ANXIETY AND DEPRESSION IN DOCTORS UNDERGOING POSTGRADUATE TRAINING COURSES AT ARMED FORCES POSTGRADUATE MEDICAL INSTITUTE RAWALPINDI
Abstract
Background: In the recent past doctors own physical and mental health care has been a focus ofresearch worldwide. The estimated suicide rate among doctors is approximately one per day.Various other studies reveal high scores of anxiety, depression, job dissatisfaction and burnouts.The study was carried out to determine the prevalence of anxiety and depression in doctorsundergoing various postgraduate training courses at AFPGMI, Rawalpindi. Methods: This crosssectional study was carried out from June to December 2010 at Armed Forces PostgraduateMedical Institute, Rawalpindi. All willing available trainee doctors were included in the study.Urdu version of Beck’s anxiety and depression scale was used. Results: Average anxiety score ofall doctors was (8.05). The anxiety score was 15.7 in ENT, 12.0 in Pathology, 8.5 in Medicine, 7in Basic Medical Sciences, 5.7 in Ophthalmology, 3.61 in Surgery, 3.3 in Radiology, and 3.05 inGeneral Duty Medical Officers. With overall average score of (9.2), the average score ondepression was highest in Anaesthesiology (20), followed by Radiology (10.05), Pathology(10.02), Basic Medical Sciences (9) Ophthalmology (8.2), Medicine (7), and General DutyMedical Officers (4.1). Conclusion: This study reveals an important area of doctors’ own healthwhich remains relatively neglected. Rectification measures are required to reduce anxiety/depression, and mortality and morbidity among doctors.Keywords: Anxiety, Depression, Doctors, MorbidityReferences
Sadeghi M, Navidi M, Sadeghi AE. Depression among Resident
Doctors in Tehran, Iran. Iran J Psychiatry 2007;2:50–2.
Lindeman S, Laara E, Hakko H, Lonnqvist J. A systematic
review on gender-specific suicide mortality in medical doctors.
Br J Psychiatry 1996;168:274–9.
Frank E, Dingle AD. Self-reported depression and suicide
attempts among US women physicians. Am J Psychiatry
;156:1887–94.
Clayton PJ, Reynolds CF, Zisook S. Out of the Silence: Medical
Student Depression and Suicide, 2008. Available from:
http://www.afsp.org/content/download/3008/54572/file/Out_of_t
he_Silence.pptx
Frith-Cozens J. Emotional distress in junior house officers. BMJ
(Clin Res Ed) 1987;295:533–6.
Reidar Tyssan, Per Valgum. Mental health problems among
young doctors. An updated review of prospective study. Harv
Rev Psychiatry 2002;10:154–65.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic review of
depression, anxiety, and other indicators of psychological distress
among US and Canadian medical students. Acad Med
;81(4):354–73.
Khuwaja AK, Azam SI. Prevalence and factors associated with
anxiety and depression among family practitioners in Karachi,
Pakistan. J Pak Med Assoc 2004;54(2):45–9.
Ahmed S, Khan MNS. Burn out in medical professionals: A
cross sectional study carried out in doctors in Services Hospital
Lahore. Esculapio J Services Inst Med Sci 2005;1(3):35–40.
Khuwaja AK, Qureshi R, Andrades M, Fatmi Z, Khawaja NK.
Comparison of job satisfaction and stress among male and female
doctors in teaching hospitals of Karachi. J Ayub Med Coll
Abbottabad 2004;16(1):23–7.
Felton J. Burnout as clinical entity —its importance in healthcare
workers. Occup Med (Lond) 1998:48(4):237–50.
Abdulghani MH. Stress and depression among medical students
at a medical college in Saudi Arabia. Pak J Med Sci
;24(1):12–7.
Adám S, Gyorffy Z, Harmatta J, Túry F, Kopp M, Szényei G.
Psychiatric and somatic morbidity among Hungarian
psychiatrists. Psychiatr Hung 2010;25(1):55–61.
Hawton K, Agerbo E, Simkin S, Platt B, Mellanby RJ. Risk of
suicide in medical and related occupational groups: a national
study based on Danish case population-based registers. J Affect
Disord 2011;134(1–3):320–6.
Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL.
Measuring the Global Burden of Disease and Risk Factors,
–2001. In: Lopez AD, Mathers CD, Ezzati M, Jamison DT,
Murray CJL, (Eds). Global Burden of Disease and Risk Factors.
Washington (DC): World Bank; 2006.p. 1–13.
Fortune S, Sinclair J, Hawton K. Adolescents’ views on
preventing self-harm. A large community study. Soc Psychiatry
Psychiatr Epidemiol 2008;43(2):96–104.
Bhugra D, Mastrogianni A. Globalization of mental disorders,
over with relation to depression. Br J Psychiatry 2004;184:10–2.
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