Burnout as a correlate of depression among medical students in Cameroon: a cross-sectional study.

OBJECTIVE: Burnout syndrome has been shown to mediate the pathway between job stress and depression. This study aims to assess the relationship between the various components of burnout syndrome and depression; and to determine the contribution of other sociodemographic variables to depression among medical students in Cameroon. DESIGN: A cross-sectional study. SETTING: Three of the five medical schools in Cameroon with students in both preclinical and clinical levels of studies. PARTICIPANTS: The study included 413 consenting medical students. PRIMARY OUTCOME MEASURE: Data were collected via a printed self-administered questionnaire. The primary outcome-depression was assessed using the Patient Health Questionnaire-9 (PHQ-9). Burnout was assessed using the Oldenburg Burnout Inventory. Multivariable linear regression was used to identify independent correlates of depression. RESULTS: The overall prevalence of depression (PHQ-9 >4) and major depressive disorder (PHQ-9 >9) in these students was 66.34% and 23.00%, respectively. After multivariable linear regression analysis, four variables-total OLBI (beta=0.32; 95% CI 0.22 to 0.42; p<0.001); number of children (beta=-2.26; 95% CI -3.70 to -0.81; p=0.002); occurrence of a life-changing crises (beta=1.29; 95% CI 0.13 to 2.45; p=0.029) and presence of a chronic illness (beta=3.19; 95% CI 0.96 to 5.42; p=0.005) significantly predicted depression in these students and explained 32.4% of the variance (R2=32.4, F[14, 204]=6.98, p<0.001). The emotional exhaustion component (R2=17.4, F[1, 411]=86.39, p<0.001) explained more of the variance in depression than the disengagement component (R2=6.1, F[1, 411]=26.76, p<0.001) of burnout syndrome. CONCLUSION: The prevalence of depression among medical students in Cameroon is high. It is important that correlates of depression are identified early in medical students to limit progress to depression.

Burnout Syndrome amongst Medical Students in Cameroon: A Cross-Sectional Analysis of the Determinants in Preclinical and Clinical Students.

BACKGROUND: Due to a series of recognised psychological stressors in the traditional path of medical studies, medical students are prone to experience burnout syndrome. OBJECTIVE: This study aimed to determine the predictors of burnout syndrome amongst medical students in Cameroon. METHODS: This was a cross-sectional study which recruited 413 medical students consecutively after sampling three of the five medical schools in Cameroon using a random sequence generator. Data were collected via a printed self-administered questionnaire from consenting participants assessing burnout syndrome using the OLdenburg Burnout Inventory (OLBI). Data was analysed using Stata version 12 and p value significance was set at 95%. Multivariable linear regression was used to identify independent determinants of burnout syndrome. RESULTS: An alpha Cronbach coefficient of 0.74 showed that the OLBI assessed the same underlying construct of burnout syndrome in this population. The results of the multiple linear regression showed that five predictors explained 35.0% of the variance (R2= 35.0, F(9, 184) = 10.99, p <0.001). It was found that marital status significantly predicted burnout (Beta: 4.82, p value: 0.024), as well as relationship difficulties (Beta: 3.17, p value <0.001), cumulative GPA (Beta: -2.15, p value: 0.006), regretting the choice of medical studies (Beta: 7.85, p value <0.001), and recreational drug use (Beta: 6.99, p value: 0.005). CONCLUSION: Early detection of burnout in medical students in Cameroon could be done by identifying and addressing the potential determinants. The institution of preventive measures against burnout syndrome in medical schools in Cameroon is warranted to decrease the morbidity associated with the condition.