Evidence map›Paper›PMID 37210591›Full record

ArticleOccupational medicine (Oxford, England)2023

The association between self-treatment and mental health among Swedish physicians.

P Jonsson, F Christiansen, E Brulin

Open access · bronzeAbstract read
In one paragraph

Article in Occupational medicine (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

4 citing papers in PubMed, 6 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

3 authors at 1 institution in 1 country.

P JonssonInstitute of Environmental Medicine, Unit of Occupational Medicine, Karolinska Institutet, Stockholm 113 65, Sweden.
F ChristiansenInstitute of Environmental Medicine, Unit of Occupational Medicine, Karolinska Institutet, Stockholm 113 65, Sweden.ORCID 0000-0002-4731-2365
E BrulinInstitute of Environmental Medicine, Unit of Occupational Medicine, Karolinska Institutet, Stockholm 113 65, Sweden.ORCID 0000-0002-3374-268X
Karolinska Institutet · SE

Funding

Afa insurance 220177
6 · The paper itself

Abstract

backgroundDespite a high prevalence of mental health problems among physicians, the rate of help-seeking behaviour is low. Instead, physicians tend to self-treat. This can have a negative impact on individual physicians and society.

aimsThe aim was to explore the relationship between self-rated depression, the use of psychotropic medication, and the extent of self-treatment across gender and hierarchical position among Swedish physicians. In addition, the aim was to investigate whether social support can buffer against self-treatment.

methodsThis study draws on data from the Longitudinal Occupational Health for Health Care in Sweden 2021 study, comprising a representative sample of physicians. Descriptive statistics and logistic regressions were carried out.

resultsThe present study showed that approximately 60% of the physicians using narcotic or non-narcotic psychotropic medication were self-prescribing. Male and more senior physicians self-treated to a greater extent. Physicians without depression were self-treating to a greater extent than those with depression. Those who used non-narcotic psychotropic medication intermittently were more likely to self-treat than those who used these medications regularly. The frequency of use was insignificant in relation to self-treatment with narcotic psychotropic medication. No buffering effect from social support at work was found.

conclusionsSelf-treatment was common among physicians in Sweden, particularly among those who reported mild or no symptoms of depression. This may have negative long-term effects on an individual level and for Swedish health care at large.

Indexed as

Mental HealthPhysiciansFemaleHumansMalePsychotropic DrugsSwedenPsychotropic Drugs

Identifiers

PMID37210591
PMCPMC10292679
OpenAlexW4377157979

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.