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. 2022 Apr 19;22(1):272.
doi: 10.1186/s12888-022-03916-0.

Individual and residency program factors related to depression, anxiety and burnout in physician residents - a Brazilian survey

Mário Luciano de Mélo Silva Júnior  1   2   3 , Marcelo Moraes Valença  4 , Pedro Augusto Sampaio Rocha-Filho  4   5
Affiliations

Individual and residency program factors related to depression, anxiety and burnout in physician residents - a Brazilian survey

Mário Luciano de Mélo Silva Júnior et al. BMC Psychiatry. .

Abstract

Background: Psychological distress is common among medical trainees. This study aimed to assess the frequency of depression, anxiety and burnout among physician residents and their association with both individual and residency program-related factors.

Methods: This was a cross-sectional study applying an online survey in a national-wide sample of medical residents from Brazil. Depression, anxiety, burnout and diurnal somnolence were assessed with validated tools (Patient Health Questionnaire-4, 2 items version of Maslach Burnout Inventory, and Epworth Sleepiness Scale). Socio-demographic and residency program-related factors were measured with internally validated instruments. We performed multivariate binary logistic regression analysis for each of the main outcomes.

Results: Screening for depression, anxiety and burnout was positive respectively in 46.9%, 56.6% and 37.0% of our sample (n = 1,419). Depression was independently related to female sex, longer duty hours, absence of day off, poor learning perception, poor feeling about the residency program, overall occurrence of psychological abuse, anxiety, diurnal somnolence and burnout (AUROC = .859 [95%CI = .840-.878], p < .001). Anxiety was independently associated with female sex, higher age and duty hours, work-personal life conflicts, few classroom activities, providing assistance without supervision, depression and diurnal somnolence (837 [.816-.857], p < .001). Burnout was related to lower age and leisure time, male sex, longer duty hours, absence of day off, provision of care without supervision, choice of the wrong specialty, poor learning, psychological abuse, depression and diurnal somnolence (.780 [.753-.806], p < .001).

Conclusion: Frequency of psychological distress in residency training is high and related to both individuals and environmental factors, namely high workloads, occurrence of psychological abuse, poor faculty supervision, poor learning experience and work-personal life conflicts.

Keywords: Anxiety; Burnout; Depression; Diurnal somnolence; Learning; Medical residency; Moonlighting.

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Conflict of interest statement

All the authors declare that they have no conflict of interests.

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References

    1. Lee JI, Lee MB, Liao SC, et al. Prevalence of Suicidal Ideation and Associated Risk Factors in the General Population. J Formos Med Assoc Published online. 2010 doi: 10.1016/S0929-6646(10)60034-4. - DOI - PubMed
    1. Mélo Silva Júnior ML, Melo TS, Sousa Menezes NC, Valença MM, Sampaio Rocha‐Filho PA. Headache in Medical Residents: A Cross‐Sectional Web‐Based Survey. Headache J Head Face Pain. 2020;60(10):2320–9. doi: 10.1111/head.14000. - DOI - PubMed
    1. De Oliveira GS, Chang R, Fitzgerald PC, et al. The prevalence of burnout and depression and their association with adherence to safety and practice standards: A survey of united states anesthesiology trainees. Anesth Analg. 2013;117(1):182–193. doi: 10.1213/ANE.0b013e3182917da9. - DOI - PubMed
    1. Marzouk M, Ouanes-Besbes L, Ouanes I, Hammouda Z, Dachraoui F, Abroug F. Prevalence of anxiety and depressive symptoms among medical residents in Tunisia: a cross-sectional survey. BMJ Open. 2018;8(7):e020655. doi: 10.1136/bmjopen-2017-020655. - DOI - PMC - PubMed
    1. Low ZX, Yeo KA, Sharma VK, et al. Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(9):1479. doi: 10.3390/ijerph16091479. - DOI - PMC - PubMed

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