Burnout, Perceived Stress, and Depression Among Cardiology Residents in Argentina
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Because medical residency is a stressful time for training physicians, placing residents at increased risk for psychological distress, the authors studied the prevalence of burnout, perceived stress, and depression in cardiology residents in Argentina and examined the association between sociodemographic characteristics and these syndromes.
The authors conducted a cross-sectional observational study of 106 cardiology residents in Argentina and a comparison group of 104 age- and gender-matched nonmedical professionals. The main outcome measures included the prevalence of burnout with the Maslach Burnout Inventory, distress with the Perceived Stress Scale, and depression with the Beck Depression Inventory.
One hundred six residents completed the survey. Of these, 31.3% were women, the mean age was 29.1 years old, and half were married. Respondents worked an average of 64 hours per week, and 60% of the residents needed a second job. High emotional exhaustion and depersonalization was found in the majority of respondents. Significant depressive symptoms were found in less than half of residents, and stress was on average 21.7 points on the Perceived Stress Scale. Residents who had a second job showed high levels of depersonalization. No other association was found with sociodemographic characteristics. There were no differences in sociodemographic characteristics of residents compared with nonmedical professionals, but non-medical professionals worked less hours per week, had a lower percentage of second jobs, and higher salary. Burnout, depressive symptoms, and perceived stress were significantly lower in the reference group.
Cardiology residents in Argentina exhibit high levels of burnout, perceived stress, and depressive symptoms, which warrants greater attention to the psychological needs of residents.
KeywordsDepressive Symptom Academic Psychiatry Emotional Exhaustion Personal Accomplishment Medical Resident
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- 17.Katz ED, Sharp L, Ferguson E: Depression among emergency medicine residents over an academic year. Acad Emerg Med 2006; 14: 476–478Google Scholar
- 21.Maslach C, Jackson SE, Leiter MP: Maslach Burnout Survey, 3rd ed. Palo Alto, Calif, Consulting Psychologist Press Inc, 1996Google Scholar
- 22.Maslach C: Burnout: The Cost of Caring. Cambridge, Mass, Malor Books, 2003Google Scholar
- 26.Herbert TB, Cohen S: Measurement issues in research on psychological stress, in Psychosocial Stress: Perspectives on Structure, Theory, Life Course, and Methods. Edited by Kaplan HB. New York, Academic Press, 1996Google Scholar
- 28.Remor E: Psychometric properties of a European Spanish version of the Perceived Stress Scale (PSS). Span J of Psychol 2006; 9: 86–93Google Scholar
- 29.Gonzalez Ramirez MT, Landero Hernandez R: Factor structure of the Perceived Stress Scale (PSS) in a sample from Mexico. Span JPsychol 2007; 10: 199–206Google Scholar
- 30.Beck AT, Steer RA, Brown GK: Manual for the Beck Depression Inventory-II. San Antonio, Tex, Psychological Corporation, 1996Google Scholar
- 31.American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th ed, Text Revision. Washington, DC, American Psychiatric Association, 2000Google Scholar
- 32.Richaud de Minzi MC, Sacchi C: Adaptatión del inventario de la depresión de Beck a sujetos Argentinos normales. Revista Iberoamericana de Diagnóstico y Evaluation Psicológica 2001; 12: 11–17Google Scholar
- 38.Leiter MP, Maslach C: Areas of work life: a structured approach to organizational predictors of job burnout, in Research in Occupational Stress and Well-Being. Edited by Perrewe PL, Ganster DC. Oxford, Elsevier, 2004; 3: 91–134Google Scholar
- 40.Accreditation Council for Graduate Medical Education. Report of the ACGME Work Group on Resident Duty Hours, 2008. Available at http://www.acgme.org/acWebsite/dutyHours/ACGMEApprovedSpecialtySpecificDutyHourLanguage_AS_ED_01_16_2008.pdf