scholarly journals Relationship Between Depressive Symptoms, Job Burnout And Career Choice Regret of Postgraduates In Stomatology

Author(s):  
Lu Yang ◽  
Xiaogang Zhong ◽  
Huiqing Long ◽  
Fangchun Chen ◽  
Xin Jin

Abstract Background: In China, the shortage of doctors leads to an increase in workload. Especially after the new crown epidemic(COVID-19), excessive workload may lead to both physical and mental fatigue of doctors. Students' choices and opinions about the doctoral (health care)industry are particularly important. However, we don't know much about the work and living conditions of postgraduates in Stomatology. The purpose of this research is to investigate the depressive symptoms, job burnout and job satisfaction of individual dental graduate students and their personal professional characteristics after the outbreak of coronavirus disease-2019. Methods: The study directed to the correlations between depressive symptoms, burnout and career choice regret and their factors. The questionnaire covers demographic information, Maslach Burnout Inventory, and added programs to evaluate career choice regret. Results: There are 580 dental graduate students who will return to complete the questionnaire in 2021. After excluding partial questionnaires, the data of 558 participants were analyzed. In total, 44.1% of the participants had symptoms of depression. 41.0% of the participants experienced symptoms of burnout and 41.6% of the participants had regrets about their career choices. Binary logistic regression analysis showed that the average daily sleep time was associated to depressive symptoms (P<0.05). At the same time, job burnout (OR = 5.38, 95% CI 3.67–7.88) and career choice regret (OR = 2.07, 95% CI 1.41–3.05) were risk factors for depressive symptoms. There was a relationship between job burnout, average study time per week and average daily sleep time(all P<0.05). Depressive symptoms were the biggest risk factor for burnout (OR = 5.28, 95% CI3.62-7.69). There was a relationship between career choice regret, postgraduate entrance examination score and average daily sleep time(all P<0.05). Job burnout (OR = 1.82, 95% CI1.24-2.66) and depressive symptoms (OR = 2.15, 95% CI1.48-3.14) were both risk factors for career choice regret. Conclusions: Depressive symptoms, job burnout, and career choice regrets are common in postgraduates majoring in Stomatology . An in-depth understanding of relevant factors is essential to determine the reduction and prevention of burnout and career choice regrets in this group.

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Linfeng Zou ◽  
Yun Zhang ◽  
Ying Wang ◽  
Lei Zhang ◽  
Peng Xia ◽  
...  

Abstract Background and Aims Doctors are exposed to high levels of stress in their profession and are particularly susceptible to experiencing burnout. Rare disease researches are enlightening, with more workload to clinicians, especially during the Covid-19 pandemic. We aim to explore the mental influence of participating in rare disease researches on clinicians. Method Doctors received electronic questionnaires regarding job-burnout in October 2020. The modified Maslach Burnout Inventory-General Survey (MBI-GS) was used to evaluate job burnout state. The MBI-GS consisting of three dimensions, emotional exhaustion (five questions), cynicism (five questions), and reduced personal accomplishment (six questions). The 7-grade Likert scale is adopted in each question, from 0 point (never) to 6 points (very frequently). Job burnout was considered if the average score of any dimension is no less than three.  Results Questionnaires from all 203 doctors were analysed in this study, with females (70.0%, n=140). Age ranging from 25 to 39, 40 to 54, and above 55 were 41.4%, 50.7%, 7.9%, respectively. Nearly half of the subjects (50.2%, n=102) fulfil the definition of job-burnout, which was fewer than that in the residency program (50.2% vs. 62.9%, p=0.02). An inappropriate evaluation system (36.0%) and lack of private time (35.5%) were the leading cause of job-burnout. The pressure of scientific researches (79.3%) and career promotion (58.1%) was the major source of mental pressure. Doctors who participated in rare disease researches (46.8%, n=95) did not show significant differences in burnout rate than individuals who did not (44.2% vs 55.6%, p=0.123), nor as in three dimensions (27.3% vs 36.1%, p=0.183 for emotional exhaustion, 21.1% vs 20.4%, p=0.905 for cynicism, 21.1% vs 27.8%, p=0.267 for reduced personal accomplishment). Logistic analysis revealed that high requirement from superior (22.5% vs 6.9%, p= 0.001), pressure from family (33.3% vs 17.8%, p=0.010), inappropriate job allocation (47.1% vs 29.7%, p= 0.019) as well as delayed off-work time (p=0.013) were independent risk factors of job-burnout. Physicians who participate in rare disease research had better job allocation (75.8% vs. 49.1%, p&lt;0.001), but not in the other three risk factors.  Conclusion More workload did not increase the job-burnout of physicians participating in the rare disease research, which might be contributed by the appropriate job allocation.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Zhou ◽  
Juncai Pu ◽  
Xiaogang Zhong ◽  
Wensong Yang ◽  
Teng Teng ◽  
...  

Abstract Background The overlap of burnout and depression is a phenomenon that can effectively reflect the psychological state of a group. However, whether burnout is a type of depression is still debated in current research. The high incidence of burnout and depressive symptoms among medical students indicates that it is urgent to provide appropriate health services for them. However, the proportion of burnout and depression in the overlapping symptoms experienced by medical students, and the characteristics of the relative influencing factors, remain unclear. Therefore, we addressed these issues for neurology graduate students in China. Methods Using data from a cross-sectional survey of Chinese neurology graduate students, a diagnostic model was established according to their burnout and/or depression symptoms. Burnout was assessed by using the Maslach Burnout Inventory. Depression symptoms were assessed with a two-item depression screening tool for primary care evaluation of mental disorders. Univariate analyses with chi-squared tests were conducted to assess associations between variables. Multinomial logistic regression models were used to analyze the effects of multiple factors on dependent variables. The factors included demographic information and three medical-study related problems. Results In total, 32.2% of surveyed students evidenced overlapping burnout and depression symptoms. Students with depressive symptoms tended to be included in the burnout students’ category. In the regression model, being unmarried, having children, and career choice regret were related to students who had only burnout, while the students with overlapping symptoms were affected by more factors such as family income, the consideration of dropping out once. Conclusions The symptoms and related factors of burnout and depression among Chinese neurology postgraduates have obvious overlap and show a significant trend. The occurrence of depressive symptoms among medical students is closely related to whether they are burned out. Students with only burnout were common, but students with only depressive symptoms were uncommon. Finally, burnout may be a pre-depression state.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Roland von Känel ◽  
Mary Princip ◽  
Sarah A. Holzgang ◽  
Walther J. Fuchs ◽  
Marc van Nuffel ◽  
...  

Abstract Job burnout, characterized by feelings of exhaustion, cynicism and reduced personal efficacy, has been defined as a risk state for the development of diseases, but its association with somatic diseases is underexplored. Study participants were 5671 respondents (mean age 44.1 years, range 18–70; 38.6% men) to an online survey of job burnout, using a mobile health web application. Respondents provided data on sociodemographic characteristics, symptoms of burnout, measured with the Maslach Burnout Inventory-General Survey, depressive symptoms, measured with the Profile of Mood States, and 11 categories of somatic diseases. Adjusting for age, sex, educational level, depressive symptoms, and all disease categories included, network analysis showed a significant association of high exhaustion with “high blood pressure” and a category of “other chronic somatic diseases”. Low personal efficacy showed a significant association with “chronic lung diseases”. In network analysis, clinically relevant depressive symptoms were also significantly associated with “high blood pressure”, “other chronic somatic diseases” and “skin diseases”. Logistic regression analysis confirmed these associations. Burnout dimensions were significantly associated with an increased risk for somatic diseases, independently of sociodemographic factors and clinically relevant depressive symptoms. This relationship seems particularly evident for the exhaustion dimension of job burnout.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yaoqin Lu ◽  
Qi Liu ◽  
Huan Yan ◽  
Sunyujie Gao ◽  
Tao Liu

Abstract Background The coronavirus disease 2019 (COVID-19) has increased the physical and psychological stress of medical workers. This study was designed to investigate the prevalence and risk factors of job burnout and its impact on work ability among Biosafety Laboratory (BSL) staffs during the COVID-19 epidemic in Xinjiang. Methods A total of 7911 qualified BSL staffs in Xinjiang were investigated by electronic questionnaires. The Maslach Burnout Inventory-General Survey (MBI-GS) was used for job burnout survey. Work Ability Index (WAI) was used for work ability survey. The prevalence and risk factors of job burnout in BSL staffs were analyzed through chi square test, t-test and one-way ANOVA. And then, the influence of demographic and job-related variables, i.e., confounding factors, were eliminated to the greatest extent by the propensity score analysis (PSA) method, to investigate the impact of job burnout on work ability in BSL staffs. Results A total of 67.6% BSL staffs experienced job burnout. There were significant differences in the detection rate of job burnout among demographic and job-related variables, including gender, age, ethnicity, education, working years, professional title, marital status, number of night shift per month and overall sleep condition (all P < 0.05). The detection rate of job burnout in female was higher than that in male. The detection rates of job burnout in 45–50 years old, Han ethnicity, education of postgraduate or above, 11–20 years of working, intermediate professional title, married, staff with many night shifts per month and poor overall sleep condition were higher than that of other groups. The average burnout scores of the Emotional Exhaustion (EE), Cynicism (CY), Reduced Personal Accomplishment (PA) scale were 10.00 ± 5.99, 4.64 ± 4.59 and 15.25 ± 8.16, respectively. Multiple logistic regression analysis showed that the three dimensions of job burnout, i.e., EE, CY, PE, were negatively correlated with work ability and significantly affected the work ability of BSL staffs (all P < 0.001). Conclusions Our results suggest that the prevalence of job burnout is extremely common among BSL staffs. In addition, the work ability decreases with the increase of job burnout and the improvement of job burnout can enhance work ability among BSL staffs.


2020 ◽  
Author(s):  
Lifang Zhou ◽  
Weiai Guo ◽  
Li Song ◽  
Guanrong Zhang ◽  
Mi Zhong ◽  
...  

BACKGROUND Job burnout is an occupational illness with high prevalence among nurses in China. The job burnout status among hemodialysis nurses should be given more attention because of they handle sophisticated machinery, and there is a high risk of infection in hemodialysis nursing. OBJECTIVE The level and influencing factors of job burnout among hemodialysis nurses in mainland China were investigated. METHODS This was a cross-sectional study conducted in all 31 provinces of mainland China in 2019. Data from nurses responsible for direct care in 2738 hemodialysis units were analyzed. An effective response rate of 99.00% (10570/10677) was achieved. Hemodialysis nurse burnout was measured by the Maslach Burnout Inventory. Working atmosphere and interpersonal relationships with colleagues were each measured by a single question. Multiple linear regression analysis was used to explore the factors related to nurse burnout. Structural equation modeling was used to explore the effect of the working environment, individual factors, and specialist nurse training on the HD nurse burnout and the intention to leave. RESULTS The total burnout score was 38.69 (SD17.47), indicating that the level of job burnout among hemodialysis nurses in mainland China was relatively low. Hemodialysis nurses experienced low-level burnout on the emotional exhaustion and depersonalization subscale and high-level burnout on the personal accomplishment subscale. Statistically significant differences in burnout levels were associated with working atmosphere, interpersonal relationships with colleagues, specialist nurse training, number of children, night shift, and marital status. CONCLUSIONS The burnout level of HD nurses in mainland China was relatively low. Working atmosphere, interpersonal relationships with colleagues, and training of specialist nurses are the most important influencing factors regarding job burnout in hemodialysis nurses. Therefore, it is suggested that improving the working atmosphere and interpersonal relationship processing ability and providing more training opportunities for nurses can alleviate job burnout in nurses.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongyan Wang ◽  
Xiaoling Dai ◽  
Zichuan Yao ◽  
Xianqing Zhu ◽  
Yunzhong Jiang ◽  
...  

Abstract Introduction To explore the prevalence of depressive symptoms and the associated risk factors in frontline nurses under COVID-19 pandemic. Methods This cross-sectional study was conducted from February 20, 2020 to March 20, 2020 and involved 562 frontline nurses. The effective response rate was 87.68%. After propensity score matched, there were 498 participants left. Extensive characteristics, including demographics, dietary habits, life-related factors, work-related factors, and psychological factors were collected based on a self-reported questionnaire. Specific scales measured the levels of sleep quality, physical activity, depressive symptoms, perceived organization support and psychological capital. Adjusted odds ratios and 95% confidence intervals were determined by binary paired logistic regression. Results Of the nurses enrolled in the study, 50.90% had depressive symptoms. Three independent risk factors were identified: poor sleep quality (OR = 1.608, 95% CI: 1.384–1.896), lower optimism of psychological capital (OR = 0.879, 95% CI: 0.805–0.960) and no visiting friend constantly (OR = 0.513, 95% CI: 0.286–0.920). Conclusions This study revealed a considerable high prevalence of depressive symptoms in frontline nurses during the COVID-19 outbreak, and identified three risk factors, which were poor sleep quality, lower optimism of psychological capital, and no visiting friend constantly. Protecting mental health of nurses is important for COVID-19 pandemic control and their wellbeing. These findings enrich the existing theoretical model of depression and demonstrated a critical need for additional strategies that could address the mental health in frontline nurses for policymakers.


2020 ◽  
Vol 8 (2) ◽  
pp. e001789
Author(s):  
Teresa Alvarez-Cisneros ◽  
Paloma Roa-Rojas ◽  
Carmen Garcia-Peña

IntroductionSeveral studies have argued a causal relationship between diabetes and depression, while others have highlighted that their association is a result of common risk factors. Because Mexico is a country with a high prevalence of diabetes, and diabetes and depression are a frequent comorbidity, we chose this country to investigate the longitudinal relationship of these two conditions, focusing on the influence of demographic, health, and socioeconomic factors which could act as common risk factors for both conditions.Research design and methodsUsing the harmonized Mexican Health and Aging Study, a nationally representative sample of adults older than 50 with a response rate of 93%, we analyzed the longitudinal relationship of diabetes and depressive symptoms using ‘between-within’ random-effects models, focusing on the effect of demographic, socioeconomic and health factors.ResultsWhile older adults with diabetes reported a higher prevalence of depressive symptoms in the four waves of the study, there was no causal longitudinal association between them once controlling for demographic, socioeconomic and health factors (between-effect OR=0.88, 95% CI 0.77 to 1.01; within-effect OR=0.87, 95% CI 0.69 to 1.11).ConclusionsThere is no causal longitudinal association between diabetes and depression; the higher prevalence of depression among older adults with diabetes seems a result of socioeconomic and health factors that are not exclusive to respondents with diabetes but are more frequent in this group. Our results highlight the importance of prevention and control of chronic conditions as well as the role of socioeconomic inequalities in mental health.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdulmajeed A. Alkhamees ◽  
Hatem Assiri ◽  
Hatim Yousef Alharbi ◽  
Abdullah Nasser ◽  
Mohammad A. Alkhamees

AbstractVery few studies have been concerned with assessing the prevalence of burnout and depressive symptoms, especially during an infectious outbreak on non-frontline health care workers, such as a psychiatrist. In such instances, the role of psychiatrists and other mental health providers as a source of psychological support to the public and frontline workers is indispensable and valuable. This study aims to assess the prevalence of burnout and depressive symptoms, and their correlation, during the COVID-19 pandemic among psychiatry residents in Saudi Arabia. A total of 121 out of 150 psychiatry residents in Saudi Arabia completed the Maslach Burnout Inventory and Patient’s Health Questionnaire for the assessment of burnout and depressive symptoms. Burnout symptoms were found in 27.3%, and another 27.3% reported having depression symptoms. In addition, 16.5% reported having both burnout and depressive symptoms, with a significant relationship between them. Participants in the first 2 years of training and having a history of receiving mental health treatment in the past 2 years were at higher risk. The need is urgent to increase investment in mental health services and to construct a plan to reduce this risk of burnout and depression among psychiatrists by developing preventative strategies to prevent burnout and promote wellness is more important than ever.


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