Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
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Factors Affecting Depression of Korean Physicians

한국 의사들의 우울과 이에 영향을 미치는 요인 분석

  • Lee, Suh Eun (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Yeju (Workplace Mental Health Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Hyoungjun (Workplace Mental Health Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Lee, Mi Yeon (Division of Biostatistics, Department of R&D Management, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jung, Sra (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shin, Dong Won (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Cho, Sung Joon (Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 이서은 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 신예주 (성균관대학교 의과대학 강북삼성병원 기업정신건강연구소) ;
  • 김형준 (성균관대학교 의과대학 강북삼성병원 기업정신건강연구소) ;
  • 이미연 (성균관대학교 의과대학 강북삼성병원 연구지원팀) ;
  • 정슬아 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 신동원 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실) ;
  • 조성준 (성균관대학교 의과대학 강북삼성병원 정신건강의학교실)
  • Received : 2022.09.30
  • Accepted : 2022.10.09
  • Published : 2022.10.31
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Abstract

Objectives This study aims to assess the status quo of depression among Korean physicians and identify stressors and psychiatric assets related to it. Methods The questionnaire was designed to assess depression, stressors, burnout and psychiatric assets. 343 physicians were included in the analyses. Results Physician depression in Korea was found to be related to several daily life stressors and occupational stressors. It was also related to higher burnout and lower psychological assets. Physicians who reported workplace problems, familial problems, and mannerism were at higher risk of depression while who reported passion (in psychiatric assets) were at lower risk of depression. Conclusions This study identified factors affecting physician depression in Korea. Further research would benefit physicians and their patients by identifying and testing various, including personal and organizational, intervention methods.

Keywords

Acknowledgement

이 논문은 대한의사협회 연구사업 지원에 의한 논문으로 재정적 지원을 받아 수행되었음.

References

  1. de Oliveira GS Jr, Chang R, Fitzgerald PC, Almeida MD, CastroAlves LS, Ahmad S, et al. The prevalence of burnout and depression and their association with adherence to safety and practice standards: a survey of United States anesthesiology trainees. Anesth Analg 2013;117:182-193. https://doi.org/10.1213/ANE.0b013e3182917da9
  2. West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA 2009;302:1294-1300. https://doi.org/10.1001/jama.2009.1389
  3. Shanafelt TD, Balch CM, Bechamps G, Russell T, Dyrbye L, Satele D, et al. Burnout and medical errors among American surgeons. Ann Surg 2010;251:995-1000. https://doi.org/10.1097/SLA.0b013e3181bfdab3
  4. Coleman N. An examination of the correlation between grit and the expressed symptoms of depression and anxiety [dissertation]. Chicago, IL: The Chicago School of Professional Psychology;2020.
  5. Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med 2008;149:334-341. https://doi.org/10.7326/0003-4819-149-5-200809020-00008
  6. Kim SR, Kim SS, Kim JY. Working condition, health and perceived patient safety among doctors in training: 2014 Korean interns & residents survey. Health Soc Welf Rev 2015;35:584-607. https://doi.org/10.15709/hswr.2015.35.2.584
  7. Gold KJ, Andrew LB, Goldman EB, Schwenk TL. "I would never want to have a mental health diagnosis on my record": a survey of female physicians on mental health diagnosis, treatment, and reporting. Gen Hosp Psychiatry 2016;43:51-57. https://doi.org/10.1016/j.genhosppsych.2016.09.004
  8. Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry 2004;161:2295-2302. https://doi.org/10.1176/appi.ajp.161.12.2295
  9. Puddester D. The Canadian Medical Association's policy on physician health and well-being. West J Med 2001;174:5-7. https://doi.org/10.1136/ewjm.174.1.5
  10. Cho MJ, Kim KH. Use of the center for epidemiologic studies depression (CES-D) scale in Korea. J Nerv Ment Dis 1998;186:304-310. https://doi.org/10.1097/00005053-199805000-00007
  11. Park JH, Kim KW. A review of the epidemiology of depression in Korea. J Korean Med Assoc 2011;54:362-369. https://doi.org/10.5124/jkma.2011.54.4.362
  12. Lee ES, Shin HC, Yang YJ, Cho JJ, Ahn KYR, Kim SH, et al. Development of the stress questionnaire for KNHANES: report of scientific study service. Cheongwon: Korea Centers for Disease Control and Prevention;2010.
  13. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2019;17:297-317.
  14. Halbesleben JR, Demerouti E. The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work & Stress 2005;19:208-220. https://doi.org/10.1080/02678370500340728
  15. Duckworth AL, Quinn PD. Development and validation of the short grit scale (Grit-S). J Pers Assess 2009;91:166-174. https://doi.org/10.1080/00223890802634290
  16. Mandrekar JN. Receiver operating characteristic curve in diagnostic test assessment. J Thorac Oncol 2010;5:1315-1316. https://doi.org/10.1097/JTO.0b013e3181ec173d
  17. Wagner BM. Family risk factors for child and adolescent suicidal behavior. Psychol Bull 1997;121:246-298. https://doi.org/10.1037/0033-2909.121.2.246
  18. Gray-Stanley JA, Muramatsu N, Heller T, Hughes S, Johnson TP, Ramirez-Valles J. Work stress and depression among direct support professionals: the role of work support and locus of control. J Intellect Disabil Res 2010;54:749-761. https://doi.org/10.1111/j.1365-2788.2010.01303.x
  19. Shin YC, Lee D, Seol J, Lim SW. What kind of stress is associated with depression, anxiety and suicidal ideation in Korean employees? J Korean Med Sci 2017;32:843-849. https://doi.org/10.3346/jkms.2017.32.5.843
  20. Gross CP, Mead LA, Ford DE, Klag MJ. Physician, heal thyself? Regular source of care and use of preventive health services among physicians. Arch Intern Med 2000;160:3209-3214. https://doi.org/10.1001/archinte.160.21.3209
  21. Oh YI, Kim H, Kim K. Factors affecting Korean physician job satisfaction. Int J Environ Res Public Health 2019;16:2714. https://doi.org/10.3390/ijerph16152714
  22. Kuhn CM, Flanagan EM. Self-care as a professional imperative: physician burnout, depression, and suicide. Can J Anaesth 2017;64:158-168. https://doi.org/10.1007/s12630-016-0781-0
  23. Research Institute for Healthcare Policy. 2016 Korean Physician Survey. Seoul: Research Institute for Healthcare Policy;2017.
  24. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med 2018;283:516-529. https://doi.org/10.1111/joim.12752
  25. Guille C, Zhao Z, Krystal J, Nichols B, Brady K, Sen S. Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: a randomized clinical trial. JAMA Psychiatry 2015;72:1192-1198. https://doi.org/10.1001/jamapsychiatry.2015.1880
  26. Finlay-Jones A, Kane R, Rees C. Self-compassion online: a pilot study of an internet-based self-compassion cultivation program for psychology trainees. J Clin Psychol 2017;73:797-816. https://doi.org/10.1002/jclp.22375
  27. Dyrbye LN, Satele D, Sloan J, Shanafelt TD. Ability of the physician well-being index to identify residents in distress. J Grad Med Educ 2014;6:78-84. https://doi.org/10.4300/JGME-D-13-00117.1