Burnout, depression and anxiety in preclinical medical students: a cross-sectional survey

2015 ◽  
Vol 29 (3) ◽  
Author(s):  
Lennard T. van Venrooij ◽  
Pieter C. Barnhoorn ◽  
Erik J. Giltay ◽  
Martijn S. van Noorden
Keyword(s):  
Medical Students ◽  
Medical Center ◽  
Maslach Burnout Inventory ◽  
Self Report ◽  
Depression And Anxiety ◽  
Affective States ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Need For Recovery ◽  
Preclinical Medical Students

Abstract Objective: The purpose of this study was to assess the prevalences and correlates of adverse affective states (burnout-, depression- and anxiety-related symptoms) among preclinical medical students. Methods: Self-report questionnaires were sent to all preclinical medical students of Leiden University Medical Center (n=1311). Burnout-related symptoms were measured using the Maslach Burnout Inventory-General Survey (MBI-GS), depression and anxiety-related symptoms and vitality using the Symptom Questionnaire-48 (SQ-48). Furthermore, duration of sleep, quality of life (SF-36), need for recovery, happiness and dispositional optimism were assessed and analysed in relation to affective symptoms using regression analysis. Results: Among the 433 responders (response rate=33.0%), prevalences of self-reported burnout-, depression- and anxiety-related symptoms were 46.0% (n=199), 27.0% (n=117) and 29.1% (n=126), respectively. Independent correlates for burnout-related symptoms were <6 h sleep per night (p=0.02), low happiness (p<0.001) and a high need for recovery (p<0.001). Independent correlates for both depression- and anxiety-related symptoms were low optimism (p<0.001; p<0.001, respectively), low happiness (p<0.001; p=0.001, respectively) and a high need for recovery (p=0.03; p<0.001, respectively). Conclusion: Prevalences for adverse affective states were high among preclinical medical students and mainly associated with personality trait-related factors and need for recovery, rather than work-related factors. These findings suggest that being a medical student increases one’s risk to adverse affective states, and should inspire preventative initiatives.

scholarly journals A Qualitative Identification of Gaps in Understanding About Brain Death Among Trainees, Health Care Personnel and Families at an Academic Medical Center

2020 ◽  
Vol 10 (4) ◽  
pp. 266-271
Author(s):  
Patrick M. Chen ◽  
Jamie Nicole LaBuzetta
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Brain Death ◽  
Medical Center ◽  
Academic Medical Center ◽  
Health Care Personnel ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Families

Background and Purpose: Death by whole brain criteria (brain death) is a clinical diagnosis. We sought to identify aspects of brain death that were unclear to both health care personnel and patient families. Methods: Institutional review board approved cross-sectional survey study of attendings, medical trainees (residents and fellows), senior medical students, advanced practice providers (APPs), and critical care nursing (registered nurses [RNs]) at a tertiary referral center over 6 months (March 2018 to September 2018). Surveys were completed on paper or electronically. Participants supplied the top 3 of (1) their own personal questions regarding brain death and (2) questions received from patient families about brain death from a prepared list of questions. Results: Two hundred twenty-nine individuals participated in the survey, with a response rate of 46%. Participation rates in brain death declaration among attendings (92%), RNs (84%), APPs (100%), and trainees of which included fellows (92%) and residents (85%) were high. Most frequently asked questions by trainees and health care personnel were “What are brain death mimics?” and “What is the gold standard testing?”. Questions received from patient families most commonly include “What is brain death?” and “Is brain death reversible?”. All medical students had questions about brain death. Greater than 75% of attendings endorsed having questions regarding brain death. Conclusion: Many health care personnel are involved with brain death declaration, but there are gaps in their understanding about fundamentals regarding brain death. We identify a need for early and targeted brain death education regarding brain death and family communication for various members of the health care profession.

Cross Sectional study of sleep quality among young undergraduate Medical Rehabilitation and Applied medical students with stress. (Preprint)

2021 ◽  
Author(s):  
Abdullah Al-Shenqiti
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
General Health ◽  
General Health Questionnaire ◽  
Total Sample ◽  
Self Report ◽  
Medical Rehabilitation ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND Most of the Medical Rehabilitation and Applied medical students got disturbed sleep due to academic activities and clinical demands. In our study the relationship between the psychological stress and sleep quality could be useful to organize the mental health program in medical rehabilitation and applied medical colleges. OBJECTIVE The main goal is to evaluate and compare the sleep quality in medical students in various phases of their medical course in order to prevent the effect of stress during their study period. METHODS The effect of stress on sleep quality a cross sectional questionnaire-based study on 300 Medical Rehabilitation and applied medical students, were invited to participate from Taibah University. Among which 271 completed the forms fully irrespective of year of study. The instruments were self-report Pittsburg Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ12) and Depression and anxiety scale were used in data collection. The results obtained from the instrument components were analyzed for the total sample including the male and female students. RESULTS 271 completed the forms and the results shown about the current study was 52.05% of the students have sleep quality fairly bad. In further, there was relationship between sleep quality, general health status of students and depression - anxiety status i.e., significant difference in coefficient correlation r = 0.532, p = 0.0001(p<=0.05). CONCLUSIONS In our study we concluded that most of the Medical Rehabilitation and Applied medical students seem to be more exposed to poor quality of sleep disturbance. Which act as a barrier in examination performance Active interventions should be implemented to improve sleep hygiene, reduce depression and anxiety in medical Rehabilitation and applied medical students.

Cross Sectional study of sleep quality among young undergraduate Medical Rehabilitation and Applied medical students with stress. (Preprint)

2021 ◽  
Author(s):  
Abdullah Al-Shenqiti
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
General Health ◽  
General Health Questionnaire ◽  
Total Sample ◽  
Self Report ◽  
Medical Rehabilitation ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND Most of the Medical Rehabilitation and Applied medical students got disturbed sleep due to academic activities and clinical demands. In our study the relationship between the psychological stress and sleep quality could be useful to organize the mental health program in medical rehabilitation and applied medical colleges. OBJECTIVE The main goal is to evaluate and compare the sleep quality in medical students in various phases of their medical course in order to prevent the effect of stress during their study period. METHODS The effect of stress on sleep quality a cross sectional questionnaire-based study on 300 Medical Rehabilitation and applied medical students, were invited to participate from Taibah University. Among which 271 completed the forms fully irrespective of year of study. The instruments were self-report Pittsburg Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ12) and Depression and anxiety scale were used in data collection. The results obtained from the instrument components were analyzed for the total sample including the male and female students. RESULTS 271 completed the forms and the results shown about the current study was 52.05% of the students have sleep quality fairly bad. In further, there was relationship between sleep quality, general health status of students and depression - anxiety status i.e., significant difference in coefficient correlation r = 0.532, p = 0.0001(p<=0.05). CONCLUSIONS In our study we concluded that most of the Medical Rehabilitation and Applied medical students seem to be more exposed to poor quality of sleep disturbance. Which act as a barrier in examination performance Active interventions should be implemented to improve sleep hygiene, reduce depression and anxiety in medical Rehabilitation and applied medical students.

Cross Sectional study of sleep quality among young undergraduate Medical Rehabilitation and Applied medical students with stress. (Preprint)

2021 ◽  
Author(s):  
Abdullah Al-Shenqiti
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
General Health ◽  
General Health Questionnaire ◽  
Total Sample ◽  
Self Report ◽  
Medical Rehabilitation ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Significant Difference

BACKGROUND Most of the Medical Rehabilitation and Applied medical students got disturbed sleep due to academic activities and clinical demands. In our study the relationship between the psychological stress and sleep quality could be useful to organize the mental health program in medical rehabilitation and applied medical colleges. OBJECTIVE The main goal is to evaluate and compare the sleep quality in medical students in various phases of their medical course in order to prevent the effect of stress during their study period. METHODS The effect of stress on sleep quality a cross sectional questionnaire-based study on 300 Medical Rehabilitation and applied medical students, were invited to participate from Taibah University. Among which 271 completed the forms fully irrespective of year of study. The instruments were self-report Pittsburg Sleep Quality Index (PSQI), the General Health Questionnaire (GHQ12) and Depression and anxiety scale were used in data collection. The results obtained from the instrument components were analyzed for the total sample including the male and female students. RESULTS 271 completed the forms and the results shown about the current study was 52.05% of the students have sleep quality fairly bad. In further, there was relationship between sleep quality, general health status of students and depression - anxiety status i.e., significant difference in coefficient correlation r = 0.532, p = 0.0001(p<=0.05). CONCLUSIONS In our study we concluded that most of the Medical Rehabilitation and Applied medical students seem to be more exposed to poor quality of sleep disturbance. Which act as a barrier in examination performance Active interventions should be implemented to improve sleep hygiene, reduce depression and anxiety in medical Rehabilitation and applied medical students.

scholarly journals Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

2015 ◽  
Vol 28 (6) ◽  
pp. 715 ◽  
Author(s):  
Diogo Telles-Correia ◽  
João Gama Marques ◽  
João Gramaça ◽  
Daniel Sampaio
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical School ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Self Report ◽  
Psychiatric Education ◽  
Cross Sectional Survey ◽  
Community Attitudes ◽  
The Impact

<p><strong>Introduction:</strong> This study aims to assess the impact of psychiatric education on attitudes of medical students towards psychiatric patients.<br /><strong>Material and Methods:</strong> A cross-sectional survey of medical students was conducted at the biggest Portuguese medical school. The students completed an anonymous self-report questionnaire, including sociodemographic data, family history of psychiatric illness, and the Community Attitudes toward the Mentally Ill scale.<br /><strong>Results:</strong> Of the 2 178 students, 398 answered the survey, representing 18.2% of the whole medical school. There was a significant improvement in all Community Attitudes toward the Mentally Ill scale dimensions along the medical course. The higher scores were in Restrictiveness subscale (38.01), and the lower scores were for Authoritarianism (36.13). The best improvement along the course was for Authoritarianism (5th year score - 1st year score = 2.03), and the worse was for Benevolence (5th year score - 1st year score = 0.39). The biggest improvement, in all scores, was found at the end of the 3rd year.<br /><strong>Discussion: </strong>The authors propose that the better attitudes found on third year students were due to a very specific anti-stigma module on the theoretical discipline ‘Introduction to Mental Health’. After that, this positive effect was lost, with fourth and fifth year medical students showing a worsening of their attitudes.<br /><strong>Conclusion:</strong> Our results highlight the importance of anti-stigma specific education modules in order to improve students’ attitudes toward mental health. Thus more anti-stigma preventive measures can be taken onward, on preparing the best way possible, the next generation of doctors.</p>

scholarly journals Continuing professional development: Awareness, attitude, facilitators, and barriers among nurses in the Philippines

2020 ◽  
Author(s):  
Julie Anne Faye Sobrepeña Palma ◽  
Ryan Michael Flores Oducado ◽  
Bonna Sobrepeña Palma
Keyword(s):  
Professional Development ◽  
Survey Design ◽  
Continuing Professional Development ◽  
The Philippines ◽  
Self Report ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Facilitators And Barriers ◽  
Self Report Data

Background & Aim: Mandatory Continuing Professional Development (CPD) remains to be an issue among nurses. The relatively new implementation of the CPD Act in the Philippines has led to varying perceptions and oppositions that warrant exploration. This study aimed to determine the awareness, attitude, facilitators, and barriers to CPD among hospital nurses in the Philippines. Methods & Materials: This study employed a descriptive, cross-sectional survey design with 237 randomly selected nurses in tertiary hospitals in Iloilo City, Philippines. Self-administered instruments were used to gather self-report data. Data were analyzed using descriptive statistics, ttest, ANOVA, and Pearson’s r. Results: Results indicated that nurses were moderately aware of the CPD law (M=2.31; SD=.31), were positive about the importance of CPD (M=3.91; SD=.72) but were ambivalent toward CPD implementation (M=5.98; SD=2.01). Attitude toward CPD importance significantly differed (p=.000) across age group. Awareness of CPD law (p=.000) and attitude toward the importance of CPD (p=.000) were significantly related to their attitude toward the implementation of CPD. Awareness that CPD is a requirement for license renewal (90.7%), knowledge that it can help improve skills at work (78.9%), and sponsorship from the organization (62%) were considered the major facilitators while cost (98.75%), not available to all staff (61.6%), and time-related factors (60.3%) were the major barriers to CPD participation. Conclusion: Along with current efforts to strengthen CPD in the country, it is hoped that identification of knowledge gaps and addressing the barriers may lead to better understanding, acceptance, and participation of nurses to mandatory CPD.

scholarly journals Impact of the COVID-19 pandemic on mental health of nursing students in Japan: protocol for a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055916
Author(s):  
Jun Kako ◽  
Yoshiyasu Ito ◽  
Kohei Kajiwara ◽  
Yasutaka Kimura ◽  
Takahiro Kakeda ◽  
...  
Keyword(s):  
Mental Health ◽  
Nursing Students ◽  
Large Scale ◽  
Statistical Significance ◽  
Self Report ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Related Factors ◽  
Cross Sectional ◽  
The Impact

IntroductionThe COVID-19 pandemic is spreading globally with a high risk of mortality. It is also significantly affecting mental health. For nursing students, the impact of COVID-19 on mental health is predicted to be significant; however, sufficient data have not been obtained. Therefore, this study will aim to assess the mental health of nursing students and evaluate the related factors.Methods and analysisThis proposed study is a cross-sectional survey using a self-report questionnaire. An online questionnaire will be distributed among all nursing students of eight universities in Japan. The survey questionnaire will consist of questions related to demography, life satisfaction, fear of COVID-19, mental health and physical activities. The target sample size is 1300 nursing students. We will calculate descriptive statistics for each measurement item and perform univariate and logistic regression analyses to evaluate the potential risk factors for anxiety, depression and insomnia symptoms in nursing students. The strength of association will be assessed using the OR and its 95% CIs. Statistical significance will be set at a p<0.05.Ethics and disseminationThe protocol was approved by the Institutional Review Board (IRB) of the University of Hyogo on 22 March 2021 (ID: 2020F29). In addition, all of the participating facilities required ethical approval from their local IRBs. The findings will be disseminated through peer-reviewed publications and conference presentations. We believe that the proposed large-scale investigation of the mental health of nursing students during the COVID-19 pandemic and the relationship between mental health and fear of COVID-19 are novel and will be a strength of this study.

Musculoskeletal Pain and Injury in Professional Orchestral Musicians in Australia

2012 ◽  
Vol 27 (4) ◽  
pp. 181-187 ◽  
Author(s):  
Bronwen Ackermann ◽  
Tim Driscoll ◽  
Dianna T Kenny
Keyword(s):  
Upper Limb ◽  
Self Report ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related ◽  
Experienced Pain ◽  
And Performance ◽  
Orchestral Musicians ◽  
The Right

This paper reports on the major findings from the questionnaire component of a cross-sectional survey of the musicians in Australia’s eight fulltime professional symphonic and pit orchestras, focusing on performance-related musculoskeletal disorders (PRMDs). METHODS: All musician members of the orchestras participating in this project were invited to complete a self-report survey. The overall response rate was about 70% (n = 377). In addition to general health and experience questions, respondents who reported a current or previous PRMD were asked to report on a range of associated factors. RESULTS: Of the participants, 84% had experienced pain or injuries that had interfered either with playing their instrument or participating in normal orchestral rehearsals and performances. Fifty percent reported having such pain or injury at the time of the survey, mostly with disorders perceived by the musicians to be work-related. Twenty-eight percent had taken at least 1 day off from work for such pain in the previous 18 months. The most common broad sites affected were the trunk (primarily the back), the right upper limb and neck, the left upper limb and neck, and the neck alone, but the relative proportions varied by instrument. Of those musicians who reported at least one episode of pain or injury in the past, less than 50% reported that they had completely recovered. The most commonly cited performance-related factors that had contributed to injury or pain all related to training and playing load (including practice and performance). CONCLUSION: This study provides strong evidence that PRMDs are a common complaint in professional orchestral musicians and identifies a range of factors suggested as contributing to the occurrence or persistence of these disorders.

scholarly journals The characteristics of the vulnerable Chinese gay men with depression and anxiety: a cross-sectional study

2021 ◽  
pp. 1
Keyword(s):  
Gay Men ◽  
Common Mental Disorders ◽  
Cross Sectional Study ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Status

Background and objective: Depression and anxiety are the most common mental disorders for human health, especially for gay men. This study aimed to assess the status and characteristics of Chinese gay men who were vulnerable to depression, anxiety, or the comorbidity of the two disorders. Material and methods: A total of 367 samples from a cross-sectional survey conducted between November and December 2017 were included. The Chinese version of SCL-90-R was used to measure the levels of anxiety and depression. The unadjusted associations of demographic characteristics with anxiety, depression, and comorbidity were evaluated by chi-square test. The most predictive factors of the respondents' depression, anxiety and the comorbidity were identified using multivariable logistic regression models. Results: The prevalence rates of depression, anxiety, and comorbidity were 36.51%, 27.79%, and 26.16%, respectively among gay men. Age, being the only child at home, personal monthly income, sexual orientation disclosure status, and source of participants were related to the prevalence of depression, anxiety, and comorbidity (all p < 0.05). Conclusions: Depression and/or anxiety are highly prevalent among Chinese gay men. Prevention strategies should be developed to target the related factors in the gay men population to thwart or slow down the situation. It is also crucial for social and family members to increase the acceptance of Chinese gay men.

scholarly journals Burnout and Its Relationship With Depressive Symptoms in Medical Staff During the COVID-19 Epidemic in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Lijuan Huo ◽  
Yongjie Zhou ◽  
Shen Li ◽  
Yuping Ning ◽  
Lingyun Zeng ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Medical Staff ◽  
Large Scale ◽  
Family Income ◽  
Psychological Intervention ◽  
Maslach Burnout Inventory ◽  
Burnout Syndrome ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional

ObjectiveThe large-scale epidemic of Coronavirus Disease 2019 (COVID-19) has triggered unprecedented physical and psychological stress on health professionals. This study aimed to investigate the prevalence and risk factors of burnout syndrome, and the relationship between burnout and depressive symptoms among frontline medical staff during the COVID-19 epidemic in China.MethodsA total of 606 frontline medical staff were recruited from 133 cities in China using a cross-sectional survey. The Maslach Burnout Inventory (MBI) was used to assess the level of burnout. Depressive symptoms were assessed by the Patient Health Questionnaire Depression (PHQ-9).ResultsDuring the COVID-19 pandemic, 36.5% of the medical staff experienced burnout. Personal and work-related factors were independently associated with burnout, including age (OR = 0.68, 95% CI: 0.52–0.89, p = 0.004), family income (OR = 0.72, 95% CI: 0.53–0.99, p = 0.045), having physical diseases (OR = 2.16, 95% CI: 1.42–3.28, p &lt; 0.001), daily working hours (OR = 1.35, 95% CI: 1.03–1.77, p = 0.033), and profession of nurse (OR = 2.14, 95% CI: 1.12–4.10, p = 0.022). The correlation coefficients between the scores of each burnout subscale and the scores of depressive symptoms were 0.57 for emotional exhaustion, 0.37 for cynicism, and −0.41 for professional efficacy (all p &lt; 0.001).ConclusionsOur findings suggest that the prevalence rate of burnout is extremely high among medical staff during the COVID-19 pandemic, which is associated with other psychological disorders, such as depression. Psychological intervention for medical staff is urgently needed. Young and less experienced medical staff, especially nurses, should receive more attention when providing psychological assistance.

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