Occupational Stress and Physical Symptoms among Family Medicine Residents

Choi, So-Myung; Park, Yongsoon; Yoo, Jun-Hyun; Kim, Go-Young

doi:10.4082/kjfm.2013.34.1.49

Cited by 15 publications

(9 citation statements)

References 13 publications

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“…These observations are similar to previous observations not detecting any association between resident stress and demographic characteristics. 13 , 15 - 17 , 24 We attribute this difference to the low use of alcohol in our sample compared with Western samples. Residents in the current study who shouldered higher workloads (dealing with more patients and working more weekends) and who suffered from sleep deprivation (sleeping few hours and feeling un-refreshed after sleep) were at higher risk of stress.…”

Section: Discussionmentioning

confidence: 76%

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Prevalence of stress and its determinants among residents in Saudi Arabia

Alosaimi

Kazim

Almufleh

et al. 2015

SMJ

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Objectives:To examine perceived stress among residents in Saudi Arabia and its associated risk factors.Methods:A cross-sectional study of all residents registered at the Saudi Commission for Health Specialties, Riyadh, Saudi Arabia, was conducted between May and October 2012. We assessed the likelihood of stress using the perceived stress scale (PSS).Results:Out of the 4000 residents contacted, 1035 responded and 938 were included. The mean (±standard deviation) PSS score was 22.0±5.1 (median 22 and inter-quartile range of 18-25). With the exception of gender and nationality, no significant associations were found between stress and socio-demographic or behavioral factors. Stress was associated with higher workload, sleep deprivation, dissatisfaction with colleagues and the program, and harmful ideations. Stressors included work-related, academic, and homesickness stressors. In multivariate analysis, the following were independently associated with stress: Saudi nationality, facing homesick stressor, facing work-related stressor, dissatisfaction with relationships with colleagues, and frequent thoughts of quitting the medical profession.Conclusion:Residents in Saudi Arabia are at comparable or slightly higher risk of perceived stress than that reported among residents worldwide. Unfortunately, most of the participants never received stress management, which highlights the need for stress management programs during residency.

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Section: Discussionmentioning

confidence: 76%

“…However, our response rate was comparable to similar studies that used email as a recruitment tool. 17 , 28 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of stress and its determinants among residents in Saudi Arabia

Alosaimi

Kazim

Almufleh

et al. 2015

SMJ

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“…Above all, the Korean tradition and culture are characterized by authoritarianism, hierarchy and collectivism [50,51]. Such a working environment differs notably from the organization of Western countries, which is rather horizontal in comparison.…”

Section: Discussionmentioning

confidence: 99%

Antioxidants in Asian-Korean and Caucasian Skin: The Influence of Nutrition and Stress

Jung

Darvin

Chung

et al. 2014

Skin Pharmacol Physiol

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Background: The antioxidant status of the human skin provides protection against the destructive action of free radicals. Most antioxidants cannot be synthesized by the human organism itself, but have to be ingested with a healthy nutrition rich in fruit and vegetables. The Korean cuisine is known to be one of the healthiest worldwide. This binational study investigated the cutaneous carotenoid concentrations in German subjects, South Korean subjects and immigrant Korean subjects resident in Germany and examined whether dietary- and lifestyle-related differences are reflected in the cutaneous carotenoid concentrations. Methods: Measurements of the carotenoid concentrations of 714 healthy volunteers were performed using a non-invasive spectroscopic measurement system based on reflectance spectroscopy. Results: In the present study South Korean residents showed a significantly higher antioxidant status than both native German residents and Korean immigrants living in Germany (p < 0.001). The first generation of Korean immigrants to Germany over the age of 50 mostly preserved Korean dietary habits, showing significantly higher concentrations (p < 0.001) than the German-born second and third Korean generations under the age of 50. Conclusion: The results of the study indicate that a healthy nutrition alone does not provide a high antioxidant status unless the stress exposure can be reduced simultaneously.

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“…36 The stressful nature of graduate medical training has been well documented. [37][38][39][40][41] In addition to learning important clinical skills, residents also acquire lifelong and often career-defining professional behaviours and practice habits that affect their professional behaviour and ultimately patient care.…”

Section: Current Studymentioning

confidence: 99%

Examining self-reported and biological stress and near misses among Emergency Medicine residents: a single-centre cross-sectional assessment in the USA

et al. 2017

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ObjectivesTo examine the relationship between perceived and biological stress and near misses among Emergency Medicine residents.DesignSelf-rated stress and stress biomarkers were assessed in residents in Emergency Medicine before and after a day shift. The supervising physicians and residents reported numbers of near misses.SettingThe study took place in the Emergency Department of a large trauma 1 centre, located in Detroit, USA.ParticipantsResidents in Emergency Medicine volunteered to participate. The sample consisted of 32 residents, with complete data on 28 subjects. Residents’ supervising physicians assessed the clinical performance of each resident.Primary and secondary outcome measuresParticipants’ preshift and postshift stress, biological stress (salivary cortisol, plasma interleukin-6, tumour necrosis factor-alpha (TNF-α) and high-sensitivity C-reactive protein), residents’ and supervisors’ reports of near misses, number of critically ill and patients with trauma seen during the shift.ResultsResidents’ self-reported stress increased from an average preshift level of 2.79 of 10 (SD 1.81) to a postshift level of 5.82 (2.13) (p<0.001). Residents cared for an average of 2.32 (1.52) critically ill patients and 0.68 (1.06) patients with trauma. Residents reported a total of 7 near misses, compared with 11 reported by the supervising physicians. After controlling for baseline work-related exhaustion, residents that cared for more patients with trauma and had higher levels of TNF-α reported a higher frequency of near misses (R2=0.72; p=0.001). Residents’ preshift ratings of how stressful they expected the shift to be were related to the supervising physicians’ ratings of residents’ near misses during the shift.ConclusionResidents’ own ratings of near misses were associated with residents’ TNF-α, a biomarker of systemic inflammation and the number of patients with trauma seen during the shift. In contrast, supervisor reports on residents’ near misses were related only to the residents’ preshift expectations of how stressful the shift would be.

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Occupational Stress and Physical Symptoms among Family Medicine Residents

Cited by 15 publications

References 13 publications

Prevalence of stress and its determinants among residents in Saudi Arabia

Prevalence of stress and its determinants among residents in Saudi Arabia

Antioxidants in Asian-Korean and Caucasian Skin: The Influence of Nutrition and Stress

Examining self-reported and biological stress and near misses among Emergency Medicine residents: a single-centre cross-sectional assessment in the USA

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