Psychological morbidity in medical students after entering into clinical training
Psychological morbidity among medical students
DOI:
https://doi.org/10.52229/pbmj.v4i1.68Abstract
Psychological morbidity is emerging as animportant issue for medical students after entering clinical training due to extensiveworking hours. Students find themselves unable to balance competing demands on their time and cannot allocate appropriate time to family, spouses and even to themselves;this leads to complaints about exhaustion and lack of efficiency in their profession.
Objective: To assess Psychological morbidity in interns, medical officers and residents
Methods:a cross sectional study was conducted. A google form was designed with questions adopting from the three scales of the Maslach Burnout Inventory-General Survey (MBI-GS). Question from all three categories of MBI-GS such as emotional exhaustion, depersonalization and personal accomplishment were considered. The form was distributed via email and Whatsapp to 87 house officers, medical officers and residents of six public healthcare facilities in Lahore. Responses were captured from 73 participants who completed the General Health questionnaire.Seven of these forms were filled by nurses, so in the present study only the response ofthose 66 participants who conformed to the study cross-section were considered.The results were analyzedusing SPSS version 22 for descriptive statistics and chi-square association. Results:A significant association was found between long working hours and emotional exhaustion, depersonalization and personal accomplishment questions in particular. The findings suggests long working hours ruin the mental health of medical professionals, which ultimately produce psychological health impacts. Conclusions: It was concluded that these factors should be considered to reduce psychological morbidity in health professionals.
References
-Montero-Marín J, Skapinakis P, Araya R, Gili M, García-Campayo J(2011). Towards a brief definition of burnout syndrome by subtypes: development of the" burnout clinical subtypes questionnaire"(BCSQ-12). Health and Quality of Life Outcomes. 9(1): 1-2.
- World Health Organization, (2006). World Health Report 2006: working together for health.Geneva: WHO.
- Yang Y, Hayes JA (2020). Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature. Psychotherapy. 57(3): 426.
-Muzafar Y, Khan HH, Ashraf H, Hussain W, Sajid H, Tahir M, Rehman A, Sohail A, Waqas A, Ahmad W (2015). Burnout and its associated factors in medical students of Lahore, Pakistan. Cureus.7(11).
- Shanafelt TD, Dyrbye LN, West CP (2017). Addressing physician burnout: the way forward. JAMA.317(9):901-902.
- Ogawa R, Seo E, Maeno T, Ito M, Sanuki M, Maeno T (2018). The relationship between long working hours and depression among first-year residents in Japan. BMC medical education. 18(1): 1-8.
-Lahlouh A and Mustafa M (2020). Sleep quality and health related problems of shift work among resident physicians: a cross-sectional study. Sleep Medicine.66: 201-206.
-Gates M, Wingert A, Featherstone R, Samuels C, Simon C, Dyson MP (2018). Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. BMJ open.8(9): e021967.
- Costa C, Mondello S, Micali E, Indelicato G, Licciardello AA, Vitale E, Briguglio G, Teodoro M, Fenga C(2020). Night shift work in resident physicians: does it affect mood states and cognitive levels?. Journal of Affective Disorders.272: 289-94.
-Kancherla BS, Upender R, Collen JF, Rishi MA, Sullivan SS, Ahmed O, Berneking M, Flynn-Evans EE, Peters BR, Gurubhagavatula I (2020). What is the role of sleep in physician burnout?.Journal of Clinical Sleep Medicine. 16(5):807-10.
-Bradley V, Liddle S, Shaw R, Savage E, Rabbitts R, Trim C, Lasoye TA, Whitelaw BC (2015). Sticks and stones: investigating rude, dismissive and aggressive communication between doctors. Clinical Medicine.15(6):541.
-Paice E, Smith D (2009). Bullying of trainee doctors is a patient safety issue. The Clinical Teacher. 6(1):13-17.
-Johnson J, Hall LH, Berzins K, Baker J, Melling K, Thompson C (2018). Mental healthcare staff well‐being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions. International Journal of Mental Health Nursing.27(1): 20-32.
-Yang S, Meredith P, Khan A (2017). Is mindfulness associated with stress and burnout among mental health professionals in Singapore?.Psychology, Health & Medicine.22(6): 673-679.
- Klein A, Taieb O, Xavier S, Baubet T, Reyre A (2020). The benefits of mindfulness-based interventions on burnout among health professionals: a systematic review. Explore.16(1):35-43.
- Suyi Y, Meredith P, Khan A (2017). Effectiveness of mindfulness intervention in reducing stress and burnout for mental health professionals in Singapore. Explore.13(5):319-326.
-Martinez-Lopez JA, Lazaro-Perez C, Gomez-Galan J, Fernandez-Martinez MD (2020). Psychological impact of COVID-19 emergency on health professionals: Burnout incidence at the most critical period in Spain. Journal of Clinical Medicine.9(9): 3029.
-Lu Y, Hu XM, Huang XL, Zhuang XD, Guo P, Feng LF, Hu W, Chen L, Zou H, Hao YT (2017). The relationship between job satisfaction, work stress, work–family conflict, and turnover intention among physicians in Guangdong, China: a cross-sectional study. BMJ Open.7(5): e014894.
-O’Connor K, Neff DM, Pitman S (2018). Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry.53:74-99.
-Dreison KC, Luther L, Bonfils KA, Sliter MT, McGrew JH, Salyers MP (2018). Job burnout in mental health providers: A meta-analysis of 35 years of intervention research. Journal of Occupational Health Psychology. 23(1):18.
- Ortiz-Fune C, Kanter JW, Arias MF (2020). Burnout in mental health professionals: the roles of psychological flexibility, awareness, courage, and love. Clinical and Health.31(2): 85-90.
-Kalani SD, Azadfallah P, Oreyzi H, Adibi P (2018). Interventions for physician burnout: a systematic review of systematic reviews. International Journal of Preventive Medicine. 9.
-Sirsawy U, Steinberg WJ, Raubenheimer JE (2016). Levels of burnout among registrars and medical officers working at Bloemfontein public healthcare facilities in 2013. South African Family Practice. 58(6).
- De Jonge J, Bosma H, Peter R, Siegrist J (2000). Job strain, effort-reward imbalance and employee well-being: a large-scale cross-sectional study. Social Science & Medicine.50(9):1317-1327.
-Greenglass ER, Burke RJ, Fiksenbaum L (2001). Workload and burnout in nurses. Journal of Community &Applied Social Psychology. 11(3):211-215.
- Karhula K, Härmä M, Sallinen M, Hublin C, Virkkala J, Kivimäki M, Vahtera J, Puttonen S (2013). Job strain, sleep and alertness in shift working health care professionals—a field study. Industrial Health.
-Asghar AA, Faiq A, Shafique S, Siddiqui F, Asghar N, Malik S, Kamal SD, Hanif A, Qasmani MF, Ali SU, Munim S (2019). Prevalence and predictors of the burnout syndrome in medical students of Karachi, Pakistan. Cureus.11(6).
-Davies SK, Ang JE, Revell VL, Holmes B, Mann A, Robertson FP, Cui N, Middleton B, Ackermann K, Kayser M, Thumser AE (2014). Effect of sleep deprivation on the human metabolome. Proceedings of the National Academy of Sciences. 111(29): 10761-10766.
-Türkoglu ME, Cansoy R (2020). School Principals' Opinions on the Meaning and Sources of Workload. International Journal of Contemporary Educational Research.7(1):177-91.
-Bakker AB, Killmer CH, Siegrist J, Schaufeli WB (2000). Effort–reward imbalance and burnout among nurses. Journal of Advanced Nursing.31(4): 884-891.
-Jackson VA, Sullivan AM, Gadmer NM, Seltzer D, Mitchell AM, Lakoma MD, Arnold RM, Block SD (2005). “It was haunting…”: physicians’ descriptions of emotionally powerful patient deaths. Academic Medicine.80(7): 648-656.
-Wu AW, Folkman S, McPhee SJ, Lo B (1991). Do house officers learn from their mistakes?.JAMA. 265(16):2089-2094.
- Geller G, Levine DM, Mamon JA, Moore RD, Bone LR, Stokes EJ (1989). Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. JAMA.261(21): 3115-20.
-Graber M (2003). Diagnostic errors in medicine: a case of neglect. The Joint Commission Journal on Quality and Patient Safety. 31(2):106-13
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com
