Duration of New-Onset Depressive Symptoms During Medical Residency

Key Points Question Do depressive symptoms with new onset during residency training persist, and are they associated with the long-term mental health of physicians? Findings In this cohort study of 858 resident physicians, new-onset depressive symptoms identified via positive screening among first-year interns persisted after completion of training at a level more than 3-fold higher than that of their counterparts without depression. Meaning The persistence of new-onset depressive symptoms observed among interns in this study underscores the need to support mental health among physicians as they progress through training and beyond.

[1]  S. Sen,et al.  Work Hours and Depression in U.S. First-Year Physicians. , 2022, The New England journal of medicine.

[2]  S. Sen,et al.  New-Onset Depression Among Surgical Interns. , 2022, JAMA surgery.

[3]  Katherin E. Ross,et al.  Assessment of the Prevalence and Trajectory of Depressive Symptoms by Sexual Orientation During Physician Training , 2022, JAMA health forum.

[4]  W. Dempsey,et al.  Trends in Depressive Symptoms and Associated Factors During Residency, 2007 to 2019 , 2021, Annals of Internal Medicine.

[5]  S. Sen,et al.  Association Between Physician Depressive Symptoms and Medical Errors , 2019, JAMA network open.

[6]  B. Levis,et al.  Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis , 2019, BMJ.

[7]  C. Guille,et al.  Residency Program Factors Associated With Depressive Symptoms in Internal Medicine Interns: A Prospective Cohort Study. , 2018, Academic medicine : journal of the Association of American Medical Colleges.

[8]  I. Meyer,et al.  Sexual Orientation Group Differences in Perceived Stress and Depressive Symptoms Among Young Adults in the United States. , 2018, LGBT health.

[9]  David W. Bates,et al.  Education Outcomes in a Duty‐Hour Flexibility Trial in Internal Medicine , 2018, The New England journal of medicine.

[10]  Maneesh Batra,et al.  Improving Resident Use of Mental Health Resources: It's Time for an Opt-Out Strategy to Address Physician Burnout and Depression (Commentary). , 2018, Journal of graduate medical education.

[11]  C. Gerada.  Doctors and mental health. , 2017, Occupational medicine.

[12]  Janie Howsare,et al.  Implementing a Universal Well-Being Assessment to Mitigate Barriers to Resident Utilization of Mental Health Resources. , 2017, Journal of graduate medical education.

[13]  C. Guille,et al.  Sleep Disturbance and Short Sleep as Risk Factors for Depression and Perceived Medical Errors in First-Year Residents , 2017, Sleep.

[14]  Evangelos Kontopantelis,et al.  Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis , 2017, JAMA internal medicine.

[15]  Jeanette W. Chung,et al.  Development of the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial Protocol: A National Cluster-Randomized Trial of Resident Duty Hour Policies. , 2016, JAMA surgery.

[16]  L. Rourke,et al.  The Effect of Restricting Residents' Duty Hours on Patient Safety, Resident Well-Being, and Resident Education: An Updated Systematic Review. , 2015, Journal of graduate medical education.

[17]  S. Sen,et al.  The development of depressive symptoms during medical internship stress predicts worsening vascular function. , 2015, Journal of psychosomatic research.

[18]  K. Ludmerer,et al.  Resident workload-let's treat the disease, not just the symptom. , 2013, JAMA internal medicine.

[19]  Hsin-Chieh Yeh,et al.  Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. , 2013, JAMA internal medicine.

[20]  R. Spitzer,et al.  The PHQ-9 , 2001, Journal of General Internal Medicine.

[21]  K. Kendler,et al.  Stressful life events and previous episodes in the etiology of major depression in women: an evaluation of the "kindling" hypothesis. , 2000, The American journal of psychiatry.

[22]  P. Costa,et al.  Normal Personality Assessment in Clinical Practice: The NEO Personality Inventory. , 1992 .

[23]  R. Klaghofer,et al.  [Stress at work and well-being in junior residents]. , 2005, Zeitschrift fur Psychosomatische Medizin und Psychotherapie.