Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

Nutting, Ruth; Grant, Justin T; Ofei-Dodoo, Samuel; Runde, Matthew S; Staab, Kethlyn A; Richard, Barret R

doi:10.17161/kjm.v13i.14631

Cited by 4 publications

(3 citation statements)

References 17 publications

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“…In the regression analysis, those who did not exercise were 2.1 times (95% CI 1.04 – 4.46, p = 0.038) more likely to have anxiety than those who exercise often or regularly. Nutting et al [ 47 ] have conducted an intervention trial in which, after 10 months of physical training, the majority of the participants showed a significant reduction in indices of anxiety symptoms. To date, most of the effort directed toward stress reduction has been geared toward psychological interventions or institutional changes to accommodate the need of trainees [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

AlJahwari

AlKamli²,

Al‐Huseini³

et al. 2022

Middle East Curr Psychiatry

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Background Anxiety disorders are a significant factor associated with physician burnout and poor patient care, reported to have a significant frequency among the youth in the Middle East. However, to date, no study has explored the prevalence of anxiety among resident physicians in the Arabian Gulf country of Oman. This cross-sectional study, conducted among a random sample of residents affiliated with the Oman Medical Specialty Board, aimed to examine the frequency and factors associated with anxiety symptoms among them. Participants were asked to complete the General Anxiety Disorder Assessment (GAD-7) to assess anxiety, as well as a socio-demographic questionnaire. Results In a total of 251 residents, the prevalence of anxiety was 14.7% (GAD-7 cut-off score ≥ 10). More than 60% of the respondents were female (68.9%). The age breakdown ranged from 25 to 30 years old (66.5%) and the majority were married (64.9%). More than 70% of respondents attended at least 5 shifts in their weekly schedule and received at least 5 on-call shifts from the hospital per week. Logistic regression showed that residents with chronic disease were 2.5 times (95% CI 1.36–4.72, p = 0.003) more likely to have anxiety than those without them. Those residents who did not exercise were 2.1 times (95% CI 1.04–4.46, p = 0.038) more likely to have anxiety than those who exercise often or regularly. Residents who received 6 or more on-calls from the hospital were 2.6 times (95% CI 1.35–5.25, p = 0.005) more likely to have anxiety than those who received 5 or fewer on-calls in a month. Conclusions The factors seemingly responsible for anxiety symptoms in this sample of resident physicians are those that are typically associated with poor work-life balance and unhealthy lifestyles. Pending further scrutiny, these results could be used to lay the groundwork for the identification of those who will require more protracted help during their training in Oman and in other culturally similar Middle Eastern countries.

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Section: Discussionmentioning

confidence: 99%

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

AlJahwari

AlKamli²,

Al‐Huseini³

et al. 2022

Middle East Curr Psychiatry

View full text Add to dashboard Cite

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“…A previous study that compared faculty physicians and residents on a number of quality-of-life measures found that residents exercise less than faculty, with 41% of residents reporting that they exercised three to five times per week as compared to 54% of faculty physicians [ 95 ]. Identifying ways to facilitate exercise among healthcare trainees is a promising approach to increase well-being and prevent deleterious mental health outcomes [ 96 , 97 ].…”

Section: Discussionmentioning

confidence: 99%

Flourishing in Healthcare Trainees: Psychological Well-Being and the Conserved Transcriptional Response to Adversity

Mascaro

Wallace

Hyman

et al. 2022

IJERPH

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While much attention has been paid to healthcare provider and trainee burnout, less is known about provider well-being (i.e., flourishing) or about the effects of well-being on immune function. This study examined the demographic and psycho-social correlates of well-being among healthcare trainees (resident physicians and physician assistant (PA) trainees) and evaluated the association of well-being with the “conserved transcriptional response to adversity” (CTRA) characterized by up-regulated expression of pro-inflammatory genes and down-regulated expression of innate antiviral genes. Participants (n = 58) completed self-reported assessments of sleep disturbance, loneliness, depressive symptoms, anxiety, stress, and well-being (flourishing). Blood sample RNA profiles were analyzed by RNA sequencing to assess the CTRA. Slightly over half (n = 32; 55.2%) of healthcare trainees were categorized as flourishing. Flourishing was less prevalent among primary caregivers, and more prevalent among trainees who exercised more frequently and those with fewest days sick. Loneliness (AOR = 0.75; 95% CI = 0.61, 0.91; p = 0.003) and stress (AOR = 0.65; 95% CI = 0.45, 0.94; p = 0.02) were associated with decreased odds of flourishing when controlling for other variables. Flourishing was associated with down-regulated CTRA gene expression, whereas loneliness was associated with up-regulated CTRA gene expression (both p < 0.05). Assessing these relationships in a larger, multi-site study is of critical importance to inform policy, curricula, and interventions to bolster sustainable trainee well-being.

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“…When compared to those who did not exercise, the percentage of anxiety-free participants who exercised weekly was higher, and this percentage increased with frequency. Regular physical activity improves the ability of medical personnel to manage stressful work-related emotions, and a quick exercise improves the well-being of resident trainees [32,33]. This shows that having a demanding clinical burden that prevents residents from getting enough rest or exercise is a risk factor for mental health.…”

Section: Female (Rs) -mentioning

confidence: 99%

Analysis of resident mental health and its influencing factors: a single-centre cross-sectional study

Luo

Yang

Zhang

et al. 2022

Preprint

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Background: With a high rate of positive psychological problem detections and as one of the main reasons why residents are unable to complete the required amount of training, the mental health of residents has attracted more attention in recent years. This study aims to comprehend the psychological well-being of Chinese residents and investigate the factors affecting their mental health. Methods: A self-administered questionnaire containing the General Information Questionnaire and the Depression-Anxiety-Stress Scale (DASS-21) was used in a cross-sectional study at the First Affiliated Hospital of Kunming Medical University to survey residents and compare differences in the mental health status of residents with various characteristics. Univariate analyses and logistic regression analysis were performed to identify said factors. Results: Out of the 386 valid questionnaires that were collected, univariate analyses showed that daily sleep time, weekly frequency movement, income, training department, gender impact on the resident’s mental health(P<0.05). Logistic regression analysis showed that sleeping less than 6 hours, internships in other departments, and male trainees are associated with the level of mental health. Conclusion: These results imply that residents' mental health issues may be closely related to residency training characteristics and the training environment, or that routine psychological therapy for important targets will improve residents' mental health and guarantee successful training completion.

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Increasing Resident Physician Well-Being through a Motivational Fitness Curriculum: A Pilot Study

Cited by 4 publications

References 17 publications

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

The prevalence and factors associated with anxiety symptoms among resident physicians in Oman: a cross-sectional study

Flourishing in Healthcare Trainees: Psychological Well-Being and the Conserved Transcriptional Response to Adversity

Analysis of resident mental health and its influencing factors: a single-centre cross-sectional study

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