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 September 16, 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 September 16, 2014).

Share This



More Health & Medicine News

Tuesday, September 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

EU Ministers and Experts Meet to Discuss Ebola Reponse

EU Ministers and Experts Meet to Discuss Ebola Reponse

AFP (Sep. 15, 2014) The European Commission met on Monday to coordinate aid that the EU can offer to African countries affected by the Ebola outbreak. Duration: 00:58 Video provided by AFP
Powered by NewsLook.com
Despite The Risks, Antibiotics Still Overprescribed For Kids

Despite The Risks, Antibiotics Still Overprescribed For Kids

Newsy (Sep. 15, 2014) A new study finds children are prescribed antibiotics twice as often as is necessary. Video provided by Newsy
Powered by NewsLook.com
FDA Eyes Skin Shocks Used at Mass. School

FDA Eyes Skin Shocks Used at Mass. School

AP (Sep. 15, 2014) The FDA is considering whether to ban devices used by the Judge Rotenberg Educational Center in Canton, Massachusetts, the only place in the country known to use electrical skin shocks as aversive conditioning for aggressive patients. (Sept. 15) Video provided by AP
Powered by NewsLook.com
Respiratory Virus Spreads To Northeast, Now In 21 States

Respiratory Virus Spreads To Northeast, Now In 21 States

Newsy (Sep. 14, 2014) The respiratory virus Enterovirus D68, which targets children, has spread from the Midwest to 21 states. 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