Ofei-Dodoo Samuel, Ebberwein Christopher, Kellerman Rick
University of Kansas School of Medicine-Wichita, KS, Department of Family and Community Medicine.
Family Medicine Residency Program, Wesley Medical Center.
Kans J Med. 2020 Jan 31;13:1-5. eCollection 2020.
Loneliness has been linked to clinician burnout and other types of emotional distress. Research assessing the prevalence of loneliness among physicians is growing. Little is known, however, about how loneliness relates to other types of emotional distress among practicing physicians. The objectives of the study were to determine the prevalence of loneliness, and to explore the relationship between loneliness, burnout, depressive symptoms, and suicidal ideation among active member physicians of the Medical Society of Sedgwick County (MSSC).
The study involved a convenience sample of 197 practicing physicians who were active members of the MSSC. The 3-item University of California, Los Angeles Loneliness Scale, the Abbreviated Maslach Burnout Inventory, and 2-item Primary Care Evaluation of Mental Disorders Patient Health Questionnaire were used to measure prevalence of loneliness, manifestations of burnout, and symptoms of depression, respectively.
Using an email survey, 442 practicing physicians received an invitation to participate; 197 (44%) completed the survey. The prevalence of loneliness was 43%. Loneliness prevalence was associated positively with age (p = 0.017) and more likely in those who reported manifestations of burnout (p < 0.01) or screened positive for depression (p < 0.01). Depression (OR = 2.24; 95% CI, 0.97-5.19) and emotional exhaustion (OR = 1.05; 95% CI, 0.39-2.84) were significantly associated with loneliness, including when adjusted for participants' sex, age, and duty hours.
Loneliness is prevalent among active member physicians of the Medical Society of Sedgwick County. Given that loneliness is associated with burnout and other emotional distress, there is an important need to understand its implications better.
孤独感与临床医生职业倦怠及其他类型的情绪困扰有关。评估医生群体中孤独感患病率的研究日益增多。然而,对于执业医生中孤独感与其他类型情绪困扰之间的关系,我们知之甚少。本研究的目的是确定孤独感的患病率,并探讨塞奇威克县医学协会(MSSC)在职会员医生中孤独感、职业倦怠、抑郁症状和自杀意念之间的关系。
本研究采用便利抽样法,选取了197名MSSC的在职执业医生。分别使用3项的加利福尼亚大学洛杉矶分校孤独感量表、简化版马氏职业倦怠量表和2项的精神障碍初级保健评估患者健康问卷来测量孤独感患病率、职业倦怠表现和抑郁症状。
通过电子邮件调查,向442名执业医生发出了参与邀请;197人(44%)完成了调查。孤独感患病率为43%。孤独感患病率与年龄呈正相关(p = 0.017),在报告有职业倦怠表现(p < 0.01)或抑郁筛查呈阳性(p < 0.01)的人群中更为常见。抑郁(OR = 2.24;95% CI,0.97 - 5.19)和情感耗竭(OR = 1.05;95% CI,0.39 - 2.84)与孤独感显著相关,包括在对参与者的性别、年龄和工作时长进行调整后。
塞奇威克县医学协会的在职会员医生中孤独感普遍存在。鉴于孤独感与职业倦怠及其他情绪困扰相关,非常有必要更好地了解其影响。