Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende Patientenratgeber
Erweiterte Suche
Anmelden
nach oben
European Radiology
Erschienen in:

11.08.2023 | Radiological Education

The moderating role of resilience in the association between workload and depressive symptoms among radiology residents in China: results from a nationwide cross-sectional study

verfasst von: Sitong Luo, Yuhang Zhang, Peicheng Wang, Zhenghan Yang, Jianjun Zheng, Zhenchang Wang, Jingfeng Zhang, Jiming Zhu

Erschienen in: European Radiology | Ausgabe 1/2024

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The current study aimed to explore the moderating role of psychological resilience in the association between workload and depressive symptoms among radiology residents during standardized residency training (SRT) in China.

Methods

A nationwide cross-sectional online survey was conducted among radiology residents in China. Workload was measured by working hours per week and the frequency of frontline nightwork in the last month. Resilience was assessed by the 2-item Connor–Davidson Resilience Scale. Depressive symptoms were measured by the Depression Anxiety Stress Scales. The hierarchical regression and simple slope analyses were performed to examine the moderating effect of resilience.

Results

Among 3666 radiology residents, the mean age was 27.3 years (SD = 2.6) and 58% were female. About 24.4% of the participants reported medium to severe depressive symptoms. The hierarchical regression showed that working hours (ba = 0.11, 95%CI: 0.08, 0.14) and having frontline nightwork more than once (ba = 1.22, 95%CI: 0.67, 1.78) were positively associated with depressive symptoms; the moderating effect of resilience was significant in the association of depressive symptoms with working hours (ba =  − 0.02, 95%CI: − 0.03, − 0.01) and having frontline nightwork more than once (ba =  − 0.28, 95%CI: − 0.49, − 0.07). The simple slope test showed the association between workload-related variables and depressive symptoms was only significant in those with a relatively lower level of resilience.

Conclusions

The study found that resilience was an important modifier buffering the positive association between workload and depressive symptoms among radiology residents in China. Future medical training programs are suggested to include effective intervention components to increase personal resilience.

Clinical relevance statement

Heavy workload in clinical setting may pose adverse effect on mental health and job performance of radiology residents. The study investigated whether psychological resilience would mitigate the association between workload and depressive symptoms among Chinese radiology residents.

Key Points

• Radiology residents with a heavier workload presented a higher level of depressive symptoms in China.
• Psychological resilience mitigated the positive association between workload and depressive symptoms.
• The association between workload and depressive symptoms was only statistically significant in radiology residents with a relatively lower level of resilience.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
MacDonald SLS, Cowan IA, Floyd R et al (2013) Measuring and managing radiologist workload: application of lean and constraint theories and production planning principles to planning radiology services in a major tertiary hospital. J Med Imaging Radiat Oncol 57:544–550CrossRefPubMed
2.
Brady A, Brink J, Slavotinek J (2020) Radiology and value-based health care. JAMA 324:1286–1287CrossRefPubMed
3.
4.
5.
Zhang J, Han X, Yang Z et al (2021) Radiology residency training in China: results from the first retrospective nationwide survey. Insights Imaging 12:25CrossRefPubMedPubMedCentral
6.
Slavin SJ, Chibnall JT (2016) Finding the why, changing the how: improving the mental health of medical students, residents, and physicians. Acad Med 91:1194–1196CrossRefPubMed
7.
Guenette JP, Smith SE (2017) Burnout: prevalence and associated factors among radiology residents in New England with comparison against United States resident physicians in other specialties. AJR Am J Roentgenol 209:136–141CrossRefPubMed
8.
Fang Y, Bohnert ASB, Pereira-Lima K et al (2022) Trends in depressive symptoms and associated factors during residency, 2007 to 2019: a repeated annual cohort study. Ann Intern Med 175:56–64CrossRefPubMed
9.
Jaulin F, Nguyen DP, Marty F et al (2021) Perceived stress, anxiety and depressive symptoms among anaesthesia and intensive care residents: a French national survey. Anaesthesia Critical Care & Pain Medicine 40
10.
Pereira-Lima K, Loureiro SR, Crippa JA (2016) Mental health in medical residents: relationship with personal, work-related, and sociodemographic variables. Braz J Psychiatry 38:318–324CrossRefPubMedPubMedCentral
11.
Ogawa R, Seo E, Maeno T, Ito M, Sanuki M, Maeno T (2018) The relationship between long working hours and depression among first-year residents in Japan. BMC Med Educ 18:50CrossRefPubMedPubMedCentral
12.
Sen S, Kranzler HR, Krystal JH et al (2010) A prospective cohort study investigating factors associated with depression during medical internship. Arch Gen Psychiatry 67:557–565CrossRefPubMedPubMedCentral
13.
Nagasaki K, Nishizaki Y, Shinozaki T et al (2022) Association between mental health and duty hours of postgraduate residents in Japan: a nationwide cross-sectional study. Sci Rep 12:10626
14.
Rangel EL, Castillo-Angeles M, Kisat M, Kamine TH, Askari R (2020) Lack of routine healthcare among resident physicians in New England. J Am Coll Surg 230:885–892CrossRefPubMed
15.
Levy AB, Nahhas RW, Sampang S et al (2019) Characteristics associated with depression and suicidal thoughts among medical residents: results from the DEPRESS-Ohio study. Acad Psychiatry 43:480–487CrossRefPubMed
16.
Brunsberg KA, Landrigan CP, Garcia BM et al (2019) Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Acad Med 94:1150–1156CrossRefPubMedPubMedCentral
17.
Luthar SS, Cicchetti D, Becker B (2000) The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 71:543–562CrossRefPubMedPubMedCentral
18.
Bakker AB, Demerouti E (2014) Job demands-resources theorywellbeing, pp 1–28
19.
Xu C, Wang Y, Wang Z et al (2022) Social support and coping style of medical residents in China: the mediating role of psychological resilience. Front Psychiatry 13:888024CrossRefPubMedPubMedCentral
20.
Szuster RR, Onoye JM, Eckert MD, Kurahara DK, Ikeda RK, Matsu CR (2020) Presence, resilience, and compassion training in clinical education (PRACTICE): evaluation of a mindfulness-based intervention for residents. Int J Psychiatry Med 55:131–141CrossRefPubMed
21.
Zhu J, Li W, Chen L (2016) Doctors in China: improving quality through modernisation of residency education. Lancet 388:1922–1929CrossRef
22.
Vaishnavi S, Connor K, Davidson JRT (2007) An abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials. Psychiatry Res 152:293–297CrossRefPubMedPubMedCentral
23.
West CP, Dyrbye LN, Sinsky C et al (2020) Resilience and burnout among physicians and the general US working population. JAMA Netw Open 3:e209385CrossRefPubMedPubMedCentral
24.
Xiao X, Yang X, Zheng W et al (2022) Depression, anxiety and post-traumatic growth among COVID-19 survivors six-month after discharge. Eur J Psychotraumatol 13:2055294CrossRefPubMedPubMedCentral
25.
Gong WJ, Sit SMM, Lai AYK et al (2022) Adversity coping capability and its associations with mental health and family wellbeing amid the COVID-19 pandemic in Hong Kong. BMC Psychiatry 22:553CrossRefPubMedPubMedCentral
26.
Lovibond SH, Lovibond PF (1995) Manual for the Depression, Anxiety and Stress Scales (DASS), 2nd edn. Psychology Foundation, Sydney
27.
Cerqueira G, Koch H, Sousa E, Gasparetto E, Buys R (2010) Anxiety and depression among medical residents in Radiology and Diagnostic Imaging. Revista Brasileira de Educação Médica 34:199–206
28.
Chang Q, Xia Y, Bai S et al (2021) Association between Pittsburgh Sleep Quality Index and depressive symptoms in Chinese resident physicians. Front Psychiatry 12:564815CrossRefPubMedPubMedCentral
29.
Mata DA, Ramos MA, Bansal N et al (2015) Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA 314:2373–2383CrossRefPubMedPubMedCentral
30.
Kane L (2022) Physician Burnout & Depression Report 2022: stress, anxiety, and anger, MEDSCAPE online
31.
Chen LH, Zhao Z, Wang Z et al (2022) Prevalence and risk factors for depression among training physicians in China and the United States. Sci Rep 12:8170CrossRefPubMedPubMedCentral
32.
Alexander R, Waite S, Bruno MA et al (2022) Mandating limits on workload, duty, and speed in radiology. Radiology 304:274–282CrossRefPubMed
33.
Wu Y, Yu W, Wu X, Wan H, Wang Y, Lu G (2020) Psychological resilience and positive coping styles among Chinese undergraduate students: a cross-sectional study. BMC Psychology 8:79CrossRefPubMedPubMedCentral
34.
Lebares CC, Hershberger AO, Guvva EV et al (2018) Feasibility of formal mindfulness-based stress-resilience training among surgery interns: a randomized clinical trial. JAMA Surg 153:e182734CrossRefPubMedPubMedCentral
35.
Sood A, Prasad K, Fau - Schroeder D, Schroeder D Fau - Varkey P, Varkey P, (2011) Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med 26:858–861CrossRefPubMedPubMedCentral
36.
Nituica C, Bota OA, Blebea J, Cheng CI, Slotman GJ (2021) Factors influencing resilience and burnout among resident physicians - a National Survey. BMC Med Educ 21:514CrossRefPubMedPubMedCentral
Metadaten
Titel
The moderating role of resilience in the association between workload and depressive symptoms among radiology residents in China: results from a nationwide cross-sectional study
verfasst von
Sitong Luo
Yuhang Zhang
Peicheng Wang
Zhenghan Yang
Jianjun Zheng
Zhenchang Wang
Jingfeng Zhang
Jiming Zhu
Publikationsdatum
11.08.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
European Radiology / Ausgabe 1/2024
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-023-10021-7

Weitere Artikel der Ausgabe 1/2024

The radiology job market in the Netherlands: which subspecialties and other skills are in demand?

  • Open Access
  • Radiological Education

Clinical use of artificial intelligence products for radiology in the Netherlands between 2020 and 2022

  • Open Access
  • Special Report

Percutaneous insertion of long-covered biliary stents in patients with malignant duodenobiliary stricture

  • Hepatobiliary-Pancreas

Silent myocardial infarction fatty scars detected by coronary calcium score CT scan in diabetic patients without history of coronary heart disease

  • Open Access
  • Cardiac

Deep learning reconstruction CT for liver metastases: low-dose dual-energy vs standard-dose single-energy

  • Computed Tomography

Deep learning–based assessment of CT markers of sarcopenia and myosteatosis for outcome assessment in patients with advanced pancreatic cancer after high-intensity focused ultrasound treatment

  • Open Access
  • Musculoskeletal

Neu im Fachgebiet Radiologie

Stumme Schlaganfälle − ein häufiger Nebenbefund im Kopf-CT?

In 4% der in der Notfallambulanz initiierten zerebralen Bildgebung sind „alte“ Schlaganfälle zu erkennen. Gar nicht so selten handelt es sich laut einer aktuellen Studie dabei um unbemerkte Insulte. Bietet sich hier womöglich die Chance auf ein effektives opportunistisches Screening?

Stören weiße Wände und viel Licht die Bildqualitätskontrolle?

Wenn es darum geht, die technische Qualität eines Mammogramms zu beurteilen, könnten graue Wandfarbe und reduzierte Beleuchtung im Bildgebungsraum von Vorteil sein. Darauf deuten zumindest Ergebnisse einer kleinen Studie hin. 

PMBCL mit CMR: Radiatio kann ohne Risiko weggelassen werden

Patienten mit primär mediastinalem B-Zell-Lymphom (PMBCL), die nach der Induktionstherapie eine komplette metabolische Remission (CMR) erreichen und keine konsolidierende Bestrahlung erhalten, müssen offenbar keine Überlebensnachteile fürchten.

Hypoxisch-ischämische Enzephalopathie: Indikatoren für eine ungünstige Prognose

Eine US-amerikanische Studie widmete sich der Identifizierung prognostischer Parameter bei Neugeborenen mit mittelschwerer oder schwerer hypoxisch-ischämischer Enzephalopathie (HIE), die mittels induzierter Hypoxie behandelt wurden. Besonders im 24-Stunden-EEG und der MRT konnten relevante Hinweise gefunden werden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise