Prevalence of stress among postgraduate junior residents in Bangalore, Karnataka, India

Authors

  • Ramya H. S. Department of Pediatrics, Kempegowda Institute of Medical Sciences (KIMS), Bangalore, Karnataka, India
  • Nisar Ahamed A. R. Department of Pediatrics, Kempegowda Institute of Medical Sciences (KIMS), Bangalore, Karnataka, India
  • Rajendra Prasad T. C. Department of Pediatrics, Kempegowda Institute of Medical Sciences (KIMS), Bangalore, Karnataka, India
  • Muragesh Awati Department of Pediatrics, Kempegowda Institute of Medical Sciences (KIMS), Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20192034

Keywords:

Postgraduate, PSS, Stress

Abstract

Background: Post graduate residents in tertiary care teaching hospitals in metropolitan cities bear the overwhelming burden due to heavy workload, they are at high risk of developing burnout syndrome, which in turn may affect hospital outcomes such as the quality and safety of the provided care.  This study was conducted to assess their perceived stress, stress induced somatic symptoms and coping strategies by postgraduates in Bangalore, India.

Methods: This cross-sectional study was conducted on all postgraduates willing to participate in the study, pursuing their post-graduation in various specialties in Six medical colleges in Bangalore, India. Stress was assessed by Perceived stress scale (PSS-10), Stress induced physical symptoms using selected items from self-reporting questionnaire (SRQ-20), coping strategies using selected items from BRIEF COPE. Descriptive and inferential statistical analysis has been carried out in the present study.

Results: The mean PSS score in present study was found to be 22.92 (moderate stress). Stress was associated with clinical specialty, higher workload, poor sleep quality due to more working hours, marital status, harmful ideations. In present study Post graduates of OBG, pediatrics, radiology demonstrated higher perceived stress score with a mean PSS Score of 25.57, 24.25, 24.22 respectively. Dermatology postgraduates reported lowest stress levels with a mean PSS score of 16.86.

Conclusions: In present study post graduates are facing moderate stress, affecting their physical and mental health resulting in dysfunctional coping strategies and harmful ideations like quitting, which has an impact on quality and safety of provided care.

References

Salam A, Yousuf R, Bakar SMA, Haque M. Stress among medical students in malaysia: A systematic review of literatures. Int Med J. 2013;20(6):649-55.

Gobbur SB, Nigudgi SR, Reddy S. Prevalence of stress among post graduate doctors at Mahadevappa Rampure medical college Kalaburagi, Karnataka. Int J Comm Med Public Health. 2017;3(2):576-80.

Mumtaz Y, Jahangeer A, Habib A, Adnan S, Mumtaz Z. Stress in postgraduate trainee Doctor of Public and private universities of Karachi. Pak J Med Sci. 2010;26(2).

Pino MM, López-Ibor JA. Stress and adjustment at the beginning of postgraduate medical training. Luso-Spanish Neurol Psychiat Related Sci. 1995;23(5):24-8.

Veasey S, Rosen R, Barzansky B, Rosen I, Owens J. Sleep loss and fatigue in residency training: a reappraisal. JAMA. 2002;288(9):1116-24.

Alosaimi FD, Kazim SN, Almufleh AS, Aladwani BS, Alsubaie AS. Prevalence of stress and its determinants among residents in Saudi Arabia. Saudi Med J. 2015;36(5):605.

Freudenberger HJ. Staff burnout. J Soc. 1974;30:159-65.

Anagnostopoulos F, Demerouti E, Sykioti P, Niakas D, Zis P. Factors associated with mental health status of medical residents: a model-guided study. J Clinic Psychol Med Settings. 2015;22(1):90-109.

Zis P, Anagnostopoulos F, Sykioti P. Burnout in medical residents: a study based on the job demands-resources model. Scient World J. 2014;2014.

Gobbur SB, Nigudgi SR, Reddy S. Prevalence of stress among post graduate doctors at Mahadevappa Rampure medical college Kalaburagi, Karnataka. Int J Comm Med Public Health. 2017;3(2):576-80.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Social Behavior. 1983:385-96.

Rosner B, eds. Fundamentals of biostatistics. 5th ed, Duxbury.2000:80-240.

Riffenburg RH, eds. Statistics in medicine. 2nd ed, Academic press.2005: 85-125.

Sunder Rao PSS, Richard J, eds. An introduction to biostatistics a manual for students in health sciences. 4th ed. New Delhi: Prentice hall of India.2006: 86-160

Suresh KP, Chandrashekara S. Sample size estimation and power analysis for clinical research studies. J Human Reprod Sci. 2012;5(1):7.

Jamsiah M, Taher S, Jamil AT. Stress among international postgraduate students at universiti kebangsaan Malaysia medical centre (UKMMC). Malaysian J Public Health Med. 2014;14(2):21-33.

Waldman SV, Diez JC, Arazi HC, Linetzky B, Guinjoan S, Grancelli H. Burnout, perceived stress, and depression among cardiology residents in Argentina. Acad Psychiat. 2009;33(4):296-301.

Abut YC, Kitapcioglu D, Erkalp K, Toprak N, Boztepe A, Sivrikaya U, et al. Job burnout in 159 anesthesiology trainees. Saudi J Anaesth. 2012;6(1):46.

Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M. Resident wellness behaviors. Fam Med. 2013;45(8):541-9.

Alosaimi FD, Kazim SN, Almufleh AS, Aladwani BS, Alsubaie AS. Prevalence of stress and its determinants among residents in Saudi Arabia. Saudi Med J. 2015;36(5):605.

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds Harrison’s internal medicine. 18th ed. 222.

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. National J Comm Med. 2015;6(1):21-4.

Kumar R, Siddiqui N, Shahid Z, Syed S. Stress, job satisfaction and work hours in medical and surgical residency programmes in private sector teaching hospitals of Karachi Pakistan. Stress. 2012.

Bittner IV JG, Khan Z, Babu M, Hamed O. Stress, burnout, and maladaptive coping. Bull Am Coll Surg. 2011;96(8):17-22.

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Published

2019-04-30

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Original Research Articles