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Home NEWS Science News Health

Feeling burned out? The contributors could be more related to depression than you think

Bioengineer by Bioengineer
April 29, 2020
in Health
Reading Time: 3 mins read
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A study of medical interns across 68 institutions found that personal and workplace factors predicting burnout largely overlapped with factors that contribute to depressive symptoms.

IMAGE

Credit: Emma Vought, Medical University of South Carolina

An article published in the Journal of General Internal Medicine looks at the relationship between burnout and depressive symptoms in medical interns.

The article is authored by Constance Guille, M.D., an associate professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, and Lisa Rotenstein, M.D., an internal medicine resident at Harvard Medical School/Brigham and Women’s Hospital, among others.

According to Rotenstein, these findings help correct a long-held misconception about burnout and depression.

“There is a long-standing thought that burnout is associated with workplace factors and that depressive symptoms are associated with workplace factors but also heavily influenced by personal factors,” explained Rotenstein. “We found that the factors that drive burnout are much more closely related to the factors that drive depressive symptoms than previously realized.”

In this study, Rotenstein and Guille uncover that there is substantial overlap between the factors that predict burnout and depressive symptoms. The study surveyed 1,552 medical interns entering residency programs at 68 different institutions about depressive symptoms, emotional exhaustion and depersonalization, as well as about potential contributing factors. Depressive symptoms were measured by a standard 9-item Patient Health Questionnaire, while emotional exhaustion and depersonalization were measured with a 9-item abbreviated Maslach Burnout Inventory. Workload and learning environment satisfaction were assessed with a standardized instrument. Personal factors assessed included age, gender, ethnicity, relationship status, sexual orientation, parenting status, specialty, self-reported history of depression, early life stress and neuroticism score.

The study found significant overlap between factors that contribute to depressive symptoms and those that contribute to burnout, with about two-thirds of variance in both depressive symptoms and burnout attributable to personal factors, and one-third of the variance in these measures attributable to workplace factors.

With more than 142 definitions circulating in the literature, the definition of burnout has historically been unclear. This lack of clear definition has led to highly variable rates of burnout being reported among medical interns, residents and attending physicians. In contrast, depressive symptoms are well-defined and have been clinically validated. The results of this study suggest that assessing for depressive symptoms may be a validated, standardized alternative to assessing for burnout among medical personnel. They also underscore that interventions that help address burnout may be effective in addressing depressive symptoms and vice versa. Examples of such interventions include leveraging resources such as scribes to address documentation burdens, time banking for physician service and resources such as childcare to take stress off those physicians with familial obligations.

For Guille, the takeaway message from this study is clear.

“Previous to this work, depression and burnout were conceptualized as separate entities with different factors contributing to these outcomes,” explained Guille. “This work suggests there is substantial overlap between both workplace and personal factors that contribute to an increase in both depressive symptoms and burnout.”

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About the Medical University of South Carolina

Founded in 1824 in Charleston, MUSC is the oldest medical school in the South as well as the state’s only integrated academic health sciences center with a unique charge to serve the state through education, research and patient care. Each year, MUSC educates and trains more than 3,000 students and 800 residents in six colleges: Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing and Pharmacy. The state’s leader in obtaining biomedical research funds, in fiscal year 2019, MUSC set a new high, bringing in more than $284 million. For information on academic programs, visit http://musc.edu.

As the clinical health system of the Medical University of South Carolina, MUSC Health is dedicated to delivering the highest quality patient care available while training generations of competent, compassionate health care providers to serve the people of South Carolina and beyond. Comprising some 1,600 beds, more than 100 outreach sites, the MUSC College of Medicine, the physicians’ practice plan and nearly 275 telehealth locations, MUSC Health owns and operates eight hospitals situated in Charleston, Chester, Florence, Lancaster and Marion counties. In 2019, for the fifth consecutive year, U.S. News & World Report named MUSC Health the No. 1 hospital in South Carolina. To learn more about clinical patient services, visit http://muschealth.org.

MUSC and its affiliates have collective annual budgets of $3.2 billion. The more than 17,000 MUSC team members include world-class faculty, physicians, specialty providers and scientists who deliver groundbreaking education, research, technology and patient care.

Media Contact
Heather Woolwine
[email protected]

Original Source

https://web.musc.edu/about/news-center/2020/04/29/medical-intern-burnout

Related Journal Article

http://dx.doi.org/10.1007/s11606-020-05664-x

Tags: Depression/AngerHealth CareHealth Care Systems/ServicesHealth ProfessionalsInternal MedicineManagement Science/Operations ResearchMedicine/HealthMental HealthQuality of LifeStress/Anxiety
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