Salud Mental

Self-perceived health in psychiatrists and psychiatry trainees. The role of perfectionism and distress

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Diana Guízar-Sánchez
María Yoldi-Negrete
Rebeca Robles-García
Carlos Alfonso Tovilla-Zarate
Luis Manjarrez-Gutiérrez
Czeslaw Kristofer Lugowski-Rivero
Gerardo Heinze-Martin
Ana Fresán

Abstract

Introduction. Self-perceived health (SPH) is related to disease and well-being. Psychiatrists report burnout and mental disorders more frequently than other physicians, while personality traits related to perfectionism may influence the perception of well-being and health in these professionals.

Objective. To compare and determine the association between demographic variables, health conditions, perceived distress, perfectionism, and SPH.

Method. A cross-sectional, retrospective, comparative study was performed through an online survey. Psychiatrists and psychiatry trainees who were willing and able to participate were included. Demographic variables and self-reports of mental and physical conditions were examined. SPH was rated on a 10-point visual analogue scale and perfectionism through the Multidimensional Perfectionism Scale. Comparative analyses and multiple linear regression models were performed.

Results. Three hundred and thirty psychiatry trainees and 355 psychiatrists were recruited. Psychiatrists reported more physical conditions (32.4% vs. 15%, p < .001), distress (p < .001), and perfectionism (p < .001). Major depression and anxiety were present over 50% of all participants. A higher SPH was associated with being partnered and having higher distress levels in psychiatry trainees and with the absence of a physical health condition, less concern over errors, and higher personal standards in psychiatrists.

Discussion and conclusion. Self-oriented perfectionism may have a significant motivational component, accentuated by competitiveness and individualism. Being married and having higher levels of distress in psychiatry trainees appears to create a sense of satisfaction with achievements. The implementation of strategies to prioritize and meet goals is necessary to have an adequate work-life balance without affecting personal satisfaction or the sense of achievement.
Keywords:
Keywords, Self-perceived health, psychiatry, well-being, perfectionism

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References

Adler, A. (1956). The neurotic disposition. In The individual psychology of Alfred Adler (pp. 239-262). New York, NY: Basic Books.

Amoafo, E., Hanbali, N., Patel, A., & Singh, P. (2015). What are the significant factors associated with burnout in doctors? Occupational Medicine, 65(2), 117-121. doi: 10.1093/occmed/kqu144

Assari, S., & Bazargan, M. (2019). Marital Status and Physical Health: Racial Differences. International Journal of Epidemiologic Research, 6(3), 108-113. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/31572801

Besser, A., Flett, G. L., Hewitt, P. L., & Guez, J. (2008). Perfectionism, and cognitions, affect, self-esteem, and physiological reactions in a performance situation. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26(3), 206-228. doi: 10.1007/s10942-007-0067-0

Cloninger, C. R. (2006). The science of well being: An integrated approach to mental health and its disorders. World Psychiatry, 5(2), 71-76.

Cloninger, C. R., & Zohar, A. H. (2011). Personality and the perception of health and happiness. Journal of Affective Disorders, 128(1-2), 24-32. doi: 10.1016/j.jad.2010.06.012

Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: A meta-analysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145(4), 410-429. doi: 10.1037/bul0000138

Daily, J. A. (2019). Divorce Among Physicians and Medical Trainees. Journal of the American College of Cardiology, 73(4). doi: 10.1016/j.jacc.2018.12.016

Denman, M., Oyebode, F., & Greening, J. (2016). Reasons for choosing to specialise in psychiatry: differences between core psychiatry trainees and consultant psychiatrists. BJPsych Bulletin, 40(1), 19-23. doi: 10.1192/pb.bp.114.048678

Flett, G. L., Baricza, C., Gupta, A., Hewitt, P. L., & Endler, N. S. (2011). Perfectionism, psychosocial impact and coping with irritable bowel disease: A study of patients with Crohn’s disease and ulcerative colitis. Journal of Health Psychology, 16(4), 561-571. doi: 10.1177/1359105310383601

Fothergill, A., Edwards, D., & Burnard, P. (2004). Stress, burnout, coping and stress management in psychiatrists: Findings from a systematic review. International Journal of Social Psychiatry, 50(1), 54-65. doi: 10.1177/0020764004040953

Franco Paredes, K., Mancilla-Díaz, J. M., Álvarez Rayón, G., Vázquez Arévalo, R., & López Aguilar, X. (2010). Estructura factorial y consistencia interna de la Escala Multidimensional de Perfeccionismo. Revista Mexicana de Psicología, 27(2), 143-149. Retrieved from http://www.redalyc.org/articulo.oa?id=243016324003

Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. I., & Neubauer, A. L. (1993). A comparison of two measures of perfectionism. Personality and Individual Differences, 14(1), 119-126. doi: 10.1016/0191-8869(93)90181-2

Fry, P. S., & Debats, D. L. (2009). Perfectionism and the five-factor personality traits as predictors of mortality in older adults. Journal of Health Psychology, 14(4), 513-524. doi: 10.1177/1359105309103571

Hadjistavropoulos, H., Dash, H., Hadjistavropoulos, T., & Sullivan, T. L. (2007). Recurrent pain among university students: Contributions of self-efficacy and perfectionism to the pain experience. Personality and Individual Differences, 42(6), 1081-1091. doi: 10.1016/j.paid.2006.09.013

Heinze, G., Bernard-Fuentes, N., Carmona-Huerta, J., Chapa, G. C., & Guízar-Sánchez, D. P. (2019). Physicians specializing in psychiatry of Mexico: An update 2018. Salud Mental, 42(1), 13-23. doi: 10.17711/SM.0185-3325.2019.003

Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60(3), 456-470. doi: 10.1037/0022-3514.60.3.456

Jovanović, N., Podlesek, A., Volpe, U., Barrett, E., Ferrari, S., Rojnic Kuzman, M., … Beezhold, J. (2016). Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. European Psychiatry, 32, 34-41. doi: 10.1016/j.eurpsy.2015.10.007

Koreki, A., Nakagawa, A., Abe, A., Ikeuchi, H., Okubo, J., Oguri, A., … Mimura, M. (2015). Mental health of Japanese psychiatrists: the relationship among level of occupational stress, satisfaction and depressive symptoms. BMC Research Notes, 8(1), 1-9. doi: 10.1186/s13104-015-1054-7

Korkeila, J. A., Töyry, S., Kumpulainen, K., Toivola, J., Räsänen, K., & Kalimo, R. (2003). Burnout and self-perceived health among Finnish psychiatrists and child psychiatrists: a national survey. Scandinavian Journal of Public Health, 31(2), 85-91. doi: 10.1080/14034940210133880

Kuhn, C. M., & Flanagan, E. M. (2017). Self-care as a professional imperative: physician burnout, depression, and suicide. Canadian Journal of Anesthesia, 64(2), 158-168. doi: 10.1007/s12630-016-0781-0

Kumar, S. (2007). Burnout in psychiatrists. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 6(3), 186-189.

Kumar, S., Hatcher, S., & Huggard, P. (2005). Burnout in psychiatrists: An etiological model. International Journal of Psychiatry in Medicine, 35(4), 405-416. doi: 10.2190/8XWB-AJF4-KPRR-LWMF

Lindström, M. (2009). Marital status, social capital, material conditions and self-rated health: A population-based study. Health Policy, 93(2-3), 172-179. doi: 10.1016/j.healthpol.2009.05.010

McCann, C. M., Beddoe, E., McCormick, K., Huggard, P., Kedge, S., Adamson, C., & Huggard, J. (2013). Resilience in the Health Professions: A review of recent literature. International Journal of Wellbeing, 3(1), 60-81. doi: 10.5502/ijw.v3i1.4

McFarland, D. C., Hlubocky, F., & Riba, M. (2019). Update on Addressing Mental Health and Burnout in Physicians: What Is the Role for Psychiatry? Current Psychiatry Reports, 21(11), 108. doi: 10.1007/s11920-019-1100-6

Molnar, D. S., Sadava, S. W., Flett, G. L., & Colautti, J. (2012). Perfectionism and health: A mediational analysis of the roles of stress, social support and health-related behaviours. Psychology & Health, 27(7), 846-864. doi: 10.1080/08870446.2011.630466

Moriarty, D. G., Zack, M. M., & Kobau, R. (2003). The Centers for Disease Control and Prevention's Healthy Days Measures – Population tracking of perceived physical and mental health over time. Health Qual Life Outcomes, 1(1), 37. doi: 10.1186/1477-7525-1-37

Mundia, L. (2019). Satisfaction with work-related achievements in Brunei public and private sector employees. Cogent Business & Management, 6(1), 1664191. doi: 10.1080/23311975.2019.1664191

O’Connor, K., Neff, D. M., & Pitman, S. (2018). Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry, 53, 74-99. doi: 10.1016/j.eurpsy.2018.06.003

Pisinger, C., Toft, U., Aadahl, M., Glümer, C., & Jørgensen, T. (2009). The relationship between lifestyle and self-reported health in a general population. The Inter99 study. Preventive Medicine, 49(5), 418-423. doi: 10.1016/j.ypmed.2009.08.011

Pritchard, M. E., Wilson, G. S., & Yamnitz, B. (2007). What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health, 56(1), 15-22. doi: 10.3200/JACH.56.1.15-22

Rathod, S., Roy, L., Ramsay, M., Das, M., Birtwistle, J., & Kingdon, D. (2000). A survey of stress in psychiatrists working in the Wessex Region. Psychiatric Bulletin, 24(4), 133-136. doi: 10.1192/pb.24.4.133

Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018). Prevalence of burnout among physicians: A systematic review. JAMA, 320(11), 1131-1150. doi: 10.1001/jama.2018.12777

Rotstein, S., Hudaib, A. R., Facey, A., & Kulkarni, J. (2019). Psychiatrist burnout: a meta-analysis of Maslach Burnout Inventory means. Australasian Psychiatry, 27(3), 249-254. doi: 10.1177/1039856219833800

Saboonchi, F., & Lundh, L. G. (2003). Perfectionism, anger, somatic health, and positive affect. Personality and Individual Differences, 35(7), 1585-1599. doi: 10.1016/S0191-8869(02)00382-3

Siegrist, J., & Li, J. (2016). Associations of extrinsic and intrinsic components of work stress with health: A systematic review of evidence on the effort-reward imbalance model. International Journal of Environmental Research and Public Health, 13(4), 432. doi: 10.3390/ijerph13040432

Tyssen, R. (2019). Work and mental health in doctors: A short review of Norwegian studies. Porto Biomedical Journal, 4(5), e50. doi: 10.1097/j.pbj.0000000000000050

Umene-Nakano, W., Kato, T. A., Kikuchi, S., Tateno, M., Fujisawa, D., Hoshuyama, T., & Nakamura, J. (2013). Nationwide Survey of Work Environment, Work-Life Balance and Burnout among Psychiatrists in Japan. PLoS ONE, 8(2), e55189. doi: 10.1371/journal.pone.0055189

Weerdesteijn, K. H. N., Schaafsma, F. G., Louwerse, I., Huysmans, M. A., Van der Beek, A. J., & Anema, J. R. (2019). Does self-perceived health correlate with physician-assessed functional limitations in medical work disability assessments? Journal of Psychosom Research, 125, 109792. doi: 10.1016/j.jpsychores.2019.109792

Yester, M. (2019). Work-Life Balance, Burnout, and Physician Wellness. Health Care Manager, 38(3), 239-246. doi: 10.1097/HCM.0000000000000277