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Organizational conditions associated with mental health problems in medical residents

Grant number: 16/13410-0
Support type:Scholarships abroad - Research Internship - Doctorate
Effective date (Start): October 17, 2016
Effective date (End): October 16, 2017
Field of knowledge:Humanities - Psychology - Psychological Treatment and Prevention
Principal researcher:Sonia Regina Loureiro
Grantee:Karina Pereira Lima
Supervisor abroad: Srijan Sen
Home Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
Research place: University of Michigan, United States  
Associated to the scholarship:14/06972-7 - Burnout: personality, social skills and mental health predictors during the medical residency, BP.DR


Life stress is a well-established trigger for mental health problems, and the medical residency has been recognized as a period of high stress during which medical professionals deal with a series of extreme emotional situations. The chronic stress of medical residency has been associated with the presence of many mental health problems, in particular anxiety, depression, and alcoholism, which can have a negative effect on physicians and their patients. A recent meta-analysis suggests that the underlying causes of these problems are common to residency training in different countries, and that investigating the institutional culture of specific residency programs and work environments may help to better elucidate the mental health issue among medical residents. The present project targets this gap, with the aim of examining the predictive effect of residency organizational conditions concerning aspects of institutional culture, work process, and learning environment on indicators of anxiety, depression, and alcoholism among medical interns from Brazil and United States. A total of 300 medical interns from three Brazilian and US institutions were evaluated between 2013 and 2016 using the following standardized measures: Patient Health Questionnaire-9; Generalized Anxiety Disorder Questionnaire-7; Alcohol Use Disorders Identification Test-C; The Fellowship and Residency Electronic Interactive Database Access; and Resident Questionnaire. Data will be analyzed using both descriptive and inferential statistical procedures. It is expected that such systematization of data may inform preventive measures concerning the mental health of medical residents.

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Scientific publications (4)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
PEREIRA-LIMA, KARINA; GUPTA, RAHAEL R.; GUILLE, CONSTANCE; SEN, SRIJAN. Residency Program Factors Associated With Depressive Symptoms in Internal Medicine Interns: A Prospective Cohort Study. ACADEMIC MEDICINE, v. 94, n. 6, p. 869-875, . (16/13410-0)
PEREIRA-LIMA, KARINA; CASAGRANDE SILVA-RODRIGUES, ANA PAULA; FARNOCCHI MARUCCI, FLAVIA ANDRESSA; OSORIO, FLAVIA DE LIMA; CRIPPA, JOSE ALEXANDRE; LOUREIRO, SONIA REGINA. Cross-cultural adaptation and psychometric assessment of a Brazilian-Portuguese version of the Resident Questionnaire. PLoS One, v. 13, n. 9, . (16/13410-0)
PEREIRA-LIMA, KARINA; MATA, DOUGLAS A.; LOUREIRO, SONIA R.; CRIPPA, JOSE A.; BOLSONI, LIVIA M.; SEN, SRIJAN. Association Between Physician Depressive Symptoms and Medical Errors A Systematic Review and Meta-analysis. JAMA NETWORK OPEN, v. 2, n. 11, . (18/21480-4, 16/01801-5, 16/13410-0)
MEEKS, LISA M.; CLEARY, JENNIFER; HORWITZ, ADAM; PEREIRA-LIMA, KARINA; ZHAO, ZHUO; FANG, YU; SEN, SRIJAN. Analysis of Depressive Symptoms and Perceived Impairment Among Physicians Across Intern Year. JAMA NETWORK OPEN, v. 5, n. 1, . (16/13410-0, 18/21480-4)

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