Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden.

Autor: Brulin E; Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Sweden. Electronic address: Emma.Brulin@ki.se., Lidwall U; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department for Analysis, Swedish Social Insurance Agency, Stockholm, Sweden., Seing I; Department of Behavioural Sciences and Learning, Linköping University, Sweden., Nyberg A; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden., Landstad B; Faculty of Human Sciences, Mid Sweden University, Sweden; Unit of Research, Education and Development, Östersund Hospital, Sweden., Sjöström M; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden., Bååthe F; Institute for Studies of the Medical Profession, LEFO, Oslo, Norway; Institute of Stress Medicine at Region Västra Götaland, Gothenburg, Sweden; Institute of Health and Care Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden., Nilsen P; Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2023 Oct 15; Vol. 339, pp. 104-110. Date of Electronic Publication: 2023 Jul 09.
DOI: 10.1016/j.jad.2023.07.042
Abstrakt: Introduction: The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences in sex compositions, and 3) if any sex differences were larger within either of the two professions.
Method: Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.
Results: Results showed that 16-28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.
Limitations: This study was based on cross-sectional survey data which has some limitations.
Conclusion: Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.
Competing Interests: Declaration of competing interest Authors have no conflicting interest to report.
(Copyright © 2023. Published by Elsevier B.V.)
Databáze: MEDLINE
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