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Risk factor for psycopathology during residency.

Olvido Granada Jimenez1, M P Morales Socorro, J J López-Ibor Aliño

  • 1Psychiatry Department, Complejo Hospitalario de Toledo, Toledo, Spain. ogranada@sescam.jccm.es

Actas Espanolas De Psiquiatria
|October 27, 2010
PubMed
Summary
This summary is machine-generated.

Medical residents experience high rates of mental disorders, often linked to career dissatisfaction and limited personal time. Understanding risk factors like neuroticism and training stress is crucial for developing effective support programs.

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Area of Science:

  • Medical Education
  • Psychiatry
  • Psychology

Background:

  • Medical residency is a period of intense stress due to new patient relationships, rapid learning, and life events.
  • High prevalence of mental disorders (49%) observed in residents, generally not severe.
  • Disorders linked to desire to leave the profession and insufficient social/family time.

Purpose of the Study:

  • To determine the prevalence of mental disorders during medical residency.
  • To identify risk factors associated with these disorders in residents.

Main Methods:

  • Cross-sectional study involving 145 residents across all specialties and training years.
  • Data collected annually, including sociodemographics, psychic history, stress, psychopathology, personality traits, and coping behaviors.
  • Discriminant analysis used to identify key associations.

Main Results:

  • Psychopathology significantly associated with neuroticism, self-reproach, and distancing behaviors.
  • Personal psychic history and stress from training itself were major contributing factors.
  • Mental health issues correlated with intent to quit and lack of personal time.

Conclusions:

  • Both individual (personality, history) and contextual (training environment) factors are vital for resident mental health.
  • Identifying these risk factors can inform preventive strategies for stress management in medical training.
  • Proactive interventions are needed to support resident well-being and career development.