Doctors in distress

Devi, Sharmila

doi:10.1016/s0140-6736(11)60145-1

Cited by 70 publications

(35 citation statements)

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“…This suggests that the physicians and resident physicians had goals and a sense of directedness, and they felt that there was meaning to their present and past life (Ryff and Keyes 1995). According to Devi (2011), individuals should choose a medical career based on personal values and aims, and it appears that those in the current study valued their work. Interestingly, value congruence has been shown to be a strong predictor of professional efficacy and lower levels of distress (Leiter et al 2009).…”

Section: Levels Of Self-regulation Capacity and Psychological And Affmentioning

confidence: 82%

Differences in psychological and affective well-being between physicians and resident physicians: Does high and low self-regulation capacity matter?

Simon

Durand‐Bush

2014

Psych Well-Being

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Background: Physician well-being has rapidly become an important area of interest given that reduced well-being can have a negative effect on patient outcomes. The majority of studies in this area have focused on impairment, and research on skills and processes that allow physicians and resident physicians to achieve and maintain adequate levels of well-being has been limited. As such, the purpose of the present study was to adopt a positive psychology approach to investigate well-being as more than the presence or absence of dysfunction. It aimed to examine the link between self-regulation capacity, an important self-management skill, and psychological and affective well-being among physicians and resident physicians. Methods: A total of 132 Canadian physicians and resident physicians completed online questionnaires assessing their levels of psychological and affective well-being and self-regulation capacity in order to determine if there were significant differences in well-being between physicians and resident physicians with high and low self-regulation capacity. Results: Physicians and resident physicians had moderate and high levels of self-regulation capacity, respectively. While both groups were generally high in psychological well-being, they had average levels of positive and negative affect. Between-subject MANOVAs confirmed the hypothesis that high self-regulating physicians and resident physicians have higher levels of psychological well-being and positive affect compared to those with lower levels. However, those higher in self-regulation capacity did not have lower negative affect, nor did physicians have significantly higher levels of psychological and affective well-being than resident physicians. Conclusions: Results do not support some of the literature suggesting that physicians are highly distressed and cannot manage the demands of their profession. The positive significant association between the physicians and resident physicians' self-regulation capacity and well-being implies that nurturing self-regulation skills within this population could potentially be one way to help them adapt to meet the evolving demands of the medical profession.

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Section: Levels Of Self-regulation Capacity and Psychological And Affmentioning

confidence: 82%

Differences in psychological and affective well-being between physicians and resident physicians: Does high and low self-regulation capacity matter?

Simon

Durand‐Bush

2014

Psych Well-Being

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“…These issues will inevitably have negative effects on patients’ health and the development of healthcare system based on manpower sources [6], [7]. Therefore, interest in the psychological well-being of physicians has increased recently, warranting further research regarding factors that influence the mental health of physicians [8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Gong

Han

Chen³

et al. 2014

PLoS ONE

190

155

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BackgroundPhysicians’ poor mental health not only hinders their professional performance and affects the quality of healthcare provided but also adversely affects patients’ health outcomes. Few studies in China have evaluated the mental health of physicians. The purposes of this study are to quantify Chinese physicians’ anxiety and depressive symptoms as well as evaluate associated risk factors.MethodsIn our study, 2641 physicians working in public hospitals in Shenzhen in southern China were recruited and interviewed by using a structured questionnaire along with validated scales testing anxiety and depressive symptoms. Multivariable logistic regression models were used to identify risk factors for anxiety and depressive symptoms.ResultsAn estimated 25.67% of physicians had anxiety symptoms, 28.13% had depressive symptoms, and 19.01% had both anxiety and depressive symptoms. More than 10% of the participants often experienced workplace violence and 63.17% sometimes encountered it. Among our study population, anxiety and depressive symptoms were associated with poor self-reported physical health, frequent workplace violence, lengthy working hours (more than 60 hours a week), frequent night shifts (twice or more per week), and lack of regular physical exercise.ConclusionsOur study demonstrates that anxiety and depressive symptoms are common among physicians in China, and the doctor-patient relationship issue is particularly stressful. Interventions implemented to minimize workload, improve doctor-patient relationships, and assist physicians in developing healthier lifestyles are essential to combat anxiety and depressive symptoms among physicians, which may improve their professional performance.

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“…One possible reason for this is the perceived stigma related to openly admitting to a need for help. Doctors may fear that it could be construed as an indication of weakness or an inability to cope with professional pressures [34–36]. It is worth noting that this fear of stigmatization may develop as early as their time at medical school [37,38].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the suicide intervention skills of emergency medical services providers

Lygnugarytė-Grikšienė

Leskauskas

Jasinskas

et al. 2017

Medical Education Online

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Background: Lithuania currently has the highest suicide rate in Europe and the fifth highest worldwide. Aims: To identify the factors that influence the suicide intervention skills of emergency medical services (EMS) providers (doctors, nurses, paramedics). Method: Two hundred and sixty-eight EMS providers participated in the research. The EMS providers were surveyed both prior to their training in suicide intervention and six months later. The questionnaire used for the survey assessed their socio-demographic characteristics, suicide intervention skills, attitudes towards suicide prevention, general mental health, strategies for coping with stress, and likelihood of burnout. Results: Better suicide intervention skills were more prevalent among EMS providers with a higher level of education, heavier workload, more positive attitudes towards suicide prevention, better methods of coping with stress, and those of a younger age. Six months after the non-continuous training in suicide intervention, the providers’ ability to assess suicide risk factors had improved, although there was no change in their suicide intervention skills. Conclusions: In order to improve the suicide intervention skills of EMS providers, particular attention should be paid to attitudes towards suicide prevention, skills for coping with stress, and continuous training in suicide intervention. Abbreviations: EMS: Emergency medical services; SIRI: Suicide intervention response inventory

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Doctors in distress

Cited by 70 publications

References 0 publications

Differences in psychological and affective well-being between physicians and resident physicians: Does high and low self-regulation capacity matter?

Differences in psychological and affective well-being between physicians and resident physicians: Does high and low self-regulation capacity matter?

Prevalence of Anxiety and Depressive Symptoms and Related Risk Factors among Physicians in China: A Cross-Sectional Study

Factors influencing the suicide intervention skills of emergency medical services providers

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