Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden
The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences...
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| Veröffentlicht in: | Journal of affective disorders 2023, Vol.339, p.104-110 |
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| container_title | Journal of affective disorders |
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| creator | Brulin, Emma Lidwall, Ulrik Seing, Ida Nyberg, Anna Landstad, Bodil Sjöström, Malin Bååthe, Fredrik Nilsen, Per |
| description | The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences in sex compositions, and 3) if any sex differences were larger within either of the two professions.
Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.
Results showed that 16–28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.
This study was based on cross-sectional survey data which has some limitations.
Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.
•A high prevalence of mental health problems exists in Swedish nurses and physicians.•Sex explains a large share of the differences in the prevalence of mental health problems between occupations.•We used a large national representative sample to map mental health problems among nurses and physicians in Sweden. |
| doi_str_mv | 10.1016/j.jad.2023.07.042 |
| format | Article |
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Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.
Results showed that 16–28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.
This study was based on cross-sectional survey data which has some limitations.
Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.
•A high prevalence of mental health problems exists in Swedish nurses and physicians.•Sex explains a large share of the differences in the prevalence of mental health problems between occupations.•We used a large national representative sample to map mental health problems among nurses and physicians in Sweden.</description><identifier>ISSN: 0165-0327</identifier><identifier>ISSN: 1573-2517</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2023.07.042</identifier><identifier>PMID: 37433382</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Burnout ; Depression ; disorders ; employees ; Neurosciences ; Neurosciences & Neurology ; Neurovetenskaper ; Nurses ; Physicians ; prevalence ; Psychiatry ; scale ; Sex ; sickness absence ; workers</subject><ispartof>Journal of affective disorders, 2023, Vol.339, p.104-110</ispartof><rights>2023</rights><rights>Copyright © 2023. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c580t-e7ebb92f3881f9ffb2124374164edfd5f0aa40a9112d3f07c5a863c3e7ab91b23</citedby><cites>FETCH-LOGICAL-c580t-e7ebb92f3881f9ffb2124374164edfd5f0aa40a9112d3f07c5a863c3e7ab91b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165032723008728$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,4010,27900,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37433382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-197131$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-49036$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-212234$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-510786$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://gup.ub.gu.se/publication/330957$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:153495087$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Brulin, Emma</creatorcontrib><creatorcontrib>Lidwall, Ulrik</creatorcontrib><creatorcontrib>Seing, Ida</creatorcontrib><creatorcontrib>Nyberg, Anna</creatorcontrib><creatorcontrib>Landstad, Bodil</creatorcontrib><creatorcontrib>Sjöström, Malin</creatorcontrib><creatorcontrib>Bååthe, Fredrik</creatorcontrib><creatorcontrib>Nilsen, Per</creatorcontrib><title>Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences in sex compositions, and 3) if any sex differences were larger within either of the two professions.
Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.
Results showed that 16–28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.
This study was based on cross-sectional survey data which has some limitations.
Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.
•A high prevalence of mental health problems exists in Swedish nurses and physicians.•Sex explains a large share of the differences in the prevalence of mental health problems between occupations.•We used a large national representative sample to map mental health problems among nurses and physicians in Sweden.</description><subject>Burnout</subject><subject>Depression</subject><subject>disorders</subject><subject>employees</subject><subject>Neurosciences</subject><subject>Neurosciences & Neurology</subject><subject>Neurovetenskaper</subject><subject>Nurses</subject><subject>Physicians</subject><subject>prevalence</subject><subject>Psychiatry</subject><subject>scale</subject><subject>Sex</subject><subject>sickness absence</subject><subject>workers</subject><issn>0165-0327</issn><issn>1573-2517</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqNkktv1DAURi0EosPAD2CDvGTRBD-SOIHVqFCKVIkFj63lxDczHhIn2HFH8-9xmqGsGHVlyzr3-F77Q-g1JSkltHi3T_dKp4wwnhKRkow9QSuaC56wnIqnaBWZPCGciQv0wvs9IaSoBHmOLrjIOOclW6HDDahu2jXKATYWa-MnB96_xxvsg7uDIx5a3IOdVId39yge3VB30HusrMbTDrAbOpixLVgNDqt-sFtsg_OwMOPu6E1jlPXzFd8OoMG-RM9a1Xl4dVrX6Mf1p-9XN8nt189frja3SZOXZEpAQF1XrOVlSduqbWtGWRa7p0UGutV5S5TKiKooZZq3RDS5KgvecBCqrmjN-Boli9cfYAy1HJ3plTvKQRl5OvoVdyCzLM9IfpbfhlHGo22Yec5JFZ96jS7_y380PzdycFsZgswpEbGzc_p_eB9knJPx7HF8b4KVWUX4I_2dCZJWgnIa-bcLHz_1dwA_RZlvoOuUhSF4yUpesIqLYp6ULmjjBu8dtA9ySuQcR7mXMY5yjqMkQsY4xpo3J32oe9APFX_zF4EPCwAxA3cGnPSNAduANg6aSerBnNH_AUxY8t4</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Brulin, Emma</creator><creator>Lidwall, Ulrik</creator><creator>Seing, Ida</creator><creator>Nyberg, Anna</creator><creator>Landstad, Bodil</creator><creator>Sjöström, Malin</creator><creator>Bååthe, Fredrik</creator><creator>Nilsen, Per</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG8</scope><scope>DG5</scope><scope>D93</scope><scope>DF2</scope><scope>F1U</scope></search><sort><creationdate>2023</creationdate><title>Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden</title><author>Brulin, Emma ; Lidwall, Ulrik ; Seing, Ida ; Nyberg, Anna ; Landstad, Bodil ; Sjöström, Malin ; Bååthe, Fredrik ; Nilsen, Per</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c580t-e7ebb92f3881f9ffb2124374164edfd5f0aa40a9112d3f07c5a863c3e7ab91b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Burnout</topic><topic>Depression</topic><topic>disorders</topic><topic>employees</topic><topic>Neurosciences</topic><topic>Neurosciences & Neurology</topic><topic>Neurovetenskaper</topic><topic>Nurses</topic><topic>Physicians</topic><topic>prevalence</topic><topic>Psychiatry</topic><topic>scale</topic><topic>Sex</topic><topic>sickness absence</topic><topic>workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brulin, Emma</creatorcontrib><creatorcontrib>Lidwall, Ulrik</creatorcontrib><creatorcontrib>Seing, Ida</creatorcontrib><creatorcontrib>Nyberg, Anna</creatorcontrib><creatorcontrib>Landstad, Bodil</creatorcontrib><creatorcontrib>Sjöström, Malin</creatorcontrib><creatorcontrib>Bååthe, Fredrik</creatorcontrib><creatorcontrib>Nilsen, Per</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Linköpings universitet</collection><collection>SWEPUB Mittuniversitetet</collection><collection>SWEPUB Umeå universitet</collection><collection>SWEPUB Uppsala universitet</collection><collection>SWEPUB Göteborgs universitet</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brulin, Emma</au><au>Lidwall, Ulrik</au><au>Seing, Ida</au><au>Nyberg, Anna</au><au>Landstad, Bodil</au><au>Sjöström, Malin</au><au>Bååthe, Fredrik</au><au>Nilsen, Per</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2023</date><risdate>2023</risdate><volume>339</volume><spage>104</spage><epage>110</epage><pages>104-110</pages><issn>0165-0327</issn><issn>1573-2517</issn><eissn>1573-2517</eissn><abstract>The present article aimed to investigate 1) if mental health problems (depression and burnout including the dimensions; emotional exhaustion, mental distance and cognitive and emotional impairment) differed between nurses and physicians in Sweden, 2) if any differences were explained by differences in sex compositions, and 3) if any sex differences were larger within either of the two professions.
Data were derived from a representative sample of nurses (n = 2903) and physicians (n = 2712) in 2022. Two scales were used to assess burnout (KEDS and BAT) and one to assess depression (SCL-6). The BAT scale has four sub-dimensions. Descriptive statistics and logistic regression were used to analyse each scale and dimension separately.
Results showed that 16–28 % of nurses and physicians reported moderate to severe symptoms of burnout. The prevalence differed between occupations across the scales and dimensions used. Nurses reported higher scores on KEDS while physicians reported higher scores on BAT including the four dimensions. Also, 7 % of nurses' and 6 % of physicians' scores were above the cut-off for major depression. The inclusion of sex in the models changed the odds ratios of differences between doctors and nurses in all mental health dimensions except mental distance and cognitive impairment.
This study was based on cross-sectional survey data which has some limitations.
Our study suggests that the prevalence of mental health problems is prominent among nurses and physicians in Sweden. Sex plays an important role in the difference in the prevalence of mental health problems between the two professions.
•A high prevalence of mental health problems exists in Swedish nurses and physicians.•Sex explains a large share of the differences in the prevalence of mental health problems between occupations.•We used a large national representative sample to map mental health problems among nurses and physicians in Sweden.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37433382</pmid><doi>10.1016/j.jad.2023.07.042</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of affective disorders, 2023, Vol.339, p.104-110 |
| issn | 0165-0327 1573-2517 1573-2517 |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Burnout Depression disorders employees Neurosciences Neurosciences & Neurology Neurovetenskaper Nurses Physicians prevalence Psychiatry scale Sex sickness absence workers |
| title | Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden |
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