ArticleRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)2025
Moral harassment and mental health in medical residents: a longitudinal study.
Article in Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Digital harassment and its mental health impact among healthcare professionals: A scoping review.PCN reports : psychiatry and clinical neurosciences · 2026Review
- Prevalence of reported harassment and associated mental health outcomes among medical students: a cross-sectional study in Sousse, Tunisia.Scientific reports · 2026Article
- Bullying among medical residents in a large public hospital: a cross-sectional study.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Exploitation and psychological strain in residency training: workload and shift violations in Turkish medical schools and research hospitals.BMC medical education · 2025Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis study investigated whether moral harassment contributes to anxiety, depression, and burnout among medical residents.
methodsThis three-stage longitudinal study involved 218 1st-year residents, of whom 76 (34.9%) participated in all stages. The questionnaire covered demographics, mental health (using the Patient Health Questionnaire-4), burnout (using the Maslach Burnout Inventory Human Services Survey), and harassment experiences. Mental health outcomes and harassment were analyzed using logistic regression.
resultsAnxiety and depression scores varied significantly, including a notable decrease in the personal accomplishment dimension of burnout. The prevalence of harassment was above 90%, and most victims were disturbed by the harassment they suffered. While a direct correlation between harassment victimization and reduced mental health was not found, seeking help exacerbated suffering, and depression and emotional exhaustion increased less among surgical residents.
conclusionTo the extent of our knowledge, this is the first longitudinal study on mental health and harassment among medical residents. The mental suffering experienced after taking action against harassment suggests that safe environments for addressing these issues are lacking in medical residencies. Further studies concerning surgical residents could shed light on their lower levels of suffering. Institutional changes are needed to support victims and create a healthy environment.
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