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. 2024 May 6:15:1347513.
doi: 10.3389/fpsyg.2024.1347513. eCollection 2024.

Occupational, academic, and personal determinants of wellbeing and psychological distress in residents: results of a survey in Lyon, France

Ludivine Nohales  1   2 , Emmanuel Fort  2 , Sophie Pelloux  3 , Clio Coste  4   5 , Pierre Leblanc  6   7 , Julia De Ternay  7   8 , Martine Wallon  9   10 , Benjamin Rolland  11   12 , Jean-Baptiste Fassier  1   2 ; BASIL Study Group
Collaborators, Affiliations

Occupational, academic, and personal determinants of wellbeing and psychological distress in residents: results of a survey in Lyon, France

Ludivine Nohales et al. Front Psychol. .

Abstract

Introduction: The mental health of residents is a growing significant concern, particularly with respect to hospital and university training conditions. Our goal was to assess the professional, academic, and psychological determinants of the mental health status of all residents of the academy of Lyon, France.

Materials and methods: The Health Barometer of Lyon Subdivision Residents (BASIL) is an initiative which consists in proposing a recurrent online survey to all residents in medicine, pharmacy, and dentistry, belonging to the Lyon subdivision. The first of these surveys was conducted from May to July 2022. Participants should complete a series of validated questionnaires, including the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), and the Kessler Psychological Distress Scale (K6), respectively, and ad-hoc questions assessing their global health and hospital and academic working conditions. A Directed Acyclic Graph (DAG) analysis was conducted prior to multivariable analyses, to explore the determinants associated with low wellbeing (WEMWBS <43) and high psychological distress (K6 ≥ 13).

Results: A total of 904 residents (response rate: 46.7%) participated in the survey. A low level of wellbeing was observed in 23% of participants, and was significantly associated to job strain (OR = 2.18; 95%CI = [1.32-3.60]), low social support (OR = 3.13; 95%CI = [2.05-4.78]) and the experience of very poor university teaching (OR = 2.51; 95%CI = [1.29-4.91]). A high level of psychological distress was identified for 13% of participants, and associated with low social support (OR = 2.41; 95%CI = [1.48-3.93]) and the experience of very poor university teaching (OR = 2.89, 95%CI = [1.16-7.21]).

Conclusion: Hospital working conditions, social support, and the perception of teaching quality, were three major determinants of wellbeing and psychological distress among health profession residents. Demographic determinants, personal life and lifestyle habits were also associated. This supports a multilevel action in prevention programs aiming to enhance wellbeing and reduce mental distress in this specific population and local organizational specificities.

Keywords: academic conditions; job strain; mental health; psychological distress; resident; wellbeing.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of the BASIL study.
See this image and copyright information in PMC

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