Depressive Symptoms and Burnout Among Medical Students: a Prospective Study
Autor: | Edgar R. Miller, Spyridon S Marinopoulos, Joseph Cofrancesco, David M. Levine, Amanda Bertram, Jocelynn T. Owusu, Padmini D Ranasinghe, Hsin Chieh Yeh, Henry J. Michtalik |
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Rok vydání: | 2021 |
Předmět: |
Students
Medical education Burnout 01 natural sciences 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Depersonalization Internal Medicine Humans Medicine Prospective Studies 030212 general & internal medicine 0101 mathematics Prospective cohort study Emotional exhaustion Burnout Professional Depression (differential diagnoses) Original Research Depression business.industry 010102 general mathematics Patient Health Questionnaire Cohort Marital status medicine.symptom business Clinical psychology |
Zdroj: | J Gen Intern Med |
ISSN: | 1525-1497 0884-8734 |
Popis: | BACKGROUND: Depressive symptoms and burnout are common among medical students. However, few studies have investigated their trajectory over the course of medical school. OBJECTIVE: Evaluate year-by-year changes in depressive and burnout symptoms over the course of medical school training. DESIGN: Prospective study. PARTICIPANTS: Medical students who matriculated at a private medical school in Maryland from 2010 to 2016 (n=758). MAIN MEASURES: Clinically significant depressive symptoms were defined as a score of ≥10 on the 9-item Patient Health Questionnaire (PHQ-9), and burnout was measured using the Maslach Burnout Inventory (MBI). High emotional exhaustion, high depersonalization, and low personal accomplishment were defined as scores of ≥ 27, ≥10, and ≤33 on the respective MBI subscales. KEY RESULTS: At matriculation, the prevalences of significant depressive symptoms, high emotional exhaustion, high depersonalization, and low personal accomplishment were 4.3%, 9.4%, 8.6%, and 37.7%, respectively. After adjustment for age, sex, race/ethnicity, marital status, and cohort, compared with year 1, the odds of significant depressive symptoms was significantly higher at the beginning of the 2nd, 3rd, and 4th years of study (ORs=2.63, 2.85, and 3.77, respectively; all ps |
Databáze: | OpenAIRE |
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