Pattern of anxiety psychopathology experienced among postgraduate medical trainees

Olagunju, Andrew T; Ogundipe, O A; Lasebikan, Victor Olufolahan; Coker, Ayodele Olurotimi; Asoegwu, Chinyere N.

doi:10.3329/bjms.v15i1.20497

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Reino Unido de ansiedad generalizada entre el 4,9% (Olagunju et al, 2016) y el 12% (Earle et al, 2005), del 3,4% para el trastorno obsesivo compulsivo (TOC) (Olagunju et al, 2016), del 2,4% para fobias simples (Olagunju et al, 2016), del 2% para el trastorno de pánico (Earle et al, 2005) y del 1,5% para fobia social (Olagunju et al, 2016). Curiosamente, un autor establece una prevalencia de 30,5% de fobia social según el cuestionario SPIN (Social Phobia Inventory) (Melo et al, 2016).…”

Section: Lydall Et Al 2009unclassified

“…Entre los factores asociados al consumo de alcohol destacan: género masculino, residentes de especialidades quirúrgicas, extraversión, deprivación de sueño, mayor número de guardias, síntomas depresivos, síntomas ansiosos, ideación suicida activa, intentos de suicidio previos, consumo de drogas ilícitas y mayor estrés percibido (Bunch et al, 1992;Lebensohn et al, 2013;Mansukhani et al, 2012;Martinez, et al, 2016;Olagunju et al, 2016;Pereira-Lima et al, 2016).…”

Section: Lydall Et Al 2009unclassified

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Diagnóstico dual en médicos residentes: una revisión sistemática

et al. 2020

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ResumenAbstract original adicciones vol. xx, nº x · 2020 El período de preparación como médico residente (en español, MIR) suele asociarse a una elevada sobrecarga emocional tanto por las nuevas exigencias profesionales como por otros factores psicosociales. El objetivo de este estudio es conocer las características del diagnóstico dual en los MIRs. Se llevó a cabo una revisión sistemática de las bases de datos MEDLINE (PubMed), Web of Science y Google Scholar, seleccionando artículos publicados en inglés y español entre 1984 y 2017. Se obtuvieron 2.415 artículos: se excluyeron 2.276 por título, 105 por el contenido del resumen y 17 por el contenido del artículo. En la revisión final se incluyeron 17 artículos. La prevalencia de clínica depresiva varía del 10,2% al 70%, de ansiedad entre 13,2% y 33,9%, de ideación suicida entre 6,7% y 25% mientras que el consumo de riesgo de alcohol se encuentra aproximadamente en torno al 20%, entre 2% y 13,4% se auto-prescriben medicamentos psicótropos y del 2,7% al 14% consumen otras sustancias. La mayoría de los estudios analizados adolecen de limitaciones metodológicas importantes lo que dificulta una adecuada comprensión del fenómeno. Las variaciones en las cifras de prevalencia tienen que ver con la disparidad de escalas y de criterios diagnósticos empleados, entre otros factores. Aún así, los estudios muestran que el consumo de alcohol y/u otras sustancias se correlacionan positivamente con el malestar emocional en los MIRs. Se hace necesario mejorar el conocimiento del diagnóstico dual en este grupo profesional para que se puedan prevenir y tratar sus consecuencias de manera más eficaz. Palabras clave: Médico residente; Trastorno por uso de sustancias; Trastornos mentales; Diagnóstico dual; Auto-tratamiento. The post-graduate period as a resident doctor (MIR, in Spanish) is usually associated with high emotional distress due to new professional demands and to other psychosocial factors. The objective of this study is to determine the characteristics of dual diagnosis among MIRs. A systematic review was carried out in MEDLINE (PubMed), Web of Science and Google Scholar databases, selecting articles published in English and Spanish between 1984 and 2017. A total of 2,415 articles were obtained: 2,276 were excluded by their title, 105 by the abstract and 17 after a complete review of the article; 17 papers were finally included. The prevalence of depressive symptoms among MIRs ranges from 10.2% to 70%, while the prevalence of anxious symptoms varies from 13.2% to 33.9%, from 6.7% to 25% reported suicidal ideation, 20% hazardous drinking, 2%-13.4% self-prescribed psychotropics, and 2.7%-14% used other drugs. Most studies present important methodological limitations, thus complicating adequate understanding of the phenomenon. High variations in prevalence data are related to differences in the psychometric scales and to disparity in diagnosis criteria, among other limitations. However, most studies report that alcohol and drug use is correlated with severe distress among MIRs...

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Section: Lydall Et Al 2009unclassified

Diagnóstico dual en médicos residentes: una revisión sistemática

et al. 2020

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“…Some studies have reported a higher prevalence of psychopathology among doctors compared to the general population (Melo-Carrillo, Van Oudenhove, & Lopez-Avila, 2012;Romo-Nava et al, 2019;Schwenk, Davis, & Wimsatt, 2010;Dyrbye, Thomas, & Shanafelt, 2006;Quince, Wood, Parker, & Benson, 2012), where depression, anxiety (Olagunju, Ogundipe, Lasebikan, Coker, & Asoegwu, 2016), substance use (Cottler et al, 2013), and suicidal risk prevail (Dutheil et al, 2019). As a consequence, poor academic performance, attrition, deterioration in patient care, and suicide are documented (Coentre & Figueira, 2015;Coentre, Faravelli, & Figueira, 2016;Dyrbye et al, 2006;Quince et al, 2012).…”

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Evaluation of mental health and occupational stress in Mexican medical residents

et al. 2020

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Introduction. Since mental health disorders are an emerging problem in medical residents, its detection and attention must be a priority. Objetive. To compare the frequency of psychopathology in residents according to sociodemographic and clinical characteristics. Method. We conducted a cross-sectional study evaluating the presence of psychopathology, as well as sociodemographic and clinical characteristics in 644 residents through online questionnaires. Results. Among participants, 55.7% reported a psychiatric disorder at some point and 29.2% a current one; only 41.5% were under treatment. Additionally, 8.1% had attempted suicide, of which 32.4% attempted it during residency. We found that 6.5% of women and 3.3% of men presented “risk of psychopathology,” with a higher percentage of men presenting “severe psychopathology.” Individuals with “risk of psychopathology” presented significantly higher scores on all of the questionnaires, compared to those with “absence of psychopathology.” Discussion and conclusion. Residents with occupational stress also presented higher risks of psychopathology, suicide, and substance use. Being under psychiatric treatment significantly improved the scores on the different scales. Because residency is a period that may increase the probability of suffering psychopathology, interventions should be aimed at reducing occupational stress and bringing specialized care.

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Evaluation of Physician Burnout Syndrome among Pediatric Resident Doctors in Nigeria

Ndu

Ewenitie

Chidiebere

et al. 2021

Nigerian Journal of Medicine

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Background: Medical practice and education are known to lead to emotional and mental exhaustion as well as physical tiredness among healthcare workers. This study analyzed the prevalence and factors associated with physician burnout syndrome (PBS) among resident doctors in paediatric across Nigeria. Methodology: This cross-sectional study was conducted among paediatric resident doctors across Nigeria using the public welfare questionnaire of the American Welfare Association comprising 28 questions related to sleep affectation, energy levels, personal relationships, professional relationships, quality of job environment, and work satisfaction. Results: 117 residents were enrolled with varying degrees of burnout. The mean PBS score was 75.3 ± 19.1 with minimum and maximum scores of 32 and 125, respectively. The prevalence of Grades 0, 1, 2, 3, and 4 PBSs was 3.7%, 4.9%, 28.1%, 42.7%, and 18.3%, respectively, while 63.4% of respondents exhibited signs of symptomatic PBS. The residents' rank (P = 0.05) was significantly associated with the prevalence of symptomatic PBS, while age (P = 0.567), gender (P = 0.755), number of years in training (P = 0.411), marital status (P = 0.173), number of children (P = 0.974), religion (P = 0.09), and prior knowledge of PBS (P = 0.719) had no association with the development of symptomatic PBS among surveyed resident doctors. Conclusion: The prevalence of PBS is high among paediatric resident doctors. There is an urgent need for the postgraduate medical colleges in collaboration with the Ministry of Health to formulate programmes that will help to balance social and professional lives among paediatric resident doctors in Nigeria.

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Pattern of anxiety psychopathology experienced among postgraduate medical trainees

Cited by 4 publications

References 19 publications

Diagnóstico dual en médicos residentes: una revisión sistemática

Diagnóstico dual en médicos residentes: una revisión sistemática

Evaluation of mental health and occupational stress in Mexican medical residents

Evaluation of Physician Burnout Syndrome among Pediatric Resident Doctors in Nigeria

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