Prevalence and Professional Impact of Mental Health Conditions Among Cardiologists
Garima Sharma1, Shiavax J Rao2, Pamela S Douglas3
1Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Insights
More than a quarter of cardiologists worldwide report mental health conditions (MHCs). Professional challenges like harassment and discrimination significantly predict MHCs in this group.
Area of Science:
- Cardiology
- Psychiatry
- Physician Well-being
Background:
- Mental health conditions (MHCs) are a growing concern among physicians globally.
- Limited data exists on the prevalence of MHCs specifically within the cardiology profession.
Purpose of the Study:
- To determine the global prevalence of MHCs among cardiologists.
- To explore the relationship between MHCs and professional life factors in cardiologists.
Main Methods:
- An online survey was administered to 5,931 cardiologists worldwide in 2019.
- Data collected included demographics, practice details, MHCs, and professional experiences.
- Statistical analyses included chi-square, Fischer exact, Mann-Whitney U tests, and logistic regression.
Main Results:
- Globally, 25% of cardiologists reported experiencing MHCs, with significant geographic variations (South America 39.3%, Asia 20.1%).
- Key predictors of MHCs included emotional harassment, discrimination, being divorced, and younger age (<55).
- Women reported higher rates of suicidal ideation but also higher rates of help-seeking compared to men. Nearly half of those with MHCs reported professional dissatisfaction.
Conclusions:
- Over 25% of cardiologists globally experience self-reported MHCs, substantially linked to adverse professional experiences.
- Targeted prevention and treatment strategies are crucial to support cardiologists' mental health and professional contributions.
Background:
Mental illness among physicians is an increasingly recognized concern. Global data on mental health conditions (MHCs) among cardiologists are limited.
Objectives:
The purpose of this study was to investigate the global prevalence of MHCs among cardiologists and its relationships to professional life.
Methods:
The American College of Cardiology conducted an online survey with 5,931 cardiologists globally in 2019. Data on demographics, practice, MHC, and association with professional activities were analyzed. The P values were calculated using the chi-square, Fischer exact, and Mann-Whitney U tests. Univariate and multivariate logistic regression analysis determined the association of characteristics with MHC.
Results:
Globally, 1 in 4 cardiologists experience any self-reported MHC, including psychological distress, or major or other psychiatric disorder. There is significant geographic variation in MHCs, with highest and lowest prevalences in South America (39.3%) and Asia (20.1%) (P < 0.001). Predictors of MHCs included experiencing emotional harassment (OR: 2.81; 95% CI: 2.46-3.20), discrimination (OR: 1.85; 95% CI: 1.61-2.12), being divorced (OR: 1.85; 95% CI: 1.27-2.36), and age <55 years (OR: 1.43; 95% CI: 1.24-1.66). Women were more likely to consider suicide within the past 12 months (3.8% vs 2.3%), but were also more likely to seek help (42.3% vs 31.1%) as compared with men (all P < 0.001). Nearly one-half of cardiologists reporting MHCs (44%) felt dissatisfied on at least one professional metric including feeling valued, treated fairly, and adequate compensation.
Conclusions:
More than 1 in 4 cardiologists experience self-reported MHCs globally, and the association with adverse experiences in professional life is substantial. Dedicated efforts toward prevention and treatment are needed to maximize the contributions of affected cardiologists.
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