For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
4
views
48
references
 Top references
cited by
6
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      608
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The predictors of depression and burnout among surgical residents: A cross-sectional study from Kuwait

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Surgical residency often poses a challenge to residents, with long working hours and a stressful work environment. Surgical residents are at an increased risk of burnout and depression. Such mental health burdens could go so far as to affect treatment outcomes.

          Aim

          To assess the prevalence and risk factors for depression and burnout among residents across surgical specialties in Kuwait.

          Materials and methods

          An online questionnaire was sent to the residents enrolled to the surgical residency programs in Kuwait, from the period of January 2020–February 2020. Variables collected included; age, gender, marital status, smoking history, exercise, specialty, year of training, on-call frequency, assessment of burnout (using the abbreviated Maslach Burnout Inventory (aMBI)) and assessment of depressive symptoms (using the Patient Health Questionnaire-9 (PHQ-9) score).

          Results

          A total of 85 surgical residents between the age of 20 and 40 years responded. Most (64.7%) were male and 35.3% female. More than half were married (51.8%) and 41.2% were single. The majority of the residents were in general surgery (43.5%), with the least being in otolaryngology (7.1%) and neurosurgery (5.9%). The prevalence of depressive symptoms was 55.3%, and 51.8% had a high overall burnout score.

          Conclusion

          Addressing burnout at all stages during residency training is paramount in improving standard of care as well as increasing the wellness of residents.

          Highlights

          • •

            Residents are a population at high risk for burnout and depression.

          • •

            Such mental burdens could go so far as to affect treatment outcomes.

          • •

            The prevalence for depression and burnout among residents across surgical specialties in Kuwait is high.

          • •

            Many risk factors have been identified and are comparable to the existing literature.

          • •

            Addressing burnout at all stages during residency programs is paramount in improving standard.

          Related collections

          Most cited references48

          • Record: found
          • Abstract: found
          • Article: not found

          The PHQ-9: validity of a brief depression severity measure.

          K Kroenke, R L Spitzer, J. Williams (2001)
          While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
          Article 0 comments Cited 5880 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            STROCSS 2019 Guideline: Strengthening the reporting of cohort studies in surgery

            Riaz Agha, Ali Abdall-Razak, Eleanor Crossley … (2019)
            The STROCSS guideline was developed in 2017 to improve the reporting quality of observational studies in surgery. Building on its impact and usefulness, we sought to update the guidelines two years after its publication.
            Article 0 comments Cited 701 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Burnout and self-reported patient care in an internal medicine residency program.

              Tait Shanafelt, Katharine A Bradley, Joyce Wipf … (2002)
              Burnout is a syndrome of depersonalization, emotional exhaustion, and a sense of low personal accomplishment. Little is known about burnout in residents or its relationship to patient care. To determine the prevalence of burnout in medical residents and explore its relationship to self-reported patient care practices. Cross-sectional study using an anonymous, mailed survey. University-based residency program in Seattle, Washington. 115 internal medicine residents. Burnout was measured by using the Maslach Burnout Inventory and was defined as scores in the high range for medical professionals on the depersonalization or emotional exhaustion subscales. Five questions developed for this study assessed self-reported patient care practices that suggested suboptimal care (for example, "I did not fully discuss treatment options or answer a patient's questions" or "I made...errors that were not due to a lack of knowledge or inexperience"). Depression and at-risk alcohol use were assessed by using validated screening questionnaires. Of 115 (76%) responding residents, 87 (76%) met the criteria for burnout. Compared with non-burned-out residents, burned-out residents were significantly more likely to self-report providing at least one type of suboptimal patient care at least monthly (53% vs. 21%; P = 0.004). In multivariate analyses, burnout--but not sex, depression, or at-risk alcohol use--was strongly associated with self-report of one or more suboptimal patient care practices at least monthly (odds ratio, 8.3 [95% CI, 2.6 to 26.5]). When each domain of burnout was evaluated separately, only a high score for depersonalization was associated with self-reported suboptimal patient care practices (in a dose-response relationship). Burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices.
              Article 0 comments Cited 552 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Waleed Burhamah
                Abdulaziz AlKhayyat
                Melinda Oroszlányová
                Hana Jafar
                Ali AlKhayat
                Jasim Alabbad
                Journal
                Journal ID (nlm-ta): Ann Med Surg (Lond)
                Journal ID (iso-abbrev): Ann Med Surg (Lond)
                Title: Annals of Medicine and Surgery
                Publisher: Elsevier
                ISSN (Electronic): 2049-0801
                Publication date PMC-release: 21 April 2021
                Publication date Collection: May 2021
                Publication date (Electronic): 21 April 2021
                Volume: 65
                Electronic Location Identifier: 102337
                Affiliations
                [a ]Department of General Surgery, Mubarak AlKabeer Hospital, Kuwait
                [b ]Ministry of Health, Kuwait
                [c ]College of Engineering and Technology, American University of the Middle East, Kuwait
                Author notes
                [∗ ]Corresponding author. waleedburhamah1994@ 123456gmail.com
                Article
                Publisher Item ID: S2049-0801(21)00287-9 Publisher ID: 102337
                DOI: 10.1016/j.amsu.2021.102337
                PMC ID: 8093889
                PubMed ID: 33996067
                SO-VID: e3d689a5-76bb-445a-8d98-ad8afd3f44b2
                Copyright © © 2021 The Authors
                License:

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                Date received : 19 March 2021
                Date revision received : 11 April 2021
                Date accepted : 13 April 2021
                Categories
                Subject: Cross-sectional Study

                Keywords: surgery,surgical residency,burnout,depression,surgeon wellbeing,mental health
                Data availability:
                Keywords: surgery, surgical residency, burnout, depression, surgeon wellbeing, mental health

                Comments

                Comment on this article

                scite_

                Similar content608

                See all similar

                Cited by6

                See all cited by

                Most referenced authors622

                See all reference authors