The phenomenon of burnout among medical students - literature review
Keywordsburnout, stress, medical students,
Introduction: Burnout is characterised by a triad of emotional exhaustion, depersonalisation and a decreased sense of accomplishment. Distress during medical school can lead to burnout, with significant consequences, particularly if burnout continues into residency and beyond. There is a lot of research into burnout and the authors reviewed literature pertaining to medical student burnout, its prevalence, and its relationship to personal, environmental, demographic and psychiatric factors.
The aim of the study: Paying attention to the correlation between academic lifestyle and occurrence burnout among medical students.
Material and method: The research was done by the usage of the PubMed and Google Scholar articles about the topic of: burnout; stress; medical students; behaviour.
Description of the state of knowledge: The educational process brings a considerable amount of stress to medical students that can influence mental health status and contribute to further professional burnout. According to various studies and definitions of occupational burnout, this phenomenon is observed in up to 76% of medical students. Research has identified associations between burnout and lifestyle health behaviours. Also relationship between the occurrence of burnout and suicide attempts has been demonstrated. In turn spirituality has been positively influence well-being and to prevent burnout.
Summary: Undoubtedly, it is worth paying attention to the phenomenon of occupational burnout among students from the first years of medical studies. Universities should make efforts to reduce the risk of the occurrence and further development of burnout, which may have negative effects in the future work with the patient.
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Ann Rev Psychol 2001; 52: 397422.
Linzer M, Manwell LB, Williams ES, Bobula JA, Brown RL, Varkey AB, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med 2009; 151: 2836.
Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with worklife balance among US physicians relative to the general US population. Arch Intern Med 2012; 172: 137785.
Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002; 136: 35867
Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and well-being relate to medical student empathy? A multicenter study. Society of General Internal Medicine. 2007; 22:177–183.
Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008 Sep 2;149(5):334-41. doi: 10.7326/0003-4819-149-5-200809020-00008. PMID: 18765703.
Givens JL, Tjia J. Depressed medical students’ use of mental health services and barriers to use. Acad Med. 2002; 77: 918-21. PMID: 12228091
Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005; 53: 219-24. PMID: 15813232
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005; 39: 594-604. PMID: 15910436
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 Apr;84(4):453-9. doi: 10.1007/s00420-011-0623-x. Epub 2011 Mar 4. PMID: 21373879.
Backović DV, Zivojinović JI, Maksimović J, Maksimović M. Gender differences in academic stress and burnout among medical students in final years of education. Psychiatr Danub. 2012 Jun;24(2):175-81. PMID: 22706416.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ 2005; 39: 594604.
Dyrbye LN, Thomas MR, Shanafelt TD, editors. Medical student distress: causes, consequences, and proposed solutions. Mayo Clinic Proc 2005; 80: 161322.
Dyrbye LN, Thomas MR, Harper W, Massie F, Power DV, Eacker A, et al. The learning environment and medical student burnout: a multicentre study. Med Educ 2009; 43: 27482.
Purvanova RK, Muros JP. Gender differences in burnout: a meta-analysis. J Vocat Behav 2010; 77: 16885.
Kuntsche E, Knibbe R, Gmel G, Engels R. Why do young people drink? A review of drinking motives. Clin Psychol Rev 2005; 25: 84161.
Park CL, Armeli S, Tennen H. The daily stress and coping process and alcohol use among college students. J Stud Alcohol Drugs 2004; 65: 126.
Liu C, Xie B, Chou C-P, Koprowski C, Zhou D, Palmer P, et al. Perceived stress, depression and food consumption frequency in the college students of China seven cities. Physiol Behav 2007; 92: 74854.
Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J 2009; 8: 31.
Nguyen-Michel ST, Unger JB, Hamilton J, Spruijt-Metz D. Associations between physical activity and perceived stress/ hassles in college students. Stress Health 2006; 22: 17988.
Cecil J, McHale C, Hart J, Laidlaw A. Behaviour and burnout in medical students. Med Educ Online. 2014 Aug 25; 19: 25209. doi: 10.3402/meo.v19.25209. PMID: 25160716; PMCID: PMC4145104.
Dyrbye L, Thomas M, Power D, et al. Burnout and Serious Thoughts of Dropping Out of Medical School: A Multi-Institutional Study. Academic Medicine. 2010; 85(1):94–102. PubMed: 20042833
Koenig HG. Research on Religion, Spirituality, and Mental Health: A Review. Résumé: Recherche sur la religion, la spiritualité et la santé mentale: une revue. 2009; 54(5):283–291.
Wachholtz A, Rogoff M. The relationship between spirituality and burnout among medical students. J Contemp Med Educ. 2013;1(2):83-91. doi: 10.5455/jcme.20130104060612. PMID: 25485165; PMCID: PMC4255468.
Soler JK, Yaman H, Esteva M, Dobbs F, Asenova RS, Katic M, et al. Burnout in European family doctors: the EGPRN study. Fam Pract. 2008;25(4):245-65
West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300
Santen SA, Holt DB, Kemp JD, Hemphill RR. Burnout in medical students: examining the prevalence and associated factors. South Med J. 2010 Aug;103(8):758-63. doi: 10.1097/SMJ.0b013e3181e6d6d4. PMID: 20622724.
Maslach C, Jackson SE, Lieter MP. Maslach Burnout Inventory Manual. ed 3. Palo Alto, CA, Consulting Psychologists Press, 1996.
Brenninkmeijer V, VanYperen N. How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med 2003;60(Suppl I): i16 –i20.
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