Evidence map›Paper›PMID 35358253›Full record

Observational studyPloS one2022

Medical residents' mental distress in the COVID-19 pandemic: An urgent need for mental health care.

Amanda Steil, Ana Bresser Pereira Tokeshi, Luca Silveira Bernardo, Geraldo Pio da Silva Neto, Ronald Ferreira Davi, Amanda Ferreira Santa Bárbara, Vitor S Mendonca, Thiago M Fidalgo, Aécio Flávio Teixeira Gois

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 6% of its field
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Amanda SteilDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID 0000-0002-0417-2921
Ana Bresser Pereira TokeshiDepartamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil.
Luca Silveira BernardoDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Geraldo Pio da Silva NetoDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Ronald Ferreira DaviDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Amanda Ferreira Santa BárbaraDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Vitor S MendoncaSchool of Medicine, University of São Paulo, São Paulo, Brazil.
Thiago M FidalgoDepartamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, Brazil.ORCID 0000-0003-3555-5228
Aécio Flávio Teixeira GoisDisciplina de Medicina de Urgência and Medicina Baseada em Evidências, Departamento de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Universidade Federal de São Paulo · BRAmerican College of Physicians · USUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMedical residents' mental health is currently an issue of concern for medical educators worldwide. The COVID-19 pandemic has raised the greatest concerns given the psychological effects of this scenario on medical residents on the frontlines of the pandemic. To assess the psychological impact of the COVID-19 pandemic on physicians in residency training, the collective symptoms of burnout, depression and anxiety are used to identify the residents' beliefs and clinical practices related to COVID-19 patients and their behaviors concerning disease prevention.

methodThis observational study involved 3071 medical residents from all regions of Brazil. An online questionnaire assessed the presence of burnout using the Oldenburg Burnout Inventory, depressive symptoms using the Patient Health Questionaire-9, anxiety symptoms using the Generalized Anxiety Disorder-7, and COVID-19 Impact Questions to assess the residents' beliefs and clinical practices related to COVID-19 patients. Exploratory analyses, logistic regression and multinomial regression analysis were performed in this investigation.

resultsModerate and severe depressive symptoms were the most common (67.7%) followed by anxiety symptoms (52.8%) and burnout (48.6%). The difference between residents with or without contact with COVID-19 patients was significant increased when analyzing different aspects of clinical practice, behavior, substance use and mental health.

conclusionsThese results suggest an increase in depression and anxiety symptoms among medical residents dealing with COVID-19, upstaging previous concerns about medical residents' mental health. The prevalence of burnout is similar to that of a nonpandemic scenario. Considering the severity of the pandemic scenario and the overburden of healthcare services, medical residents' mental health deserves special care.

Indexed as

Burnout, ProfessionalCOVID-19Internship and ResidencyAnxietyDepressionHumansMental HealthPandemicsSARS-CoV-2

Identifiers

PMID35358253
PMCPMC8970479
OpenAlexW4221032749

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.