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Open Access 01-12-2012 | Research

Symptoms of depression in ICU physicians

Authors: Nathalie Embriaco, Sami Hraiech, Elie Azoulay, Karine Baumstarck-Barrau, Jean-Marie Forel, Nancy Kentish-Barnes, Frédéric Pochard, Anderson Loundou, Antoine Roch, Laurent Papazian

Published in: Annals of Intensive Care | Issue 1/2012

Abstract

Background

Work and family are the two domains from which most adults develop satisfaction in life. They also are responsible for stressful experiences. There is a perception in the community that work is increasingly the source of much of our stress and distress. Depressive symptoms may be related to repeated stressful experiences. Intensive care unit (ICU) physicians are exposed to major stressors. However, the existence of depressive symptoms in these doctors has been poorly studied. This study was designed to evaluate the prevalence and associated risk factors of depressive symptoms in junior and senior ICU physicians.

Method

A one-day national survey was conducted in adult intensive care units (ICU) in French public hospitals. Symptoms of depression were assessed using the Centers of Epidemiologic Studies Depression Scale (CES-D).

Results

A total of 189 ICUs participated, and 901 surveys were returned (75.8% response rate). Symptoms of depression were found in 23.8% of the respondents using the CES-D scale. Fifty-eight percent of these intensivists presenting symptoms of depression wished to leave their job compared with only 33% of those who did not exhibit signs of depression as assessed by the CES-D scale (p < 0.0001). Multiple logistic regression showed that organizational factors were associated with the presence of depressive symptoms. Workload (long interval since the last nonworking weekend, absence of relief of service until the next working day after a night shift) and impaired relationships with other intensivists were independently associated with the presence of depressive symptoms. A high level of burnout also was related to the presence of depressive symptoms. In contrast, no demographic factors regarding ICU physicians and no factor related to the severity of illness of patients were retained by the model. The quality of relationships with other physicians (from other departments) was associated with the absence of depressive symptoms (protective effect).

Conclusions

Approximately one of four intensivists presented symptoms of depression. The next step could be to test whether organization modification is associated with less depressive symptoms and less desire to leave the job.

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Welner A, Marten S, Wochnick E, Davis MA, Fishman R, Clayton PJ: Psychiatric disorders among professional women. Arch Gen Psychiatry 1979, 36: 169–173. 10.1001/archpsyc.1979.01780020059005PubMedCrossRef

Embriaco N, Azoulay E, Barrau K, Kentish N, Pochard F, Loundou A, Papazian L: High level of burnout in intensivists: prevalence and associated factors. Am J Respir Crit Care Med 2007, 7: 686–692.CrossRef

Maslach C, Schaufeli WB, Leiter MP: Job burnout. Annu Rev Psychol 2001, 52: 397–422. 10.1146/annurev.psych.52.1.397PubMedCrossRef

Current depression among adults—United States, 2006 and 2008 MMWR Morb Mortal Wkly Rep 2008, 59: 1229–1235.

Coomber S, Todd C, Park G, Baxter P, Firth-Cozens J, Shore S: Stress in UK intensive care unit doctors. Br J Anaesth 2002, 89: 873–881. 10.1093/bja/aef273PubMedCrossRef

Blenkin H, Deary I, Sadler A, Agius R: Stress in NHS consultants. Br Med J 1995, 310: 534.CrossRef

Caplan RP: Stress, anxiety, and depression in hospital consultants, general practitioners, and senior health service managers. Br Med J 1994, 309: 1261–1263. 10.1136/bmj.309.6964.1261CrossRef

Maslach C, Jackson S: Leiter MP: Maslach Burnout Inventory manual. Palo Alto: Consulting Psychologists Press; 1996.

Canouï P, Mauranges A: Le burnout. Le syndrome d’épuisement professionnel des soignants. Paris: Masson; 2004.

10.

Radloff LS: The CES-D scale: A self -report depression scale for research in general population. Appl Psychol Measure 1977, 1: 385–401. 10.1177/014662167700100306CrossRef

11.

Fuhrer R, Rouillon F: La version francaise de l’echelle CES-D (Center for Epidemiologic Studies-Depression scale). Description et traduction de l’echelle d’autoevaluation. Psychiatr Psychobiol 1989, 4: 163–166.

12.

Collier VU, McCue JD, Markus A, Smith L: Stress in medical residency: status quo after a decade of reform? Ann Intern Med 2002, 136: 384–390.PubMedCrossRef

13.

Blazer D: Depression and the older man. Med Clin North Am 1999, 83: 1305–1316. 10.1016/S0025-7125(05)70165-6PubMedCrossRef

14.

Frank E, Dingle AD: Self-reported depression and suicide attempts among U.S. women physicians. Am J Psychiatry 1999, 156: 1887–1894.PubMed

15.

Firth-Cozens J: Individual and organizational predictors of depression in general practitioners. Br J Gen Pract 1998, 48: 1647–1651.PubMedCentralPubMed

16.

Friedman RC, Kornfeld DS, Bigger TJ: Psychological problems associated with sleep deprivation in interns. J Med Educ 1973, 48: 436–441.PubMed

17.

Rezende GL, Mello MS, Granjeiro RC, Nakanishi M, Oliveira CA: The quality of life among Otorhinolaryngology residents in Distrito Federal (Brazil). Braz J Otorhinolaryngol 2012, 77: 466–472.CrossRef

18.

Ripp J, Babyatsky M, Fallar R, Bazari H, Bellini L, Kapadia C, Katz JT, Pecker M, Korenstein D: The incidence and predictors of job burnout in first-year internal medicine residents: a five-institution study. Acad Med 2011, 86: 1304–1310. 10.1097/ACM.0b013e31822c1236PubMedCrossRef

19.

Iacovides A, Fountoulakis KN, Kaprinis S, Kaprinis G: The relationship between job stress, burnout and clinical depression. J Affect Disord 2003, 75: 209–221. 10.1016/S0165-0327(02)00101-5PubMedCrossRef

20.

Zhong J, You J, Gan Y, Zhang Y, Lu C, Wang H: Job stress, burnout, depression symptoms, and physical health among Chinese university teachers. Psychol Rep 2009, 105: 1248–1254. 10.2466/pr0.105.F.1248-1254PubMedCrossRef

21.

Simon GE, Barber C, Birnbaum HG, Frank RG, Greenberg PE, Rose RM, Wang PS, Kessler RC: Depression and work productivity: the comparative costs of treatment versus nontreatment. J Occup Environ Med 2001, 43: 2–9. 10.1097/00043764-200101000-00002PubMedCrossRef

22.

Rihmer Z, Rutz W, Pihlgren H: Depression and suicide on Gotland. An intensive study of all suicides before and after a depression-training programme for general practitioners. J Affect Disord 1995, 35: 147–152. 10.1016/0165-0327(95)00055-0PubMedCrossRef

Title: Symptoms of depression in ICU physicians
Authors: Nathalie Embriaco
Sami Hraiech
Elie Azoulay
Karine Baumstarck-Barrau
Jean-Marie Forel
Nancy Kentish-Barnes
Frédéric Pochard
Anderson Loundou
Antoine Roch
Laurent Papazian
Publication date: 01-12-2012
Publisher: Springer Paris
Published in: Annals of Intensive Care / Issue 1/2012
Electronic ISSN: 2110-5820
DOI: https://doi.org/10.1186/2110-5820-2-34

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Symptoms of depression in ICU physicians

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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