Bullying of Trainee Psychiatrists in Pakistan: A Cross-Sectional Questionnaire Survey

Ahmer, Syed; Yousafzai, Abdul-Wahab; Siddiqi, M; Faruqui, Rafey; Khan, Rashid; Zuberi, Saman I

doi:10.1176/appi.ap.33.4.335

Cited by 34 publications

(27 citation statements)

References 16 publications

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“…Data were gathered by means of an anonymous questionnaire distributed among the participants during identify specific stressful life experiences, though several respondents commented on the relationships with both other professionals as well as patients as a major source of stress. In the case of chronic stress, leading to underperformance [40], high satisfaction with career support, high sense of coherence [34,41], occupational self-efficacy [34], and low values regarding being overcommitted to ones work [35] seem to act as protective factors.…”

Section: Participantsmentioning

confidence: 99%

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Malinauskienė¹,

Einarsen²

2014

IJOMEH

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Objectives:The study investigated associations between workplace bullying and post-traumatic stress symptoms as compared to and controlled for associations between the latter and other psychosocial stress factors at work and in everyday life. The study employed a representative sample of Lithuanian family physicians, hence investigated a particularly resourceful occupational group in a geographical region earlier found to have a high risk context for exposure to bullying at work. Material and Methods: With a response rate of 89.2%, a total of 323 family physicians filled in an anonymous questionnaire on workplace bullying, post-traumatic symptomatology (IES-R), other psychosocial stressors at work and in everyday life, personal health resources (sense of coherence), behavioral characteristics and demographic variables. The statistical software SPSS 14.0, Windows was used in the analysis. Associations were tested using a multivariate logistic regression analysis. Results: A high prevalence of bullying was found among family physicians in Lithuania, with 13% of them experiencing severe workplace bullying and 17.3% experiencing more occasional incidents of bullying. The prevalence of post-traumatic stress symptoms was also high with 15.8% scoring above the standardized cut-off thresholds for post-traumatic stress disorder. The odds ratio (OR) of severe bullying for post-traumatic stress after adjustment for age and gender was 8.05 (95% confidence intervals (CI): 3.80-17.04). In the fully adjusted model it increased to 13.88 (95% CI: 4.68-41.13) indicating cumulative effects of all the investigated stressors. Conclusions: Workplace bullying is particularly prevalent among Lithuanian family physicians, as are the symptoms of post-traumatic distress. Strong associations between post-traumatic stress and exposure to severe bullying indicate that bullying is a significant source of mental health.

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Section: Participantsmentioning

confidence: 99%

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Malinauskienė¹,

Einarsen²

2014

IJOMEH

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“…12 13 Maltreatment of medical trainees is not limited to Western countries. 14- 16 Ahmer et al 17 have reported pervasive and persistent tendencies for medical trainees in Pakistan to be subjected to 'disrespectful interactions', 'belittlement', 'undermining' and 'humiliation'. Drawing on the available literature, Coverdale et al 5 categorised the common forms of maltreatment directed towards medical trainees as verbal abuse or humiliation, non-sexual harassment, sexual harassment and forms of prejudice against sexual orientation or ethnicity.…”

Section: P269)mentioning

confidence: 99%

Pilot study on the prevalence of abuse and mistreatment during clinical internship: a cross-sectional study among first year residents in Oman

et al. 2013

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ObjectiveTo evaluate perceptions of being mistreated during internship among first year Oman Medical Specialty Board residents.DesignA cross-sectional study.SettingTraining centres for Oman Medical Specialty Board.ParticipantsFirst year medical residents following completion of internship during the study period 2009–2010.MethodA cross-sectional survey of first year medical residents.ResultsOf 58 residents (response rate 84%), 96.6% perceived that mistreatment exists. Among different types of mistreatment reported, verbal and academic abuses were the most common (87.9%), followed by sexual harassment (24.1%), then physical abuse (22.4%). Forty-four (75.9%) residents had advised at least one of their relatives not to join medical school.ConclusionsMistreatment of medical interns is an ethical issue challenging the quality of clinical training. Further research is needed to understand factors influencing mistreatment and to draw guidelines to limit such problems.

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“…3,6 The prevalence of workplace bullying throughout the medical workforce in Australia or elsewhere has not been investigated, with previous studies focussing on subsets of doctors, particularly junior doctors. 2,3,[9][10][11][12][13][14][15][16][17] We report here on cross-sectional data gathered through the DeC Study on the prevalence and potential impact of bullying in the Australian medical workforce.…”

Section: Introductionmentioning

confidence: 99%

“…Our study is the first to examine bullying within a cross-section of a national medical workforce and with 747 respondents, is amongst the largest published studies investigating this issue. Previous studies have investigated the prevalence of bullying in specific sectors of the workforce, including junior doctors, 2,11,12,14,17 trainee psychiatrists, 10 postgraduate hospital dentists, 15 and staff of specific regional health administrations. 13,28 However, comparisons between studies are difficult because different definitions of bullying and data collection methods were used.…”

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confidence: 99%

Bullying in the Australian medical workforce: cross-sectional data from an Australian e-Cohort study

Askew

Schluter

Dick

et al. 2012

Aust. Health Review

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Objective. This study aimed to describe the prevalence of perceived workplace bullying in the Australian medical workforce, and investigate the relationship between workplace bullying and job satisfaction, health status, and current and planned medical workforce participation.Methods. An electronic cross-sectional survey of doctors currently in the paid workforce, conducted between April 2008 and October 2009, was nested within a longitudinal cohort study investigating factors affecting the recruitment and retention of the Australian medical workforce. To address the specific aims of this study, a subset of questions in the survey investigated the prevalence of self-reported bullying; physical and mental health; workforce participation patterns; job satisfaction; and job stressors.Results. Seven hundred and forty-seven participants responded to the bullying question and were included in this analysis. Twenty-five percent of participants reported being bullied in the last 12 months. There were no differences in the reported rates of bullying across age groups, sex and country of medical qualification. Bullied doctors were least satisfied with their jobs (P < 0.001), had taken more sick leave in the last 12 months (P < 0.001), and were more likely to be planning to decrease the number of hours worked in medicine in the next 12 months (P = 0.01) or ceasing direct patient care in the next 5 years (independent of their age or the number of hours currently worked in patient care) (P = 0.006).Conclusions. Our findings suggest that Australian doctors, independent of age or sex, have experienced workplace bullying, and although no conclusions can be made about causal pathways, there were strong associations between this exposure and poorer health and wellbeing, and on remaining in the medical workforce.What is known about the topic? Bullying and harassment have a significant impact on mental health, job satisfaction, and intention to leave the workforce. Workplace bullying in healthcare organisations affects the individuals involved, the organisations and the patients. The prevalence of workplace bullying throughout the medical workforce in Australia or elsewhere has not been investigated, with previous studies focussing on subsets of doctors, particularly junior doctors. What does this paper add? This paper found that 25% of doctors participating in this study reported experiencing persistent behaviours in the last 12 months that had undermined their professional confidence or self-esteem. There were no differences in the prevalence of bullying observed between sexes, age groups, country of medical qualifications, or employment sector. Victims of bullying had poorer mental health, had taken more sick leave in the last 12 months, were less Journal compilation Ó AHHA 2012 www.publish.csiro.au/journals/ahr CSIRO PUBLISHING Australian Health Review, 2012, 36, 197-204 Research Note http://dx.doi.org/10.1071/AH11048WORKFORCE satisfied with their current jobs and with being doctors, were more affected by job stresso...

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Bullying of Trainee Psychiatrists in Pakistan: A Cross-Sectional Questionnaire Survey

Abstract: Most postgraduate psychiatry trainees in Pakistan have experienced bullying. Measures need to be taken to increase awareness of what constitutes bullying and how it affects its victims. It may be necessary to introduce antibullying policies at least at the organizational level.

Cited by 34 publications

References 16 publications

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Pilot study on the prevalence of abuse and mistreatment during clinical internship: a cross-sectional study among first year residents in Oman

Bullying in the Australian medical workforce: cross-sectional data from an Australian e-Cohort study

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