Featured Research

from universities, journals, and other organizations

Symptoms of depression increase during medical internship

Date:
April 8, 2010
Source:
JAMA and Archives Journals
Summary:
The percentage of clinicians who meet criteria for depression appears to increase significantly during medical internship, according to a new study. Increased work hours, stressful life events, genetic predisposition and receiving a medical education in the United States are among the factors that appear to be associated with depressive symptoms among medical interns.

The percentage of clinicians who meet criteria for depression appears to increase significantly during medical internship, according to a report posted online today that will appear in the June print issue of Archives of General Psychiatry, one of the JAMA/Archives journals. Increased work hours, stressful life events, genetic predisposition and receiving a medical education in the United States are among the factors that appear to be associated with depressive symptoms among medical interns.

"Internship is known to be a time of high stress," the authors write as background information in the article. "New physicians are faced with long work hours, sleep deprivation, loss of autonomy and extreme emotional situations." Although some studies have assessed rates of depression among medical interns and found them higher than in the general population, few have explored the specific factors responsible.

Srijan Sen, M.D., Ph.D., of the University of Michigan, Ann Arbor, and colleagues studied 740 interns entering residency programs in 13 U.S. hospitals in 2007 or 2008. Participants completed a secure online survey to assess their symptoms of depression, along with personal and medical education factors and several psychological measures. After three, six, nine and 12 months, the interns completed follow-up surveys regarding depressive symptoms, internship variables (such as work hours and perceived medical errors) and other life stresses. A subgroup of 409 participants (63 percent) provided saliva samples for genetic analysis.

Average depression scores increased during internship; on a scale of zero to 27, where scores of 10 or greater indicate depression, the average score increased from 2.4 before internship to an average of 6.4 during internship. In addition, the proportion of participants who met criteria for depression increased from 3.9 percent before internship to an average of 25.7 percent during internship.

"A series of factors measured prior to internship (female sex, U.S. medical education, difficult early family environment, history of major depression, lower baseline depressive symptom score and higher neuroticism) and during internship (increased work hours, perceived medical errors and stressful life events) was associated with a greater increase in depressive symptoms during internship," the authors write.

"It is also interesting to note that a number of factors, such as medical specialty and age, were not associated with the development of depression," the authors write. "With effective interventions to help prevent the onset of depression now available, the predictive factors identified herein could allow at-risk interns to take steps before the onset of symptoms to lower their chances of developing depression."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Srijan Sen; Henry R. Kranzler; John H. Krystal; Heather Speller; Grace Chan; Joel Gelernter; Constance Guille. A Prospective Cohort Study Investigating Factors Associated With Depression During Medical Internship. Arch Gen Psychiatry, 2010; 0 (2010): 2010. 41 [link]

Cite This Page:

JAMA and Archives Journals. "Symptoms of depression increase during medical internship." ScienceDaily. ScienceDaily, 8 April 2010. <www.sciencedaily.com/releases/2010/04/100406205354.htm>.
JAMA and Archives Journals. (2010, April 8). Symptoms of depression increase during medical internship. ScienceDaily. Retrieved July 25, 2014 from www.sciencedaily.com/releases/2010/04/100406205354.htm
JAMA and Archives Journals. "Symptoms of depression increase during medical internship." ScienceDaily. www.sciencedaily.com/releases/2010/04/100406205354.htm (accessed July 25, 2014).

Share This




More Health & Medicine News

Friday, July 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

New Painkiller Designed To Discourage Abuse: Will It Work?

New Painkiller Designed To Discourage Abuse: Will It Work?

Newsy (July 24, 2014) The FDA approved Targiniq ER on Wednesday, a painkiller designed to keep users from abusing it. Like any new medication, however, it has doubters. Video provided by Newsy
Powered by NewsLook.com
Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Doctor At Forefront Of Fighting Ebola Outbreak Gets Ebola

Newsy (July 24, 2014) Sheik Umar Khan has treated many of the people infected in the Ebola outbreak, and now he's become one of them. Video provided by Newsy
Powered by NewsLook.com
Condemned Man's US Execution Takes Nearly Two Hours

Condemned Man's US Execution Takes Nearly Two Hours

AFP (July 24, 2014) America's death penalty debate raged Thursday after it took nearly two hours for Arizona to execute a prisoner who lost a Supreme Court battle challenging the experimental lethal drug cocktail. Duration: 00:55 Video provided by AFP
Powered by NewsLook.com
Can Watching TV Make You Feel Like A Failure?

Can Watching TV Make You Feel Like A Failure?

Newsy (July 24, 2014) A study by German researchers claims watching TV while you're stressed out can make you feel guilty and like a failure. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

    Health News

      Environment News

        Technology News



          Save/Print:
          Share:

          Free Subscriptions


          Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

          Get Social & Mobile


          Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

          Have Feedback?


          Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
          Mobile: iPhone Android Web
          Follow: Facebook Twitter Google+
          Subscribe: RSS Feeds Email Newsletters
          Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins