Abstract
Introduction
Depression is a mental disorder characterized by loss of interest and pleasure, decreased energy, guiltiness or low self-esteem, disturbed sleep and/or appetite, and poor concentration[1]. Depression is a common medical condition affecting more than 264 million people worldwide and is considered one of the leading causes of disability[2]. As per the literature, the lifetime rate of developing depression across the Asia Pacific region ranges from 1.1% to 19.9%[3]. Belonging to a special occupation population, physicians undertake the responsibility of healing the wounded, rescuing the dying, and facing suffering, illness, and death daily. Therefore, physicians are at risk of suffering from mental illness[4]. The prevalence rates of depressive symptoms among healthcare providers are comparable to those of the general population. In a systematic review including studies from 15 countries (seven European, four Asian, and four Middle East countries) the estimated overall pooled depressive symptoms prevalence was 28.8% among residents physicians, ranging from 20.9 to 43.2% according to the tool used[5].
Physicians suffering from mental illness not only experience a decrease in their quality of life but also increase the probability of committing medical mistakes and threatening the safety of treated patients[6]. Hence, how to decrease depression symptoms among doctors is important not only for physicians themselves but also for the health status of the general population. Mental health issues of physicians are mostly over-looked not only by the public but even by the physicians themselves. This might be due to the fact that physicians are overconfident and think they can protect themselves well, so they are often reluctant to seek help[7,8]. Even though appreciable work has been carried out in developed countries to evaluate the psychological status of physicians, yet developing countries considerably lag[9].
Over the years, a body of evidence had illustrated the factors associated with depressive symptoms among health care professionals. It was reported that demographic factors including age were described as independent predictors of vulnerability to general physicians[10,11]. High job demands, as well as occupational stress[12-14], were among the suggested factors that are positively related to depressive symptoms, while social support was negatively related to depressive symptoms[14,15].
References
- Marcus M, Yasamy MT, van Ommeren M, Chisholm D, Saxena S, others.Depression: a global public health concern. WHO Department of MentalHealth and Substance Abuse 2012;1:6–8.
- (n.d.). Retrieved May 7, 2020, from https://www.who.int/news-room/fact-sheets/detail/depression
- Chiu E, Hickie I. Epidemiology of depression in theAsia Pacific region. Australas Psychiatry. 2004;12
- Brooks SK, Gerada C, Chalder T. Review of literature on the mental health of doctors:Are specialist services needed? Journal of Mental Health 2011;20:146-156.
- Mata DA, Ramos MA, Bansal N, Khan R, Guille C, di Angelantonio E, Sen S. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA 2015; 314:2373–2383.
- Brown SD, Goske MJ, Johnson CM. Beyond substance abuse: stress, burnout, anddepression as causes of physician impairment and disruptive behavior. Journal of theAmerican College of Radiology 2009;6:479-485.
- Davidson SK, Schattner PL (2003) Doctors’ health-seeking behavior:a questionnaire survey. Med J Aust 179:302–305
- Rosvold EO, Bjertness E (2002) Illness behavior among Norwegianphysicians. Scand J Public Health 30:125–132
- Erdur B, Ergin A, Turkcuer I, Parlak I, Ergin N, Boz B. Astudy of depression and anxiety among doctors workingin emergency units in Denizli, Turkey. Emerg Med J.2006;23(10):759-763.
- Barnes-Farrell JL, Rumery SM, Swody CA (2002) How do concepts ofage relate to work and off-the-job stresses and strains? A Weldstudy of health care workers in Wve nations. Exp Aging Res28:87–98
- Sobreques J, Cebria J, Segura J, Rodriguez C, Garcia M, Juncosa S(2003) Job satisfaction and burnout in general practitioners. AtenPrimaria 31:227–233
- Li J, Yang W, Cho SI (2006) Gender differences in job strain, eVortreward imbalance, and health functioning among Chinese physicians. Soc Sci Med 62:1066–1077
- Yu SF, Yao SQ, Ding H, Ma LQ, Yang Y, Wang ZH (2006) Relationship between depression symptoms and stress in occupationalpopulations. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi24:129–133
- Ross R, Zeller R, Srisaeng P, Yimmee S, Somchid S, Sawatphanit W(2005) Depression, stress, emotional support, and self-esteemamong baccalaureate nursing students in Thailand. Int J NursEduc Scholarsh 2:Article25
- Park SG, Min KB, Chang SJ, Kim HC, Min JY (2009) Job stress anddepressive symptoms among Korean employees: the effects ofculture on work. Int Arch Occup Environ Health 82:397–405
- Maghrabi, M., Kafi, H., Jan, A., & Al-Raddadi, R. (2020). The prevalence of burnout syndrome and depression concerning workability among physicians, Jeddah, Saudi Arabia. Journal of Preventive Medicine and Holistic Health, 5(2), 99–105. https://doi.org/10.18231/j.jpmhh.2019.019
- Al-Qadhi W, Ur Rahman S, Ferwana MS, Abdulmajeed IA.Adult depression screening in Saudi primary care: prevalence,instrument, and cost. BMC Psychiatry. 2014;14:190. doi:10.1186/1471-244X-14-190. PubMed PMID: 24992932; PubMed Central PMCID: PMC4227058.
- Kroenke K, Spitzer RL, Williams JBW. The PHQ-9. J Gen Intern Med. 2001 Sep; 16(9):606–13.
- Alkhazrajy, L. (2014). PREVALENCE OF DEPRESSIVE SYMPTOMS AMONG PRIMARY HEALTH CARE PROVIDERS IN BAGHDAD. 2, 1–20.
- Wang, J.-N., Sun, W., Chi, T.-S., Wu, H., & Wang, L. (2010). Prevalence and associated factors of depressive symptoms among Chinese doctors: A cross-sectional survey. International Archives of Occupa-tional and Environmental Health, 83(8), 905–911. https://doi.org/10.1007/s00420-010-0508-4
- Marzouk, M., Ouanes-Besbes, L., Ouanes, I., Hammouda, Z., Dachraoui, F., & Abroug, F. (2018). Prevalence of anxiety and depressive symptoms among medical residents in Tunisia: A cross-sectional survey. BMJ Open, 8(7), e020655. https://doi.org/10.1136/bmjopen-2017-020655
- Rafah, E. A., & Alamir, A. M. (n.d.). Depression among primary health care physicians in Makkah Al- Mukarramah. 1, 18.
- El-Hamrawya. (n.d.). Prevalence of depressive symptoms among healthcare providers in Shibin El-Kom city in Menoufia governorate. Retrieved May 10, 2020, from http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2018;volume=31;issue=2;spage=708;epage=715;aulast=El-Hamrawya
- Hayasaka Y, Nakamura K, Yamamoto M, Sasaki S. Work environment and mentalhealth status assessed by the general health questionnaire in female Japanese doctors.Industrial Health 2007;45:781-786.
- Schwenk TL, Gorenflo DW, Leja LM. A survey on the impact of being depressed onthe professional status and mental health care of physicians. Journal of ClinicalPsychiatry 2008;69:617-620.
- Shen, L.-L., Lao, L.-M., Jiang, S.-F., Yang, H., Ren, L.-M., Ying, D. G.-C., & Zhu, S.-Z. (2012). A survey of anxiety and depression symptoms among primary-care physicians in China. International Journal of Psychiatry in Medicine, 44(3), 257–270. https://doi.org/10.2190/PM.44.3.f
- Osborn DP, Fletcher AE, Smeeth L, Stirling S, Bulpitt CJ, et al. (2003) Factorsassociated with depression in a representative sample of 14 217 people aged 75and over in the United Kingdom: results from the MRC trial of assessment andmanagement of older people in the community. Int J Geriatr Psychiatry 18:623–630.
- Averina M, Nilssen O, Brenn T, Brox J, Arkhipovsky VL, et al. (2005) Socialand lifestyle determinants of depression, anxiety, sleeping disorders, and self-evaluatedquality of life in Russia–a population-based study in Arkhangelsk. SocPsychiatry Psychiatr Epidemiol 40: 511–518.
- Gong, Y., Han, T., Chen, W., Dib, H. H., Yang, G., Zhuang, R., Chen, Y., Tong, X., Yin, X., & Lu, Z. (2014). Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PloS one, 9(7), e103242. https://doi.org/10.1371/journal.pone.0103242
- Costa G (2003) Factors influencing the health of workers and tolerance to shift work.Theoretical Issues in Ergonomics Science 4: 263–288.
- Harma M (1996) Ageing, physical fitness, and shiftwork intolerance. Appl Ergon27: 25–29.
- Ahmed-Little Y (2007) Implications of shift work for junior doctors. BMJ 334:777–778.
- Joules N, Williams DM, Thompson AW. Depression in Resident Physicians: A Systematic Review. Open Journal of Depression 2014;03:89–100.
Corresponding Author
Norah M. Alshatiri
Department: Family medicine- king Abdu alaziz medical city - Riyadh, Saudi Arabia
DOI: https://dx.doi.org/10.18535/jmscr/v10i1.24
