Burnout, depression and anxiety among Swiss medical students - A network analysis.

Autor: Ernst J; Center for Clinical Nursing Science, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Jordan KD; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Weilenmann S; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Sazpinar O; Department of Internal Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Gehrke S; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Paolercio F; Department of Psychology, University of Zurich, Zurich, Switzerland., Petry H; Center for Clinical Nursing Science, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Pfaltz MC; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Méan M; Department of Internal Medicine, Lausanne University Hospital, Switzerland., Aebischer O; Department of Internal Medicine, Ensemble Hospitalier de la Côte Morges, Switzerland., Gachoud D; Department of Internal Medicine, Lausanne University Hospital, Switzerland; Educational Unit, School of Medicine, Faculty of Biology and Medicine, University of Lausanne, Switzerland., Morina N; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., von Känel R; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland., Spiller TR; Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland. Electronic address: tobiasraphael.spiller@uzh.ch.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2021 Nov; Vol. 143, pp. 196-201. Date of Electronic Publication: 2021 Sep 02.
DOI: 10.1016/j.jpsychires.2021.09.017
Abstrakt: It is well established that burnout in medical students is associated with depression and anxiety at a syndromal level. Moreover, there is an ongoing debate about the extent to which burnout overlaps with depression and anxiety. The emerging network approach to psychopathology offers a new perspective on the interrelations between mental disorders focusing on symptom-level association. In this cross-sectional study, we exploratively investigated the associations among burnout, depression, and anxiety in 574 swiss medical students using a network analytic approach for the first time. Symptoms of depression and anxiety were assessed with the Patient Health Questionnaire and Generalized Anxiety Disorder respectively. Burnout was assessed with two single-item questions, one referring to emotional exhaustion and the other to depersonalization. We found a dense network in which at least one dimension of burnout was related to eleven of the sixteen included symptoms. This suggests that burnout is closely related to depression and anxiety but also has its own characteristics. Notably, suicidal ideation was not associated with either emotional exhaustion or depersonalization after adjusting for the influence of the remaining symptoms of anxiety and depression. Hence, the well-documented relationship between burnout and suicidal ideation in medical students may be entirely mediated by the experience of anxiety and depression. Hence, the well-documented relationship between burnout and suicidal ideation in medical students might be fully mediated by the experience of anxiety and depression. The collection of the sample after the first wave of infections during the SARS-CoV2 pandemic and the non-representativeness of the investigated sample limit the study's generalizability.
(Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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