Ansiedad y depresión en médicos residentes de la especialidad en Medicina Familiar

Mascarúa-Lara, Eduardo; Vázquez-Cruz, Eduardo; Córdova-Soriano, José Arturo

doi:10.22201/facmed.14058871p.2014.2.47919

Cited by 4 publications

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“…These elements contribute to depersonalization in those with mental disorders, decreasing enthusiasm and motivation to continue in medical residency, which can lead to academic dropout. [7][8][9] In the clinical setting, residents face demanding work hours, poor hos-pital infrastructure, and little support. Hostile training practices encourage narcissistic behavior.…”

Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, and Burnout, Their Association with Academic Dropout Ideation in Medical Residents

Camarillo-Nava,

López-Rojas,

Hernández-Cid de León

et al. 2024

Atención Familiar

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Objective: to analyze the association between depression, anxiety, and burnout with the risk of academic desertion, and ideation of academic desertion in medical residents. Methods: Cross-sectional study with a sample of 200 medical residents in Mexico City. Maslach, Beck, and Hamilton scales were used to assess burnout, depression, and anxiety, respectively. The main variable was academic desertion. Statistical analysis included descriptive and inferential methods; risk was assessed by odds ratio (OR). Multivariate models were used to explore associations, with statistical significance considered at p <0.05. Results: The frequency of depression, anxiety, and burnout was 17% (n= 34), 26.5% (n= 53), and 19.5% (n= 39), respectively. The presence of depression was associated with up to a fourfold and sixfold increase in desertion and desertion ideation, respectively (OR= 4.04, 95% CI 1.41 - 11.5, p= 0.006, or 6.5, 95% CI 2.9 - 14.6, p= 0.000). Anxiety showed no association with turnover (OR= 1.02, 95% ci 0.26 - 4.01, p= 0.967). The presence of burnout doubled the risk (OR= 2.2, 95% CI 1.07 - 4.52, p= 0.001). In the multiple analysis, depression increased the risk of dropping out up to fourfold. Conclusion: The presence of depression was the disorder most associated with dropout and dropout ideation. It is necessary to establish prevention, and detection programs at medical residency sites.

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Section: Introductionmentioning

confidence: 99%

Depression, Anxiety, and Burnout, Their Association with Academic Dropout Ideation in Medical Residents

Camarillo-Nava,

López-Rojas,

Hernández-Cid de León

et al. 2024

Atención Familiar

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“…Estos elementos contribuyen a la despersonalización en quienes padecen trastornos mentales, disminuyendo el entusiasmo y la motivación para continuar en la residencia médica, lo que puede llevar a la deserción académica. [7][8][9] En entornos clínicos, los médicos residentes enfrentan jornadas laborales extenuantes, carencias en la infraestructura hospitalaria y escaso respaldo. Prácticas formativas hostiles propician comportamientos narcisistas.…”

Section: Introductionunclassified

Depresión, ansiedad y burnout y su asociación con ideación de deserción académica en médicos residentes

Camarillo-Nava,

López-Rojas,

Hernández-Cid de León

et al. 2024

Atención Familiar

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Objetivo: analizar la asociación entre la depresión, ansiedad y burnout con el riesgo de deserción e ideación de deserción académica en médicos residentes. Métodos: estudio transversal con una muestra de 200 médicos residentes en la Ciudad de México. Se aplicaron las escalas de Maslach, Beck y Hamilton para evaluar burnout, depresión y ansiedad, respectivamente. La variable principal fue la deserción académica. El análisis estadístico abarcó métodos descriptivos e inferenciales; el riesgo se evaluó mediante odds ratio (OR). Se emplearon modelos multivariados para explorar asociaciones, considerando significancia estadística con p <0.05. Resultados: la frecuencia de depresión, ansiedad y burnout fue de 17% (n= 34), 26.5% (n =53) y 19.5% (n =39) respectivamente. La presencia de depresión se asoció con un aumento en la deserción y la ideación de deserción de hasta cuatro y seis veces más respectivamente (OR= 4.04, IC 95% 1.41 – 11.5, p= 0.006, OR 6.5, IC 95% 2.9 – 14.6, p= 0.000). La ansiedad no mostró asociación con la deserción (OR= 1.02, IC 95% 0.26 - 4.01, p= 0.967). La presencia de burnout incrementó el riesgo dos veces más (OR= 2.2, IC 95% 1.07 – 4.52, p= 0.001). En el análisis múltiple la depresión aumentó hasta cuatro veces el riesgo de deserción académica. Conclusión: la presencia de depresión fue el trastorno más relacionado con la deserción y la ideación de deserción académica. Es necesario establecer programas de prevención y detección en las sedes de residencias médicas.

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Mindfulness in primary care healthcare and teaching professionals and its relationship with stress at work: a multicentric cross-sectional study

et al. 2021

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Background Work stress is a common problem among the health personnel of the Spanish National Health System. The objective of this paper is to assess the state of mindfulness among Spanish primary care providers and to evaluate its potential relationship with work stress and basic labor and sociodemographic characteristics. Methods Cross-sectional, multi-centric study. Primary care nurses, teachers, teaching collaborators and residents assigned to six Spanish Family Medicine/Family and Community Care Departments were invited to participate (n = 475). A template was designed in Google Forms, including sociodemographic and work-related variables. The state of mindfulness was measured with the Five Facet Mindfulness Questionnaire (FFMQ), while work-related stress was measured using an ordinal scale ranging from 0 to 10 points. Descriptive and inferential statistical analyses were carried out, as well as bivariate and multivariate statistics. Results The mean age of participants was 40,14 ± 13.12 (range:23–65 years); 66.9% were women, 42.5% internal medicine residents, 29.3% family physicians, and 20.2% nurses. More than half (54.5%) knew about mindfulness, with 24.0% have received training on it, and 22.5% were usual practitioners. The average level of mindfulness was 127.18 ± 15.45 (range: 89–177). The average score of stress at work was 6.00 ± 2.44; 49.9% (range: 0–10). 49.9% of participants scored 7 or more on the stress at work scale. There was an inverse correlation between the levels of mindfulness (FFMQ total score) and work-related stress (Spearman’s r = − 0.155, p = 0.003). Significant relationships between the mindfulness practice and the level of mindfulness (F = 29.80, p < 0.001), as well as between the mindfulness practice and the level of work-related stress (F = 9.68, p = 0.042), were also found. Conclusions Levels of mindfulness in primary care health providers were in line with those levels observed in other groups of health professionals. Half of all of the primary care providers suffered from a high degree of stress. Although weak, inverse relationships were observed between levels of mindfulness and stress at work, with lower values of stress at work among those who practiced mindfulness. Trial registration NCT03629457.

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Ansiedad y depresión en médicos residentes de la especialidad en Medicina Familiar

Cited by 4 publications

References 0 publications

Depression, Anxiety, and Burnout, Their Association with Academic Dropout Ideation in Medical Residents

Depression, Anxiety, and Burnout, Their Association with Academic Dropout Ideation in Medical Residents

Depresión, ansiedad y burnout y su asociación con ideación de deserción académica en médicos residentes

Mindfulness in primary care healthcare and teaching professionals and its relationship with stress at work: a multicentric cross-sectional study

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