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      Relationship between burnout and Major Depressive Disorder in health professionals: A HEAR report.

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          Abstract

          Burnout is a "normal" albeit concerning response to workplace stress, whereas Major Depressive Disorder (MDD) is a serious illness associated with impairment and suicide risk. Because of symptomatic overlap between the two conditions and MDD-associated stigma, individuals reporting work-related stress and depression often are "diagnosed" with burnout at the expense of recognizing and treating MDD. Our study aimed to leverage organizational implementation of the American Foundation of Suicide Prevention's Interactive Screening Program to elucidate relationships among burnout, depression, and other suicide risk factors.

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          The PHQ-9: A New Depression Diagnostic and Severity Measure

          Kurt Kroenke, Robert L Spitzer (2002)
          Article 0 comments Cited 1087 times – based on 0 reviews     Review now
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            Closing the gap in a generation: health equity through action on the social determinants of health.

            Michael Marmot, Sharon Friel, Ruth Bell … (2008)
            The Commission on Social Determinants of Health, created to marshal the evidence on what can be done to promote health equity and to foster a global movement to achieve it, is a global collaboration of policy makers, researchers, and civil society, led by commissioners with a unique blend of political, academic, and advocacy experience. The focus of attention is on countries at all levels of income and development. The commission launched its final report on August 28, 2008. This paper summarises the key findings and recommendations; the full list is in the final report.
            Article 0 comments Cited 598 times – based on 0 reviews     Review now
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              Physician burnout: contributors, consequences and solutions

              C P West, L Dyrbye, T. D. Shanafelt (2018)
              Physician burnout, a work-related syndrome involving emotional exhaustion, depersonalization and a sense of reduced personal accomplishment, is prevalent internationally. Rates of burnout symptoms that have been associated with adverse effects on patients, the healthcare workforce, costs and physician health exceed 50% in studies of both physicians-in-training and practicing physicians. This problem represents a public health crisis with negative impacts on individual physicians, patients and healthcare organizations and systems. Drivers of this epidemic are largely rooted within healthcare organizations and systems and include excessive workloads, inefficient work processes, clerical burdens, work-home conflicts, lack of input or control for physicians with respect to issues affecting their work lives, organizational support structures and leadership culture. Individual physician-level factors also play a role, with higher rates of burnout commonly reported in female and younger physicians. Effective solutions align with these drivers. For example, organizational efforts such as locally developed practice modifications and increased support for clinical work have demonstrated benefits in reducing burnout. Individually focused solutions such as mindfulness-based stress reduction and small-group programmes to promote community, connectedness and meaning have also been shown to be effective. Regardless of the specific approach taken, the problem of physician burnout is best addressed when viewed as a shared responsibility of both healthcare systems and individual physicians. Although our understanding of physician burnout has advanced considerably in recent years, many gaps in our knowledge remain. Longitudinal studies of burnout's effects and the impact of interventions on both burnout and its effects are needed, as are studies of effective solutions implemented in combination. For medicine to fulfil its mission for patients and for public health, all stakeholders in healthcare delivery must work together to develop and implement effective remedies for physician burnout.
              Article 0 comments Cited 562 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): J Affect Disord
                Title: Journal of affective disorders
                Publisher: Elsevier BV
                ISSN (Electronic): 1573-2517
                ISSN (Print): 0165-0327
                Publication date (Electronic): Sep 01 2022
                Volume: 312
                Affiliations
                [1 ] University of California San Diego, Department of Psychiatry, La Jolla, CA, United States of America. Electronic address: szisook@health.ucsd.edu.
                [2 ] University of California San Diego, Department of Psychiatry, La Jolla, CA, United States of America.
                [3 ] American Foundation for Suicide Prevention, New York, NY, United States of America.
                [4 ] University of California San Diego Health and Research Scientist, Department of Psychiatry, University of California San Diego, United States of America.
                [5 ] UC San Diego Department of Anesthesiology and Veterans Affairs, San Diego Healthcare System, La Jolla, CA, United States of America.
                [6 ] San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, United States of America.
                [7 ] University of California San Diego, Department of Psychiatry, La Jolla, CA, United States of America; Veterans Affairs, San Diego Healthcare System, La Jolla, CA, United States of America.
                Article
                Publisher Item ID: S0165-0327(22)00707-8
                DOI: 10.1016/j.jad.2022.06.047
                PubMed ID: 35760197
                SO-VID: 632df595-7788-4e24-9ad8-7e7a75ed6dd3
                History

                Keywords: Burnout,Depression,Intense affective states,Major Depressive Disorder,Suicide,Suicide risk
                Data availability:
                Keywords: Burnout, Depression, Intense affective states, Major Depressive Disorder, Suicide, Suicide risk

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