Abstract
Objective
The authors determined the prevalence of stress, depression, and burnout in medical students and the resources used by students in one school to alleviate psychological distress.
Methods
A survey was administered to 526 students in the first 3 years of medical school (336 responders; response rate: 70%) at one institution, using a modified Maslach Burnout Inventory Human Services Survey (MBI-HSS), the two-question PRIME-MD depression screening survey, the Perceived Medical School Stress Scale, along with questions on demographics and helpful programs to cope with stress.
Results
The percentage of respondents scoring in the High Burnout range was approximately 55% for all three subscales. Depressive symptoms were reported by 60% of respondents. The most helpful coping mechanisms reported were social support from peers and faculty, counseling services, and extracurricular activities.
Conclusion
The prevalences of burnout, depression, and stress were higher in this sample of first-through third-year medical students when compared with other medical student groups previously studied. Important limitations of this research included the fact that it was cross-sectional in design and that the PRIME-MD tool is simply a screening tool and does not diagnose major depression. Medical educators, deans, and administrators should appreciate the possibility of higher levels of psychological distress among their own students than those previously reported.
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References
Dyrbye LN, Thomas MR, Eacker A, et al: Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007; 167:2103–2109
Dyrbye LN, Thomas MR, Huntington JL, et al: Personal life events and medical student burnout: a multicenter study. Acad Med 2006; 81:374–384
Dyrbye LN, Thomas MR, Shanafelt TD: Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med 2006; 81:354–373
Dyrbye LN, Massie FS Jr, Eacker A, et al: Relationship between burnout and professional conduct and attitudes among U.S. medical students. JAMA 2010; 304:1173–1180
Dyrbye LN, Thomas MR, Power DV, et al: Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med 2010; 85:94–102
Schernhammer E: Taking their own lives: the high rate of physician suicide. N Engl J Med 2005; 352:2473–2476
Vitaliano PP, Russo J, Carr JE, et al: Medical school pressures and their relationship to anxiety. J Nerv Ment Dis 1984; 172: 730–736
Maslach C, Jackson SE, Leiter MP: Maslach Burnout Inventory, in Evaluating Stress: A Book of Resources, 3rd Edition. Edited by Zalaquett CP, Wood RJ. Lanham, Md, Rowman& Littlefield Publishers Inc, 1997, pp 191–218
Dyrbye LN, Thomas MR, Massie FS, et al: Burnout and suicidal ideation among U.S. medical students. Ann Intern Med 2008; 149:334–341
Santen SA, Holt DB, Kemp JD, et al: Burnout in medical students: examining the prevalence and associated factors. South Med J 2010; 103:758–763
Dyrbye LN, Thomas MR, Harper W, et al: The learning environment and medical student burnout: a multicentre study. Med Educ 2009; 43:274–282
Thomas MR, Dyrbye LN, Huntington JL, et al: How do distress and well-being relate to medical student empathy? a multicenter study. J Gen Intern Med 2007; 22:177–183
Dyrbye LN, Thomas MR, Huschka MM, et al: A multicenter study of burnout, depression, and quality of life in minority and non-minority U.S. medical students. Mayo Clin Proc 2006; 81:1435–1442
Arthur NM: The assessment of burnout: a review of three inventories useful for research and counseling. J Couns Dev 1990; 69:186–189
Söderfeldt M, Söderfeldt B, Warg LE, et al: The factor structure of the Maslach Burnout Inventory in two Swedish human service organizations. Scand J Psychol 1996; 37: 437–443
Spitzer RL, Williams JB, Kroenke K, et al: Utility of a new procedure for diagnosing mental disorders in primary care: The PRIME-MD 1000 Study. JAMA 1994; 272:1749–1756
Whooley MA, Avins AL, Miranda J, et al: Case-finding instruments for depression: two questions are as good as many. J Gen Intern Med 1997; 12:439–445
Glaser BG: The Constant Comparative Method of qualitative analysis. Soc Probl 1965; 12:436–445
Buchman BP, Sallis JF, Criqui MH, et al: Physical activity, physical fitness, and psychological characteristics of medical students. J Psychosom Res 1991; 35:197–208
Lloyd C, Miller PM: The relationship of parental style to depression and self-esteem in adulthood. J Nerv Ment Dis 1997; 185:655–663
Tjia J, Givens JL, Shea JA: Factors associated with undertreatment of medical student depression. J Am Coll Health 2005; 53:219–224
Hojat M, Glaser K, Xu G, et al: Gender comparisons of medical students’ psychosocial profiles. Med Educ 1999; 33: 342–349
Vitaliano PP, Maiuro RD, Russo J, et al: Medical student distress: a longitudinal study. J Nerv Ment Dis 1989; 177:70–76
Richman JA, Flaherty JA: Gender differences in medical student distress: contributions of prior socialization and current role-related stress. Soc Sci Med 1990; 30:777–787
Clark DC, Zeldow PB: Vicissitudes of depressed mood during four years of medical school. JAMA 1988; 260: 2521–2528
Rosal MC, Ockene IS, Ockene JK, et al: A longitudinal study of students’ depression at one medical school. Acad Med 1997; 72:542–546
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Chang, E., Eddins-Folensbee, F. & Coverdale, J. Survey of the Prevalence of Burnout, Stress, Depression, and the Use of Supports by Medical Students at One School. Acad Psychiatry 36, 177–182 (2012). https://doi.org/10.1176/appi.ap.11040079
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DOI: https://doi.org/10.1176/appi.ap.11040079