Depressive symptoms in residents of a tertiary training hospital in Malaysia: The prevalence and associated factors

Nair, Navin; Ng, Chong Guan; Sulaiman, Ahmad Hatim

doi:10.1016/j.ajp.2021.102548

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…[ 6 7 8 ] However, the prevalence was lower than in studies from India and Malaysia. [ 9 10 11 ] The prevalence of stress in our study (1.9%) was much lower than in previous literature. A systematic review by Mata et al .…”

Section: Discussioncontrasting

confidence: 71%

“…We found that trainees from nonclinical specialties had significantly higher levels of psychological distress, which is in contrast to previous findings, which showed that working in a clinical specialty was associated with higher levels of psychological distress. [ 11 14 ] The proportion of females in the nonclinical specialties (74.7%) in our study was much higher than the clinical specialties (56.9%), which may explain the higher rates of psychological morbidity in the nonclinical specialties.…”

Section: Discussionmentioning

confidence: 53%

“…[ 6 13 ] We also found depressive and anxiety symptoms, and stress to be significantly associated with longer shifts, lack of peer support, lack of support by trainers, being treated unfairly by trainers, and financial difficulties, which is in keeping with prior research. [ 11 14 15 ]…”

Section: Discussionmentioning

confidence: 99%

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Symptoms of depression and anxiety and stress among postgraduate trainees in Sri Lanka: Risk factors and implications for practice

Alles,

Amarakoon,

Rohanachandra

2023

Indian Journal of Psychiatry

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High workload, long working hours, and the need to study and work simultaneously put postgraduate trainee doctors at a high risk of depression, anxiety, and stress. A cross-sectional descriptive study was conducted among all postgraduate trainees registered at the Postgraduate Institute of Medicine (PGIM), Sri Lanka, using the 21-item Depression Anxiety Stress Scale (DASS-21). Eleven-point two percent (11.2%) had depressive symptoms, 8.9% had anxiety symptoms, and 1.9% had high levels of stress. Being female, having a past or current mental illness, not being supported by the trainers, being unfairly treated by trainers, dissatisfaction with the work environment, difficulty in coping with long working hours, and poor peer support were significantly associated with symptoms of depression and anxiety, and stress (P < 0.01). Given the association between psychological distress and the characteristics of training and work environment, the postgraduate training programs should be reviewed to ensure the psychological well-being of trainees.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 53%

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Symptoms of depression and anxiety and stress among postgraduate trainees in Sri Lanka: Risk factors and implications for practice

Alles,

Amarakoon,

Rohanachandra

2023

Indian Journal of Psychiatry

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“…40 Moreover, several previous studies also demonstrated that long working hours increased the risk of depression among medical residents. [41][42][43][44] In line with this, during the COVID-19 pandemic, a cross-sectional study including 2318 participants of the Longitudinal Study of Adult Health who worked from home, they found that among women, long hours worked were associated with poor self-rated mental health (OR = 1.64; 95% CI = 1.13-2.38). 45 However, this association was not observed for either major anxiety or suicidal ideation in our study.…”

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confidence: 78%

The Association of Experienced Long Working Hours and Depression, Anxiety, and Suicidal Ideation Among Chinese Medical Residents During the COVID-19 Pandemic: A Multi-Center Cross-Sectional Study

Li¹,

Li²,

Liu³

et al. 2023

PRBM

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Background Long working hours are common among medical residents and may increase the risk of mental disorders. We aimed to investigate the association between experienced long working hours and depression, anxiety, and suicidal ideation among Chinese medical residents during the COVID-19 pandemic. Methods This study was conducted in September 2022; 1343 residents from three center in Northeastern China were included in the final analysis (effective response rate: 87.61%). The data were collected from participants via online self-administered questionnaires. Depression and anxiety were measured by the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder (GAD-7) scale, respectively. Adjusted odds ratios and 95% confidence intervals were determined after adjusting for potential confounders by binary unconditional logistic regression. Results The effective response rate was 87.61%. Among the 1343 participants, 12.88% (173), 9.90% (133), and 9.68% (130) had experienced major depression, major anxiety, and suicidal ideation, respectively. We found that longer weekly worktime increased the risk of major depression, particularly in those who worked for more than 60 hours per week (≥ 61 hours vs ≤ 40 hours, OR=1.87, P for trend = 0.003). However, this trend was not observed for either major anxiety or suicidal ideation ( P for trend > 0.05 for both). Conclusion This study revealed that there was a considerable incidence of poor mental health among medical residents; furthermore, the longer weekly worktime was associated with a higher risk of major depression, especially for those who worked more than 60 hours per week, but this association was not observed in either major anxiety or suicidal ideation. This may help policymakers to develop targeted interventions.

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“…For instance, research has identified family background, lifestyle factors, bullying experiences, sleeping problems, and self-esteem as main risk factors of depression in young age groups, such as school and university students ( 13 – 15 ). Meanwhile, in adult working populations, some major contributors to depression are high job demands and poor working conditions ( 16 , 17 ). While job stress has been long identified as closely linked to depression globally ( 18 , 19 ), this association is less evident in Malaysia.…”

Section: Introductionmentioning

confidence: 99%

Job stress and depression among Malaysian anti-drug professionals: The moderating role of job-related coping strategies

et al. 2022

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Depression can cause negative consequences to workers' health and social functioning, such as poor work productivity, mental disorders, and suicide. Existing studies have argued that job stress is closely related to depression in many professions. Yet, information on how coping strategies play a significant role in the relationships among Malaysian anti-drug professionals is still scarce. Thus, the aim of this study was to examine to what extent coping strategies moderate the relationship between job stress and depression among Malaysian anti-drug professionals. A total of 3,356 National Antidrug Agency (NADA) officers aged between 21 and 59 years completed online self-report measures of depression, job stress, and job-related control coping and avoidant coping behaviors. The results showed that job stress was strongly correlated with depression, and both coping strategies were found to significantly moderate the correlations. The correlations between stress and depression were stronger among participants who had higher levels of avoidant coping or those who had lower levels of control coping. To conclude, this study highlights the importance of considering job stress and coping behaviors to understand anti-drug professionals' mental health during this challenging COVID-19 pandemic.

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Depressive symptoms in residents of a tertiary training hospital in Malaysia: The prevalence and associated factors

Cited by 4 publications

References 15 publications

Symptoms of depression and anxiety and stress among postgraduate trainees in Sri Lanka: Risk factors and implications for practice

Symptoms of depression and anxiety and stress among postgraduate trainees in Sri Lanka: Risk factors and implications for practice

The Association of Experienced Long Working Hours and Depression, Anxiety, and Suicidal Ideation Among Chinese Medical Residents During the COVID-19 Pandemic: A Multi-Center Cross-Sectional Study

Job stress and depression among Malaysian anti-drug professionals: The moderating role of job-related coping strategies

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