Department of Orthopedic Surgery, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Int Orthop. 2024 Nov;48(11):2785-2792. doi: 10.1007/s00264-024-06288-0. Epub 2024 Sep 5.
The aim of this study was to assess the stress level and depression among orthopaedic surgeons in Saudi Arabia. In addition, to evaluate orthopedic training programs related factors that might have a critical role in the development of depression among orthopaedic surgeons.
The study adopted a cross-sectional study design. Two validated questionnaires were utilized, the Patient Health Questionnaire 9 (PHQ-9) and the Perceived Stress Scale (PSS-10) for assessing depressive symptoms and stress levels. Data was collected by sending the survey to the Saudi Commission for Health Specialties so they could be distributed throughout all registered orthopaedic surgeons.
The study sample consisted of 325 participants. The results revealed that the severity of depression varied across the different groups. As per the PHQ-9 criteria, 74 (22.8%) were initially diagnosed with major depression. Among assistant consultants, 39.5% reported severe depression, while 34.9% reported mild depression. Consultants predominantly reported moderate perceived stress (82.9%) with a notable proportion experiencing high perceived stress (12.4%). Assistant consultants showed a balanced distribution, with 93.0% reporting moderate perceived stress and 4.7% reporting high perceived stress. Demographic variables gender, relationship status and having children revealed statistically significant relationship with PHQ-9 scores (p-value < 0.05) but not with PSS-10 scores.
The study highlights pressing need to address mental health concerns within orthopaedic surgeons. To address these challenges, healthcare institutions should implement comprehensive mental health support programs offering resources for stress management, counseling services, and peer support groups.
本研究旨在评估沙特阿拉伯骨科医生的压力水平和抑郁程度。此外,评估与骨科培训计划相关的因素,这些因素可能在骨科医生抑郁的发展中起关键作用。
本研究采用横断面研究设计。使用了两个经过验证的问卷,即患者健康问卷 9 项(PHQ-9)和感知压力量表(PSS-10),用于评估抑郁症状和压力水平。通过向沙特卫生专业委员会发送调查来收集数据,以便在所有注册的骨科医生中进行分发。
研究样本由 325 名参与者组成。结果显示,不同组别的抑郁严重程度不同。根据 PHQ-9 标准,74 人(22.8%)最初被诊断为重度抑郁症。在助理顾问中,39.5%报告严重抑郁,而 34.9%报告轻度抑郁。顾问主要报告中度感知压力(82.9%),其中相当一部分人报告高度感知压力(12.4%)。助理顾问的分布均衡,93.0%报告中度感知压力,4.7%报告高度感知压力。人口统计学变量性别、婚姻状况和有子女与 PHQ-9 评分有统计学显著关系(p 值<0.05),但与 PSS-10 评分无关。
本研究强调了在骨科医生中解决心理健康问题的迫切需要。为了解决这些挑战,医疗机构应实施全面的心理健康支持计划,提供压力管理资源、咨询服务和同伴支持小组。