Prevalence of Depression and Personality Disorders in the Beginning and End of Emergency Medicine Residency Program; a Prospective Cross Sectional Study
Archives of Academic Emergency Medicine,
Vol. 7 No. 1 (2019),
1 January 2019
,
Page e5
https://doi.org/10.22037/aaem.v7i1.5
Abstract
Introduction: Emergency medicine physicians are constantly under psychological trauma due to encountering critically ill patients, mortality, and violence, which can negatively affect their mental and physical health. The present study was performed with the aim of determining the rate of depression and personality disorders in first-year emergency medicine residents and comparing it with the time they reach the 3rd year.
Methods: In the present prospective cross-sectional study, emergency medicine residents working in multiple teaching hospitals were included via census method and evaluated regarding the rate of depression and personality disorders using the standard MMPI-2 questionnaire upon admission to the program and graduation and their status regarding the evaluated disorders were compared between the 2 phases of evaluation.
Results: 99 residents with the mean age of 33.93 ± 5.92 years were evaluated. 85 (85.85%) rated their interest in their discipline as moderate to high. The rates of stress (p = 0.020), anxiety (p < 0.001), and hypomania (p = 0.015) had significantly increased during the 3 years and psychasthenia rate had decreased significantly during this time (p = 0.002). Changes in the prevalence of other disorders on the third year compared to the year of admission to emergency medicine program were not significant.
Conclusion: Considering the results of the present study, it seems that paying more attention to mental problems and decreasing environmental stressors of medical residents, especially emergency medicine residents, should be among the priorities of managers and policymakers of this discipline.
- Depression
- Anxiety
- Stress
- Psychological
- Internship and Residency
- Emergency Medicine
How to Cite
References
Vaziri S, Mohammadi F, Mosaddegh R, Masoumi G, Noyani A, Bahadormanesh A. Prevalence and Causes of Job Burnout Syndrome among Emergency Medicine Residents of Iran University of Medical Sciences. Iranian Journal of Emergency Medicine. 2016;5(10):1-6.
Pereira-Lima K, Loureiro SR. Burnout, anxiety, depression, and social skills in medical residents. Psychol Health Med. 2015;20:353-62.
Vanyo L, Sorge R, Chen A, Lakoff D. Posttraumatic Stress Disorder in Emergency Medicine Residents. Annals of Emergency Medicine. 2017;70(6):898-903.
Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Archives of internal medicine. 2012;172(18):1377-85.
Lu DW, Dresden S, McCloskey C, Branzetti J, Gisondi MA. Impact of burnout on self-reported patient care among emergency physicians. Western Journal of Emergency Medicine. 2015;16(7):996.
Kimo T, Ramoska E, Clark T, al. e. Factors associated with burnout during emergency medicine residency. Acad Emerg Med. 2014;21:1031-5.
Schneider SE, Phillips WM. Depression and anxiety in medical, surgical, and pediatric interns. Psychological reports. 1993;72(3_suppl):1145-6.
Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of general psychiatry. 2005;62(6):593-602.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students. Academic medicine. 2006;81(4):354-73.
Sen S, Kranzler HR, Krystal JH, Speller H, Chan G, Gelernter J, et al. A prospective cohort study investigating factors associated with depression during medical internship. Archives of general psychiatry. 2010;67(6):557-65.
Joules N, Williams DM, Thompson AW. Depression in resident physicians: a systematic review. Open Journal of Depression. 2014;3(03):89.
Daskivich TJ, Jardine DA, Tseng J, Correa R, Stagg BC, Jacob KM, et al. Promotion of wellness and mental health awareness among physicians in training: perspective of a national, multispecialty panel of residents and fellows. Journal of graduate medical education. 2015;7(1):143-7.
Butcher JN. Minnesota multiphasic personality inventory. The Corsini Encyclopedia of Psychology. 2010:1-3.
Alobid I, de Pablo J, Mullol J, Centellas S, Parramon G, Carrasco J, et al. Increased cardiovascular and anxiety outcomes but not endocrine biomarkers of stress during performance of endoscopic sinus surgery: a pilot study among novice surgeons. Archives of Otolaryngology–Head & Neck Surgery. 2011;137(5):487-92.
Cabrera JG, Prada MF, Ruano RM, Blazquez A, Solvas JG, Peinado JM. Psychosocial risk at work, self-perceived stress, and salivary cortisol level in a sample of emergency physicians in Granada. Emergencias. 2012;24(2):101-6.
Nakajima Y, Takahashi T, Shetty V, Yamaguchi M. Patterns of salivary cortisol levels can manifest work stress in emergency care providers. The Journal of Physiological Sciences. 2012;62(3):191-7.
González-Cabrera JM, Fernández-Prada M, Iribar C, Molina-Ruano R, Salinero-Bachiller M, Peinado JM. Acute Stress and Anxiety in Medical Residents on the Emergency Department Duty. International journal of environmental research and public health. 2018;15(3):506.
Ritvanen T, Louhevaara V, Helin P, Väisänen S, Hänninen O. Responses of the autonomic nervous system during periods of perceived high and low work stress in younger and older female teachers. Applied Ergonomics. 2006;37(3):311-8.
Buddeberg-Fischer B, Stamm M, Buddeberg C, Klaghofer R. Anxiety and depression in residents-results of a Swiss longitudinal study. Zeitschrift fur Psychosomatische Medizin und Psychotherapie. 2009;55(1):37-50.
Taylor MK, Reis JP, Sausen KP, Padilla GA, Markham AE, Potterat EG, et al. Trait anxiety and salivary cortisol during free living and military stress. Aviation, space, and environmental medicine. 2008;79(2):129-35.
- Abstract Viewed: 806 times
- PDF Downloaded: 348 times
- HTML Downloaded: 173 times
