The Crossroads of Posttraumatic Stress Disorder and Physician Burnout: A National Review of United States Trauma and Nontrauma Surgeons

Jackson, Theresa; Morgan, Jake; Jackson, Diane L.; Cook, Taylor; McLean, Kevin; Agrawal, Vaidehi; Taubman, Kevin; Truitt, Michael S.

doi:10.1177/000313481908500217

Cited by 30 publications

(19 citation statements)

References 36 publications

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“…21 In one study, surgeons had a PTSD prevalence of 15% while trauma surgeons had a prevalence of 17%, not significantly different. 22 A survey of trauma surgeons using the PCL-C found symptoms of PTSD in 40%; 15% met criteria for PTSD. In that study, PTSD symptoms were higher in male surgeons, surgeons who had more operative cases, surgeons who had more than seven call shifts per month, and those who designated less time for relaxation.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

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There is increasing concern about the effects of occupational stressors on the wellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, and other workplace stressors, emergency physicians (EP) would be predicted to have high rates of occupational stress. We conducted this study to assess the prevalence of post-traumatic stress disorder (PTSD) in attending EPs practicing in the United States. Methods: A link to an electronic questionnaire was distributed through the emergency medicinecentric publication Emergency Medicine News. We compared the prevalence of PTSD in EPs to the general population using a chi-square goodness of fit test, and performed logistic regression to assess for significance of risk factors. Results: We received survey responses from 526 persons. In this study, EPs had a PTSD point prevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD (odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21-3.86)], p = 0.009) and PTSD severity score (OR [95% CI, 1.16 (1.07-1.26)], p <0.001). Conclusion: Emergency physicians have a substantial burden of PTSD, potentially jeopardizing their own health and career longevity. Future studies should focus on identifying subgroups at higher risk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developed and tested in healthcare providers. [

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Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

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“…10 Physician burnout and the resultant decreased productivity may exacerbate the previously predicted shortfall of 45,000 to 90,000 physicians in the United States by 2025. 11 Occupational stress has resulted in concern about burnout rates among emergency room physicians, 12 anesthesiologists, 13 radiologists, 14 general internists, 15 family physicians, 16 oncologists, 17 psychiatrists, 18 general surgeons, 19 trauma surgeons, 20 physiatrists, 21 cardiologists, 4 dermatologists, 22 obstetrician-gynecologists, 23 gastroenterologists, 24 residents, and even medical students. 25 In addition to worsened patient outcomes and satisfaction, physician health may be at risk.…”

Section: Scope and Impact Of Physician Burnoutmentioning

confidence: 99%

Physician Stress and Burnout

Yates¹

2020

The American Journal of Medicine

237

188

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Tens (or hundreds) of thousands of Americans die each year as a result of preventable medical errors. Changes in the practice and business of medicine have caused some to question whether burnout among physicians and other healthcare providers may adversely affect patient outcomes. A clear consensus supports the contention that burnout affects patients, albeit with low-quality objective data. The psychological and physical impact on physicians and other providers is quite clear, however, and the impact on the physician workforce (where large shortages are projected) is yet another cause for concern. We have all heard the airplane safety announcement remind us to "Please put on your own oxygen mask first before assisting others." Unfortunately, like many airline passengers (very few of whom use oxygen masks correctly when they are needed), physicians often do not recognize symptoms of burnout or depression, and even less often do they seek help. We detail the causes and consequences of physician burnout and propose solutions to increase physician work satisfaction.

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“…14 The prevalence of probable PTSD in medical staff is approximately three times that of the general population, which is attributed to the long hours and work-related stressors. 15,16 In particular, emergency department staff were found to exhibit more severe PTSD symptoms than general staff in psychiatric wards during previous pandemics. 17 It is essential to explore the psychometric properties of the Chinese version of the PC-PTSD-5 (C-PC-PTSD -5) before it is implemented for the identification of probable medical-related PTSD among medical staff.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic

Huang¹,

Shen²,

Ge³

et al. 2021

PRBM

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Purpose:The COVID-19 pandemic may increase the development of psychiatric disorders, such as posttraumatic stress disorder (PTSD) among medical staff. A brief validated screening tool is essential for the early diagnosis of PTSD. The purpose of the present study was to evaluate the validation of a Chinese version of the Primary Care-PTSD-5 (C-PC-PTSD-5) and determine an appropriate cutoff score with optimal sensitivity and specificity for medical staff in China during the COVID-19 pandemic. Participants and Methods: An online cross-sectional survey was conducted on medical staff (n = 1104) from 17 medical institutions in Shanghai. Questionnaires comprising general information, medical-related traumatic event experiences, the PTSD Checklist (PCL-5), and C-PC-PTSD-5 were distributed to participants using the online Questionnaire Star electronic system. Internal consistency, convergent validity, and test-retest reliability were calculated. Receiver operating characteristic (ROC) analysis was performed to determine diagnostic accuracy and the optimal cutoff score of the C-PC-PTSD-5 for medical staff. Results: We included 1062 valid questionnaires for the analysis. Data of 838 traumatic experiences were analyzed. Internal consistency of the C-PC-PTSD-5 was satisfied (Cronbach's α = 0.756). The total score of the C-PC-PTSD-5 showed good test-retest reliability (r = 0.746). We found a strong correlation between the C-PC-PTSD-5 score and PCL-5 total score (r = 0.669, p < 0.001), which indicated good convergent validity. The ROC analysis showed an area under the curve of 0.81 ± 0.016. A cutoff score of 2 provided optimal sensitivity and specificity for the C-PC-PTSD-5 (sensitivity = 0.632, specificity = 0.871, Youden index = 0.503, and overall efficiency = 0.768). Conclusion:Our results indicated that the C-PC-PTSD-5 can be employed as a brief and efficient screening instrument for medical staff exposed to the COVID-19 pandemic. A score of 2 was identified as the optimal threshold for probable clinical PTSD symptoms.

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The Crossroads of Posttraumatic Stress Disorder and Physician Burnout: A National Review of United States Trauma and Nontrauma Surgeons

Cited by 30 publications

References 36 publications

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Physician Stress and Burnout

Psychometric Properties of the Chinese Version of the Primary Care Post-Traumatic Stress Disorder Screen-5 for Medical Staff Exposed to the COVID-19 Pandemic

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