medigraphic.com
ISSN 0016-3813 (Print)

2013, Number 2

<< Back Next >>

Gac Med Mex 2013; 149 (2)

Coping with Medical Residency: Depression Burnout

Velásquez-Pérez L, Colin-Piana R, González-González M

Language: Spanish
References: 29
Page: 183-195
PDF size: 140.72 Kb.


ABSTRACT

Among the most prevalent psychiatric disorders, major depressive disorder is related with high incapacity levels, affecting also physical and mental health, and social, family, and work activities (burnout).
Objectives: This study assessed possible damage and emotional changes in a cohort of recently incoming medical residents to the postgraduate courses of the National Institute of Neurology and Neurosurgery of Mexico City. Materials and methods: We collected information on sociodemographic data, and we applied two instruments: the scale of Maslach Burnout Inventory (MBI-HS) and the Beck Depression Inventory (BDI). Candidates were followed over time, at six and 12 months afterwards. Results: When the authors analyzed depressive symptoms, they found that the percentage of medical residents without depression at baseline was 97.7% and at the second application, this percentage decreased statistically (p = 0.008) and yet there was an increase in mild depressive symptoms (p = 0.017). With respect to MBI-HS, there was high emotional exhaustion with a significant increase at six months after arrival. The psychiatry residents were those more affected. Conclusions: Exploratory research is needed to be performed among residents to detect depressive symptoms and burnout syndrome, to act in a timely manner and prevent the progression of these diseases.


REFERENCES

  1. Young AS, Klap R, Sherbourne CD, Wells KB. The quality of care for depressive and anxiety disorders in the United Sates. Arch Gen Psychiatry. 2001;58(1):55-61.

  2. Pérez CE. Síndrome de Burnout como factor de riesgo de depresión en médicos residentes. Med Int Mez. 2006;22:282-6.

  3. Bello M, Puentes-Rosas E, Medina MME, Lozano R. Prevalencia y diagnóstico de depresión en población adulta en México. Salud Pública Mex. 2005;47(Supl 1):S4-S11.

  4. American Psychiatric Association, American Psychiatric Association Diagnostic and statistical manual of mental disorders: DSM-IV. Washington, DC: American Psychiatric Association; 1994.

  5. Organización Mundial de la Salud. Informe sobre Salud en el Mundo 2001. Salud Mental: Nuevos conocimientos, nuevas esperanzas. Ginebra, Suiza: Organización Mundial de la Salud; 2001. p. 29-30.

  6. Toral VR, Aguilar MG, Juárez PC. Burnout and patient care in junior doctors in Mexico City. Occup Med. 2009;59(1):8-13.

  7. Rosales JJ, Gallardo CR, Conde MJ. Prevalencia de episodio depresivo en los médicos residentes del Hospital Juárez de México. Revista de Especialidades Médico Quirúrgicas. 2005;001(10):25-36.

  8. Maslach C, Jackson SE, Leiter M. Maslach Burnout Inventory. Manual. 3.ª ed. Palo Alto: Consulting Psychologists Press; 1996.

  9. Monte GP, Peiró JM. Desgaste psíquico en el trabajo. El síndrome de quemarse. Madrid: Editorial Síntesis; 1997.

  10. Beck AT, Sterr AR, Garbin GM. Psychometric properties of the Beck Depression Inventory; twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.

  11. Balev J. Using a Bulgarian version of the beck Depression Inventory for screening nonclinical adolescents: findings and questions. Trabajo presentado en el XXVIth Congreso Internacional de psicología; Agosto; Montreal, Canadá;1996. p. 16-21.

  12. Dyrbye LN, Thomas LR, Power DV, et al. Burnout a serious thought of dropping out of medical school: a multi-institutional study. Acad Med. 2010;85(1):94-102.

  13. Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and wellbeing relate to medical student empathy? A multicenter study. J Gen Intern Med. 2007;22(2):177-83.

  14. Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24(3):e1-e7.

  15. Garnés-Ros AF. Estudio de las fuentes de estrés laboral en médicos residentes. Centro de Salud. 2001;9(9):568-72.

  16. Vi´Centic S, Jovanovic A, Dunji´c B, Pavlovi´C Z, Nenadovic N. Professional stress in general practitioners and psychiatrists--the level of psychologic distress and burnout risk. Vojnosanit Preg. 2010;67(9):741-6.

  17. Fothergill A, Edwards D, Burnard P. Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc psychiatry. 2004;50(1):54-65.

  18. Cooper CL, Rout U, Faragher B. Mental health, job satisfaction, and job stress among general practitioners. BMJ. 1989;298(6670):366-70.

  19. Apiquián GA. El síndrome de Burnout en las empresas. Presentación realizada en el Tercer Congreso de Escuelas de psicología de las Universidades Red Anáhuac; 2007 abril 26-27; Mérida, Yucatán. Disponible en: http://www.anahuac.mx/psicologia/archivos/artburnout.doc

  20. Center C, Davis M, Detre T, et al. Confronting depression and suicide in physicians: A consensus statement. JAMA. 2003;289(23):3161-6.

  21. Williams JW, Rost K, Dietrich, AJ, Ciotti MC, Zyzansk SJ, Cornel J. Primary care Psysicians’ Approach to Depressive Disorders. Effects of Physician Specialty and Practice Structure. Arch Fam Med. 1999;8(1):58-67.

  22. North CS, Ryall JE. Psychiatric illness in female physicians. Are high rates of depression an occupational hazard? Postgrad Med. 1997;(101)5:233-6, 239-40.

  23. Whitley T. Work-related stress and depression among practicing emergency physicians: an international study. Ann Emerg Med. 1994;23(5): 1068-71.

  24. Rosales JJ, Gallardo CR, Conde MJM. Prevalencia de episodio depresivo en los médicos residentes del Hospital Juárez de México. Revista de Especialidades Médico-Quirúrgicas. 2005;10(001):25-36.

  25. Kesler D, Lloyd K, Lewis G, Pereira GD. Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care. BMJ. 1999;318(13):436-9.

  26. Goldman H. Review of General Psychiatr. Appleton & lange Inc;1998. p. 300-6.

  27. Sherrill JT, Kovacs M. Nonsomatic treatment of depression. Child Adolescent Psychiatr Clin N Am. 2002;11(3):579-93.

  28. Dahlgren MA, Almquist A, Krook J. Physiotherapists in Balint group training. Psysiother Res Int. 2000;5(2):85-95.

  29. Brandes V, Terris DD, Fischer C, et al. Music programs designed to remedy burnout symptoms show significant effects after five weeks. Ann N Y Acad Sci 2009;1169:422-5.




2020     |     www.medigraphic.com