Health  Vol.7 No.7 , July 2015
Self-Reported Assessment of Health Status and Psychological Condition among Hospital Medical Residents in Iran
Abstract: Psychological stress and illness among hospital residences have been subject to increasing scientific scrutiny; however very few studies have been published to describe the extent of health status and psychological stresses in residents in different specialties especially in our country that our study was mainly focused on this subject. Methods: The study subjects were medical residents in public hospitals covering 14 different specialties in Tehran in 2007. A self-administered questionnaire elicited information related to socio-demographic profile, specialty, duty hours, sleep quality, physical activity level, number of night shifts per month, mood changes, sense of depression after night shifts, fatigue, use of antidepressant and tranquilizer, and their opinion regarding their health status on a 4-point Likert scale. Results: 66.7% of participants were male with the mean age of 32.9 ± 4.2 years. 62.1% of the residents felt mood changes after nightly shifts that could adversely affect their daily living, quality of work, and social relationships. The overall prevalence of the use of antidepressant drugs was 20.0% which was significantly higher in women than men. Also, 24.4% of them reported consumption of sedative and hypnotic drugs. 15.6% reported complete healthy status while 9.4% reported partial illness. Complete healthy status was more reported among the residents of anesthesiology and pediatrics while illness was more reported by residents in pathology field. Residents’ satisfaction with their status was positively correlated with the year of residency and marriage, while dissatisfaction was more reported in divorced ones as well as in those with higher number of nightly shifts. Conclusion: Notable number of hospital residents in Iran experience significant stressors and emotional and mental health problems. Among all studies factors type of specialty, year of residency, female gender, number of nightly shifts, and single marital status were more important than other factors.
Cite this paper: Dabiran, S. , Nabaei, B. , Ghorbany, M. and Khajehnasiri, F. (2015) Self-Reported Assessment of Health Status and Psychological Condition among Hospital Medical Residents in Iran. Health, 7, 824-829. doi: 10.4236/health.2015.77097.

[1]   Msaouel, P., Keramaris, N.C., Tasoulis, A., Kolokythas, D., Syrmos, N., Pararas, N., Thireos, E. and Lionis, C. (2010) Burnout and Training Satisfaction of Medical Residents in Greece: Will the European Work Time Directive Make a Difference? Human Resources for Health, 8, 16.

[2]   Cohen, J.S. and Patten, S. (2005) Well-Being in Residency Training: A Survey Examining Resident Physician Satisfaction Both within and Outside of Residency Training and Mental Health in Alberta. BMC Medical Education, 5, 21.

[3]   Prins, J.T., Gazendam-Donofrio, S.M., Tubben, B.J., van der Heijden, F.M., van de Wiel, H.B. and Hoekstra-Weebers, J.E. (2007) Burnout in Medical Residents: A Review. Medical Education, 41, 788-800.

[4]   van der Heijden, F., Dillingh, G., Bakker, A. and Prins, J. (2008) Suicidal Thoughts among Medical Residents with Burnout. Archives of Suicide Research, 12, 344-346.

[5]   Hillhouse, J.J., Adler, C.M. and Walters, D.N. (2000) A Simple Model of Stress, Burnout and Symptomatology in Medical Residents: A Longitudinal Study. Psychology, Health & Medicine, 5, 63-73.

[6]   Prins, J.T., van der Heijden, F.M., Hoekstra-Weebers, J.E., Bakker, A.B., van de Wiel, H.B. and Jacobs, B., Gazendam-Donofrio, S.M. (2009) Burnout, Engagement and Resident Physicians’ Self-Reported Errors. Psychology, Health and Medicin, 6, 654-666.

[7]   West, C.P., Tan, A.D., Habermann, T.M., Sloan, J.A. and Shanafelt, T.D. (2009) Association of Resident Fatigue and Distress with Perceived Medical Errors. The Journal of the American Medical Association, 302, 1294-1300.

[8]   von dem Knesebeck, O., Klein, J., Grosse Frie, K., Blum, K. and Siegrist, J. (2010) Psychosocial Stress among Hospital Doctors in Surgical Fields: Results of a Nationwide Survey in Germany. Deutsches Arzteblatt International, 14, 248-253.

[9]   Baldwin, D.C. and Daugherty, S.R. (2004) Sleep Deprivation and Fatigue in Residency Training: Results of a National Survey of First- and Second-Year Residents. Sleep, 3, 371-372.

[10]   Williams, L.S. (1997) Manitoba Suicides Force Consideration of Stresses Facing Medical Residents. Canadian Medical Association Journal, 11, 1599-1602.

[11]   Coeck, C., Jorens, P.G., Vandevivere, J. and Mahler, C. (1991) ACTH and Cortisol Levels during Residency Training. The New England Journal of Medicine, 325, 738.

[12]   Waldman, S.V., Diez, J.C., Arazi, H.C., Linetzky, B., Guinjoan, S. and Grancelli, H. (2009) Burnout, Perceived Stress, and Depression among Cardiology Residents in Argentina. Academic Psychiatry, 33, 296-301.

[13]   van der Heijden, F., Dillingh, G., Bakker, A. and Prins, J. (2008) Suicidal Thoughts among Medical Residents with Burnout. Archive of Suicide Research, 12, 344-346.

[14]   Satterfield, J.M. and Becerra, C. (2010) Developmental Challenges, Stressors and Coping strategies in Medical Residents: A Qualitative Analysis of Support Groups. Medical Education, 44, 908-916.

[15]   Sangi-Haghpeykar, H., Ambani, D.S. and Carson, S.A. (2009) Stress, Workload, Sexual Well-Being and Quality of Life among Physician Residents in Training. International Journal of Clinical Practice, 63, 462-467.

[16]   Ogunsemi, O.O., Alebiosu, O.C. and Shorunmu, O.T. (2010) A Survey of Perceived Stress, Intimidation, Harassment and Well-Being of Resident Doctors in a Nigerian Teaching Hospital. Nigerian Journal of Clinical Practice, 13, 183-186.

[17]   Martini, S., Arfken, C.L., Churchill, A. and Balon, R. (2004) Burnout Comparison among Residents in Different Medical Specialties. Academic Psychiatry, 28, 240-242.

[18]   Castelo-Branco, C., Figueras, F., Eixarch, E., Quereda, F., Cancelo, M.J., González, S. and Balasch, J. (2007) Stress Symptoms and Burnout in Obstetric and Gynaecology Residents. An International Journal of Obstetrics and Gynaecolog, 114, 94-98.

[19]   Papp, K.K., Stoller, E.P., Sage, P., Aikens, J.E., Owens, J., Avidan, A., Phillips, B., Rosen, R. and Strohl, K.P. (2004) The Effects of Sleep Loss and Fatigue on Resident-Physicians: A Multi-Institutional, Mixed-Method Study. Academic Medicine, 79, 394-406.