Evidence map›Paper›PMID 29042389›Full record

ArticleBMJ open2017

What's up doc? A national cross-sectional study of psychological wellbeing of hospital doctors in Ireland.

Blánaid Hayes, Lucia Prihodova, Gillian Walsh, Frank Doyle, Sally Doherty

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China.International journal of environmental research and public health · 2022
    Article
  18. Article
  19. Article
  20. Junior doctors' mental health and coronavirus disease safety concerns.Australian and New Zealand journal of public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Blánaid HayesOccupational Health Department, Beaumont Hospital, Dublin, Ireland.
Lucia PrihodovaResearch Department, Royal College of Physicians of Ireland, Dublin, Ireland.
Gillian WalshResearch Department, Royal College of Physicians of Ireland, Dublin, Ireland.
Frank DoyleDepartment of Psychology, Division of Population and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.
Sally DohertyDepartment of Psychology, Division of Population and Health Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo measure levels of psychological distress, psychological wellbeing and self-stigma in hospital doctors in Ireland.

designNational cross-sectional study of randomised sample of hospital doctors. Participants provided sociodemographic data (age, sex, marital status), work grade (consultant, higher/basic specialist trainee), specialty and work hours and completed well-being questionnaires (the Depression Anxiety Stress Scale, WHO Well-being Index, General Health Questionnaire) and single-item scales on self-rated health and self-stigma.

settingIrish publicly funded hospitals and residential institutions.

participants1749 doctors (response rate of 55%). All hospital specialties were represented except radiology.

resultsHalf of participants were men (50.5%). Mean hours worked per week were 57 hours. Over half (52%) rated their health as very good/excellent, while 50.5% reported positive subjective well-being (WHO-5). Over a third (35%) experienced psychological distress (General Health Questionnaire 12). Severe/extremely severe symptoms of depression, anxiety and stress were evident in 7.2%, 6.1% and 9.5% of participants (Depression, Anxiety, Stress Scale 21). Symptoms of distress, depression, anxiety and stress were significantly higher and levels of well-being were significantly lower in trainees compared with consultants, and this was not accounted for by differences in sociodemographic variables. Self-stigma was present in 68.4%.

conclusionsThe work hours of doctors working in Irish hospitals were in excess of European Working Time Directive's requirements. Just over half of hospital doctors in Ireland had positive well-being. Compared with international evidence, they had higher levels of psychological distress but slightly lower symptoms of depression and anxiety. Two-thirds of respondents reported self-stigma, which is likely to be a barrier to accessing care. These findings have implications for the design of support services for doctors, for discussions on quality of patient care and for future research.

Indexed as

AdultAnxietyCross-Sectional StudiesDepressionFemaleHospitalsHumansIrelandMaleMiddle AgedPhysiciansPsychiatric Status Rating ScalesQuality of LifeSeverity of Illness IndexSocial StigmaStress, Psychologicalanxietydepressiondoctorpsychological distressself-stigma

Identifiers

PMID29042389
PMCPMC5652523

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.