TITLE

National survey of the association of depressive symptoms with the number of off duty and on-call, and sleep hours among physicians working in Japanese hospitals: a cross sectional study

AUTHOR(S)
Wada, Koji; Yoshikawa, Toru; Goto, Takahisa; Hirai, Aizan; Matsushima, Eisuke; Nakashima, Yoshifumi; Akaho, Rie; Kido, Michiko; Hosaka, Takashi
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10, p127
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Physicians' mental health may be adversely affected by the number of days of work and time spent on-call, and improved by sleep and days-off. The aim of this study was to determine the associations of depressive symptoms with taking days of off duty, hours of sleep, and the number of days of on-call and overnight work among physicians working in Japanese hospitals. Methods: A cross-sectional study as a national survey was conducted by mail. The study population was 10,000 randomly selected physicians working in hospitals who were also members of the Japan Medical Association (response rate 40.5%). Self-reported anonymous questionnaire was sent to assess the number of days off-duty, overnight work, and on-calls, and the average number of sleep hours on days not working overnight in the previous one month. Depressive state was determined by the Japanese version of the Quick Inventory of Depressive Symptomatology. Logistic regression analysis was used to explore the associations between depressive symptoms and the studied variables. Results: Among the respondents, 8.3% of men and 10.5% of women were determined to be depressed. For both men and women, depressive state was associated with having no off-duty days and averaging less than 5 hours of sleep on days not doing overnight work. Depressive state was positively associated with being on-call more than 5 days per month for men, and more than 8 days per month for women, and was negatively associated with being off-duty more than 8 days per month for men. Conclusion: Some physicians need some support to maintain their mental health. Physicians who do not take enough days-off, who reduced sleep hours, and who have certain number of days on-calls may develop depressive symptoms.
ACCESSION #
49163209

 

Related Articles

  • How to preserve the antidepressive effect of sleep deprivation: A comparison of sleep phase advance and sleep phase delay. Riemann, D.; König, A.; Hohagen, F.; Kiemen, A.; Voderholzer, U.; Backhaus, J.; Bunz, J.; Wesiack, B.; Hermle, L.; Berger, M. // European Archives of Psychiatry & Clinical Neuroscience;1999, Vol. 249 Issue 5, p231 

    Abstract Total sleep deprivation (TSD) leads to an immediate amelioration of depressed mood in approximately 70 % of patients with the melancholic subtype of depression. The clinical utility of this procedure is limited, as the improvement usually subsides after the next night of sleep. In the...

  • The Day-to-Day Acute Effect of Wake Therapy in Patients with Major Depression Using the HAM-D6 as Primary Outcome Measure: Results from a Randomised Controlled Trial. Martiny, Klaus; Refsgaard, Else; Lund, Vibeke; Lunde, Marianne; Sørensen, Lene; Thougaard, Britta; Lindberg, Lone; Bech, Per // PLoS ONE;Jun2013, Vol. 8 Issue 6, p1 

    Background: This paper reports day-to-day data for from a one-week intervention phase, part of a 9-weeks randomised parallel study with patient having major depression (data from weekly visits have been reported). Wake therapy (sleep deprivation) has an established antidepressant effect with...

  • White blood cells and cortisol after sleep deprivation and recovery sleep in humans. Heiser, P.; Dickhaus, B.; Schreiber, W.; Clement, H.W.; Hasse, C.; Hennig, J.; Remschmidt, H.; Krieg, J.C.; Wesemann, W.; Opper, C. // European Archives of Psychiatry & Clinical Neuroscience;2000 Supplement, Vol. 250 Issue 1, p16 

    Focuses on a study that investigated possible interrelationships between a well-established therapy for depression, sleep deprivation (SD) and the host defense system and cortisol. Information about SD; Subjects and methods; Results.

  • Depression gets a wake-up call.  // Science Teacher;Apr94, Vol. 61 Issue 4, p14 

    Discusses the use of partial sleep deprivation to combat depression in patients at the University of California-Los Angeles Neuropsychiatric Institute and Hospital. Benefits of rearranging a person's circadian clock according to researcher Lewis R. Baxter; Theory on the cause of major...

  • Psychopharmacology for counsellors and psychotherapists, Part 2. Freeth, Rachel // Healthcare Counselling & Psychotherapy Journal;Apr2004, Vol. 4 Issue 2, p30 

    Drugs are often prescribed with the same broad aim as counseling and psychotherapy, i.e. to improve psychological functioning. Because most NHS counselors and psychotherapists will have clients who are taking such drugs, it is important they understand why psychotropic drugs are prescribed,...

  • Sleep deprivation and postpartum mental health. Sloan, Eileen // Archives of Women's Mental Health;Dec2011, Vol. 14 Issue 6, p509 

    The article describes the case of a postpartum married woman whose mental health has been affected by sleep deprivation. The patient had significant paranoid ideation about her husband. The patient was prescribed with lorazepam to help her sleep. The patient's paranoid ideation has subsided and...

  • Lose Some, Win Some. Haugen, Peter // Psychology Today;Jul/Aug2000, Vol. 33 Issue 4, p12 

    States that sleep deprivation can alleviate depression. Result of the experiment conducted by Joseph Wu, professor of psychiatry at the University of California in Irvine; Explanation on the brain activity of persons who lack sleep and who do not experience depression.

  • Caregivers' Descriptions of Sleep Changes and Depressive Symptoms. Carter, Patricia A. // Oncology Nursing Forum;Oct2002, Vol. 29 Issue 9, p1277 

    Purpose/Objectives: To describe caregiver sleep and depression using caregiver narratives. To compare qualitative descriptions with quantitative scores. Design: Descriptive, one-time, open-ended interview followed by structured sleep and depression questions. Setting: Interview conducted in...

  • INSOMNIA in HIV/AIDS. Phillips, Kenneth D.; Branson, Scobie // Sleep Review;Jan/Feb2009, Vol. 10 Issue 1, p14 

    The article discusses the relationship between insomnia and Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS). An overview on AIDS is presented including developments related to its treatment. Insomnia among people living with HIV/AIDS is discussed including the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics