Physician, heal thyself: The paradox of anxiety amongst house officers and work in a teaching hospital

Susan Mooi Koon Tan, Sze Chin Jong, Lai Fong Chan, Nurul Akmal Jamaludin, Cheng Kar Phang, Nur Shahirah Jamaluddin, Shamsul Azhar Shah

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Anxiety among house officers may impair functioning and health care delivery. This study aimed to determine the association between anxiety among house officers at Universiti Kebangsaan Malaysia Medical Center, sociodemographic and work-related factors. Methods: A cross-sectional study using the self-rated and validated Malay Depressive Anxiety and Stress Scale 21, the General Stressor Questionnaire and a sociodemographic questionnaire. Results: Of the 89 house officers, 60.7% were anxious. Multivariate logistic analysis showed work-related challenges, performance pressure (odds ratio [OR]=9.000, 95% confidence interval [CI]=1.812-44.705), poor relationship with supervisors (OR=5.212, 95% CI=2.033-3.365), poor relationship with colleagues (OR=4.642, 95% CI=1.816-11.866), bureaucratic constraints (OR=3.810, 95% CI=1.541-9.415) and poor job prospects (OR=3.745, 95% CI=1.505-9.321) strongly associated with anxiety. Family-related stressors were less significant (OR=1.800, 95% CI=0.760-4.266) unless they were work related (work-family conflicts [OR=8.253, 95% CI=2.652-25.684]). Discussion: Almost two-thirds of this cohort reported work-related anxiety symptoms. Administrators need to address these mental health needs early. The subsequent improvement in communication skills, conflict resolution and anxiety reduction will result in short- and long-term benefits towards the young doctors's mental health. The cascading impact on these individuals, thus empowered, will be good work-life balance, improved patient care and safety, a satisfying medical career whilst contributing maximally to the country's health care.

Original languageEnglish
Pages (from-to)74-81
Number of pages8
JournalAsia-Pacific Psychiatry
Volume5
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Apr 2013

Fingerprint

Teaching Hospitals
Anxiety
Odds Ratio
Confidence Intervals
Physicians
Mental Health
Delivery of Health Care
Malaysia
Negotiating
Patient Safety
Administrative Personnel
Patient Care
Multivariate Analysis
Cross-Sectional Studies
Communication
Pressure

Keywords

  • Anxiety
  • Internship
  • Malaysia
  • Medical house officers
  • Stressors

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Physician, heal thyself : The paradox of anxiety amongst house officers and work in a teaching hospital. / Tan, Susan Mooi Koon; Jong, Sze Chin; Chan, Lai Fong; Jamaludin, Nurul Akmal; Phang, Cheng Kar; Jamaluddin, Nur Shahirah; Shah, Shamsul Azhar.

In: Asia-Pacific Psychiatry, Vol. 5, No. SUPPL. 1, 04.2013, p. 74-81.

Research output: Contribution to journalArticle

Tan, Susan Mooi Koon ; Jong, Sze Chin ; Chan, Lai Fong ; Jamaludin, Nurul Akmal ; Phang, Cheng Kar ; Jamaluddin, Nur Shahirah ; Shah, Shamsul Azhar. / Physician, heal thyself : The paradox of anxiety amongst house officers and work in a teaching hospital. In: Asia-Pacific Psychiatry. 2013 ; Vol. 5, No. SUPPL. 1. pp. 74-81.
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