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Medical doctor depression

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https://www.readbyqxmd.com/read/29162574/doctors-perception-of-support-and-the-processes-involved-in-complaints-investigations-and-how-these-relate-to-welfare-and-defensive-practice-a-cross-sectional-survey-of-the-uk-physicians
#1
Tom Bourne, Bavo De Cock, Laure Wynants, Mike Peters, Chantal Van Audenhove, Dirk Timmerman, Ben Van Calster, Maria Jalmbrant
OBJECTIVE: How adverse outcomes and complaints are managed may significantly impact on physician well-being and practice. We aimed to investigate how depression, anxiety and defensive medical practice are associated with doctors actual and perceived support, behaviour of colleagues and process issues regarding how complaints investigations are carried out. DESIGN: A survey study. Respondents were classified into three groups: no complaint, recent/current complaint (within 6 months) or past complaint...
November 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/29100860/development-of-new-quality-measures-for-hospital-based-care-of-suicidal-youth
#2
Layla Parast, Naomi S Bardach, Q Burkhart, Laura P Richardson, J Michael Murphy, Courtney A Gidengil, Maria T Britto, Marc N Elliott, Rita Mangione-Smith
OBJECTIVES: To develop, validate, and test the feasibility of implementation of four new quality measures assessing ED and inpatient care for suicidal youth. METHODS: Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregivers about a) restricting access to lethal means of self-harm and b) benefits and risks of anti-depressant medications, were operationalized into 2 caregiver surveys, assessing ED and inpatient quality, respectively...
October 31, 2017: Academic Pediatrics
https://www.readbyqxmd.com/read/29065808/childhood-abuse-in-adults-in-primary-care-empirical-findings-and-clinical-implications
#3
John H Porcerelli, John R Jones, Rachel Klamo, Rebecca Heeney
In the healthcare setting, adult patients with histories of childhood abuse are of significant concern and are frequently encountered in the primary care setting. However, there is a dearth of studies investigating the relationships between psychopathology, overall health, healthcare utilization, physician ratings of patient difficulty, and childhood abuse. The present study examines these relationships in primary care patients with (N = 45) and without (N = 129) histories of childhood abuse (physical, sexual, and both)...
May 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/28979644/-evaluation-of-burnout-syndrome-among-doctors-in-training-at-the-ibn-rochd-university-hospital-casablanca
#4
Assiya El Kettani, Zineb Serhier, Mohammed Bennani Othmani, Mohamed Agoub, Omar Battas
METHODS: We conducted a descriptive cross-sectional study of a sample of 300 physicians using self-administered questionnaire over the period 2013- 2014. Burnout has been operationally defined through a French translation of the Maslach Burnout Inventory (MBI). RESULTS: A total of 191 physicians participated in the study (response rate 63.7%) with a female predominance at 79.1% and an average age of 26.7 years (N = 3). The average scores of sub-dimensions of the MBI: emotional exhaustion, depersonalization and personal fulfilment were (33...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28966129/-acupuncture-for-antenatal-depression-it-s-worth-giving-it-a-go-a-qualitative-study
#5
Simone M Ormsby, Hannah G Dahlen, Carolyn C Ee, Hazel Keedle, Caroline A Smith
BACKGROUND: Treatment strategies for the management of antenatal depression are limited by varied and often modest response rates, unpleasant medication side effects and uncertainty regarding foetal safety. Consequently, many pregnant women experiencing depression seek alternative non-pharmaceutical options. Acupuncture may provide a safe and potentially effective additional treatment, however further investigation is required. In this qualitative study, we explored the views of health professionals regarding the possible incorporation of acupuncture into mainstream care...
September 28, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/28961662/major-depressive-disorder-in-patients-with-doctoral-degrees-patient-reported-depressive-symptom-severity-functioning-and-quality-of-life-before-and-after-initial-treatment-in-the-star-d-study
#6
Alexander J Steiner, Nathalie Boulos, Stephanie M Wright, James Mirocha, Kimberly Smith, Enrique López, Sherif H Gohar, Waguih W Ishak
OBJECTIVE: This study examined patients with medical or doctoral degrees diagnosed with major depressive disorder (MDD) by analyzing patient-reported depressive symptom severity, functioning, and quality of life (QOL) before and after treatment of MDD. METHODS: Analyses were conducted in a sample of 2280 adult outpatient participants with MDD from the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) study with complete entry and exit scores for the level 1 (citalopram monotherapy) trial...
September 2017: Journal of Psychiatric Practice
https://www.readbyqxmd.com/read/28958125/-on-the-way-to-culture-sensitive-patient-information-materials-results-of-a-focus-group-study
#7
Zivile Ries, Fabian Frank, Isaac Bermejo, Chariklia Kalaitsidou, Jördis Zill, Jörg Dirmaier, Martin Härter, Jürgen Bengel, Lars Hölzel
Aim This study was part of a double-blind randomised controlled trial aimed to evaluate the effects of culture-sensitive patient information materials (PIM) compared with standard translated material. The study aimed to obtain the data for the development of culture sensitive PIM about unipolar depression for the 4 largest migrant groups in Germany (Turkish, Polish, Russian and Italian migration background). Method A qualitative study using 4 manual-based focus groups (FG), one for each migrant group, with 29 participants (9 with a Turkish (TüG), 8 with a Polish (PoG), 5 with a Russian (RuG) and 7 with an Italian (ItG) migration background) was conducted...
September 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28953843/what-are-the-risks-associated-with-different-selective-serotonin-re-uptake-inhibitors-ssris-to-treat-depression-and-anxiety-in-pregnancy-an-evaluation-of-current-evidence
#8
Kate Womersley, Katherine Ripullone, Mark Agius
A literature review was conducted to elucidate the respective reproductive safety profiles of different SSRIs to inform the prescribing practices of doctors treating pregnant women with anxiety and depression. BACKGROUND: Women are most likely to be diagnosed with depression or anxiety between the ages of 25 and 44 years, which are also the years of childbearing potential (Burke et al., 1991). Therefore a substantial number of women face a decision about whether or not to take an antidepressant or anxiolytic during pregnancy...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28953826/reflecting-on-the-humanities-related-to-experiences-of-illness-with-a-creative-exploration-of-metaphoric-spaces
#9
Mohamud A Verjee
Every patient has a story to tell, and every experienced physician has a bank of stories to recall. A patient's visit is not chance but a search for a cure, amelioration of state, advice, guidance, a prescription, or for seeking reassurance, comfort, and in some circumstances, permission to "be well". From the simplest tale to the most complex, narratives abound. Sometimes, the most intimate information shared with the physician confidante, go dark and deep, with a yearning to "tell all" after a period of suppression...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28928168/factors-that-support-successful-transition-to-the-community-among-women-leaving-prison-in-british-columbia-a-prospective-cohort-study-using-participatory-action-research
#10
Patricia A Janssen, Mo Korchinski, Sarah L Desmarais, Arianne Y K Albert, Lara-Lisa Condello, Marla Buchanan, Alison Granger-Brown, Vivian R Ramsden, Lynn Fels, Jane A Buxton, Carl Leggo, Ruth Elwood Martin
BACKGROUND: In Canada, the number of women sentenced to prison has almost doubled since 1995. In British Columbia, the rate of reincarceration is 70% within 2 years. Our aim was to identify factors associated with recidivism among women in British Columbia. METHODS: We prospectively followed women after discharge from provincial corrections centres in British Columbia. We defined recidivism as participation in criminal activity disclosed by participants during the year following release...
September 13, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28893766/barriers-facilitators-and-survival-strategies-for-gps-seeking-treatment-for-distress-a-qualitative-study
#11
Johanna Spiers, Marta Buszewicz, Carolyn A Chew-Graham, Clare Gerada, David Kessler, Nick Leggett, Chris Manning, Anna Kathryn Taylor, Gail Thornton, Ruth Riley
BACKGROUND: GPs are under increasing pressure due to a lack of resources, a diminishing workforce, and rising patient demand. As a result, they may feel stressed, burnt out, anxious, or depressed. AIM: To establish what might help or hinder GPs experiencing mental distress as they consider seeking help for their symptoms, and to explore potential survival strategies. DESIGN AND SETTING: The authors recruited 47 GP participants via e-mails to doctors attending a specialist service, adverts to local medical committees (LMCs) nationally and in GP publications, social media, and snowballing...
September 11, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28893747/the-health-and-well-being-of-australia-s-future-medical-doctors-protocol-for-a-5-year-observational-cohort-study-of-medical-trainees
#12
Erin Cvejic, Gordon Parker, Samuel B Harvey, Zachery Steel, Dusan Hadzi-Pavlovic, Claire L Macnamara, Uté Vollmer-Conna
INTRODUCTION: Clinical training in the undergraduate medical course places multiple stressors on trainees, which have been held to lead to heightened distress, depression, suicide, substance misuse/abuse and poor mental health outcomes. To date, evidence for morbidity in trainees is largely derived from cross-sectional survey-based research. This limits the accuracy of estimates and the extent to which predispositional vulnerabilities (biological and/or psychological), contextual triggers and longer-term consequences can be validly identified...
September 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28870691/-burnout-in-tunisian-medical-residents-about-149-cases
#13
A Ben Zid, W Homri, I Ben Romdhane, N Bram, R Labbane
BACKGROUND: Burnout is a professional psychological chronic stress-induced syndrome defined by three dimensions: emotional exhaustion, depersonalization, and low personal accomplishment. This syndrome concerns all professions but especially healthcare staff. Numerous studies have attempted to document the impact of work activities on the doctor's mental health. According to the literature, junior doctors are more vulnerable to develop this syndrome. AIMS: Are to determine the prevalence of severe burnout among residents of different specialties: anesthesiology, general surgery, emergency medicine, psychiatry, basic sciences...
September 1, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28840629/extent-and-risks-of-antidepressant-off-label-use-in-children-and-adolescents-in-germany-between-2004-and-2011
#14
Carsten Schröder, Michael Dörks, Bianca Kollhorst, Tilo Blenk, Ralf W Dittmann, Edeltraut Garbe, Oliver Riedel
PURPOSE: So far, only little is known about antidepressant off-label use in pediatric patients. This is the first study examining the prevalence and the risks of off-label antidepressant prescriptions in minors over time in Germany and analyzing patterns regarding age, sex, drug class, and type of off-label use. METHODS: We used claims data of about two million individuals (<18 y) to calculate the share of off-label antidepressant prescriptions for the years 2004 to 2011, stratified by age, sex, and drug class...
August 24, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28770572/mental-health-of-health-professionals
#15
Kenneth Nunn
Helping medical colleagues with depression and suicidal thoughts and feelings can be more difficult than helping those who are not in the caring professions. The current systems of notification of impairment and supporting troubled doctors, especially in the public sector, are not working well and can make help seeking and help accepting harder. Accessing effective psychiatric help confidentially and in a timely way is difficult unless it is anticipated, facilitated, tenacious and resistant to initial rebuff...
August 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28750688/the-psychometric-characteristics-of-the-revised-depression-attitude-questionnaire-r-daq-in-pakistani-medical-practitioners-a-cross-sectional-study-of-doctors-in-lahore
#16
Mark Haddad, Ahmed Waqas, Ahmed Bashir Sukhera, Asad Zaman Tarar
BACKGROUND: Depression is common mental health problem and leading contributor to the global burden of disease. The attitudes and beliefs of the public and of health professionals influence social acceptance and affect the esteem and help-seeking of people experiencing mental health problems. The attitudes of clinicians are particularly relevant to their role in accurately recognising and providing appropriate support and management of depression. This study examines the characteristics of the revised depression attitude questionnaire (R-DAQ) with doctors working in healthcare settings in Lahore, Pakistan...
July 27, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28747237/mental-health-care-utilisation-among-internally-displaced-persons-in-ukraine-results-from-a-nation-wide-survey
#17
B Roberts, N Makhashvili, J Javakhishvili, A Karachevskyy, N Kharchenko, M Shpiker, E Richardson
Aims There are an estimated 1.5 million internally displaced persons (IDPs) in Ukraine because of the armed conflict in the east of the country. The aim of this paper is to examine utilisation patterns of mental health and psychosocial support (MHPSS) care among IDPs in Ukraine. METHODS: A cross-sectional survey design was used. Data were collected from 2203 adult IDPs throughout Ukraine between March and May 2016. Data on mental health care utilisation were collected, along with outcomes including post-traumatic stress disorder (PTSD), depression and anxiety...
July 27, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28725147/shortage-of-psychotropic-medications-in-community-pharmacies-in-saudi-arabia-causes-and-solutions
#18
Yazed Sulaiman Al-Ruthia, Wael Mansy, Mohammad Barasin, Yazeed Mohammad Ghawaa, Mohammed AlSultan, Mohammad A Alsenaidy, Solaiman Alhawas, Sultan AlGhadeer
Background: Patients with mental disorders, such as depression and anxiety, who seek medical care in private psychiatric clinics in Riyadh, Saudi Arabia, have recently expressed concerns to doctors about difficulty in filling psychotropic medications, such as Amitriptyline and Aripiprazole, at retail community pharmacies. Objectives: The aim of this study was to investigate whether there is a shortage of some commonly prescribed psychotropic medications in retail community pharmacies in Saudi Arabia, and if so, to explore the possible reasons behind the shortage of these medications...
July 2017: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/28711838/depressive-symptoms-and-correlates-among-village-doctors-in-china
#19
Ling-Xi Gu, Jie Chu, Zhen-Biao Qi, Cun-Xian Jia
BACKGROUND: Village doctors are primary care physicians at the grass root-level of rural medical and health institutions in China. Their depression can increase medical errors and affect quality of medical care services. This study aims to examine depressive symptoms and their correlates among Chinese village doctors. METHODS: A total of 616 village doctors were recruited from Zoucheng County of Shandong province. The Center for Epidemiologic Studies Depression Scale (CES-D), the Duke Social Support Index (DSSI) and the Simplified Coping Style Questionnaire (SCSQ) were used to measure depressive symptoms in the last week, social support and coping styles, respectively...
August 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28686557/the-biopsychosocial-model-40-years-of-application-in-psychiatry
#20
G Papadimitriou
In 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "TheIn 1977, the American pathologist and psychiatrist George Engel (1913-1999) published in the Journal Science his paper "Theneed for a new medical model: A challenge for biomedicine", introducing the term Biopsychosocial Model. This model basedon the results of Engel's studies in ulcerative colitis, depression and psychogenic pain, constituted a challenge for biomedicineand the biomedical model...
April 2017: Psychiatrikē, Psychiatriki
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