Comparative analysis of the depressive state, stressor, and stress-relieving factors of novice first year residents and established residents in Japan

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  • Seo Emiko
    Center for Medical Education and Training, University of Tsukuba Hospital Faculty of Medicine, University of Tsukuba
  • Ogawa Ryoko
    Center for Medical Education and Training, University of Tsukuba Hospital Faculty of Medicine, University of Tsukuba
  • Ito Makoto
    National Hospital Organization, Kasumigaura Medical Center
  • Sanuki Masaru
    Center for Medical Education and Training, University of Tsukuba Hospital Faculty of Medicine, University of Tsukuba
  • Maeno Takami
    Faculty of Medicine, University of Tsukuba
  • Maeno Tetsuhiro
    Center for Medical Education and Training, University of Tsukuba Hospital Faculty of Medicine, University of Tsukuba

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Other Title
  • 初期研修における研修医のうつ状態とストレス要因, 緩和要因に関する全国調査
  • 初期研修における研修医のうつ状態とストレス要因,緩和要因に関する全国調査 : 必修化開始直後との比較
  • ショキ ケンシュウ ニ オケル ケンシュウイ ノ ウツ ジョウタイ ト ストレス ヨウイン,カンワ ヨウイン ニ カンスル ゼンコク チョウサ : ヒッシュウカ カイシ チョクゴ ト ノ ヒカク
  • ―必修化開始直後との比較―

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<p>Aim: We sought to compare the depression state of first-year residents, who were new to the system of clinical resident training, with those who had become completely familiar with the system.</p><p>Method: A questionnaire-based survey on stress reaction was distributed to 250 resident training hospitals in Japan. The survey was taken by 1,753 first year residents who started postgraduate clinical training in 2011. The survey was given to the students once before the training and-again months after the training had started. The results were compared with those from a similar survey in 2004.</p><p>Result: 3 months after the training had started, 30.5% of residents suffered from a depressive state. At that time, the prevalence of residents with newly developed symptoms of depression, who had no depressive state before the training, significantly decreased compared to those in 2004 (19.6 vs. 25.2%, p<0.001). The decrease of depressive state in 2011 may be due to the decrease of working hours, the improvement of stressor and stress-relieving factors.</p><p>Discussion: Many residents still experienced a stress reaction. Further improvement of the training environment should be considered.</p>

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