Association of Levels of Anxiety in Resident Doctors with Factors related to the Postgraduate Training in Teaching Hospitals
DOI:
https://doi.org/10.51985/JBUMDC2021078Keywords:
Anxiety levels, Coping Strategies, Medical residents, Postgraduate trainees, Teaching hospitals.Abstract
Objective: To assess level of anxiety, its associated factors and coping strategies in postgraduate trainees of public and
private teaching hospitals of Karachi
Study Design and Setting: It was a cross-sectional study. The data was collected from different major teaching hospitals
February 2019 till April
Methodology: A total of 230 postgraduate trainees were interviewed using a pre-tested structured questionnaire specifically
designed for this study which included General Anxiety Disorder-7 Scale and Brief COPE Questionnaire. Data were
analyzed on SPSS version 21. Chi-square test and multinomial logistic regression was performed and P-value <0.05 was
considered as statistically significant
Results: Total 39.6% of the participants had no anxiety, 34.3% had mild, 16.1% had moderate while 10.0% had severe
anxiety. Being single, nuclear family system and low monthly household income had higher odds of having severe anxiety
(Adjusted Odds Ratio (AOR); 5.50, 95% CI 1.38,22.14, AOR; 2.50, 95% CI 0.83,7.51 and AOR; 3.17, 95% CI 0.96,10.49
respectively). Severe anxiety was also highly associated with irregular sleep pattern (AOR; 2.06, 95% CI 0.70, 6.06), no
daily exercise (AOR; 5.01, 95% CI 1.21, 2.69) and lack of job satisfaction (AOR; 2.64, 95% CI 0.90, 7.90). The most
frequently adapted coping strategies by participants who were found to have anxiety were, planning (89.9%), acceptance
(87%) and religion (85.6%).
Conclusion: Postgraduate trainees should be provided with psychological counseling and support at workplace to keep
them mentally healthy to enhance their everyday performance in dealing and treating patients.
References
Sadiq MS, Morshed NM, Rahman W, Chowdhury NF, Arafat
SY, Mullick MS. Depression, anxiety, stress among
postgraduate medical residents: A cross sectional observation
in Bangladesh. Iran J Psychiatry. 2019;14(3):192.
Dave S, Parikh M, Vankar G, Valipay SK. Depression, anxiety,
and stress among resident doctors of a teaching hospital.
Indian J Soc Psychiatry. 2018;34(2):163. DOI:10.4103/
ijsp.ijsp_72_17
Mousa OY, Dhamoon MS, Lander S, Dhamoon AS. The MD
blues: under-recognized depression and anxiety in medical
trainees. PloS one. 2016;11(6):e0156554. https://doi.org/
1371/journal.pone.0156554
Monrouxe LV, Bullock A, Tseng HM, Wells SE. Association
of professional identity, gender, team understanding, anxiety
and workplace learning alignment with burnout in junior
doctors: a longitudinal cohort study. BMJ open. 2017;7(12).
http://dx.doi.org/10.1136/bmjopen-2017-017942
Parr JM, Pinto N, Hanson M, Meehan A, Moore PT. Medical
graduates, tertiary hospitals, and burnout: a longitudinal cohort
study. Ochsner Journal. 2016;16(1):22-6.
Rana W, Mukhtar S, Mukhtar S. Mental health of medical
workers in Pakistan during the pandemic COVID-19 outbreak.
Asian J Psychiatr. 2020; 51:102080. https://dx.doi.org/
1016%2Fj.ajp.2020.102080
Rahman HA, Issa WB, Naing L. Psychometric properties of
brief-COPE inventory among nurses. BMC Nurs.
;20(1):1-7. https://doi.org/10.1186/s12912-021-00592-
McKinley N, McCain RS, Convie L, Clarke M, Dempster M,
Campbell WJ, Kirk SJ. Resilience, burnout and coping
mechanisms in UK doctors: a cross-sectional study. BMJ
open. 2020;10(1). doi:10.1136/bmjopen-2019-031765
McCain RS, McKinley N, Dempster M, Campbell WJ, Kirk
SJ. A study of the relationship between resilience, burnout
and coping strategies in doctors. Postgrad. Med. J.
;94(1107):43-7. https://doi.org/10.1136/postgradmedj-
-134683
Khurshied S, Hisam A, Khurshid N, Khurshid M. Burnout
among surgeons; depression, anxiety and stress between
consultant versus post-graduate trainee. Pak J Med Sci. 2020;
(7). https://doi.org/10.12669/pjms.36.7.1415
Scoppetta O, Cassiani-Miranda CA, Arocha-Díaz KN,
Cabanzo-Arenas DF, Campo-Arias A. Validity of the patient
health questionnaire-2 (PHQ-2) for the detection of depression
in primary care in Colombia. J. Affect. Disord. 2021; 278:576-
https://doi.org/10.1016/j.jad.2020.09.096
Faiz S, Qureshi FM, Hussain AW, Nigah-e-Mumtaz S.
Association of subjective memory complaints amid patients
of Diabetes Mellitus Type II and Hypertension. Pak J Med
Sci. 2021;37(2):477. https://dx.doi.org/ 10.12669%2Fpjms.
2.3426
Bogue RJ, Downing NR. Research on physician burnout and
wellbeing: a solution-oriented perspective. In Transforming
the Heart of Practice 2019 (pp. 9-47). Springer, Cham.
https://doi.org/10.1007/978-3-030-15250-5_2
Babore A, Lombardi L, Viceconti ML, Pignataro S, Marino
V, Crudele M et.al. Psychological effects of the COVID-2019
pandemic: Perceived stress and coping strategies among
healthcare professionals. Psychiatry research. 2020;
:113366. https://doi.org/10.1016/j.psychres.2020.113366
Jalnapurkar I, Allen M, Pigott T. Sex differences in anxiety
disorders: a review. J Psychiatry Depress Anxiety. 2018;4(12):
-16. http://doi.org/10.24966/PDA-0150/100012
Hinz A, Klein AM, Brähler E, Glaesmer H, Luck T, RiedelHeller SG, Wirkner K, Hilbert A. Psychometric evaluation of
the Generalized Anxiety Disorder Screener GAD-7, based on
a large German general population sample. J. Affect. Disord.
; 210:338-44. https://doi.org/10.1016/j.jad.2016.12.012
Wahed WY, Hassan SK. Prevalence and associated factors of
stress, anxiety and depression among medical Fayoum
University students. Alexandria J. Med. 53(1):77-84. https://doi.
org/10.1016/j.ajme.2016.01.005
Kousha M, Bagheri HA, Heydarzadeh A. Emotional
intelligence and anxiety, stress, and depression in Iranian
resident physicians. J Family Med Prim Care 2018;7(2):420-
https://dx.doi.org/10.4103%2Fjfmpc.jfmpc_154_17
Bayram N, Bilgel N. The prevalence and sociodemographic
correlations of depression, anxiety and stress among a group
of university students”. Soc Psychiat Epidemiol 2008;43
(8):667–72. https://doi.org/10.1007/s00127-008-0345-x
Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S, Mao J.
Psychological health, sleep quality, and coping styles to stress
facing the COVID-19 in Wuhan, China. Transl Psychiatry.
;10(1):1-9. https://doi.org/10.1038/s41398-020-00913-
Velten J, Bieda A, Scholten S, Wannemüller A, Margraf J.
Lifestyle choices and mental health: a longitudinal survey
with German and Chinese students. BMC Public Health.
;18(1):1-5 https://doi.org/10.1186/s12889-018-5526-2
Fan F, Zhang Y, Yang Y, Mo L, Liu X. Symptoms of
posttraumatic stress disorder, depression, and anxiety among
adolescents following the 2008 Wenchuan earthquake in
China. J. Trauma Stress. 2011;24(1):44-53 https://doi.org/
1002/jts.20599
Nasim S, Khan M, Aziz S. Impact of terrorism on health and
Hospital Anxiety Depression Scale Screening in medical
students, Karachi, Pakistan. JPMA. 2014;64(275):49
Flesia L, Monaro M, Mazza C, Fietta V, Colicino E, Segatto
B, Roma P. Predicting Perceived Stress Related to the Covid-
Outbreak through Stable Psychological Traits and Machine
Learning Models. J. Clin. Med. 2020;9(10):3350 https://doi.org/
3390/jcm9103350
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Sehrish Zehra, Syed Muhammad Zulfiqar Hyder Naqvi, Muhammad Zafar Iqbal Hydrie, Samira Faiz, Farhan Muhammad Qureshi, Syed Imtiaz Ahmed Jafry
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
