Burnout, depression and anxiety in preclinical medical students: a cross-sectional survey

Venrooij, Lennard T van; Barnhoorn, Pieter; Giltay, Erik J.; Noorden, Martijn S. van

doi:10.1515/ijamh-2015-0077

Cited by 28 publications

(22 citation statements)

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“…In a study conducted in the Netherlands among preclinical medical students, less than six hours of sleep per night was well correlated with burnout [103]. Though sleep adequacy was significantly associated with the burnout symptoms in univariate analysis, it failed to contribute to the best-fitted model.…”

Section: Predictors Of Burnoutmentioning

confidence: 94%

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

2020

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Background: Medical students and residents were found to have suffered from depression, anxiety, and burnout in various studies. However, these entities have not been adequately explored in the context of Nepal. We proposed to determine the prevalence of depression, anxiety, burnout, their associated factors, and identify their predictors in a sample of medical students and residents in a Nepalese medical school. Methods: It was a cross-sectional study with 651 medical students and residents chosen at random between December 2018 and February 2019. The validated Nepali version of Hospital Anxiety and Depression Scale, the Copenhagen Burnout Inventory, and Medical Students' Stressor Questionnaire were used to assess depression, anxiety, burnout, and stressors respectively. We used univariate and multivariable logistic regression analyses to identify the correlation of predictor variables with depression, anxiety, and burnout. Results: The overall prevalence of burnout (48.8%; 95% CI 44.9-52.7) and anxiety (45.3%; 95% CI 41.4-49.2) was more than that of depression (31%; 95% CI 27.5-34.7). Burnout and depression were more prevalent in residents than in medical students (burnout: 64.5% vs 37.6%, P-value < 0.0001; depression: 33.7% vs 29.1%, P-value 0.21). Whereas, medical students were found more anxious than residents (46.3% versus 43.96%, P-value 0.55). Academic related stressors caused high-grade stress to participants. Multivariable model for depression significantly showed anxiety, personal burnout, and work-related burnout as risk enhancing correlates; satisfaction with academic performance as a protective correlate. Similarly, the multivariate model for anxiety significantly identified female gender, depression, personal burnout, teaching and learning related stressors, and past history of mental illness as risk enhancing correlates; being satisfied with academic performance, getting adequate sleep, and being a secondyear resident as protective correlates. The logistic model for burnout significantly showed being a first-year resident, depression, anxiety, and drive and desire related stressors as positive predictors. None of the variables were identified as significant negative predictors of burnout.

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Section: Predictors Of Burnoutmentioning

confidence: 94%

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

2020

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“…The MBI was the most frequently used survey (8 of 17 articles). 11 , 19 , 20 , 22 – 26 Other surveys were used less frequently and catered to the needs of that particular study. 10 , 11 , 18 , 23 , 27 – 29 Reed et al 30 noted that burnout correlated highly with depersonalization, stress, and emotional exhaustion in schools that used a grading scale system, which suggests pass/fail-grading systems may be beneficial to students’ mental health.…”

Section: Resultsmentioning

confidence: 99%

The prevalence and effect of burnout on graduate healthcare students

et al. 2017

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Burnout is a growing epidemic among professional healthcare students. Unaddressed burnout has been shown to have psychological and performance related detriments. The purpose of this scoping literature review was to investigate the prevalence of burnout and its effects on the psychological, professional, empathetic ability, and academic acuity of graduate healthcare students. Inclusion criteria included English language papers published within the last 10 years and subjects in graduate healthcare professional programs. This search encompassed 8,214 articles. After title and abstract screening, 127 articles remained and were sorted into five domains of interest: etiology, professionalism, mental health, empathy, and academic performance. After duplicates were removed, 27 articles remained for the scoping review. Graduate level healthcare students had higher levels of burnout than age matched peers and the general population. The high prevalence of burnout within graduate healthcare students can have an effect on their mental health, empathy, and professional conduct. Understanding the occurrence and effects of burnout within graduate healthcare programs allows faculty and administration to plan curriculum, and provide information to students to understand, recognize, and create opportunities to decrease burnout in order to create long lasting quality clinicians.

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“…Medicina sobretudo nos períodos considerados de maior vulnerabilidade do curso (BALDASSIN, 2010;BENEVIDES-PEREIRA;GONÇALVES, 2009;CLARK;ZELDOW, 1988;COSTA et al, 2012a;PARKERSON;BROADHEAD;TSE, 1990) e têm sido atribuídos à formação médica (BRAZEAU et al, 2014;ROSAL et al, 1997) STRODL, 2015;AMARAL et al, 2008;BASNET et al, 2012;CAVESTRO;ROCHA, 2006;COSTA et al, 2012b;DYRBYE et al, 2007;DYRBYE et al, 2011a;ELLER et al, 2006;KARAOGLU;SEKER, 2010;PAN et al, 2015;REZENDE et al, 2008;SAMARANAYAKE;FERNANDO, 2011;van VENROOIJ et al, 2015;VOLTMER;KÖTTER;SPAHN, 2012;WAQAS et al, 2015;YUSOFF et al, 2013a;YUSOFF et al, 2013b).…”

Section: Os Estados Depressivos E Ansiosos São Frequentes Nos Estudanunclassified

“…A frequência de sintomas depressivos ou depressão em estudantes de Medicina descrita na literatura apresenta ampla variação (2,5% a 70%) que pode ser explicada pelos diferentes instrumentos ou escalas, bem como as diversas metodologias empregadas (ABOALSHAMAT;HOU;STRODL, 2015;BASNET et al, 2012;CAVESTRO;ROCHA, 2006;DYRBYE et al, 2007;DYRBYE et al, 2011b;ELLER et al, 2006;KARAOGLU;SEKER, 2010;SAMARANAYAKE;FERNANDO, 2 011;van VENROOIJ et al, 2015;VOLTMER;KÖTTER;SPAHN, 2012;WAQAS et al, 2015;YUSOFF et al, 2013a).…”

Section: Confiabilidade Da Consistência Interna -Coeficientes Alfa Deunclassified

“…Embora considerada mais frequente que os sintomas depressivos entre os estudantes norte-americanos ( DYRBYE et al, 2010a), sua frequência varia de 9,3 a 49% nos estudos nacionais e internacionais COSTA et al, 2012a;DYRBYE et al, 2008;DYRBYE et al, 2011a;PEREZ et al, 2007). Observam-se associações de Burnout com o ambiente educacional (DYRBYE et al, 2009), privação de sono (van VENROOIJ et al, 2015), baixos escores de empatia (THOMAS et al, 2007), prejuízo na relação médico-paciente e atuação profissional (BRAZEAU, 2010), redução dos escores de qualidade de vida (HENNING; HAWKEN; HILL, 2009; PAGNIN; de QUEIRÓZ, 2015b), ideação suicida e abandono do curso (DYRBYE et al, 2010a).…”

Section: Introductionunclassified

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Sintomas depressivos e trajetórias de qualidade de vida relacionada à saúde de estudantes de Medicina ao longo do curso de graduação

Araújo¹

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Medical training is characterized by an environment of progressive and intense stress that favors the development of depressive symptoms in students. Such distress negatively impacts students' learning process, professional development, interpersonal and doctor-patient relationships. Several cross-sectional and longitudinal studies indicate that medical students show some impairment in their health related quality of life (HRQoL). The aim of this study was to assess the presence of depressive symptoms and health related quality of life trajectories (HRQoL) of medical students during medical training and verify possible relations among HRQoL, depressive symptoms and clinical and sociodemographic variables. Medical students completed an HRQoL instrument (SF-36) and a scale of depressive symptoms (Beck Depression Inventory-BDI) once a year during medical school. The SF-36 scores of each year were compared and correlated with sociodemographic variables and with the scores and clusters extracted from the BDI through factor analysis. There were no differences in BDI scores and in the domains and summaries of the SF-36 among the different years of medical training (p < 0.05). Mental component summary scores of the SF-36 were lower than the physical component scores throughout the course. Variations of the SF-36 scores were explained by variations in the pain and vitality domains in male and female students, respectively. The sociodemographic and clinical variables did not correlate with scores of the SF-36 and BDI. The SF-36 doma in and summary scores showed negative correlations with the presence of depressive symptoms. Three BDI clusters were extracted by factor analysis: low self-esteem/dissatisfaction, subjective symptoms and somatic symptoms. The low self-esteem/dissatisfaction and subjective symptoms clusters of BDI showed moderate correlations (r = 0.3; p < 0.05) with the domain and summary scores of the SF-36, and were used as dependent variables for the multiple regression analysis. We obtained a model of moderate explanation of the variance for the cluster low self-esteem/dissatisfaction (R 2 = 0.34; p < 0.05) with the variables vitality, social and emotional aspects, mental health and mental component summary. The variable that contributed most to the model was the summary of the mental component (ß =-1.94; p = 0.05). The perception of medical students' well being is worse in the mental than in the physical dimension and correlates with depressive symptoms. Among medical students, the association between depressive symptoms and HRQoL is explained by low self-esteem and dissatisfaction. Medical educators must propose strategies for identifying students with higher mental health vulnerability and provide psycho-pedagogic support as well as educational models and scenarios of professional practices that can contribute to reducing psychological distress.

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Burnout, depression and anxiety in preclinical medical students: a cross-sectional survey

Cited by 28 publications

References 20 publications

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

Depression, anxiety, and burnout among medical students and residents of a medical school in Nepal: a cross-sectional study

The prevalence and effect of burnout on graduate healthcare students

Sintomas depressivos e trajetórias de qualidade de vida relacionada à saúde de estudantes de Medicina ao longo do curso de graduação

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