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Anxiety and depression in surgeons: A systematic review
Azelle Egbe1, Michael El Boghdady2
1St George's University Hospitals NHS Foundation Trust, London, UK.
Summary
Surgeons face high rates of anxiety and depression, with median percentages of 20% and 24% respectively. Female gender, younger age, and burnout increase risk, while institutional support offers protection.
Area of Science:
- Medical research
- Surgical mental health
- Psychological distress in physicians
Background:
- Surgical careers present unique stressors, increasing risk for mental health conditions like anxiety and depression.
- Previous studies indicate a high prevalence of psychological distress among surgeons.
- This review focuses on the prevalence and risk factors of anxiety and depression in surgeons.
Purpose of the Study:
- To systematically review the prevalence of anxiety and depression in surgeons.
- To identify factors influencing the risk of anxiety and depression among surgeons.
Main Methods:
- A 10-year systematic review adhering to PRISMA guidelines.
- Searched PubMed/Medline and ScienceDirect databases for keywords: "anxiety" OR "depression" AND "surgeon".
- Applied inclusion and exclusion criteria to finalize selected citations.
Main Results:
- Included 31 citations with 11,399 participants.
- Median anxiety prevalence was 20% (range 54.6%); median depression prevalence was 24% (range 59%).
- Risk factors: female gender, younger age, burnout, COVID-19 concerns. Protective factors: institutional support, social belonging.
Conclusions:
- A high prevalence of anxiety and depression exists among surgeons over the last decade.
- Developing strategies to mitigate these mental health issues in surgeons is crucial.
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