Burnout and depression in first-year medical students across the academic year in the United States.

Jonathan Shaw, Charles Lai, Peter Bota, Deborah Wright
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Abstract

Objective: This study examined the prevalence and severity of burnout and depression in first-year medical students at different points in the academic year.

Methods: U.S. first-year allopathic medical students with a pass/fail preclinical curriculum were emailed through the school's email list with four rounds of surveys consisting of the full set of questions from the Copenhagen Burnout Inventory and the Patient Health Questionnaire-9, with the question order randomized. The surveys were sent before winter break, during block final exams, the subsequent block's midpoint, and after the subsequent block's midterm examinations.

Results: A total of 147 students completed the questionnaire (29.4%; n = 147/500). Most participants (73.5%) reported experiencing symptoms of work-related burnout, and 44.2% reported symptoms of depression. Client-related burnout and PHQ-9 scores were strongly correlated (Spearman r = 0.645, p < 0.001). Work-related burnout was also strongly related to client-related burnout (r = 0.739, p < 0.001) and PHQ-9 scores (r = 0.786, p < 0.001). No statistically significant differences in depression or burnout were noted throughout all four survey rounds.

Conclusions: Burnout and depression severity in first-year medical students remain statistically similar throughout the academic year despite significant events such as exams or breaks. This may indicate that scheduling exams after breaks reduces any protective effect it may have on burnout/depression. It may also suggest that institutional changes such as a pass-fail preclinical curriculum meant to improve medical students' mental health have not had the intended positive effect.

美国医学院一年级学生的职业倦怠和抑郁。
目的:探讨医一年级学生在学年不同时间点的职业倦怠和抑郁的发生率及严重程度。方法:通过学校的电子邮件列表,对通过/不通过临床前课程的美国一年级对抗疗法医学学生进行四轮调查,包括哥本哈根倦怠量表和患者健康问卷-9中的全套问题,问题顺序随机化。这些调查分别在寒假前、期末考试期间、下一个街区的中点以及下一个街区的期中考试之后发送。结果:共147名学生完成问卷,占29.4%;n = 147/500)。大多数参与者(73.5%)报告有工作倦怠症状,44.2%报告有抑郁症状。结论:一年级医学生的职业倦怠和抑郁严重程度在整个学年期间保持统计学上的相似,尽管有重大事件如考试或休息。这可能表明在休息后安排考试会减少对倦怠/抑郁的任何保护作用。这也可能表明,旨在改善医学生心理健康的制度变革,如通过-不通过临床前课程,并没有产生预期的积极效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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