Evidence map›Paper›PMID 38626104›Full record

ArticlePloS one2024

Mental health and burnout during medical school: Longitudinal evolution and covariates.

Valerie Carrard, Sylvie Berney, Céline Bourquin, Setareh Ranjbar, Enrique Castelao, Katja Schlegel, Jacques Gaume, Pierre-Alexandre Bart, Marianne Schmid Mast, Martin Preisig and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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

11 authors.

Valerie CarrardDepartment of Psychiatry, Psychiatric Liaison Service, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-7355-9567
Sylvie BerneyDepartment of Psychiatry, Service of General Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Céline BourquinDepartment of Psychiatry, Psychiatric Liaison Service, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Setareh RanjbarDepartment of Psychiatry, Psychiatric Epidemiology and Psychopathology Research Centre, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-0238-2976
Enrique CastelaoDepartment of Psychiatry, Psychiatric Epidemiology and Psychopathology Research Centre, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Katja SchlegelInstitute of Psychology, University of Bern, Bern, Switzerland.
Jacques GaumeDepartment of Psychiatry, Addiction Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-9149-0994
Pierre-Alexandre BartDepartment of Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Marianne Schmid MastFaculty of Business and Economics (HEC Lausanne), Department of Organizational Behavior, University of Lausanne, Lausanne, Switzerland.
Martin PreisigDepartment of Psychiatry, Psychiatric Epidemiology and Psychopathology Research Centre, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Alexandre BerneyDepartment of Psychiatry, Psychiatric Liaison Service, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-9535-1222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical students' rate of depression, suicidal ideation, anxiety, and burnout have been shown to be higher than those of the same-age general population. However, longitudinal studies spanning the whole course of medical school are scarce and present contradictory findings. This study aims to analyze the longitudinal evolution of mental health and burnout from the first to the last year of medical school using a wide range of indicators. Moreover, biopsychosocial covariates that can influence this evolution are explored.

methodIn an open cohort study design, 3066 annual questionnaires were filled in by 1595 different students from the first to the sixth year of the Lausanne Medical School (Switzerland). Depression symptoms, suicidal ideation, anxiety symptoms, stress, and burnout were measured along with biopsychosocial covariates. The longitudinal evolution of mental health and burnout and the impact of covariates were modelled with linear mixed models.

resultsComparison to a same-aged general population sample shows that medical students reported significantly more depression symptoms and anxiety symptoms. Medical students' mental health improved during the course of the studies in terms of depression symptoms, suicidal ideation, and stress, although suicidal ideation increased again in the last year and anxiety symptoms remained stable. Conversely, the results regarding burnout globally showed a significant worsening from beginning to end of medical school. The covariates most strongly related to better mental health and less burnout were less emotion-focused coping, more social support, and more satisfaction with health.

conclusionBoth improvement of mental health and worsening of burnout were observed during the course of medical school. This underlines that the beginning and the end of medical school bring specific challenges with the first years' stressors negatively impacting mental health and the last year's difficulties negatively impacting burnout.

Indexed as

Burnout, ProfessionalStudents, MedicalCohort StudiesDepressionHumansMental HealthSchools, MedicalSuicidal Ideation

Identifiers

PMID38626104
PMCPMC11020803

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.