Dergiler / Medeniyet Medical Journal / 2019 / Cilt: 34 - Sayı: 2

Frequency of Anxiety Among Physicians Working in Emergency Departments and Other Clinics in Turkey: A Cross-Sectional Survey

Türkiye’de Acil Servis ve Diğer Kliniklerde Çalışan Doktorlarda Anksiyete Sıklığı: Kesitsel Anket Çalışması

Sayfa
135–142
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Considering medical specialties, higher level of anxiety determined in the emergency physicians might be a guide for investigation of working conditions in this field and for development of protective and preventive policies.

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Amaç & Hipotez:Objective: Physicians are exposed to various emotional and physical stressors in their working environment.
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Temel Bulgular & Veri:Results: A total of 508 medical specialists (male 71.9%; mean age 37.5±7.2 years) included in the analysis, 97 (19,1%) were EP and 411 (80.9%) were from other medical specialties.
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Sonuç & Katkı:Considering medical specialties, higher level of anxiety determined in the emergency physicians might be a guide for investigation of working conditions in this field and for development of protective and preventive policies.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: Physicians are exposed to various emotional and physical stressors in their working environment. Emergency departments are particularly stressful working environments. This study aimed to determine the frequency of anxiety among emergency physicians (EP) and other medical specialists. Methods: This cross-sectional survey included voluntarily participated physicians working in hospitals in Turkey. Physicians were grouped based on their Beck Anxiety Inventory (BAI) scores and their characteristics were compared. The frequency of anxiety and other characteristics of the physicians were investigated. Results: A total of 508 medical specialists (male 71.9%; mean age 37.5±7.2 years) included in the analysis, 97 (19,1%) were EP and 411 (80.9%) were from other medical specialties. The mean Beck Anxiety Inventory Score of the specialists from other clinics was 9.6±7.7 points. The frequencies of moderate, and severe anxiety among medical specialists were 13.8%, and 2.8%, respectively. The overall frequency of moderate-severe anxiety was 16.5%; which was higher in emergency physicians than in other clinical specialists (33% and 12.7%, respectively). The mean Beck Anxiety Inventory scores of EP and other medical specialists were found as 13±9.3 and 8.7±7.0, respectively (p<0.001). Anxiety score showed a negative correlation with age and duration of working as a specialist.Among emergency physicians, the rates of smoking (p=0.008), alcohol consumption (p=0.003) and anxiety scores were higher and the duration of working as a specialist was shorter (p<0.001). Conclusions: Frequency of anxiety is higher among physicians. Considering medical specialties, higher level of anxiety determined in the emergency physicians might be a guide for investigation of working conditions in this field and for development of protective and preventive policies.

Abstract

Amaç: Hekimler çalışma ortamlarında çeşitli duygusal ve fiziksel streslere maruz kalırlar. Acil servisler özellikle stresli çalışma ortamlarıdır. Bu çalışmada acil tıp uzmanlarında (ATU) ve diğer klinik uzmanlarında anksiyete sıklığının belirlenmesi amaçlanmıştır. Yöntem: Türkiye’deki hastanelerde çalışan ve bu kesitsel anket çalışmasına gönüllü olarak katılmayı kabul eden uzman hekimler çalışmaya dahil edilmiştir. Doktorlar, Beck anksiyete puanlarına göre gruplandırılmış ve özellikleri karşılaştırılmıştır. Hekimlerin anksiyete sıklığı ve diğer özellikleri incelenmiştir. Bulgular: Analize dahil edilen 508 uzman doktorun (erkek: %71,9; ortalama yaş: 37,5±7,2) 97’si (%19,1) ATU, 411’i (%8,9) diğer klinik dallarda uzmandı. Beck anksiyete skorları ortalama 9,6±7,7 olarak saptandı. Orta ve şiddetli anksiyete düzeyinde olan uzman doktorların yüzdeleri sırasıyla %13,8 ve %2,8 idi. Orta-şiddetli anksiyetesi olanların sıklığı %16,5; bu oran ATU’larda diğer klinik uzmanlarınkinden daha yüksekti (sırasıyla %33 ve %12,7). ATU ve diğer klinik uzman doktorlarının ortalama Beck anksiyete düzeyleri sırasıyla 13±9,3 ve 8,7±7,0 olarak saptandı (p<0,001). Anksiyete skoru yaş ve uzman olarak çalışma süresi ile negatif korelasyon gösterdi. Acil hekimlerinde sigara içme (p=0,008) ve alkol tüketimi (p=0,003) ile anksiyete skorları daha yüksek iken uzman olarak çalışma süreleri daha kısaydı (p<0,001). Sonuç: Uzman doktorlarda anksiyete sıklığı yüksektir. Branşlar dikkate alındığında, acil tıp uzmanlarında saptanan yüksek anksiyete düzeyi, bu alandaki çalışma koşullarının araştırılması ve koruyucu ve önleyici politikaların geliştirilmesi için bir rehber olabilir.

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Bu Makaleye Atıf Yap

KOCAK, M., GUL, O. A., AYDIN, H., AÇIKSARI, K., OZUCELIK, D. N. (2019). Frequency of Anxiety Among Physicians Working in Emergency Departments and Other Clinics in Turkey: A Cross-Sectional Survey. Medeniyet Medical Journal, Cilt: 34 - Sayı: 2, 135–142. https://ajindex.com/articles/283266

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Kaynakça (6)

  1. Department of Health and Human Services. Exposure to stress. In: Occupational hazards in hospitals. Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health 2008. https://www.cdc.gov/niosh/docs/2008-136/pdfs/2008-136.pdf. Accessed 17 May 2018
  2. Arnetz BB. Psychosocial challenges facing physicians of today. Soc Sci Med. 2001;52:203-13. [CrossRef] 3. Xiao Y, Wang J, Chen S, et al. Psychological distress, burnout level and job satisfaction in emergency medicine: A cross-sectional study of physicians in China. Emerg Med Australas 2014;26:538-42. [CrossRef] 4. Dias RD, Scalabrini Neto A. Acute stress in residents during emergency care: a study of personal and situational factors. Stress. 2017;20:241-8. [CrossRef] 5. Tyssen R, Vaglum P. Mental health problems among young doctors: an updated review of prospective studies. Harv Rev Psychiatry 2002;10:154-65. [CrossRef] 6. Center C, Davis M, Detre T, et al. Confronting depression and suicide in physicians: a consensus statement. JAMA 2003;289:3161-6. [CrossRef] 7. Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci 2015;17:327-35
  3. Khuwaja AK, Qureshi R, Azam SI. Prevalence and factors associated with anxiety and depression among family practitioners in Karachi, Pakistan. J Pak Med Assoc. 2004;54:45-9
  4. Beck AT, Epstein N, Brown G, et al. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56:893-7. [CrossRef] 10. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory. J Cogn Psychother 1998;12:163-72
  5. Martin P. The epidemiology of anxiety disorders: A review. Dialogues Clin Neurosci. 2003;5:281-98. [CrossRef] 12. Erdur B, Ergin A, Turkcuer I, et al. A study of depression and anxiety among doctors working in emergency units in Denizli, Turkey. Emerg Med J. 2006;23:759-63. [CrossRef] 13. Shen LL, Lao LM, Jiang SF, et al. A survey of anxiety and depression symptoms among primary-care physicians in China. Int J Psychiatry Med. 2012;44:257-70. [CrossRef] 14. Gong Y, Han T, Chen W, et al. Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PLoS One. 2014;9:e103242. [CrossRef] 15. Pougnet R, Di Costanzo LP, Kerrien M, et al. Occupational factors for mood and anxiety disorders among junior medical doctors. Med Lav. 2015;106:386-93
  6. McEvoy PM, Grove R, Slade T. Epidemiology of a