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Prevalence and Professional Impact of Mental Health Conditions Among Cardiologists.
Sharma, Garima; Rao, Shiavax J; Douglas, Pamela S; Rzeszut, Anne; Itchhaporia, Dipti; Wood, Malissa J; Nasir, Khurram; Blumenthal, Roger S; Poppas, Athena; Kuvin, Jeffrey; Miller, Andrew P; Mehran, Roxana; Valentine, Michael; Summers, Richard F; Mehta, Laxmi S.
Afiliación
  • Sharma G; Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: gsharma8@jhmi.edu.
  • Rao SJ; Department of Medicine, MedStar Union Memorial Hospital, Baltimore, Maryland, USA.
  • Douglas PS; Division of Cardiology, Duke University School of Medicine, Durham, North Carolina, USA.
  • Rzeszut A; American College of Cardiology, Washington, DC, USA.
  • Itchhaporia D; Division of Cardiology, University of California, Irvine, School of Medicine, Irvine, California, USA.
  • Wood MJ; Division of Cardiology, Massachusetts General Hospital, Harvard University, Boston, Massachusetts, USA.
  • Nasir K; Division of Cardiovascular Prevention and Wellness, Department of Cardiology, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.
  • Blumenthal RS; Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Poppas A; Division of Cardiology, Brown University, Providence, Rhode Island, USA.
  • Kuvin J; Department of Cardiology at Northwell, Zucker School of Medicine, Hempstead, New York, USA.
  • Miller AP; CardioVascular Associates, Birmingham, Alabama, USA.
  • Mehran R; Division of Cardiology, Ichan School of Medicine, Mount Sinai University, New York, New York, USA.
  • Valentine M; Division of Cardiology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
  • Summers RF; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Mehta LS; Division of Cardiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. Electronic address: Laxmi.Mehta@osumc.edu.
J Am Coll Cardiol ; 81(6): 574-586, 2023 02 14.
Article en En | MEDLINE | ID: mdl-36585350
BACKGROUND: Mental illness among physicians is an increasingly recognized concern. Global data on mental health conditions (MHCs) among cardiologists are limited. OBJECTIVES: The purpose of this study was to investigate the global prevalence of MHCs among cardiologists and its relationships to professional life. METHODS: The American College of Cardiology conducted an online survey with 5,931 cardiologists globally in 2019. Data on demographics, practice, MHC, and association with professional activities were analyzed. The P values were calculated using the chi-square, Fischer exact, and Mann-Whitney U tests. Univariate and multivariate logistic regression analysis determined the association of characteristics with MHC. RESULTS: Globally, 1 in 4 cardiologists experience any self-reported MHC, including psychological distress, or major or other psychiatric disorder. There is significant geographic variation in MHCs, with highest and lowest prevalences in South America (39.3%) and Asia (20.1%) (P < 0.001). Predictors of MHCs included experiencing emotional harassment (OR: 2.81; 95% CI: 2.46-3.20), discrimination (OR: 1.85; 95% CI: 1.61-2.12), being divorced (OR: 1.85; 95% CI: 1.27-2.36), and age <55 years (OR: 1.43; 95% CI: 1.24-1.66). Women were more likely to consider suicide within the past 12 months (3.8% vs 2.3%), but were also more likely to seek help (42.3% vs 31.1%) as compared with men (all P < 0.001). Nearly one-half of cardiologists reporting MHCs (44%) felt dissatisfied on at least one professional metric including feeling valued, treated fairly, and adequate compensation. CONCLUSIONS: More than 1 in 4 cardiologists experience self-reported MHCs globally, and the association with adverse experiences in professional life is substantial. Dedicated efforts toward prevention and treatment are needed to maximize the contributions of affected cardiologists.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiología / Cardiólogos / Trastornos Mentales Tipo de estudio: Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Am Coll Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cardiología / Cardiólogos / Trastornos Mentales Tipo de estudio: Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Am Coll Cardiol Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos