A STUDY TO ASSESS ANXIETY AND DEPRESSION AMONG JUNIOR MEDICAL RESIDENTS OF A TERTIARY CARE CENTER USING HOSPITAL ANXIETY AND DEPRESSION SCALE
Abstract
Background: Mental health disorders among doctors have become an issue of great concern. Not only are the figures unacceptably high, it is increasing with time as well. Junior residents at their earliest phases of medical training seem to be more susceptible to mental health issues, commonly anxiety and depression. Regardless of the underlying variables, we need to accept that mental health disorders have become a crippling disease within the occupation, hindering the quality of patient care. Aim: To assess the prevalence of Anxiety and Depression among junior medical residents of a tertiary care hospital (AVBRH, DMIMS, Sawangi) and to evaluate the associated socio-demographic and work related risk factors. Method: A cross sectional study involving 69 junior medical residents of AVBRH was conducted using the Hospital Anxiety and Depression Scale. The association between risk factors under study was analyzed using chi-square test and uni-variable and multiple variable regression analysis. Results: According to our study 44.9% residents had definitive anxiety and 24.6% had definitive depression. Year of residency was associated with anxiety while post graduate specialty and marital status were significant factors for depression.
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Alosaimi, F. D., Alawad, H. S., Alamri, A. K., Saeed, A. I., Aljuaydi, K. A., Alotaibi, A. S., … Alfaris, E. A. (2018, March 13). Patterns and determinants of stress among consultant physicians working in Saudi Arabia. https://doi.org/10.2147/AMEP.S155113
Atif, K., Khan, H. U., Ullah, M. Z., Shah, F. S., & Latif, A. (2016). Prevalence of anxiety and depression among doctors; the unscreened and undiagnosed clientele in Lahore, Pakistan. Pakistan Journal of Medical Sciences, 32(2), 294–298. https://doi.org/10.12669/pjms.322.8731
Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the 21st century. Dialogues in Clinical Neuroscience, 17(3), 327–335. Retrieved from PubMed. (26487813)
Basic documents. (2014). Geneva: World Health Organization.
Coomber, S., Todd, C., Park, G., Baxter, P., Firth-Cozens, J., & Shore, S. (2002). Stress in UK intensive care unit doctors. British Journal of Anaesthesia, 89(6), 873–881. https://doi.org/10.1093/bja/aef273
Dave. (n.d.). Depression, anxiety, and stress among resident doctors of a teaching hospital. Retrieved December 29, 2019, from http://www.indjsp.org/article.asp?issn=0971-9962;year=2018;volume=34;issue=2;spage=163;epage=171;aulast=Dave
Demir, F., Ay, P., Erbaş, M., Ozdil, M., & Yaşar, E. (2007). [The prevalence of depression and its associated factors among resident doctors working in a training hospital in Istanbul]. Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry, 18(1), 31–37.
Depression. (n.d.). Retrieved December 29, 2019, from https://www.who.int/news-room/fact-sheets/detail/depression
Earle, L., & Kelly, L. (2005). Coping strategies, depression, and anxiety among Ontario family medicine residents. Canadian Family Physician Medecin de Famille Canadien, 51(2), 242–243. Retrieved from PubMed. (16926935)
Erdur, B., Ergin, A., Turkcuer, I., Parlak, I., Ergin, N., & Boz, B. (2006). A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey. Emergency Medicine Journal : EMJ, 23(10), 759–763. https://doi.org/10.1136/emj.2006.035071
Firth-Cozens, J. (1987). Emotional distress in junior house officers. British Medical Journal (Clinical Research Ed.), 295(6597), 533–536. https://doi.org/10.1136/bmj.295.6597.533
Ganguli, H. C. (2000). EPIDEMIOLOGICAL FINDINGS ON PREVALENCE OF MENTAL DISORDERS IN INDIA. Indian Journal of Psychiatry, 42(1), 14–20.
Grover, S., Sahoo, S., Bhalla, A., & Avasthi, A. (2018). Psychological problems and burnout among medical professionals of a tertiary care hospital of North India: A cross-sectional study. Indian Journal of Psychiatry, 60(2), 175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_254_17
Hughes, D., Burke, D., Hickie, I., Wilson, A., & Tobin, margaret. (2002). Advanced Training in Adult Psychiatry. Australasian Psychiatry, 10(1), 6–10. https://doi.org/10.1046/j.1440-1665.2002.00384.x
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., … Murray, C. J. L. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7
MadhavS. (2001). Epidemiological Study of Prevalence of Mental Disorders in India. Indian Journal of Community Medicine, 26(4), 198.
Marzouk, M., Ouanes-Besbes, L., Ouanes, I., Hammouda, Z., Dachraoui, F., & Abroug, F. (2018). Prevalence of anxiety and depressive symptoms among medical residents in Tunisia: A cross-sectional survey. BMJ Open, 8(7). https://doi.org/10.1136/bmjopen-2017-020655
Mata, D. A., Ramos, M. A., Bansal, N., Khan, R., Guille, C., Di Angelantonio, E., & Sen, S. (2015). Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA, 314(22), 2373–2383. https://doi.org/10.1001/jama.2015.15845
Meier, D. E., Back, A. L., & Morrison, R. S. (2001). The Inner Life of Physicians and Care of the Seriously Ill. JAMA, 286(23), 3007–3014. https://doi.org/10.1001/jama.286.23.3007
Myers, M. F. (2008). Physician Impairment: Is It Relevant To Academic Psychiatry? Academic Psychiatry, 32(1), 39–43. https://doi.org/10.1176/appi.ap.32.1.39
Myers, M. F. (2013). Doctors’ Marriages: A Look at the Problems and Their Solutions. Springer Science & Business Media.
Physician Suicide: Overview, Depression in Physicians, Problems With Treating Physician Depression. (2019). Retrieved from https://emedicine.medscape.com/article/806779-overview
Reddy, V. M., & Chandrashekar, C. R. (1998). PREVALENCE OF MENTAL AND BEHAVIOURAL DISORDERS IN INDIA: A META-ANALYSIS. Indian Journal of Psychiatry, 40(2), 149–157.
Ruitenburg, M. M., Frings-Dresen, M. H., & Sluiter, J. K. (2012). The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: A cross-sectional study. BMC Health Services Research, 12, 292. https://doi.org/10.1186/1472-6963-12-292
Saini, N. K., Agrawal, S., Bhasin, S. K., Bhatia, M. S., & Sharma, A. K. (2010). Prevalence of stress among resident doctors working in Medical Colleges of Delhi. Indian Journal of Public Health, 54(4), 219. https://doi.org/10.4103/0019-557X.77266
Sasidharan, P., Kolasani, B. P., & Divyashanthi, C. M. (2016). Prevalence, severity, causes and drugs used for depression, stress and anxiety among junior doctors in a tertiary care teaching hospital in South India. https://doi.org/10.18203/2319-2003.ijbcp20161579
Schultz, S. L., & Russell, A. T. (1984). The Emotionally Disturbed Child Psychiatry Trainee. Journal of the American Academy of Child Psychiatry, 23(2), 226–232. https://doi.org/10.1097/00004583-198403000-00018
Schwenk, T. L., Gorenflo, D. W., & Leja, L. M. (2008). A Survey on the Impact of Being Depressed on the Professional Status and Mental Health Care of Physicians. The Journal of Clinical Psychiatry, 69(4), 617–620.
Singh, N., Badkur, M., Chouhan, Y., Patel, S., Khan, A., & Melwani, V. (2018). Determination of Stress Levels among Post Graduate Students of Gandhi Medical College, Bhopal: A Cross- Sectional Study. 9(9), 5.
Snaith, R. P. (2003). The Hospital Anxiety And Depression Scale. Health and Quality of Life Outcomes, 1, 29–29. https://doi.org/10.1186/1477-7525-1-29
Stansfeld, S., & Candy, B. (2006). Psychosocial work environment and mental health—A meta-analytic review. Scandinavian Journal of Work, Environment & Health, 32(6), 443–462. https://doi.org/10.5271/sjweh.1050
Stehman, C. R., Testo, Z., Gershaw, R. S., & Kellogg, A. R. (2019). Burnout, Drop Out, Suicide: Physician Loss in Emergency Medicine, Part I. The Western Journal of Emergency Medicine, 20(3), 485–494. https://doi.org/10.5811/westjem.2019.4.40970
Wada, K., Arimatsu, M., Yoshikawa, T., Oda, S., Taniguchi, H., Higashi, T., & Aizawa, Y. (2008). Factors on working conditions and prolonged fatigue among physicians in Japan. International Archives of Occupational and Environmental Health, 82(1), 59–66. https://doi.org/10.1007/s00420-008-0307-3
Williams, E. S., Savage, G. T., & Linzer, M. (2006). A proposed physician–patient cycle model. Stress and Health, 22(2), 131–137. https://doi.org/10.1002/smi.1088
Wu, A. W. (2000). Medical error: The second victim. BMJ, 320(7237), 726. https://doi.org/10.1136/bmj.320.7237.726
Zaman, S., Rahim, M., Khan, A., Habib, S. H., Rahman, M., Ahsan, M., … Uddin, K. (2014). Prevalence of Depression Among Post-Graduate Medical Trainees: A Multi-Centre Survey. Birdem Medical Journal, 4. https://doi.org/10.3329/birdem.v4i1.18548
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