2015, Number 1
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Rev Med Inst Mex Seguro Soc 2015; 53 (1)
Depression, anxiety and suicide risk symptoms among medical residents over an academic year
Jiménez-López JL, Arenas-Osuna J, Angeles-Garay U
Language: Spanish
References: 39
Page: 20-28
PDF size: 109.67 Kb.
ABSTRACT
Background: One of the causes of dissatisfaction among residents is
related to burnout syndrome, stress and depression. The aim of this
study is to describe the prevalence of depression, anxiety and suicide
risk symptoms and its correlation with mental disorders among medical
residents over an academic year.
Methods: 108 medical residents registered to second year of medical
residence answered the Beck Depression Inventory, the State-Trait
Anxiety Inventory and the Suicide Risk Scale of Plutchik: at the entry, six
months later and at the end of the academic year.
Results: Residents reported low depressive symptoms (3.7 %), low anxiety
symptoms (38 %) and 1.9 % of suicide risk at the beginning of the
academic year, which increased in second measurement to 22.2 % for
depression, 56.5 % for anxiety and 7.4 % for suicide risk. The statistical
analysis showed significant differences between the three measurements
(p
‹ 0.001). The prevalence of depressive disorder was 4.6 % and no anxiety
disorder was diagnosed. Almost all of the residents with depressive
disorder had personal history of depression. None reported the work or
academic environment as a trigger of the disorder. There was no association
by specialty, sex or civil status.
Conclusions: The residents that are susceptible to depression must
be detected in order to receive timely attention if they develop depressive
disorder.
REFERENCES
Reames HR, Dunstone DC. Professional satisfaction of physicians. Arch Intern Med 1989; 149: 1951-1956.
Mechanic D. Physician discontent. Challenges and opportunities. JAMA 2003: 290 (7); 941-946.
Viniegra VL. El desafío de la educación en el IMSS: cómo constituirse en la avanzada de la superación institucional. Rev Med IMSS 2005; 43: 305-321.
Pérez E. Síndrome de burnout como factor de riesgo de depresión en médicos residentes. Medicina Interna de México 2006; 22 (4): 282-6.
Sepúlveda AC, Flores AA, López G, López E. Insatisfacción durante la residencia de pediatría. Prevalencia y factores asociados. Rev Med Inst Mex Seguro Soc 2006; 44 (5): 423-432.
Betancourt M, Rodríguez CL, Vallecillo I, Sánchez LE. Síntomas de ansiedad y depresión en residentes de especialización médica con riesgo alto de estrés. Psiquiatr Biol 2008; 15 (5):147- 52. Disponible en http:// zl.elsevier.es/es/revista/psiquiatria-biologica-46/ sumario/vol-15-num-05-13007008.
Prieto SE, Rodríguez GB, Jiménez CA, Guerrero LG. Desgaste profesional y calidad de vida en médicos residentes. Rev Med Inst Mex Seguro Soc 2013; 51(5):574-9.
López I, Valdés M. Manual diagnóstico y estadístico de los trastornos mentales. (DSM-IV.TR). Asociación Americana de Psiquiatría. Masson, México, 2003.
Fahrenkopf AM, Sectish TC, Barger LK, Sharek PJ, Lewin D, Chiang VW, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ 2008; 336(7642): 488–491.
Richardson V. Y a nuestros residentes ¿quién los cuida? Bol Med Hosp Infant Mex 2006; 63: 155-157.
Dyrbye LN, Thomas MR, Power DV, Durning S, Moutier C, Stanford F, et al. Burnout and Serious Thoughts of Dropping Out of Medical School: A Multi-institutional Study. Academic Medicine 2010; 85(1):94-102. Disponible en http://www.ncbi.nlm. nih.gov/pubmed/20042833.
Organización Mundial de la Salud. (Sitio web). Informe sobre la Salud en el Mundo 2001. Salud Mental: nuevos conocimientos, nuevas esperanzas. Disponible en http//www. who.int/whr/2001/es/index.html.
Belló M. Prevalencia y diagnóstico de depresión en población adulta en México. Salud Pública de México 2005; 47: 4-11.
Kessler RC, Chiu WT, Demler O, Merikangas KR, Walters EE. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005; 62: 616-27.
Sepúlveda AC, Romero AL, Jaramillo L. Estrategias de afrontamiento y su relación con depresión y ansiedad en residentes de pediatría en un hospital de tercer nivel. Bol Med Hosp Infant Mex 2012; 69(5):347-354.
Dávila JC, Alfaro JA, Padilla J. Prevalencia de depresión y ansiedad en médicos residentes del Hospital de especialidades Centro Médico Nacional La Raza. Medicina Interna de México 2006; 22: 73.
Vázquez C. Depresión y grados de la misma durante la residencia de acuerdo a especialidad y año en curso. Tesis de especialidad en medicina interna 1998. UMAE, Hospital de Especialidades, C. M. R.
Martínez P, Medina ME, Rivera E. Adicciones, depresión y estrés en médicos residentes. Salud Mental 2004; 27 (6): 17-27.
Gutiérrez AG, Contreras CM, Orozco RC. El suicidio, conceptos actuales. Salud Mental 2006; 29 (5): 66-74.
Lecrubier Y. The infl uence of comorbidity on the prevalence of suicidal behaviour Eur Psychiatry 2001; 16 (7): 395-399. Disponible en http://www.sciencedirect. com/science/article/pii/S092493380100596X
Borges G, Wilcox HC. Medina ME, Zambrano J, Blanco J, Walters E. Suicidal Behavior in the Mexican National Comorbidity Survey (M-NCS): Lifetime and 12-month Prevalence, Psychiatric Factors and Service Utilization. Salud Mental 2005; 28 (2): 41.
Borges G, Benjet C, Medina-Mora ME, Orozco R, Nock M. Suicide ideation, plan, and attempt in the Mexican adolescent mental health survey. J American Academy Child Adolescent Psychiatry 2008; 47(1):41. Disponible en http://www.ncbi.nlm.nih.gov/ pubmed/18174824
Schwenk TL, Davis L, Wimsatt LA. Depression, Stigma, and Suicidal Ideation in Medical Students. JAMA 2010; 304 (11): 1181-1190.
Van Niekerk L, Scribante L, Raubenheimer PJ. Suicidal ideation and attempt among South African medical students. S Afr Med J 2012; 102: 372-3. Disponible en http://www.ncbi.nlm.nih.gov/pubmed/22668910.
Fagnanin R, Sueko C, Mosca PC, Albuquerque V, Nogueira LA. Clinical and demographic profi le of users of a mental health system for medical residents and other health professionals undergoing training at the Universidad Federal de São Paulo. Sao Paulo Med J 2004; 122 (4): 152-7. Disponible en http//www. scielo.br/pdf/spmj/v122n4/a04v1224.pdf.
Van der Heijden F, Dillingh G, Bakker A, Prins J. Suicidal Thoughts Among Medical Residents with Burnout. Arch Suicide Res 2008; 12: 344-346.
Jiménez A, Mondragón L, González C. Self-esteem, depressive symptomatology, and suicidal ideation in adolescents: results of three studies. Salud Mental 2007; 30 (5): 20-26.
Conde V, Useros E. Adaptación castellana de la escala de evaluación conductual para la depresión de Beck. Rev Psiquiatr Psicol. Med Eur Am 1975; 12: 217-236.
Torres M, Hernández E, Ortega H. Validez y reproductibilidad del inventario para depresión de Beck en un hospital de cardiología. Salud Mental 1991; 14:1-6.
Natalicio LF, Natalicio N. (1971). Elaboración de la edición en español del Inventario de la Ansiedad Rasgo-Estado. Interamerican Journal of Psychology, 2 (5).
Díaz-Guerrero R, Spielberger CD. IDARE: inventario de ansiedad, rasgo-estado. México: El Manual Moderno. 1975.
Rubio G, Montero I, Jáuregui J, Salvador M, Marín JJ, Santo-Domingo J. Validación de la escala de riesgo suicida de Plutchik en población española. Arch Neurobiol (Madr) 1998; 61: 143-152.
Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M, Cook P, et al. Resident Wellness Behaviors: Relationship to Stress, Depression, and Burnout. Fam Med 2013; 45 (8): 541-9. Disponible en http://www. ncbi.nlm.nih.gov/pubmed/24129866.
Ledford CJ, Seehusen DA, Villagran MM, Cafferty LA, Childress MA. Resident scholarship expectations and experiences: sources of uncertainty as barriers to success. J Grad Med Educ. 2013; 5 (4): 564-9. Disponible en http://www.ncbi.nlm.nih.gov/ pubmed/24455002.
West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA. 2011 7; 306 (9): 952-60.
Gross CP, Mead LA, Ford DE, Klag MJ: Physician, heal thyself? Regular source of care and use of preventive health services among physicians. Arch Intern Med 2000; 160: 3209–3214.
Ey S, Moffi t M, Kinzie JM, Choi D, Girard DE. “If you build it, they will come”: attitudes of medical residents and fellows about seeking services in a resident wellness program. J Grad Med Educ. 2013; 5 (3): 486-92. Disponible en http://www.ncbi.nlm.nih. gov/pubmed/24404315.
Van Heeringen K: The neurobiology of suicide and suicidality. Can J Psychiatry 2003; 48(5): 292-300.
Slama F, Courtet P, Golmard JL, et al. Admixture analysis of age at fi rst suicide attempt. J Psychiatr Res 2009; 43:895–900.