Generic placeholder image

Current Psychiatry Research and Reviews

Editor-in-Chief

ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Research Article

Risk Factors of Burnout among Egyptian Medical Students: A Cross-sectional Study

Author(s): Ayman A.A. Al-Maksoud, Amir F. Asla, Mariam A. Awad, Mohamed Maray, Mohamed M. Omar and Eshak I. Bahbah*

Volume 16, Issue 3, 2020

Page: [205 - 212] Pages: 8

DOI: 10.2174/2666082216999200820164428

Price: $65

Abstract

Background: Burnout is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. It was initially investigated among employees and restricted to those who work in human services and educational institutions. However, this study aimed to evaluate the prevalence and associated risk factors of burnout among Egyptian medical students in Damietta Faculty of Medicine, Al-Azhar University.

Methods: This cross-sectional study was conducted between December 2017 and March 2018, involved first to sixth-year medical students. The questioner consisted of four sections: 1) Sociodemographics and personal characteristics of participants such as age, gender, and academic year; 2) Burnout measurement: Burnout was measured by MBI-SS, a modified form of MBI-GS; 3) Related risk factors; 4) association between burnout and performance.

Results: Out of 322 students, 222 students completed the questionnaire with a 67% response rate. The mean age was 21.1 ± 1.9, and 197 (88.7%) students were males. Our analysis demonstrated that the prevalence of burnout was 51.8%. In terms of subscales, 198 participants have high emotional exhaustion, 201 showed a high degree of depersonalization, and 110 participants have personal accomplishment. There was a significant difference between both groups in terms of gender (p=0.01) and marital status (p=0.005). Regression analysis demonstrated that high-risk factors related to studying burden, social burden, and future burden are associated with a higher risk of burnout with odd ratio (OR= 1.10, 95% CI (1.05-1.155), p<0.05), (OR= 1.05, 95% CI (1.01-1.09), p<0.05), and (OR= 1.15, 95% CI (1.05-1.26), p<0.05), respectively.

Conclusion: This study found that the burnout prevalence was 52% with quite a high percentage of emotional exhaustion (EE) and depersonalization (DP), and a low level of personal accomplishment. Moreover, a significant association between gender, grade of medical school, marital status, and risk factors related to the study burden, future burden, and social burden.

Keywords: Burnout, medical students, prevalence, emotional exhaustion, depersonalization, cross-sectional.

Graphical Abstract

[1]
Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residentsMed Educ 2016; 50(1): 132-49.http://doi.wiley.com/10.1111/medu.12927 [Internet].
[http://dx.doi.org/10.1111/medu.12927] [PMID: 26695473]
[2]
Shanafelt TD, Dyrbye LN, West CPSC. Potential impact of burnout on the US physician workforce. Mayo Clin. Proc. Mayo Found Med Educ Res 2016; 91(11): 1667-8.
[3]
Almeida G de C. Souza HR de, Almeida PC de, Almeida B de C, Almeida GH. The prevalence of burnout syndrome in medical students. Rev Psiquiatr Clin 2016; 43: 6-10.
[http://dx.doi.org/10.1590/0101-60830000000072]
[4]
Supe AN. A study of stress in medical students at Seth G.S. Medical College. J Postgrad Med 1998; 44(1): 1-6.
[PMID: 10703558]
[5]
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001; 52: 397-422.
[http://dx.doi.org/10.1146/annurev.psych.52.1.397 ] [PMID: 11148311]
[6]
Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach 2013; 10(4): 242-5.
[http://dx.doi.org/10.1111/tct.12014 ] [PMID: 23834570]
[7]
Pöhlmann K, Jonas I, Ruf S, Harzer W. Stress, burnout and health in the clinical period of dental education. Eur J Dent Educ 2005; 9(2): 78-84.
[http://dx.doi.org/10.1111/j.1600-0579.2004.00359.x ] [PMID: 15811155]
[8]
Abd Al-Maksoud AA-H, Salama Al-Adl A, Fathi Asla A, et al. The relation between preserved social support, resilience (depression and anxiety) and psychiatric disorders among a sample of Egyptian patients on regular hemodialysis. Curr Psychiatry Res Rev 2019; 15: 209-14.
[http://dx.doi.org/10.2174/2666082215666190917162630]
[9]
Carson AJ, Dias S, Johnston A, et al. Mental health in medical students. A case control study using the 60 item general health questionnaire. Scott Med J 2000; 45(4): 115-6.
[http://dx.doi.org/10.1177/003693300004500406 ] [PMID: 11060914]
[10]
Rosal MC, Ockene IS, Ockene JK, Barrett SV, Ma Y, Hebert JR. A longitudinal study of students’ depression at one medical school. Acad Med 1997; 72(6): 542-6.
[http://dx.doi.org/10.1097/00001888-199706000-00022 ] [PMID: 9200590]
[11]
Costa EF de O, Santos SA, Santos AT, Melo EV, Andrade TM. Burnout syndrome and associated factors among medical students: a cross-sectional study. Clinics (São Paulo) 2012; 67(6): 573-80.
[http://dx.doi.org/10.6061/clinics/2012(06)05 ] [PMID: 22760894]
[12]
El-Masry R, Ghreiz S, Helal R, Audeh A, Shams T. Perceived stress and burnout among medical students during the clinical period of their education. Ibnosina J Med Biomed Sci 2013; 5: 179.
[http://dx.doi.org/10.4103/1947-489X.210543]
[13]
Maslach C, Jackson SELM. Maslach Burnout Inventory Manual. 3rd ed. Palo Alto: Calif Consult Psychol Press 1996.
[14]
Schaufeli WB, Martinez IM, Pinto AMSM. Burnout and engagement in university students: a cross-national study. J Cross Cult Psychol 2002; 33: 464-81.
[http://dx.doi.org/10.1177/0022022102033005003]
[15]
Mafla AC, Villa-Torres L, Polychronopoulou A, et al. Burnout prevalence and correlates amongst Colombian dental students: the STRESSCODE study. Eur J Dent Educ 2015; 19(4): 242-50.
[http://dx.doi.org/10.1111/eje.12128 ] [PMID: 25470689]
[16]
Hu Q, Schaufeli WB. The factorial validity of the Maslach burnout inventory-student survey in China. Psychol Rep 2009; 105(2): 394-408.
[http://dx.doi.org/10.2466/PR0.105.2.394-408 ] [PMID: 19928601]
[17]
Galán F, Sanmartín A, Polo J, Giner L. Burnout risk in medical students in Spain using the Maslach burnout inventory-student survey. Int Arch Occup Environ Health 2011; 84(4): 453-9.
[http://dx.doi.org/10.1007/s00420-011-0623-x ] [PMID: 21373879]
[18]
Dyrbye LN, Thomas MR, Huntington JL, et al. Personal life events and medical student burnout: a multicenter study. Acad Med 2006; 81(4): 374-84.
[http://dx.doi.org/10.1097/00001888-200604000-00010 ] [PMID: 16565189]
[19]
Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc 2005; 80(12): 1613-22.
[http://dx.doi.org/10.4065/80.12.1613 ] [PMID: 16342655]
[20]
Stewart SM, Lam TH, Betson CL, Wong CM, Wong AM. A prospective analysis of stress and academic performance in the first two years of medical school. Med Educ 1999; 33(4): 243-50.
[http://dx.doi.org/10.1046/j.1365-2923.1999.00294.x ] [PMID: 10336754]
[21]
Spiegel DA, Smolen RC, Jonas CK. An examination of the relationships among interpersonal stress, morale and academic performance in male and female medical students. Soc Sci Med 1986; 23(11): 1157-61.
[http://dx.doi.org/10.1016/0277-9536(86)90334-5 ] [PMID: 3810201]
[22]
Wolf TM, Faucett JM, Randall HM, Balson PM. Graduating medical students’ ratings of stresses, pleasures, and coping strategies. J Med Educ 1988; 63(8): 636-42.
[PMID: 3398019]
[23]
MacLeod RD, Parkin C, Pullon S, Robertson G. Early clinical exposure to people who are dying: learning to care at the end of life. Med Educ 2003; 37(1): 51-8.
[http://dx.doi.org/10.1046/j.1365-2923.2003.01412.x ] [PMID: 12535115]
[24]
Dyrbye LN, Thomas MR, Power DV, et al. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med 2010; 85(1): 94-102.
[http://dx.doi.org/10.1097/ACM.0b013e3181c46aad ] [PMID: 20042833]
[25]
Dyrbye LN, West CP, Satele D, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med 2014; 89(3): 443-51.
[http://dx.doi.org/10.1097/ACM.0000000000000134 ] [PMID: 24448053]
[26]
Dyrbye LN, West CP, Satele D, Boone S, Sloan J, Shanafelt TD. A national study of medical students’ attitudes toward self-prescribing and responsibility to report impaired colleagues. Acad Med 2015; 90(4): 485-93.
[http://dx.doi.org/10.1097/ACM.0000000000000604 ] [PMID: 25539515]
[27]
Dyrbye LN, Thomas MR, Eacker A, et al. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med 2007; 167(19): 2103-9.
[http://dx.doi.org/10.1001/archinte.167.19.2103 ] [PMID: 17954805]
[28]
Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med 2008; 149(5): 334-41.
[http://dx.doi.org/10.7326/0003-4819-149-5-200809020-00008 ] [PMID: 18765703]
[29]
West CP, Shanafelt TD, Kolars JC. Quality of life, burnout, educational debt, and medical knowledge among internal medicine residents. JAMA 2011; 306(9): 952-60.
[http://dx.doi.org/10.1001/jama.2011.1247 ] [PMID: 21900135]
[30]
Prins JT, Gazendam-Donofrio SM, Tubben BJ, van der Heijden FMMA, van de Wiel HBM, Hoekstra-Weebers JEHM. Burnout in medical residents: a review. Med Educ 2007; 41(8): 788-800.
[http://dx.doi.org/10.1111/j.1365-2923.2007.02797.x ] [PMID: 17661887]
[31]
Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM III. Burnout in residents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. Acad Med 2007; 82(6): 596-601.
[http://dx.doi.org/10.1097/ACM.0b013e3180556825 ] [PMID: 17525550]
[32]
Wolf MR, Rosenstock JB. Inadequate sleep and exercise associated with burnout and depression among medical students. Acad Psychiatry 2017; 41(2): 174-9.
[http://dx.doi.org/10.1007/s40596-016-0526-y ] [PMID: 26976402]
[33]
Fares J, Saadeddin Z, Al Tabosh H, et al. Extracurricular activities associated with stress and burnout in preclinical medical students. J Epidemiol Glob Health 2016; 6(3): 177-85.
[http://dx.doi.org/10.1016/j.jegh.2015.10.003 ] [PMID: 26644345]
[34]
Dyrbye LN, Satele D, Shanafelt TD. Healthy exercise habits are associated with lower risk of burnout and higher quality of life among U.S. medical students. Acad Med 2017; 92(7): 1006-11.
[http://dx.doi.org/10.1097/ACM.0000000000001540] [PMID: 28030419]
[35]
Aryankhesal A, Mohammadibakhsh R, Hamidi Y, et al. Interventions on reducing burnout in physicians and nurses: a systematic review. Med J Islam Repub Iran 2019; 33: 77.www.ncbi.nlm. nih.gov/pubmed/31696071
[PMID: 31696071]
[36]
Liu H, Yansane AI, Zhang Y, Fu H, Hong N, Kalenderian E. Burnout and study engagement among medical students at Sun Yat-sen University, China. Medicine 2018; 97e0326
[http://dx.doi.org/10.1097/MD.0000000000010326 ] [PMID: 29642167]
[37]
Fitzpatrick O, Biesma R, Conroy RM, McGarvey A. Prevalence and relationship between burnout and depression in our future doctors: a cross-sectional study in a cohort of preclinical and clinical medical students in Ireland. BMJ Open 2019; 9(4)e023297
[http://dx.doi.org/10.1136/bmjopen-2018-023297 ] [PMID: 31048421]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy