare inequalities have been initiated in many parts of the world, much remains to be done to ensure equal access to care for all. Barriers to social integration in the form of discriminatory marriage legislation and work-place discrimination can have a negatively influence on LGBT individual's health and well-being.

scholarly journals Hope under the shadow of fear and uncertainty : Resilience factors among working adolescents

2021 ◽  
Author(s):  
Mohammad Ali Cheraghi ◽  
Fatemeh Khoshnavay Fomani ◽  
Abbas Ebadi ◽  
Deirdre Gartland ◽  
Yahya Ghaedi
Keyword(s):  
Well Being ◽  
Structured Interviews ◽  
School Factors ◽  
Related Factors ◽  
Community Factors ◽  
The Family ◽  
Resilience Factors ◽  
One Year ◽  
Purposive Sample ◽  
Health And Well Being

Background & Aim: Working adolescents need to cope with extreme situations they face, and it is important to identify what factors influence their resilience to better support their health and well-being. The purpose of this study was to explore resilience in working adolescents. Methods & Materials: The directed content analysis approach based on the ecologicaltransactional resilience model was employed across five domains of resilience (Self, Family, Peers, School, and Community). Semi-structured interviews with a purposive sample of working adolescents were conducted. Inclusion criteria were being 12-18 years of age, Persian speaker, and direct experience of being forced to work for at least one year. Hsieh & Shannon (2005) instruction was used for data analysis. Results: 17 participants were interviewed, 59% were male, 88% immigrants, and 41% had started working by age 6. Adolescents reported experience of significant adversity. A dichotomic range of resilience-related factors was identified within five domains, embedded with distinct themes. There was evidence of self-care, patience, empathy, and emotional insight within extremely difficult life circumstances. Peers and schools were identified as supporting resilience. Very few Family or Community resilience factors were identified; instead, adolescents reported hurt, alienation, and voicelessness within the family; and fear and insecurity in the community. Conclusion: Working adolescents in this study revealed some dichotomic strengths and vulnerabilities. Individual, peer, and school factors were more evident than family and community factors in fostering resilience among working adolescents.

scholarly journals Correction: Work-Related and Personal Factors Associated With Mental Well-Being During the COVID-19 Response: Survey of Health Care and Other Workers (Preprint)

2021 ◽  
Author(s):  
Bradley A Evanoff ◽  
Jaime R Strickland ◽  
Ann Marie Dale ◽  
Lisa Hayibor ◽  
Emily Page ◽  
...  
Keyword(s):  
Mental Health ◽  
Prevalence Ratio ◽  
Well Being ◽  
Clinical Settings ◽  
Personal Factors ◽  
Clinical Exposure ◽  
Factors Associated ◽  
Work Related ◽  
Anxiety Depression ◽  
Health And Well Being

BACKGROUND The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19). Objective: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being. Methods: All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors. Results: There were 5550 respondents (overall response rate of 34.3%). Overall, 38% of faculty and 14% of staff (n=915) were providing clinical care, while 57% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors. Conclusions: Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers.

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