Research ArticleFamily Medicine World Perspective

Self-Perceived Mental Health and Perceived Discrimination in Family Physicians and Residents: A Comparative Study Between Men and Women

Diana Guízar-Sánchez, María Yoldi-Negrete, Rebeca Robles-García, Geovani López-Ortiz, Carlos Rivero-López, Isis Castro-Valdes, Carlos Alfonso Tovilla-Zárate and Ana Fresán Orellana
The Journal of the American Board of Family Medicine October 2022, 35 (5) 912-920; DOI: https://doi.org/10.3122/jabfm.2022.05.220091

References

  1. 1.↵
    1. Hay A
    . The aim of general practice: can it be explained in one sentence? Br J Gen Pract 2021;71:346–7.
    OpenUrlFREE Full Text
  2. 2.↵
    1. Salisbury C,
    2. Lay-Flurrie S,
    3. Bankhead CR,
    4. et al
    . Measuring the complexity of general practice consultations: a Delphi and cross-sectional study in English primary care. Br J Gen Pract 2021;71:e423–e431.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. González Block MA,
    2. Reyes Morales H,
    3. Cahuana Hurtado L,
    4. et al
    . World Health Organization. Regional Office for Europe, European Observatory on Health Systems and Policies. Mexico: health system review. World Health Organization. Regional Office for Europe. 2020.
  4. 4.↵
    1. Rodríguez-Domínguez J,
    2. Fernández-Ortega MA,
    3. Mazón JJ
    et al. Family medicine in Mexico, 1954–2006: Background, current situation and perspectives. Aten Primaria 2006;38:519–522.
    OpenUrlPubMed
  5. 5.↵
    1. Heinze-Martin G,
    2. Olmedo-Canchola VH,
    3. Bazán-Miranda G,
    4. Bernard-Fuentes NA,
    5. Guízar-Sánchez DP
    . Los médicos especialistas en México. Gac Med Mex 2018;154:342–51.
    OpenUrlPubMed
  6. 6.↵
    1. Petterson S,
    2. McNellis R,
    3. Klink K,
    4. Meyers D,
    5. Bazemore A
    . The state of primary care in the United States: A chartbook of facts and statistics. Washington, DC: Robert Graham Center; 2018.
  7. 7.↵
    1. Yester M
    . Work-Life Balance, Burnout, and Physician Wellness. Health Care Manag (Frederick) 2019;38:239–46.
    OpenUrl
  8. 8.↵
    1. Szafran O,
    2. Woloschuk W,
    3. Torti JMI,
    4. Myhre D
    . Well-being of family medicine graduates. Can Fam Physician 2017;63:e432–e439.
    OpenUrlAbstract/FREE Full Text
  9. 9.↵
    1. Szafran O,
    2. Woloschuk W,
    3. Torti JMI,
    4. Palacios Mackay MF
    . Intimidation, harassment, and discrimination during family medicine residency training: a mixed methods study. BMC Med Educ 2021;21:173.
    OpenUrl
  10. 10.↵
    1. Bahji A,
    2. Altomare J
    . Prevalence of intimidation, harassment, and discrimination among resident physicians: a systematic review and meta-analysis. Can Med Educ J 2020;11:e97–e123.
    OpenUrl
  11. 11.↵
    1. Bienertova-Vasku J,
    2. Lenart P,
    3. Scheringer M
    . Eustress and distress: neither good nor bad, but rather the same? Bioessays 2020;42:1900238.
    OpenUrl
  12. 12.↵
    1. Baker K,
    2. Sen S
    . Healing Medicine's Future: Prioritizing Physician Trainee Mental Health. AMA J Ethics 2016;18:604–13.
    OpenUrl
  13. 13.↵
    1. Petrie K,
    2. Crawford J,
    3. Shand F,
    4. Harvey SB
    . Workplace stress, common mental disorder and suicidal ideation in junior doctors. Intern Med J 2021;51:1074–80.
    OpenUrlPubMed
  14. 14.↵
    1. Petrie K,
    2. Deady M,
    3. Lupton D,
    4. Crawford J,
    5. Boydell KM,
    6. Harvey SB
    . ‘The hardest job I’ve ever done’: a qualitative exploration of the factors affecting junior doctors’ mental health and well-being during medical training in Australia. BMC Health Serv Res 2021;21:1342.
    OpenUrl
  15. 15.↵
    1. Kearney MK,
    2. Weininger RB,
    3. Vachon ML,
    4. Harrison RL,
    5. Mount BM
    . Self-care of physicians caring for patients at the end of life: “Being connected… a key to my survival”. JAMA 2009;301:1155–E1.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Guidi C,
    2. Traversa C
    . Empathy in patient care: from ‘Clinical Empathy’ to ‘Empathic Concern’. Med Health Care Philos 2021;24:573–85.
    OpenUrl
  17. 17.↵
    1. Romo-Nava F,
    2. Bobadilla-Espinosa RI,
    3. Tafoya SA,
    4. et al
    . Major depressive disorder in Mexican medical students and associated factors: A focus on current and past abuse experiences. J Affect Disord 2019;245:834–40.
    OpenUrl
  18. 18.↵
    1. Harvey SB,
    2. Epstein RM,
    3. Glozier N,
    4. et al
    . Mental illness and suicide among physicians. Lancet 2021;398:920–30.
    OpenUrlPubMed
  19. 19.↵
    1. Davis C,
    2. Krishnasamy M,
    3. Morgan ZJ,
    4. Bazemore AW,
    5. Peterson LE
    . Academic Achievement, Professionalism, and Burnout in Family Medicine Residents. Fam Med 2021;53:423–32.
    OpenUrl
  20. 20.↵
    1. Lai J,
    2. Ma S,
    3. Wang Y,
    4. et al
    . Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020;3:e203976.
    OpenUrl
  21. 21.↵
    1. Pappa S,
    2. Ntella V,
    3. Giannakas T,
    4. Giannakoulis VG,
    5. Papoutsi E,
    6. Katsaounou P
    . Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun 2020;88:901–7.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Braquehais MD,
    2. Arrizabalaga P,
    3. Lusilla P,
    4. et al
    . Gender Differences in Demographic and Clinical Features of Physicians Admitted to a Program for Medical Professionals with Mental Disorders. Front Psychiatry 2016;7:181.
    OpenUrlPubMed
  23. 23.↵
    1. Duarte D,
    2. El-Hagrassy MM,
    3. Couto TCE,
    4. Gurgel W,
    5. Fregni F,
    6. Correa H
    . Male and Female Physician Suicidality: A Systematic Review and Meta-analysis. JAMA Psychiatry 2020;77:587–97.
    OpenUrl
  24. 24.↵
    1. Sher L
    . Gender differences in suicidal behavior. QJM 2022;115:59–60.
    OpenUrl
  25. 25.↵
    1. King M,
    2. Dinos S,
    3. Shaw J,
    4. et al
    . The Stigma Scale: development of a standardised measure of the stigma of mental illness. Br J Psychiatry 2007;190:248–54.
    OpenUrlAbstract/FREE Full Text
  26. 26.↵
    1. Flores Reynoso S,
    2. Medina Dávalos R
    . Robles García R. Estudio de traducción al español y evaluación psicométrica de una escala para medir el estigma internalizado en pacientes con trastornos mentales graves. Salud Mental 2011;34:333–9.
    OpenUrl
  27. 27.↵
    1. Ramírez Aranda JM,
    2. van Weel C,
    3. Goodyear-Smith F
    . Strategies for Increasing the Role of Family Medicine in Mexican Health Care Reform. J Am Board Fam Med 2017;30:843–7.
    OpenUrlAbstract/FREE Full Text
  28. 28.↵
    1. Miedema B,
    2. Easley J,
    3. Fortin P,
    4. Hamilton R,
    5. Tatemichi S
    . Disrespect, harassment, and abuse: all in a day's work for family physicians. Can Fam Physician 2009;55:279–85.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Miedema B,
    2. MacIntyre L,
    3. Tatemichi S,
    4. et al
    . How the medical culture contributes to coworker-perpetrated harassment and abuse of family physicians. Ann Fam Med 2012;10:111–7.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Liu J,
    2. Gan Y,
    3. Jiang H,
    4. et al
    . Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occup Environ Med 2019;76:927–37.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. McGhie JE,
    2. Dalmau Roig A,
    3. Florensa Puig M,
    4. Silva Ruiz P,
    5. Oñate Ferriz G,
    6. Gracia Baño EM
    . [Elements influencing the election of Family and Community Medicine]. Aten Primaria 2021;53:102153.
    OpenUrl
  32. 32.↵
    1. Scupham S,
    2. Goss SP
    . Working with suicidal clients: psychotherapists and allied professionals speak about their experiences. Couns Psychother Res 2020;20:525–34.
    OpenUrl
  33. 33.↵
    1. Templeton K,
    2. Bernstein CA,
    3. Sukhera J,
    4. et al
    . Gender-based differences in burnout: issues faced by women physicians. NAM Perspectives. Discussion paper. National Academy of Medicine 2019; Washington.
  34. 34.↵
    1. Alosaimi FD,
    2. Alawad HS,
    3. Alamri AK,
    4. et al
    . Stress and coping among consultant physicians working in Saudi Arabia. Ann Saudi Med 2018;38:214–24.
    OpenUrl
  35. 35.↵
    1. Smallwood N,
    2. Karimi L,
    3. Pascoe A,
    4. et al
    . Coping strategies adopted by Australian frontline health workers to address psychological distress during the COVID-19 pandemic. Gen Hosp Psychiatry 2021;72:124–30.
    OpenUrl
  36. 36.↵
    1. Gray P,
    2. Senabe S,
    3. Naicker N,
    4. Kgalamono S,
    5. Yassi A,
    6. Spiegel JM
    . Workplace-Based Organizational Interventions Promoting Mental Health and Happiness among Healthcare Workers: A Realist Review. Int. IJERPH 2019;16:4396:4396.
    OpenUrl
  37. 37.↵
    1. Rotenstein LS,
    2. Torre M,
    3. Ramos MA,
    4. et al
    . Prevalence of Burnout Among Physicians: A Systematic Review. JAMA 2018;320:1131–50.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Søvold LE,
    2. Naslund JA,
    3. Kousoulis AA,
    4. et al
    . Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health 2021;9:679397.
    OpenUrl
  39. 39.↵
    1. Rich A,
    2. Viney R,
    3. Needleman S,
    4. Griffin A,
    5. Woolf K
    . ‘You can’t be a person and a doctor’: the work-life balance of doctors in training-a qualitative study. BMJ Open 2016;6:e013897: e013897.
    OpenUrlAbstract/FREE Full Text
  40. 40.↵
    1. Tawfik DS,
    2. Scheid A,
    3. Profit J,
    4. et al
    . Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Ann Intern Med 2019;171:555–67.
    OpenUrlCrossRefPubMed
  41. 41.↵
    1. Zhang H,
    2. Tang L,
    3. Ye Z,
    4. et al
    . The role of social support and emotional exhaustion in the association between work-family conflict and anxiety symptoms among female medical staff: a moderated mediation model. BMC Psychiatry 2020;20:266.
    OpenUrlPubMed
  42. 42.↵
    1. Juengst SB,
    2. Royston A,
    3. Huang I,
    4. Wright B
    . Family Leave and Return-to-Work Experiences of Physician Mothers. JAMA Netw Open 2019;2:e1913054:e1913054.
    OpenUrl
  43. 43.↵
    1. Collier R
    . Professionalism: the “good doctor” discussion. CMAJ 2012;184:E517–E818.
    OpenUrlFREE Full Text
  44. 44.↵
    1. Kay M,
    2. Mitchell G,
    3. Clavarino A,
    4. Doust J
    . Doctors as patients: a systematic review of doctors' health access and the barriers they experience. Br J Gen Pract 2008;58:501–8.
    OpenUrlAbstract/FREE Full Text
  45. 45.↵
    1. Fresán A,
    2. Guízar-Sánchez D,
    3. Yoldi-Negrete M,
    4. et al
    . Identifying Risk Factors for Self-reported Mental Health Problems in Psychiatry Trainees and Psychiatrists in Mexico. Acad Psychiatry 2021;45:698–707.
    OpenUrl
  46. 46.↵
    1. Castro R,
    2. Villanueva Lozano M
    . Violencia en la práctica médica en México: un caso de ambivalencia sociológica. Estud Sociol 2018;36:539–69.
    OpenUrl
  47. 47.↵
    1. Alavi M,
    2. Ho T,
    3. Stisher C,
    4. et al
    . Factors That Influence Student Choice in Family Medicine A National Focus Group. Fam Med 2019;51:143–8.
    OpenUrl
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