Home News General Health News Depressive Symptoms Higher During Internal Medicine Internship

Depressive Symptoms Higher During Internal Medicine Internship

Faculty feedback, learning experience in inpatient rotations, work hours tied to change in symptoms

TUESDAY, Jan. 29, 2019 (HealthDay News) — For internal medicine interns, depressive symptoms increase during internship, with poor faculty feedback and inpatient learning experience associated with increased depressive symptoms, according to a study recently published in Academic Medicine.

Karina Pereira-Lima, from the University of Michigan Medical School in Ann Arbor, and colleagues examined the correlations between program-level variables and residents’ development of depressive symptoms during internship. A total of 1,276 internal medicine interns from 54 U.S. residency programs completed the Patient Health Questionnaire (PHQ-9) before internship and quarterly through the internship between 2012 and 2015. A resident questionnaire was used to assess the training environment; average weekly work hours were also examined.

The researchers found that from baseline to during internship, there was an increase in the mean program PHQ-9 scores from 2.3 to 5.9, with the mean increase ranging from −0.3 to 8.8 among the programs included. Faculty feedback, learning experience in inpatient rotations, work hours, and research ranking position were correlated with change in depressive symptoms (β = −0.37, −0.28, 0.34, and −0.25, respectively) in multivariable models.

“Given our findings, further examinations could also focus on identifying specific aspects of in-patient rotations associated with better resident mental health and satisfaction with learning experience,” the authors write.

Abstract/Full Text (subscription or payment may be required)

Copyright © 2019 HealthDay. All rights reserved.