Recovery from a Depressive Episode During Postgraduate Residency Training is Associated with Senior Doctors' Support

Overview

Journal J Gen Fam Med

Specialty Public Health

Date 2018 Jan 18

PMID 29340262

Citations 2

Authors

Takuma Kimura

Emiko Seo

Ryoko Ogawa

Shinji Matsumura

Tetsuhiro Maeno

Affiliations

Soon will be listed here.

Abstract

Background: Depression among doctors in residency training can have significant impacts on the health of the residents and on patient safety. This study aimed to investigate factors associated with recovery from a depressive episode experienced during postgraduate residency training.

Methods: A questionnaire was administered to 2935 first-year residents at the beginning of residency training in 2011; follow-up surveys were conducted after 3 months and at the end of the training in 2013. The questionnaire included the Center for Epidemiologic Studies Depression Scale and the Senior Doctor's Support Scale (SDSS). Logistic regression was used to identify associations between factors that may have been related to recovery from depressive episodes.

Results: A total 182 residents experienced a depressive episode in the 3 months after starting residency training. When reassessed at the end of the 2-year training, 102 (56%) residents had recovered from the episode and 80 (44%) had not. Increased odds of recovery were associated with a middle or high score on the SDSS (middle score odds ratios [OR] 4.45, 95% confidence interval [CI] 1.0-18.0, .04; and high score OR 5.70, 95% CI 1.4-23.4, = .02).

Conclusions: Support from senior doctors should be enhanced to optimize recovery from depressive episodes experienced after the start of residency training.

Citing Articles

Reflections on year one of a new residency program: Lessons for future leaders from residents and educators.

Moresco B, Banales J, Harline M, Phan A, Ramirez D, Sadovsky L MedEdPublish (2016). 2023; 9:94.

PMID: 38058866 PMC: 10697504. DOI: 10.15694/mep.2020.000094.1.

Recovery from a depressive episode during postgraduate residency training is associated with senior doctors' support.

Kimura T, Seo E, Ogawa R, Matsumura S, Maeno T J Gen Fam Med. 2018; 19(1):20-26.

PMID: 29340262 PMC: 5763017. DOI: 10.1002/jgf2.144.

References

Brewin C, Firth-Cozens J . Dependency and self-criticism as predictors of depression in young doctors. J Occup Health Psychol. 1997; 2(3):242-6. DOI: 10.1037//1076-8998.2.3.242. View

Haoka T, Sasahara S, Tomotsune Y, Yoshino S, Maeno T, Matsuzaki I . The effect of stress-related factors on mental health status among resident doctors in Japan. Med Educ. 2010; 44(8):826-34. DOI: 10.1111/j.1365-2923.2010.03725.x. View

Mata D, Ramos M, Bansal N, Khan R, Guille C, Di Angelantonio E . Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA. 2015; 314(22):2373-83. PMC: 4866499. DOI: 10.1001/jama.2015.15845. View

Jagsi R, Weinstein D, Shapiro J, Kitch B, Dorer D, Weissman J . The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. A study of resident experiences and perceptions before and after hours reductions. Arch Intern Med. 2008; 168(5):493-500. DOI: 10.1001/archinternmed.2007.129. View

Tyssen R, Vaglum P, Gronvold N, Ekeberg O . Factors in medical school that predict postgraduate mental health problems in need of treatment. A nationwide and longitudinal study. Med Educ. 2001; 35(2):110-20. DOI: 10.1046/j.1365-2923.2001.00770.x. View

Ito M, Seo E, Ogawa R, Sanuki M, Maeno T, Maeno T . Can we predict future depression in residents before the start of clinical training?. Med Educ. 2015; 49(2):215-23. DOI: 10.1111/medu.12620. View

Girard D, Choi D, Dickey J, Wessel K, Austin D . A mid year comparison study of career satisfaction and emotional states between residents and faculty at one academic medical center. BMC Med Educ. 2006; 6:36. PMC: 1550711. DOI: 10.1186/1472-6920-6-36. View

Kimura T, Seo E, Ogawa R, Matsumura S, Maeno T . Recovery from a depressive episode during postgraduate residency training is associated with senior doctors' support. J Gen Fam Med. 2018; 19(1):20-26. PMC: 5763017. DOI: 10.1002/jgf2.144. View

Fahrenkopf A, Sectish T, Barger L, Sharek P, Lewin D, Chiang V . Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008; 336(7642):488-91. PMC: 2258399. DOI: 10.1136/bmj.39469.763218.BE. View

10.

Goebert D, Thompson D, Takeshita J, Beach C, Bryson P, Ephgrave K . Depressive symptoms in medical students and residents: a multischool study. Acad Med. 2009; 84(2):236-41. DOI: 10.1097/ACM.0b013e31819391bb. View

11.

Rosen I, Gimotty P, Shea J, Bellini L . Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2005; 81(1):82-5. DOI: 10.1097/00001888-200601000-00020. View

12.

Sen S, Kranzler H, Krystal J, Speller H, Chan G, Gelernter J . A prospective cohort study investigating factors associated with depression during medical internship. Arch Gen Psychiatry. 2010; 67(6):557-65. PMC: 4036806. DOI: 10.1001/archgenpsychiatry.2010.41. View

13.

Winkel A, Nguyen A, Morgan H, Valantsevich D, Woodland M . Whose Problem Is It? The Priority of Physician Wellness in Residency Training. J Surg Educ. 2016; 74(3):378-383. DOI: 10.1016/j.jsurg.2016.10.009. View