Evidence map›Paper›PMID 42811501›Full record

ArticleMedical education online2026

Disability, mental health symptom recognition, and treatment-seeking in resident physicians with depressive symptoms.

Karina Pereira-Lima, Katherine E T Ross, Elena Frank, Erene Stergiopoulos, Zoie C Sheets, Srijan Sen, Lisa M Meeks

Abstract read
In one paragraph

Article in Medical education online, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Karina Pereira-LimaDepartment of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.ORCID 0000-0003-4313-743X
Katherine E T RossDepartment of Psychology, University of Michigan, Ann Arbor, MI, USA.
Elena FrankMichigan Neuroscience Institute, University of Michigan Medical School, Ann Arbor, MI, USA.
Erene StergiopoulosDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Zoie C SheetsDepartments of Internal Medicine and Pediatrics, University of Chicago, Chicago, IL, USA.
Srijan SenMichigan Neuroscience Institute, University of Michigan Medical School, Ann Arbor, MI, USA.
Lisa M MeeksDepartment of Medical Education, College of Medicine, University of Illinois, Chicago, IL, USA.

Funding

Mobile Technology to Identify Behavorial Mechanisms Linking Genetic Variation and DepressionR01MH101459 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SEN, SRIJAN · 2013 to 2023
$6.4M
NIMH NIH HHS R01 MH101459
6 · The paper itself

Abstract

introductionResident physicians are at high-risk for depressive symptoms, yet most of those meeting depression criteria do not seek care. Resident physicians with disabilities are at higher risk for depressive symptoms. However, their mental health treatment-seeking behaviours remain poorly understood. This study investigates associations between self-identified disability-status, mental health symptom recognition, and treatment-seeking among first-year residents with depressive symptoms.

methodsWe analysed data from the 2020-2022 cohorts of the Intern Health Study, a longitudinal study of first-year resident physicians. Depressive symptoms were assessed quarterly with the Patient Health Questionnaire (PHQ-9); scores ≥10 indicated a positive depression screen. Residents who screened positive at least once during internship and identified their disability-status were included. Mental health symptom recognition and treatment-seeking were assessed via quarterly surveys throughout the first residency year. Associations between disability-status, symptom recognition, and treatment-seeking were examined using weighted logistic regression adjusting for sex and specialty-type. Post-stratification and attrition weights addressed nonrepresentative sampling and loss to follow-up. Sensitivity analyses excluded interns reporting psychological disabilities.

resultsOf 5,062 interns, 1,386 (27.4%) screened positive for depression during internship; 940 identified their disability-status and were included (127 [13.5%] with disabilities). Compared to nondisabled interns, those with disabilities were significantly more likely to recognise mental health symptoms (adjusted weighted-OR = 4.5, 95% CI: 1.8-14.7) and seek treatment (adjusted weighted-OR = 3.2, 95% CI: 2.1-5.0). Results remained significant in sensitivity analyses excluding psychological disabilities.

conclusionAmong depressed first-year residents, self-identified disability-status was associated with significantly greater symptom recognition and treatment-seeking. These findings suggest disability-related experiences may be associated with reduced normalisation of depressive symptoms in residency, offering insights for reducing stigma and treatment barriers in medical training.

Indexed as

DepressionInternship and ResidencyPatient Acceptance of Health CarePersons with DisabilitiesPhysiciansAdultFemaleHumansLongitudinal StudiesMaleMental HealthdepressionDisabilityhelp-seeking behaviorinternship and residencyphysicians

Identifiers

PMID42811501
PMCPMC13629821

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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.