Abhängigkeitserkrankungen bei Ärzten

Bransi, Ahmad; Winter, Lotta; Glahn, Alexander; Kahl, Kai G.

doi:10.1007/s00115-019-00854-3

Cited by 12 publications

(5 citation statements)

References 36 publications

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“…We also think it is important to note that the group of HCWs with the worst mental state were nursing home workers One possible explanation may be found in the data estimating that 6% of elderly people living in nursing homes died in the pandemic (out of a total of more than 330 000 places occupied), and it is estimated that between 47% and 51% of deaths (to 23 June) occurred in social services centres, as compared with 39% in Germany. 63 The effects of stress on increased use of drugs/toxic substances have been well-demonstrated, 64 particularly among HCWs, due to their easier access to psychotropic drugs (increased risk of use of opiates/benzodiazepines/hypnotics), 65 and a fear of professional stigma that can prevent them from seeking psychological treatment. 66 Similarly, in the SARS-CoV-1 epidemic, an increased risk of alcohol use disorder was reported among primary care workers.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the mental health of health professionals in the COVID‐19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?

et al. 2021

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Background The aims of this study were to analyse the mental health and health‐related quality of life (HRQoL) of a broad sample of healthcare workers (HCWs) in Spain and to identify potential factors that have a significant effect on their mental health and HRQoL. Method This prospective cohort study comprised 2089 HCWs who completed the Generalized Anxiety Disorder 7‐item (GAD‐7) Scale, the Patient Health Questionnaire‐9 (PHQ‐9), the Impact Event Scale‐Revised (IES‐R), the Insomnia Severity Index (ISI), and the health‐related quality of life Questionnaire (EQ‐5D). Sociodemographic and clinical data in relation to Covid‐19 were also recorded. Descriptive statistics, univariable analysis and multivariable linear regression models were applied to identify factors associated with mental health and HRQoL. Results 80.87% of participants were female and 19.13% male; 82.38% were aged under 55 years; 39.13% were physicians and 50.17% were nurses or auxiliaries; 80.42% of the health workers have directly treated patients with Covid‐19 and 12.28% have themselves tested positive for Covid‐19. 38.58% of HCWs had clinical depression; over half (51.75%) had clinical anxiety; 60.4% had clinical stress; and 21.57% had clinical insomnia. Older professionals (>55 years) reported lower rates of anxiety, depression, insomnia, and stress. Having worked directly with Covid‐19 patients appears to be an explanatory variable of suffering greater anxiety, depression, stress and insomnia, and of having a worse HRQoL amongst our HCWs. The group of HCWs suffering the worst mental state were nursing home workers. Conclusions Our study confirms that symptomatology of anxiety, depression, stress, insomnia, and HRQoL were affected amongst HCW during the Covid‐19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the mental health of health professionals in the COVID‐19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?

et al. 2021

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“…haben in einer aktuellen deutschen Studie über Abhängigkeitserkrankungen nachgewiesen, dass Ärzte und Ärztinnen aufgrund der berufsbedingten psychischen und körperlichen Belastung ein erhöhtes Risiko für Depressionen, Suchterkrankungen und Burnout und insbesondere eine erhöhte Prävalenz bei substanzbezogenen Störungen aufweisen. Nach Angaben der Ärztekammern konnten 75 % der Erstbetroffenen und jedem sechsten Rückfälligen unter Erhalt der Approbation und der ärztlichen Tätigkeit geholfen werden [ 5 ].…”

Section: Ergebnisseunclassified

“…Es scheint so, dass eine Vermeidung eines möglichen Rückfalls über einen langen Zeitraum hinweg mit einer angemessenen Behandlung und Überwachung erreicht werden könnte. Langfristige Betreuung, intensive Überwachung und Nachsorge dürften ebenfalls im Kampf gegen diese „Epidemie“ sehr wirksam sein [ 5 , 11 , 23 ].…”

Section: Schlussfolgerungunclassified

Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

et al. 2022

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Hintergrund Die COVID-19(„coronavirus disease 2019“)-Pandemie wirkt sich auf die psychische Gesundheit und das berufliche Verhalten von Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen aus und scheint einen Einfluss auf die Substanzabhängigkeit zu haben. Fragestellung Welche Gründe gibt es für das Auftreten einer Substanzabhängigkeit und einem Burnout bei Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen zeitlos und während der COVID-19-Pandemie und welche Verbesserungsmaßnahmen könnten im klinischen Alltag helfen? Material und Methoden Es wurde eine Literaturrecherche in Form einer systematischen Übersicht („systematic review“) zu Studien und Übersichtsarbeiten durchgeführt, die für das Thema relevant sind. Ergebnisse Im Laufe der Jahre hat sich gezeigt, dass Chirurgen bzw. Chirurginnen und Anästhesisten bzw. Anästhesistinnen aufgrund ihres direkten Zugangs zu Medikamenten in der Klinik und der arbeitsbezogenen Stressbelastung zur Drogenabhängigkeit neigen. Insbesondere Chirurgen und Chirurginnen und Anästhesisten und Anästhesistinnen schienen eine erhöhte Neigung zur Suchterkrankungen und ein erhöhtes Burnout-Risiko in der Pandemie vorzuweisen. Schlussfolgerungen Präventive Maßnahmen zugunsten besserer Arbeitsbedingungen in der Chirurgie und Anästhesie und eine bessere Drogenkontrolle (nicht nur wegen der Ausgabe, sondern auch wegen der richtigen Drogentests) sowie mehr Therapie- und Wiedereingliederungsprogramme unter psychiatrischer Begleitung und in Zusammenarbeit mit einem multidisziplinären Team sind sinnvoll.

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“…Substance use as a malevolent coping mechanism is common in medical students [7] and translates into stress-burdened professional careers [8, 9]. In addition to these known factors, social support and structural conditions appear to be specific factors that can also impact the health of students [10, 11].…”

Section: Introductionmentioning

confidence: 99%

Study demands and health status among medical students in two German universities

Voss,

Dettmer,

Tschorn

et al. 2024

Preprint

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Background and objectives: Medical students regularly report high study demands and low mental health. We thus studied medical students in two different curricula in Germany investigating their study demands, study and life satisfaction, and overall and mental health with emphasis on contrasting beginners and advanced students. Design and methods : We used online surveys with convenience samples through university mailing lists and student union channels. Uni1 participants (N=357; 70% female, M=24.83 years) were older than Uni2 participants (N=126; 79% female; M=23.39 years), but the cohorts did not differ further regarding sociodemographic variables. For analyses, we used t-tests for comparisons and correlations for associations. Results: Students of both universities reported good mental and overall health as well as high satisfaction with their studies and lives, yet sleep difficulties were prevalent. Study demands were low to medium with the highest demands being learning activities (M=5.31; SD=2.19, scale 0-10), self-structuring (M=4.61; SD=2.01), and performance pressure (M=4.45; SD=2.27). The students in the reformed degree programme reported fewer issues with integrating theory and practice compared to those in the regular degree programme (MUni1=3.38; SDUni1=2.05; MUni2=4.17; SDUni2=2.06; t(430)=-3.53, p<.001). Discussion and conclusions: Our sample was rather resilient regarding mental health and coping with study demands. The two universities showed little to no differences. With relative increased demands regarding learning activities, self-structuring, and performance pressure we suggest to focus on learning strategies for beginners and strategies for stress reduction to address, among other things, the reported sleep difficulties.

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Abhängigkeitserkrankungen bei Ärzten

Cited by 12 publications

References 36 publications

Evaluation of the mental health of health professionals in the COVID‐19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?

Evaluation of the mental health of health professionals in the COVID‐19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?

Burnout und Abhängigkeit bei ärztlichem Personal zeitlos und während der COVID-19-Pandemie am Beispiel der Chirurgie und Anästhesie

Study demands and health status among medical students in two German universities

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