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Mincarone P, Bodini A, Tumolo MR, Sabina S, Colella R, Mannini L, Sabato E, Leo CG. Association Between Physical Activity and the Risk of Burnout in Health Care Workers: Systematic Review. JMIR Public Health Surveill 2024; 10:e49772. [PMID: 38498040 PMCID: PMC10985610 DOI: 10.2196/49772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 09/18/2023] [Accepted: 12/12/2023] [Indexed: 03/19/2024] Open
Abstract
BACKGROUND Burnout is a multidimensional psychological syndrome that arises from chronic workplace stress. Health care workers (HCWs), who operate in physically and emotionally exhausting work contexts, constitute a vulnerable group. This, coupled with its subsequent impact on patients and public economic resources, makes burnout a significant public health concern. Various self-care practices have been suggested to have a positive effect on burnout among HCWs. Of these, physical activity stands out for its ability to combine psychological, physiological, and biochemical mechanisms. In fact, it promotes psychological detachment from work and increases self-efficacy by inhibiting neurotransmitters and neuromodulators, increasing endorphin levels, enhancing mitochondrial function, and attenuating the hypothalamic pituitary-adrenal axis response to stress. OBJECTIVE Our objective was to conduct a systematic review of the evidence on the association between physical activity and burnout among HCWs. METHODS We considered HCWs, physical activity, and burnout, framing them as population, exposure, and outcome, respectively. We searched APA PsycArticles, MEDLINE, and Scopus until July 2022. We extracted relevant data on study design, methods to measure exposure and outcome, and statistical approaches. RESULTS Our analysis encompassed 21 independent studies. Although 10% (2/21) of the studies explicitly focused on physical activity, the remaining investigations were exploratory in nature and examined various predictors, including physical activity. The most commonly used questionnaire was the Maslach Burnout Inventory. Owing to the heterogeneity in definitions and cutoffs used, the reported prevalence of burnout varied widely, ranging from 7% to 83%. Heterogeneity was also observed in the measurement tools used to assess physical activity, with objective measures rarely used. In total, 14% (3/21) of the studies used structured questionnaires to assess different types of exercise, whereas most studies (18/21, 86%) only recorded the attainment of a benchmark or reported the frequency, intensity, or duration of exercise. The reported prevalence of physically active HCWs ranged from 44% to 87%. The analyses, through a variety of inferential approaches, indicated that physical activity is often associated with a reduced risk of burnout, particularly in the domains of emotional exhaustion and depersonalization. Furthermore, we compiled and classified a list of factors associated with burnout. CONCLUSIONS Our comprehensive overview of studies investigating the association between physical activity and burnout in HCWs revealed significant heterogeneity in definitions, measurements, and analyses adopted in the literature. To address this issue, it is crucial to adopt a clear definition of physical activity and make thoughtful choices regarding measurement tools and methodologies for data analysis. Our considerations regarding the measurement of burnout and the comprehensive list of associated factors have the potential to improve future studies aimed at informing decision-makers, thus laying the foundation for more effective management measures to address burnout.
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Affiliation(s)
- Pierpaolo Mincarone
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- MOVE-Mentis s.r.l, Cesena, Italy
| | - Antonella Bodini
- Institute for Applied Mathematics and Information Technologies "Enrico Magenes", National Research Council, Milan, Italy
| | - Maria Rosaria Tumolo
- Biological and Environmental Sciences and Technology Department, University of Salento, Lecce, Italy
| | - Saverio Sabina
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Riccardo Colella
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
- Innovation Engineering Department, University of Salento, Lecce, Italy
| | - Linda Mannini
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
| | - Eugenio Sabato
- Research Unit of Brindisi, Institute for Research on Population and Social Policies, National Research Council, Brindisi, Italy
- Respiratory Diseases Unit, "Antonio Perrino" P.O., Local Health Unit "ASL Brindisi", Brindisi, Italy
| | - Carlo Giacomo Leo
- MOVE-Mentis s.r.l, Cesena, Italy
- Institute of Clinical Physiology, National Research Council, Lecce, Italy
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Reisdorff EJ, Johnston MM, Lall MD, Lu DW, Bilimoria KY, Barton MA. Prospective validity evidence for the abbreviated emergency medicine Copenhagen Burnout Inventory. Acad Emerg Med 2024. [PMID: 38494655 DOI: 10.1111/acem.14892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 01/30/2024] [Accepted: 02/12/2024] [Indexed: 03/19/2024]
Abstract
BACKGROUND Prior research has provided retrospective validity evidence for an abbreviated Copenhagen Burnout Inventory (CBI) to measure burnout among emergency medicine (EM) residents. We sought to provide additional validity and reliability evidence for the two-factor, six-item abbreviated CBI. METHODS This cross-sectional study used data from the abbreviated CBI that was administered following the 2022 American Board of Emergency Medicine In-training Examination. Confirmatory factor analysis (CFA) was performed and the prevalence of burnout among EM residents was determined. RESULTS Of the 8918 eligible residents, 7465 (83.7%) completed the abbreviated CBI. CFA confirmed the previously developed model of two factors using six items answered with a 1- to 5-point Likert scale. The internal factor was derived from personal and work-related burnout and the external factor was related to caring for patients. The reliability was determined using Cronbach's alpha (0.87). The overall prevalence of burnout was 49.4%; the lowest prevalence was at the EM1 level (43.1%) and the highest was at the EM2 level (53.8%). CONCLUSIONS CFA of the abbreviated CBI demonstrated good reliability and model fit. The two-factor, six-item survey instrument identified an increase in the prevalence of burnout among EM residents that coincided with working in the COVID-19 environment. The abbreviated CBI has sufficient reliability and validity evidence to encourage its broader use.
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Affiliation(s)
- Earl J Reisdorff
- American Board of Emergency Medicine, East Lansing, Michigan, USA
| | - Mary M Johnston
- American Board of Emergency Medicine, East Lansing, Michigan, USA
| | - Michelle D Lall
- Department of Emergency Medicine, Emory University, Atlanta, Georgia, USA
| | - Dave W Lu
- Department of Emergency Medicine, University of Washington, Seattle, Washington, USA
| | - Karl Y Bilimoria
- Department of Surgery, University of Indiana, Indianapolis, Indiana, USA
| | - Melissa A Barton
- American Board of Emergency Medicine, East Lansing, Michigan, USA
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Kuzmin MY, Tyumentseva DP, Marianian AY. Healthy And Unhealthy Lifestyles As Factors Of Occupational Burnout In Obstetrics And Gynecology Physicians. RUSSIAN OPEN MEDICAL JOURNAL 2023. [DOI: 10.15275/rusomj.2023.0103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023] Open
Abstract
This article investigates healthy and unhealthy lifestyles and its components (physical activity, drinking alcohol, consumption of caffeinated products, tobacco use) as factors of occupational burnout in obstetrics and gynecology physicians. Material and Methods. A total of 132 physicians and nurses from the different clinics of Irkutsk were surveyed. We used Maslach Burnout Inventory (MBI), SF-12, and Godin Leisure-Time Exercise Questionnaire. Results: Differences in healthy and unhealthy lifestyles between physicians and nurses employed in obstetrics and gynecology, with or without a high burnout, were revealed. According to the obtained results, the frequency of alcohol consumption was directly related to burnout. In study subjects engaged in low and moderate physical activity, burnout occurred briefly or rarely. The differences became more pronounced when we excluded physicians and nurses with poor physical health from consideration, because they did not exercise much. According to the results of logistic regression, the probability of burnout and reduced level of quality of life among physicians and nurses increased with a bigger family size, lower work experience, and less time spent on moderate physical activity. Conclusion: Healthy and unhealthy lifestyles can cause healthcare employee burnout. Physicians and nurses with a high burnout consumed stronger alcohol and spent less time in moderate physical activity.
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Crudden G, Margiotta F, Doherty AM. Physician burnout and symptom of anxiety and depression: Burnout in Consultant Doctors in Ireland Study (BICDIS). PLoS One 2023; 18:e0276027. [PMID: 36943827 PMCID: PMC10030015 DOI: 10.1371/journal.pone.0276027] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 02/08/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Burnout is a work related syndrome comprising three major dimensions: emotional exhaustion, depersonalisation and reduced professional efficacy. It is recognised that burnout may be associated with psychopathological sequelae, such as symptoms of anxiety and depression. AIMS This study aimed to examine the relationship between burnout and symptoms of depression and anxiety in senior doctors in Ireland. We examined personality traits as a mediating factor on burnout, in relation to work related stress among the participants. METHODS This study was a national cross sectional survey of consultants. Data included basic demographic data, work-related data, burnout as measured by the Maslach Burnout Inventory, personality traits, and symptoms of depression and anxiety from the Depressive Anxiety Stress Scale [DASS]. RESULTS Results were obtained from 477 consultants, yielding a response rate 21.9%. Nearly half (42%) reported high burnout levels. Over one-quarter (25.8%) screened positive for depression and 13.8% for anxiety. After controlling for gender and age, depressive symptoms were associated with high levels of emotional exhaustion (p<0.001) and a higher clinical workload, and stress with cynicism and reduced professional efficacy (p<0.001). CONCLUSIONS The this study reported a high level of work-related burnout, associated with symptoms of depression and anxiety in senior doctors. This is concerning, and strategies are required that consider the relationship between symptoms of depression/anxiety and burnout. Further research to evaluate strategies to ensure physician wellbeing and optimal delivery of patient care are required to address this serious problem.
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Affiliation(s)
- Genevieve Crudden
- Department of Liaison Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
- Department of Psychiatry, University College Dublin, Dublin, Ireland
| | - Fabio Margiotta
- Department of Psychiatry, Townsville University Hospital, Queensland, Australia
| | - Anne M Doherty
- Department of Liaison Psychiatry, Mater Misericordiae University Hospital, Dublin, Ireland
- Department of Psychiatry, University College Dublin, Dublin, Ireland
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5
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Cheung RYM, Chan SKC, Chui H, Chan WM, Ngai SYS. Enhancing Parental Well-being: Initial Efficacy of a 21-Day Online Self-help Mindfulness-Based Intervention for Parents. Mindfulness (N Y) 2022; 13:2812-2826. [PMID: 36248240 PMCID: PMC9540077 DOI: 10.1007/s12671-022-01998-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/20/2022] [Indexed: 11/30/2022]
Abstract
Objectives Parental self-care is extremely important in the face of stress throughout parenthood. A 21-day online mindfulness-based intervention was developed that was aimed at enhancing parental well-being. The present study evaluated this intervention by examining its initial efficacy on parents’ mindfulness, parenting stress, subjective well-being, and symptoms of depression and anxiety. Methods Participants were 273 parents (90.11% mothers) who were randomly assigned to the 21-day mindfulness-based intervention group (n = 136) or waitlist control group (n = 137). Pre-intervention assessment, immediate post-intervention assessment, and 30-day follow-up assessment were conducted to assess parents’ mindfulness, parenting stress, subjective well-being, and symptoms of depression and anxiety. Results Linear mixed models indicated that the group × time effects on subjective well-being, anxiety symptoms, and mindfulness were significant, after controlling for sex, age, education, income, habit of mindfulness practice, hours of weekly mindfulness practice, and diagnostic history of psychiatric disorder. Follow-up analyses indicated that compared to baseline, participants from the intervention group reported significantly greater subjective well-being and mindfulness, and fewer symptoms of anxiety than did those from the waitlist control group. The group × time effects on parenting stress and depressive symptoms were non-significant. Exploratory findings further suggested practicality and perceived acceptability of the intervention. Conclusions This study showed initial efficacy of a 21-day online mindfulness-based intervention on parents’ subjective well-being, anxiety symptoms, and mindfulness. The findings inform researchers and practitioners about the utility of a brief mindfulness-based intervention in promotion parental well-being. Other areas of feasibility warrant future investigation.
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Barton MA, Lall MD, Johnston MM, Lu DW, Nelson LS, Bilimoria KY, Reisdorff EJ. Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis. J Am Coll Emerg Physicians Open 2022; 3:e12797. [PMID: 35949274 PMCID: PMC9358756 DOI: 10.1002/emp2.12797] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 07/07/2022] [Accepted: 07/14/2022] [Indexed: 11/06/2022] Open
Affiliation(s)
| | - Michelle D. Lall
- Department of Emergency Medicine Emory University Atlanta Georgia USA
| | | | - Dave W. Lu
- Department of Emergency Medicine University of Washington Seattle Washington USA
| | - Lewis S. Nelson
- Department of Emergency Medicine Rutgers New Jersey Medical School Newark New Jersey USA
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COVID-19 Burnout Subject to the Dynamic Zero-COVID Policy in Hong Kong: Development and Psychometric Evaluation of the COVID-19 Burnout Frequency Scale. SUSTAINABILITY 2022. [DOI: 10.3390/su14148235] [Citation(s) in RCA: 22] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
We sought to develop and validate a self-assessment burnout scale of the Chinese general population during the COVID-19 pandemic in the context of a dynamic zero-COVID policy. Factors relevant to individuals’ burnout during the prolonged COVID-19 pandemic were identified in the literature and through the reviews of an expert panel. A convenience sample of 1087 was randomly divided into two subsamples and the scale’s psychometric properties were assessed. Findings suggested that the COVID-19 BFS has adequate reliability (α = 0.90) along with factorial, concurrent, and convergent validity. Results of confirmatory factor analysis (CFA) supported the one-factor structure of the scale. Concurrent validity results indicate a significant positive correlation between COVID-19 BFS and the Fear of COVID-19 Scale (r = 0.131, p < 0.001), suggesting that individuals with higher levels of burnout may also have higher levels of fear of COVID, or vice versa. The scale was also correlated positively with being against the dynamic zero-COVID strategy (r = 0.340, p < 0.001), indicating that a higher level of burnout may be associated with individuals who are against the dynamic zero-COVID strategy. The results suggest the five-item COVID-19 BFS is a valid and reliable scale for the measurement of burnout frequency of the Chinese general population in relation to the prolonged COVID-19 pandemic in a dynamic zero-COVID policy context.
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Liu Y, Zhang Q, Jiang F, Zhong H, Huang L, Zhang Y, Chen H. Association between sleep disturbance and mental health of healthcare workers: A systematic review and meta-analysis. Front Psychiatry 2022; 13:919176. [PMID: 35966483 PMCID: PMC9372625 DOI: 10.3389/fpsyt.2022.919176] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 07/05/2022] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Sleep disturbance and mental health are challenges for healthcare workers (HCWs). Especially during the COVID-19 pandemic, they experienced more severe sleep and mental health problems. However, the association between sleep disturbance and the mental health of HCWs is still controversial. This study aimed to systematically review the relationship by conducting a systematic review and meta-analysis. METHOD Two researchers retrieved the literature from Web of Science, PubMed, EMBASE, CINAHL, Psyclnfo, and Cochrane Library from the establishment of the databases until November 20, 2021. We used the New Castle-Ottawa Scale (NOS) and Agency for Healthcare Research and Quality (AHRQ) to evaluate the risk of bias in prospective research and cross-sectional research, respectively. The major exposure was HCWs' sleep disturbance, and the major outcome was mental health. The correlation coefficients (r), regression coefficients (β) and odds ratios (OR) of the included studies were integrated. RESULT Fifty-nine studies were included for qualitative analysis, of which 30 studies could be combined and entered into quantitative analysis. There were 23 studies during the COVID-19 pandemic among the 59 included studies. The results of the meta-analysis showed that the correlation coefficient between sleep disturbance and mental health was 0.43 (95% CI: 0.39-0.47). HCWs with sleep disturbance had a 3.74 (95% CI: 2.76-5.07) times higher risk of mental health problems than those without sleep disturbance. The correlation coefficient during the COVID-19 epidemic was 0.45 (95% CI: 0.37-0.53), while it was 0.40 (95% CI: 0.36-0.44) during the non-epidemic period. Subgroup analysis compared the OR results in epidemic and non-epidemic periods of COVID-19, which were 4.48 (95% CI: 2.75-5.07) and 3.74 (95% CI: 2.74-7.32), respectively. CONCLUSION Sleep disturbance and mental health problems were positively correlated among HCWs. Particularly in the COVID-19 pandemic, more attention should be given to this issue.
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Affiliation(s)
- Ying Liu
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
| | - Qin Zhang
- Department of Postgraduate Students, West China School of Medicine/West China Hospital, Sichuan University, Chengdu, China
| | - Fugui Jiang
- Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China
| | - Hua Zhong
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
| | - Lei Huang
- Department of Environmental Health and Occupational Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.,Department of Occupational Hazard Assessment, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Yang Zhang
- Department of Periodical Press and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.,Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
| | - Hong Chen
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
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9
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Slabšinskienė E, Gorelik A, Kavaliauskienė A, Zaborskis A. Burnout, lifestyle and relaxation among dentists in Lithuania: a cross-sectional study. BMC Health Serv Res 2021; 21:1098. [PMID: 34654421 PMCID: PMC8520307 DOI: 10.1186/s12913-021-07074-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 09/22/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND The aim of this study was to estimate the association of burnout level with lifestyle and relaxation among dentists in Lithuania. A better understanding of this association could help in the development of targeted interventions to prevent burnout among these professionals. METHODS The survey was conducted among practising dentists (N = 380) using the Maslach Burnout Inventory (MBI) and an authors' proposed scale to measure lifestyle and relaxation. Poisson regression was applied to examine the association between variables. RESULTS Regular cigarette smoking among dentists in Lithuania was 16.8 % and alcohol consumption was 31.3 %. Some forms of active relaxation were also common: regular playing sports (57.9 %), and spending time in nature (61.4 %). Emotional exhaustion (EE) and depersonalization (DP) burnout dimensions were negatively related to the regular use of illegal substances, alcohol, medication and smoking, while personal achievement (PA) was negatively related to smoking only. Dentists who regularly exercised had significantly lower EE and DP sum scores, and better assessments of PA. There were also positive relationships of EE, DP and PA sum scores with the variables of relaxation (e.g., spending time with family or friends, visiting a theatre, engaging in art, listening to music). CONCLUSIONS It was concluded that the burnout dimensions are negatively associated with unhealthy lifestyle factors and positively associated with active relaxation among dentists in Lithuania. Therefore, burnout prevention should target specific lifestyle and relaxation improvement strategies.
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Affiliation(s)
- Eglė Slabšinskienė
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania.
- Academy of Medicine, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, J.Luksos-Daumanto street, 6, LT-50106, Kaunas, Lithuania.
| | - Andrej Gorelik
- Medical Academy, Faculty of Odontology, Department of Oral Health and Pediatric Dentistry, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Aistė Kavaliauskienė
- Medical Academy, Faculty of Odontology, Department of Orthodontics, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Apolinaras Zaborskis
- Medical Academy, Faculty of Public Health, Department of Preventive Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania
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Caesar BC, Nutt J, Jukes CP, Ahmed M, Counihan CM, Butler-Manuel WR, Khan M. Burnout in trauma and orthopaedic surgeons: can the UK military stress management model help? ORTHOPAEDICS AND TRAUMA 2021; 35:305-308. [PMID: 36568031 PMCID: PMC9760296 DOI: 10.1016/j.mporth.2021.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
The recent coronavirus disease (COVID-19) pandemic has increased doctors' stresses at work and at home, putting them at increased risk of burnout. Considering this, we recently conducted the British Orthopaedic Association (BOA) Burnout and Wellbeing Survey which showed that, from 1298 respondents (approximately 25% of the membership of the BOA), 40% reported burnout and a further 50% were just below the threshold. The burnout rates were found to be higher in Black, Asian and minority ethnic (BAME), female and LGBTQ+ groups (45.6%) compared to white, heterosexual males (33.6% - p < 0.001) and also higher in trainees (49.1%) and associate specialists (52.1%) compared to consultants (35.7% - p < 0.001). We discuss what can be learned from the experience of the UK Armed Forces in their programme for stress management, their mental resilience training and their campaign to destigmatize mental wellbeing, that may mitigate burnout in our profession. We also put forward the case for appropriate resources to be allocated to tackling burnout in orthopaedic doctors and introduce the BOA's Wellbeing Initiative.
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Affiliation(s)
- Benjamin C Caesar
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - James Nutt
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Christopher P Jukes
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Maryam Ahmed
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Callum M Counihan
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - William R Butler-Manuel
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
| | - Mansoor Khan
- Consultant Trauma and Orthopaedic Surgeon (UHS NHS Foundation Trust), 16 Medical Regiment, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 8 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 7 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Specialty Trainee Year 3 Trauma and Orthopaedics, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- Core Trainee Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- - Foundation Year 1, University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- University Hospitals Sussex NHS Foundation Trust, UK. Conflicts of interest: none declared
- No authors declare any conflicts of interest
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Ng APP, Chin WY, Wan EYF, Chen J, Lau CS. Prevalence of depression and suicide ideation in Hong Kong doctors: a cross-sectional study. Sci Rep 2021; 11:19366. [PMID: 34588512 PMCID: PMC8481547 DOI: 10.1038/s41598-021-98668-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 09/14/2021] [Indexed: 11/18/2022] Open
Abstract
Depression amongst physicians can lead to poor individual and institutional outcomes. This study examined the prevalence and factors associated with depression and suicidal ideation amongst doctors in Hong Kong. Doctors who graduated from medical school at the University of Hong Kong between 1995 and 2014 were invited to participate in a survey measuring depressive symptoms, suicidal ideation and thoughts of self-harm, lifestyle behaviours, career satisfaction and socio-demographic characteristics. Data collection occurred between January and April 2016. The prevalence of screened-positive depression was 16.0% and 15.3% of respondents reported having suicidal ideation. Amongst those with positive depression screening scores, less than half reported having a diagnosed mood disorder. Sleeping fewer hours was associated with higher depression scores (P < 0.001) and an increased odds of meeting the cut-off for depression (P < 0.001). Factors associated with suicidal ideation included being unmarried (P = 0.012) and sleeping fewer hours (P = 0.022). Hong Kong doctors appear to have high rates of undiagnosed depression, and high levels of depressive symptoms and suicidal ideations. There is a need for greater awareness of the morbidity due to depression and to promote better mental health help-seeking among physicians. Barriers to mental health help-seeking need to be addressed and appropriate resources allocated to reduce suffering.
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Affiliation(s)
- Amy Pui Pui Ng
- Department of Family Medicine and Primary Care, The University of Hong Kong-Shenzhen Hospital, 1 Haiyuan 1st Rd, Futian District, Shenzhen, 518053, Guangdong Province, China.,Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3/F., 161 Main Street, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong, Hong Kong SAR
| | - Weng Yee Chin
- Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3/F., 161 Main Street, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong, Hong Kong SAR. .,Li Ka Shing Faculty of Medicine, Bau Institute of Medical and Health Sciences Education, The University of Hong Kong, 21 Sassoon Road, Pok Fu Lam, Hong Kong, Hong Kong SAR.
| | - Eric Yuk Fai Wan
- Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3/F., 161 Main Street, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong, Hong Kong SAR.,Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, HKU, 2/F, Laboratory Block, 21 Sassoon Road, Pok Fu Lam, Hong Kong, Hong Kong SAR
| | - Julie Chen
- Department of Family Medicine and Primary Care, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 3/F., 161 Main Street, Ap Lei Chau Clinic, Ap Lei Chau, Hong Kong, Hong Kong SAR.,Li Ka Shing Faculty of Medicine, Bau Institute of Medical and Health Sciences Education, The University of Hong Kong, 21 Sassoon Road, Pok Fu Lam, Hong Kong, Hong Kong SAR
| | - Chak Sing Lau
- Department of Medicine Hong Kong, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Room 405B, 4/F, Professorial Block, 102 Pok Fu Lam Road, Pok Fu Lam, Hong Kong, Hong Kong SAR
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