Indian Journal of Private Psychiatry

Register      Login

VOLUME 15 , ISSUE 2 ( July-December, 2021 ) > List of Articles

ORIGINAL RESEARCH

Effect of Stress Coping on Burnout: A Prospective Study with First-year Postgraduate Medical Students

Darshankumar Dharaiya, Kamlesh Dave, Pradhyuman Chaudhary

Keywords : Burnout, Coping strategies, First-year resident, Perceived stress

Citation Information : Dharaiya D, Dave K, Chaudhary P. Effect of Stress Coping on Burnout: A Prospective Study with First-year Postgraduate Medical Students. Ind J Priv Psychiatry 2021; 15 (2):62-68.

DOI: 10.5005/jp-journals-10067-0092

License: CC BY-NC 4.0

Published Online: 31-12-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Background: Many studies have recognized that the first postgraduate year (PGY-1) of residency training is the most stressful. Failing to cope with the stress will have a negative impact on their work performance and the quality of patient care. Aims and objectives: To investigate stress and burnout in PGY-1 residents and to explore the relationship between stress, coping strategies, and burnout. Methods: Fifty-four PGY-1 residents completed the Perceived Stress Scale, the Copenhagen Burnout Inventory and Coping Inventory at baseline and after 6-month follow-up. The association among stress, burnout, and coping strategies was examined by paired t-test. Results: PGY-1 resident students had an increase in the level of perceived stress, level of personal burnout, work-related burnout, and patient-related burnout from baseline to 6-month follow-up (p >0.05). In male resident doctors, only work-related burnout increased significantly with the duration of residency, while in females, a significant increase in the level of personal, work-related and patient-related burnout was observed. Conclusion: The present study revealed high levels of stress that are predictor of burnout, which increases with the duration of the residency program.


HTML PDF Share
  1. CMA National Physician Health Survey: a national snapshot. Ottawa: Canadian Medical Association; 2018.
  2. Larsson L, Rosenqvist U, Holmstrom I. Being a young and inexperienced trainee anesthetist: a phenomenological study on ought to working conditions. Acta Anaesthesiol Scand 2006;50(6):653–658. DOI: 10.1111/j.1399-6576.2006.01035.x.
  3. Sahasrabuddhe AG, Suryawanshi SR, Bhandari S. Stress among doctors doing residency : a cross-sectional study at a tertiary care hospital in the city of Mumbai. Natl J Community Med 2015;6(1):21–24.
  4. Agrawal S. Prevalence of stress among resident doctors working in Medical Colleges of Delhi. Indian J Public Health 2010;54(4):219–223. DOI: 10.4103/0019-557X.77266.
  5. Vankar GK, Bhadania S, Parikh M. Stress and coping among resident doctors. 2011.
  6. Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Med Educ 2016;50(1):132–149. DOI: 10.1111/medu.12927. PMID: 26695473.
  7. Wu F, Ireland M, Hafekost K, et al. National mental health survey of doctors and medical students. Melbourne, Victoria: Beyond Blue; 2013.
  8. Naji L, Singh B, Shah A, et al. Global prevalence of burnout among postgraduate medical trainees: a systematic review and meta-regression. CMAJ Open 2021;9(1):E189–E200. DOI: 10.9778/cmajo.20200068.
  9. Alexander D, Monk JS, Jonas AP. Occupational stress, personal strain, and coping among residents and faculty members. J Med Educ 1985;60(11):830–839. DOI: 10.1097/00001888-198511000-00002.
  10. Butterfield PS. The stress of residency. A review of the literature. Arch Med 1988;148(6):1428–1435. PMID: 3288162.
  11. Hsu K, Marshall V. Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows. Am J Psych 1987;144(12):1561–1566. DOI: 10.1176/ajp.144.12.1561.
  12. Navines R, Olive V, Ariz J, et al. Stress and burnout during the first year of residence training in a university teaching hospital: preliminary date. Dual Diagn Open Acc 2016;1:17. DOI: 10.21767/2472-5048.100017.
  13. Saini N, Agrawal S, Bhasin S, et al. Prevalence of stress among resident doctors working in Medical Colleges of Delhi. Indian J Public Health 2011;54(4):219. DOI: 10.4103/0019-557X.77266.
  14. Phitayakorn R, Minehart RD, Hemingway MW, et al. Relationship between physiologic and psychological measures of autonomic activation in operating room teams during a simulated airway emergency. Am J Surg 2015;209(1):86–92. DOI: 10.1016/j.amjsurg.2014.08.036.
  15. Selye H. The stress of my life: a scientist's memoirs. 2nd ed. New York, USA: Van Nostrand Reinhold; 1979.
  16. Bittner JGt, Khan Z, Babu M, et al. Stress, burnout, and maladaptive coping: strategies for surgeon well-being. Bull Am Coll Surg 2011;96(8):17–22. PMID: 22319907.
  17. Shanafelt TD, Bradley KA, Wipf JE, et al. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med 2002;136(5):358–367. DOI: 10.7326/0003-4819-136-5-200203050-00008.
  18. Gan Y, Shang J, Zhang Y. Coping flexibility and locus of control as predictors of burnout among Chinese college students. Soc Behav Pers 2007;35(8):1087–1098. DOI: 10.2224/sbp.2007.35.8.1087.
  19. Fresco DM, Williams NL, Nugent NR. Flexibility and negative affect: examining the associations of explanatory flexibility and coping flexibility to each other and to depression and anxiety. Cogn Ther Res. 2006;30(2): 201–210. DOI: 10.1007/s10608-015-9702-8.
  20. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979;9(1):139–145. DOI: 10.1017/s0033291700021644.
  21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983;24(4):385–396. PMID: 6668417.
  22. Kristensen TS, Borritz M, Villadsen E, et al. The Copenhagen Burnout Inventory: a new tool for the assessment of burnout. Work Stress 2005;19(3):192–207. DOI: 10.1080/02678370500297720.
  23. Winwood PC, Winefield AH. Comparing two measures of burnout among dentists in Australia. Int J Stress Manag 2004;11(3):282–289. DOI: 10.1037/1072-5245.11.3.282.
  24. Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 1989;56(2):267–283. DOI: 10.1037//0022-3514.56.2.267.
  25. Fernando BMS, Samaranayake DL. Burnout among postgraduate doctors in Colombo: prevalence, associated factors and association with self-reported patient care. BMC Med Educ 2019;19(1):373. Available from: https://doi.org/10.1186/s12909-019-1810-9
  26. Datar MC, Shetty JV, Naphade NM. Stress and coping styles in postgraduate medical students: a medical college-based study. Indian J Soc Psychiatry 2017;33(4):370–374. DOI: 10.4103/ijsp.ijsp_59_16.
  27. Moffat KJ, McConnachie A, Ross S, et al. First-year medical student stress and coping in a problem-based learning medical curriculum. Med Educ 2004;38(5):482–491. DOI: 10.1046/j.1365-2929.2004.01814.x.
  28. Goel N, Khandelwal V, Pandya K, et al. Alcohol and tobacco use among undergraduate and postgraduate medical students in India: a multicentric cross-sectional study. Cent Asian J Glob Health 2015;4(1):187. DOI: 10.5195/cajgh.2015.187.
  29. Kasi PM, Khawar T, Khan FH, et al. Studying the association between postgraduate trainees’ work hours, stress and the use of maladaptive coping strategies. J Ayub Med Coll Abbottabad 2007;19(3):37–41. PMID: 18444589.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.