scholarly journals Burnout and Well-Being Levels of Medical Students: a Cross-Sectional Study

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Priscila Gadelha Cazolari ◽  
Matheus de Sousa Cavalcante ◽  
Marcelo Marcos Piva Demarzo ◽  
Frederico Molina Cohrs ◽  
Adriana Sanudo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Suicide Attempts ◽  
Well Being ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Depression Symptoms ◽  
Physical And Mental Health

Abstract: Introduction: The presence of chronic stress, caused by the activities and demands of the medical course, can lead to what is called ‘burnout’, a syndrome characterized by three dimensions: emotional exhaustion, dehumanization (or depersonalization) and reduced professional achievement. Considering the increased incidence of burnout syndrome, anxiety and depression symptoms, suicide attempts and suicide rates among medical students, as a consequence of increasing demands for professional and financial success at the expense of physical and mental health, one understands the importance of studying the subject and proposing measures of prevention and control. The aim of this study was to evaluate and describe the levels of burnout and well-being of medical students at a Brazilian public university. Method: The stress and well-being levels of students from the first to the sixth year for the Medical Course at Universidade Federal de São Paulo were evaluated using MBI-SS and WHOQOL-BREF questionnaires, applied online on the REDCAP platform. Results: A total of 302 students completed the questionnaires. Regarding the MBI-SS, students showed a low value in the emotional exhaustion factor and high levels of professional disbelief and effectiveness, indicating a burnout that ranged from low to moderate. It was also observed that female students showed a greater tendency toward emotional exhaustion when compared to male ones, as well as the fact that students from the 1st and 2nd years showed higher values of professional effectiveness when compared with 3rd and 4th years, with no difference between genders. Based on the answers from WHOQUOL-BREF questionnaire, the students thought they had a good quality of life. Discussion: These results reinforce possible factors that might interfere with the students’ quality of life: excessive workload, teaching model based on extensive lectures, lack of stimulation, recognition for their efforts. Conclusion: The medical students evaluated in this study have a good quality of life and show low or moderate burnout levels.

scholarly journals Níveis de Burnout e Bem-Estar de Estudantes de Medicina: um Estudo Transversal

2020 ◽  
Vol 44 (4) ◽  
Author(s):  
Priscila Gadelha Cazolari ◽  
Matheus de Sousa Cavalcante ◽  
Marcelo Marcos Piva Demarzo ◽  
Frederico Molina Cohrs ◽  
Adriana Sanudo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Suicide Attempts ◽  
Well Being ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Depression Symptoms ◽  
Physical And Mental Health

Abstract: Introduction: The presence of chronic stress, caused by the activities and demands of the medical course, can lead to what is called ‘burnout’, a syndrome characterized by three dimensions: emotional exhaustion, dehumanization (or depersonalization) and reduced professional achievement. Considering the increased incidence of burnout syndrome, anxiety and depression symptoms, suicide attempts and suicide rates among medical students, as a consequence of increasing demands for professional and financial success at the expense of physical and mental health, one understands the importance of studying the subject and proposing measures of prevention and control. The aim of this study was to evaluate and describe the levels of burnout and well-being of medical students at a Brazilian public university. Method: The stress and well-being levels of students from the first to the sixth year for the Medical Course at Universidade Federal de São Paulo were evaluated using MBI-SS and WHOQOL-BREF questionnaires, applied online on the REDCAP platform. Results: A total of 302 students completed the questionnaires. Regarding the MBI-SS, students showed a low value in the emotional exhaustion factor and high levels of professional disbelief and effectiveness, indicating a burnout that ranged from low to moderate. It was also observed that female students showed a greater tendency toward emotional exhaustion when compared to male ones, as well as the fact that students from the 1st and 2nd years showed higher values of professional effectiveness when compared with 3rd and 4th years, with no difference between genders. Based on the answers from WHOQUOL-BREF questionnaire, the students thought they had a good quality of life. Discussion: These results reinforce possible factors that might interfere with the students’ quality of life: excessive workload, teaching model based on extensive lectures, lack of stimulation, recognition for their efforts. Conclusion: The medical students evaluated in this study have a good quality of life and show low or moderate burnout levels.

scholarly journals The COVID-19 pandemic and first-year medical students’ academic motivation

2021 ◽  
Author(s):  
Aidos K. Bolatov
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Extrinsic Motivation ◽  
Academic Motivation ◽  
Well Being ◽  
Cross Sectional Study ◽  
First Year ◽  
Cross Sectional ◽  
First Year Medical Students

Abstract The study aimed to investigate the relationships between academic motivation and the psychological well-being of 1st-year medical students during the COVID-19 pandemic. The total number of respondents in the cross-sectional study was 273. Intrinsic motivation was positively correlated with fear of COVID-19 and negatively correlated with psychological collapse and negative changes in quality of life due to the COVID-19. Extrinsic motivation positively associated with fear of COVID-19. Amotivation positively correlated with psychological collapse and negative changes in quality of life. In conclusion, COVID-19-related changes in quality of life and psychological destruction were predictors of academic motivation among 1st-year medical students.

Spirituality and Religion-Relevance and Assessment in the Clinical Setting

2019 ◽  
Vol 15 (2) ◽  
pp. 80-87
Author(s):  
Ishrat J. Khan
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Well Being ◽  
Original Research ◽  
Clinical Settings ◽  
Physical And Mental Health ◽  
Ovid Medline ◽  
Review Articles ◽  
Spirituality And Religion

Background:There has been an increasing interest in the past several decades to study the relationship between spirituality and religion with physical and mental health as well as the various quality of life measures. This trend has led to the creation of an area of study called epidemiology of religion and spirituality. The policy shifts at various levels, in the mental health field, has occurred as well to educate healthcare providers, and address patients’ spiritual /religious needs in clinical settings. Despite these advances in research and policy shift, there is still some resistance in the health care community to assess and address the spiritual needs of patients in clinical settings.Objective:The objective is to review the published articles on spirituality/religion and its relationship with mental and physical wellbeing and discuss limitations of such research. The review articles on assessment and interventions to address spiritual or religious needs in clinical settings were also included.Methods:Author conducted a literature search using books@Ovid, Journals@Ovid Full Text, Your Journals@Ovid, Ovid MEDLINE® 1946 to January week 4 2019, Ovid Medline® and Epub Ahead of Print, In-Process & Other Non-Indexed Citations and Daily without Revisions 2015-January 28, 2019; Ovid MD and Psychiatry Online.Results:A total of 1,040 articles were identified using keywords spirituality, religion, mental health, physical health, psychological well-being, healthy beliefs, psychopathological beliefs and quality of life. The search result included original research papers, review articles and commentaries.Conclusion:The review articles were narrowed to 100 articles based on relevance to the objectives outlined above. Seventy-five articles were referenced at the end.

scholarly journals Az életcélok szerepe a szociális szférában dolgozó nők tápláltsági, fittségi és életminőségi mutatóiban

2021 ◽  
Vol 162 (27) ◽  
pp. 1089-1098
Author(s):  
Zsolt Szakály ◽  
József Bognár ◽  
Zoltán Tánczos ◽  
Csaba András Dézsi
Keyword(s):  
Quality Of Life ◽  
Body Composition ◽  
Sick Leave ◽  
Social Workers ◽  
Purpose In Life ◽  
Well Being ◽  
The Body ◽  
Physical And Mental Health ◽  
Fitness Indicators

Összefoglaló. Bevezetés: A szociális szférában dolgozók túlterheltsége jelentős, és munkakörülményeik többnyire kedvezőtlenek. Bizonyított, hogy az életcélok meghatározzák a karrier, az egészségtudatosság és az életminőség területeit, de ez utóbbi a szociális dolgozók mintáján még nem került bizonyításra. Célkitűzés: A kutatás célja, hogy bemutassa egy szociális és egészségügyi szolgáltatóintézmény női dolgozóinak (n = 127) tápláltsági és fittségi állapotát és életminőségét, valamint az életcélok meghatározó szerepét ezekre a mutatókra. Módszer: Kérdőív, teszt, testösszetétel-vizsgálat és fittségiállapot-felmérés segítségével gyűjtöttünk adatokat, amelyeket különbözőségvizsgálattal és regresszióelemzéssel elemeztünk. Eredmények: A minta tápláltsági mutatója túlsúlyra utal, míg a fittségi állapot, az életminőség és az életcélok még elfogadható tartományban vannak, de a szélsőértékek jelentősek. A magasabb életcélokkal rendelkezők jobb fittségi mutatókkal és életminőséggel jellemezhetők. Az ülőmunkát és a fizikai munkát végzők között minimális különbség volt kimutatható a tápláltsági mutatók, a fittség és az életminőség tekintetében. A táppénzt igénybe vevők gyengébb fittségi és életminőség-mutatókkal rendelkeznek, mint akik nem voltak betegszabadságon. Az életkor előrehaladtával romló testösszetételt és fittségi állapotot detektáltunk. Következtetés: A korábbi kutatási eredményeket megerősíthetjük abban, hogy a szociális dolgozók tápláltsági és fittségi mutatói, valamint életminőségszintje nem optimális. Az életcélok meghatározó szerepe a vizsgált területek számottevő részében bizonyítást nyert. A dolgozói életcélok megerősítésének egyik fontos színtere a munkahely, ahol számos pozitív hatás érhető el a testi-lelki egészség, a jóllét és a munkateljesítmény területein is. Orv Heti. 2021; 162(27): 1089–1098. Summary. Introduction: Professionals working in the social sector typically do significant overwork in rather unfavourable working conditions. Although the purpose in life is proved to determine the areas of career, health awareness, and the quality of life, the latter has not yet been confirmed among social workers. Objective: The purpose of this research is to demonstrate body composition and fitness status as well as the quality of life of female employees (n = 127) at a social institution, furthermore the decisive role purpose of life plays in these indicators. Method: Data were collected through questionnaires, tests, body composition analyses, and fitness status tests, and were assessed by t-test, analysis of variance and regression analysis. Results: Body composition of the participants indicates a generally overweight status, while fitness status, quality of life, and purpose of life are within the acceptable range, however, all with notable range values. Those with a higher-level purpose of life demonstrate better fitness indicators and higher quality of life. In terms of body composition, fitness, and quality of life, only a minor difference was found between those who do intellectual and physical type of work. Those who took sick leave demonstrated a lower level of fitness and quality of life compared to those who did not take any sick leave. Body composition and fitness status have proven to deteriorate with age. Conclusion: Previous research findings can be confirmed by stating that neither the body composition and fitness indicators, nor the quality-of-life level of social workers are optimal. The determining role of purpose in life has been proven in substantial aspects in this study. One of the focus areas of enhancing purpose in life is the workplace, where major positive impacts can be achieved in terms of the physical and mental health, well-being, and work performance. Orv Hetil. 2021; 162(27): 1089–1098.

scholarly journals The Direct and Indirect Effects of Clinical Empathy on Well-Being among Pre-Medical Students: A Structural Equation Model Approach

2021 ◽  
Author(s):  
Kelly MacArthur ◽  
Clare Stacey ◽  
Sarah Harvey ◽  
Jonathan Markle
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Perspective Taking ◽  
Indirect Effects ◽  
Structural Equation ◽  
Well Being ◽  
Three Dimensions ◽  
Compassionate Care ◽  
Clinical Empathy

Abstract Background: Empathy is a well-established facet of clinical competency that research suggests is associated with enhanced medical student well-being. Since little is known about empathy and well-being before students enter medical school—during pre-medical education—the main goal of this study is to test a conceptual model of how clinical empathy is related to two indicators of well-being, depression, and burnout among pre-medical students. The theoretical model hypothesizes that three dimensions of clinical empathy—Perspective-Taking, Compassionate Care, and Standing in Patients’ Shoes— will be directly and negatively related to depression, as well as indirectly through its inverse relationship with three facets of burnout, Emotional Exhaustion, Poor Academic Efficacy, and Cynicism. Methods: Using survey data from a sample of 132 pre-medical students at an American Midwestern university, this study employs structural equation modeling (SEM) to test the theoretical model of the relationships between empathy, burnout, and depression among pre-medical students. We identify the direct effects of the three dimensions of the Jefferson Scale of Physician Empathy (JSE-S) on depression (CES-D), as well as the indirect effects of clinical empathy on depression through the three dimensions of the Maslach Burnout Inventory (MBI-S). Results: SEM analyses show that while none of the three dimensions of the JSE-S are directly related to depression, clinical empathy does significantly affect depression indirectly through burnout. Specifically, as predicted, we find that Perspective-Taking decreases Emotional Exhaustion, but, contrary to expectations, Compassionate Care increases it. And, the positive relationship between Compassionate Care and Emotional Exhaustion is particularly strong. In turn, Perspective-Taking and Compassionate Care are associated with depression in opposite directions and to different degrees. Conclusions: Findings suggest that clinical empathy as measured by the JSE-S produces both positive and negative effects on personal well-being. We conclude that further conceptual clarity of clinical empathy is needed to better discern how the different dimensions impact different indicators of well-being. Given that pre-medical education is a crucial time for emotional socialization, the challenge for medical education will be fostering the positive, cognitive aspects of clinical empathy while simultaneously mitigating the adverse effects of affective empathy on medical student well-being.

scholarly journals The profile of quality of life and mental health of university students in the healthcare field

2022 ◽  
Vol 11 (1) ◽  
pp. e35011125095
Author(s):  
Pedro Henrique Batista de Freitas ◽  
Adriana Lúcia Meireles ◽  
Sabrina Martins Barroso ◽  
Marina de Bittencourt Bandeira ◽  
Mery Natali Silva Abreu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Nursing Students ◽  
University Students ◽  
Mental Health Problems ◽  
Well Being ◽  
Depression Symptoms ◽  
Symptoms Of Depression ◽  
Environment Domain

Objective: to present the profile of quality of life and symptoms of anxiety, depression and stress in university students in the healthcare area. Method: a descriptive study with a quantitative approach to data, carried out with university students in the healthcare field of three Federal Institutions of Higher Education in Minas Gerais. Variables such as sociodemographic, lifestyle, presence of depression symptoms, anxiety and stress, and quality of life (QoL) were measured. The QoL was assessed using the WHOQUOL-bref scale and symptoms of depression, anxiety and stress using the DASS-21 scale. A descriptive data analysis was performed. Results: 321 students participated in the study, mostly female (71.0%). More than 50% of the students had symptoms of depression, anxiety and stress, regardless of the level of severity, while severe/very severe symptoms were present in more than 20% of them, presenting a higher proportion in the nursing course. The psychological domain had the lowest overall QoL score (58.33), and the best was observed in the social relationships domain (66.67). Nursing students had the lowest scores while physical education students had the best scores in most domains. Medical students had the best score in the environment domain (68.75). Conclusion: Suggest the planning of policies and strategies that promote the physical and mental well-being of students, as well as screening and monitoring of most vulnerable ones, as well as those with mental health problems; such strategies can positively impact QoL.

scholarly journals How do core autism traits and associated symptoms relate to quality of life? Findings from the Longitudinal European Autism Project

Autism ◽  
2020 ◽  
pp. 136236132095995
Author(s):  
Bethany FM Oakley ◽  
Julian Tillmann ◽  
Jumana Ahmad ◽  
Daisy Crawley ◽  
Antonia San José Cáceres ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Communication ◽  
Well Being ◽  
Subjective Quality ◽  
Depression Symptoms ◽  
Subjective Quality Of Life ◽  
Autism Traits ◽  
Autistic People ◽  
Communication Difficulties

Previous studies have reported reduced quality of life in autism. Improving quality of life for autistic people is, therefore, a key priority for clinical research and practice. However, the relative impact of core autism traits (e.g. social-communication difficulties), as compared to associated mental health symptoms (e.g. anxiety, depression) on quality of life remains poorly understood. This is despite at least 20%–50% of autistic individuals experiencing associated anxiety and/or depression symptoms. Hence, we measured subjective quality of life in 573 six to thirty-year-olds (autism spectrum disorder N = 344), using two widely validated questionnaires. Adults self-reported on the World Health Organization Quality of Life–Brief instrument. Parents of children/adolescents completed the Child Health and Illness Profile. We assessed individual variability across both measures and modelled associations between quality of life, core autism traits, anxiety, and depression symptoms. Across both age groups and quality of life measures, autistic individuals scored lower than comparison individuals, on average, particularly for physical health in adults ( d = −1.24, 95% confidence interval: [−1.56, −0.93]) and school achievement for children/adolescents ( d = −1.06, 95% confidence interval: [−1.29, −0.84]). However, a notable proportion of autistic individuals (36%–71% across quality of life domains) did not have reduced quality of life. Across ages and quality of life measures, severity of associated symptoms was significantly related to reduced quality of life on several domains, after accounting for core autism traits. Most notably, depression symptoms were related to reduced physical/psychological well-being in both adults ( β ⩾ −0.34) and children/adolescents ( β = −0.29, 95% confidence interval: [−0.36, −0.14]). For children/adolescents, anxiety symptoms ( β ⩾ −0.28) and core social-communication difficulties ( β ⩾ −0.22) were also related to subjective quality of life outcomes. Overall, findings indicate that not all autistic individuals experience reduced subjective quality of life. Variability in quality of life is significantly influenced by associated symptoms, across developmental stage. This may provide a tractable target for mental health services to improve quality of life for autistic individuals over the lifespan. Lay abstract Previous studies suggest that some autistic individuals report lower satisfaction, or well-being, with different aspects of everyday life than those without autism. It is unclear whether this might be partly explained by symptoms of anxiety and/or depression, which affect at least 20%–50% of autistic people. In this study, we measured individual differences in well-being in 573 six to thirty-year-olds with and without a diagnosis of autism. We investigated whether individual differences in well-being were explained by autism traits (e.g. social-communication difficulties) and/or anxiety and depression symptoms. We showed that, though well-being was lower for some autistic individuals, compared to those without autism, many autistic individuals reported good well-being. Where well-being was reduced, this was particularly explained by depression symptoms, across all ages. For children/adolescents, anxiety and social-communication difficulties were also related to some aspects of well-being. Our study suggests that support and services for improving mental health, especially depression symptoms, may also improve broader outcomes for autistic people.

scholarly journals Sleepiness, sleep deprivation, quality of life, mental symptoms and perception of academic environment in medical students

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bruno Perotta ◽  
Fernanda M. Arantes-Costa ◽  
Sylvia C. Enns ◽  
Ernesto A. Figueiro-Filho ◽  
Helena Paro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Students ◽  
Sleep Quality ◽  
Sleep Deprivation ◽  
Daytime Sleepiness ◽  
Educational Environment ◽  
Dose Effect ◽  
Anxiety And Depression ◽  
Depression Symptoms

Abstract Background It has been previously shown that a high percentage of medical students have sleep problems that interfere with academic performance and mental health. Methods To study the impact of sleep quality, daytime somnolence, and sleep deprivation on medical students, we analyzed data from a multicenter study with medical students in Brazil (22 medical schools, 1350 randomized medical students). We applied questionnaires of daytime sleepiness, quality of sleep, quality of life, anxiety and depression symptoms and perception of educational environment. Results 37.8% of medical students presented mild values of daytime sleepiness (Epworth Sleepiness Scale - ESS) and 8.7% presented moderate/severe values. The percentage of female medical students that presented ESS values high or very high was significantly greater than male medical students (p <  0.05). Students with lower ESS scores presented significantly greater scores of quality of life and perception of educational environment and lower scores of depression and anxiety symptoms, and these relationships showed a dose-effect pattern. Medical students reporting more sleep deprivation showed significantly greater odds ratios of presenting anxiety and depression symptoms and lower odds of good quality of life or perception of educational environment. Conclusions There is a significant association between sleep deprivation and daytime sleepiness with the perception of quality of life and educational environment in medical students.

scholarly journals The professionals of teaching and Burnout Syndrome: The basis of predictor variables and the imbalance between the nature of work and the nature of the person

2019 ◽  
pp. 05-16
Author(s):  
Jânie Carla Martins Almeida ◽  
Adailton di Lauro Dias
Keyword(s):  
Daily Life ◽  
Well Being ◽  
Burnout Syndrome ◽  
Exploratory Research ◽  
Physical And Mental Health ◽  
Education Professionals ◽  
Qualitative Nature ◽  
Keywords Stress ◽  
Prolonged Stress

The theme that generates for the study refers to Burnout Syndrome and its consequences as well as its relationship with the daily life of teaching professionals. This syndrome ends up affecting the psychological side and directly interfering in the health of the worker who is directly close to people, such as students/managers/coordinators/parents of students and the demands caused by these relationships and by daily life eventually triggering psychological pressures in the work sector, consequently impairing their health and well-being. It aims, therefore, to analyze the causes of burnout syndrome in teaching professionals. As a guiding problem of the research, we sought to investigate: How does the imbalance between the nature of work and the nature of the person triggering burnout syndrome in teaching professionals occur? Therefore, we sought through a bibliographic exploratory research of a qualitative nature to discuss conceptual and causal aspects of the syndrome, and especially its relations in the area of education. This article is some considerations about the stress, characteristics and symptomatology of burnout, prevention, as well as the theme about teachers sick with burnout syndrome, addressing the physical and mental health of these professionals. The results of the research show that these professionals, due to the lack of appropriate working conditions and tiredness, end up acquiring stress that may be physical or mental, as a result of this prolonged stress situation, the professional it comes into exhaustion due to an excessive effort that makes to meet the constant requests of energy, directly compromising the quality of life of the person and, consequently, of work. Keywords: Stress, tiredness, education professionals, burnout syndrome.

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