Is There a Burnout Epidemic among Medical Students? Results from a Systematic Review.
Matteo Di Vincenzo, Eleonora Arsenio, Bianca Della Rocca, Anna Rosa, Lucia Tretola, Rita Toricco, Alessia Boiano, Pierluigi Catapano, Sandra Cavaliere, Antonio Volpicelli, Gaia Sampogna, Andrea Fiorillo
Author Information
Matteo Di Vincenzo: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy. ORCID
Eleonora Arsenio: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Bianca Della Rocca: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Anna Rosa: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Lucia Tretola: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Rita Toricco: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Alessia Boiano: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Pierluigi Catapano: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy. ORCID
Sandra Cavaliere: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Antonio Volpicelli: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Gaia Sampogna: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Andrea Fiorillo: Department of Psychiatry, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
中文译文
English
: Medical students represent the ideal target group for promoting mental health and mental wellbeing, being exposed to specific risk factors, such as the content of medical training, the exposure to sickness and death, and a stressful academic routine. Medical students report high levels of cynicism and emotional exhaustion, which represent two of the essential features of burnout syndrome. In this systematic review, studies assessing the levels of burnout among medical students through validated tools worldwide were analyzed. : A systematic review has been performed in order to identify studies: (1) focusing on samples of medical students; (2) evaluating burnout syndrome using validated tools; (3) providing prevalence data on burnout; and (4) written in English. : Out of the 5547 papers initially obtained, 64 were finally included in the analysis. The sample sizes ranged from 51 to 2682 participants. Almost all studies had a cross-sectional design; the Maslach Burnout Inventory and its related versions were the most frequently used assessment tools. The prevalence of burnout, which was stratified based on gender and academic stage, ranged from 5.6 to 88%. Burnout was mostly predicted by thoughts of stopping medical education, negative life events, lack of support, dissatisfaction, and poor motivation. : The prevalence of burnout syndrome in medical students is quite heterogeneous, reaching a peak of 88% in some countries. However, several predictors have been identified, including negative life events or poor motivation. These findings highlight the need to develop preventive interventions targeting the future generation of medical doctors, in order to improve their coping strategies and resilience styles.
J Affect Disord. 2023 Jan 15;321:167-181
[PMID: 36341802 ]
Rev Assoc Med Bras (1992). 2019 Nov;65(11):1362-1367
[PMID: 31800898 ]
World Psychiatry. 2023 Oct;22(3):488-489
[PMID: 37713574 ]
JAMA Netw Open. 2021 Feb 1;4(2):e2036136
[PMID: 33528552 ]
Educ Health (Abingdon). 2017 Jan-Apr;30(1):26-30
[PMID: 28707633 ]
PLoS One. 2020 Jul 10;15(7):e0235154
[PMID: 32649681 ]
Acad Med. 2015 Jul;90(7):961-9
[PMID: 25650824 ]
BMC Med Educ. 2020 Mar 23;20(1):84
[PMID: 32293416 ]
Psychol Med. 1998 May;28(3):551-8
[PMID: 9626712 ]
Acad Psychiatry. 2016 Feb;40(1):69-75
[PMID: 26758738 ]
Med Sci Educ. 2019 Sep 16;29(4):1061-1069
[PMID: 34457584 ]
Arch Environ Occup Health. 2019;74(3):130-139
[PMID: 29116906 ]
Neuropsychiatr. 2021 Mar;35(1):17-27
[PMID: 32880881 ]
World Psychiatry. 2023 Jun;22(2):275-285
[PMID: 37159351 ]
Acad Psychiatry. 2018 Apr;42(2):288-296
[PMID: 29396837 ]
World Psychiatry. 2023 Oct;22(3):392-393
[PMID: 37713552 ]
Med Educ Online. 2018 Dec;23(1):1535738
[PMID: 30371222 ]
S Afr J Psychiatr. 2018 Jul 25;24:1101
[PMID: 30263208 ]
Teach Learn Med. 2016;28(2):174-82
[PMID: 27064719 ]
Annu Rev Psychol. 2001;52:397-422
[PMID: 11148311 ]
BMJ. 2021 Mar 29;372:n71
[PMID: 33782057 ]
Saudi Med J. 2020 Dec;41(12):1375-1380
[PMID: 33294898 ]
Medicine (Baltimore). 2019 May;98(18):e15337
[PMID: 31045774 ]
Medwave. 2016 Apr 25;16(3):e6432
[PMID: 27187775 ]
Soc Sci Med. 1989;28(12):1321-9
[PMID: 2660285 ]
Can J Psychiatry. 2019 Dec;64(12):823-837
[PMID: 31430184 ]
Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):584-587
[PMID: 31638441 ]
Clin Pract Epidemiol Ment Health. 2018 Aug 31;14:188-195
[PMID: 30258484 ]
JAMA. 2010 Sep 15;304(11):1173-80
[PMID: 20841530 ]
Front Psychiatry. 2021 Dec 13;12:798909
[PMID: 34966314 ]
World Psychiatry. 2023 Oct;22(3):491-492
[PMID: 37713567 ]
World Psychiatry. 2023 Jun;22(2):328-329
[PMID: 37159363 ]
Ment Illn. 2020 Nov 30;12(2):35-42
[PMID: 33520143 ]
Acad Psychiatry. 2012 May 1;36(3):177-82
[PMID: 22751817 ]
BMC Med Educ. 2023 Jan 24;23(1):55
[PMID: 36690999 ]
World Psychiatry. 2022 Oct;21(3):388-389
[PMID: 36073683 ]
Medicina (Kaunas). 2023 Oct 20;59(10):
[PMID: 37893584 ]
Arch Gen Psychiatry. 2003 Feb;60(2):184-9
[PMID: 12578436 ]
PLoS One. 2018 Mar 7;13(3):e0191746
[PMID: 29513668 ]
Sultan Qaboos Univ Med J. 2021 May;21(2):e231-e236
[PMID: 34221470 ]
Acad Med. 2006 Apr;81(4):374-84
[PMID: 16565189 ]
Int J Environ Res Public Health. 2017 May 25;14(6):
[PMID: 28587094 ]
World Psychiatry. 2023 Oct;22(3):481-483
[PMID: 37713572 ]
Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):545-547
[PMID: 31774378 ]
World Psychiatry. 2023 Jun;22(2):341-342
[PMID: 37159379 ]
Adv Med Educ Pract. 2021 Jan 25;12:63-75
[PMID: 33531852 ]
J Surg Educ. 2019 Sep - Oct;76(5):1241-1247
[PMID: 30853486 ]
World Psychiatry. 2022 Jun;21(2):328-330
[PMID: 35524601 ]
PLoS One. 2020 Nov 18;15(11):e0241335
[PMID: 33206654 ]
World Psychiatry. 2023 Jun;22(2):346-347
[PMID: 37159381 ]
World Psychiatry. 2023 Jun;22(2):343-344
[PMID: 37159378 ]
S Afr J Psychiatr. 2023 May 31;29:2044
[PMID: 37292521 ]
BMJ. 2016 Oct 12;355:i4919
[PMID: 27733354 ]
Int J Environ Res Public Health. 2020 Dec 18;17(24):
[PMID: 33352940 ]
Arch Intern Med. 2007 Oct 22;167(19):2103-9
[PMID: 17954805 ]
Rev Econ Househ. 2022;20(2):447-470
[PMID: 34429716 ]
Ind Psychiatry J. 2021 Jul-Dec;30(2):193-197
[PMID: 35017800 ]
Int Arch Occup Environ Health. 2011 Apr;84(4):453-9
[PMID: 21373879 ]
World Psychiatry. 2023 Oct;22(3):495-496
[PMID: 37713543 ]
Psychiatry Investig. 2015 Oct;12(4):451-8
[PMID: 26508955 ]
Trends Psychiatry Psychother. 2022 Jun 17;44:e20200187
[PMID: 34139116 ]
Int J Med Educ. 2019 Nov 29;10:223-229
[PMID: 31786565 ]
Medicina (Kaunas). 2020 Dec 24;57(1):
[PMID: 33374475 ]
World Psychiatry. 2022 Oct;21(3):389-390
[PMID: 36073697 ]
Acad Med. 2014 Mar;89(3):443-51
[PMID: 24448053 ]
BMC Psychol. 2022 Aug 6;10(1):193
[PMID: 35933418 ]
Acad Med. 2014 May;89(5):749-54
[PMID: 24667503 ]
Eur Psychiatry. 2019 Jan;55:36-42
[PMID: 30384110 ]
World Psychiatry. 2022 Feb;21(1):133-145
[PMID: 35015359 ]
Work. 2020;66(3):611-616
[PMID: 32623422 ]
Medicine (Baltimore). 2018 Apr;97(15):e0326
[PMID: 29642167 ]
J Natl Med Assoc. 2020 Dec;112(6):597-601
[PMID: 32680700 ]
World Psychiatry. 2022 Oct;21(3):423-424
[PMID: 36073712 ]
BMC Med Educ. 2021 Sep 5;21(1):471
[PMID: 34482821 ]
World Psychiatry. 2022 Feb;21(1):77-78
[PMID: 35015353 ]
Rev Assoc Med Bras (1992). 2021 Jun;67(5):667-674
[PMID: 34550254 ]
Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):569-573
[PMID: 31469033 ]
Acad Psychiatry. 2018 Feb;42(1):41-47
[PMID: 29124715 ]
Int J Med Educ. 2020 Sep 28;11:201-213
[PMID: 32996466 ]
BMC Med Educ. 2020 Oct 21;20(1):376
[PMID: 33087080 ]
BMC Med Educ. 2019 Nov 8;19(1):413
[PMID: 31703674 ]
World Psychiatry. 2022 Feb;21(1):82-83
[PMID: 35015375 ]
World Psychiatry. 2023 Oct;22(3):449-462
[PMID: 37713578 ]
Mol Psychiatry. 2022 Jan;27(1):281-295
[PMID: 34079068 ]
Med Educ Online. 2014 Aug 25;19:25209
[PMID: 25160716 ]
Int J Soc Psychiatry. 2015 Nov;61(7):631-7
[PMID: 25614470 ]
Int Rev Psychiatry. 2019 Nov - Dec;31(7-8):563-568
[PMID: 31456450 ]
Healthcare (Basel). 2023 Jul 14;11(14):
[PMID: 37510470 ]
Acad Med. 2011 Nov;86(11):1367-73
[PMID: 21952063 ]
BJPsych Int. 2022 May;19(2):34-36
[PMID: 35532467 ]
Front Public Health. 2023 Aug 31;11:1116616
[PMID: 37719741 ]
BMJ Open. 2019 May 1;9(4):e023297
[PMID: 31048421 ]
BMC Psychiatry. 2016 Feb 09;16:29
[PMID: 26860706 ]
Cureus. 2019 Jun 11;11(6):e4879
[PMID: 31417824 ]
BMC Med Educ. 2023 May 6;23(1):317
[PMID: 37149602 ]
J Ment Health. 2023 Nov 7;:1-37
[PMID: 37933550 ]
World Psychiatry. 2022 Jun;21(2):310-311
[PMID: 35524624 ]
World Psychiatry. 2023 Jun;22(2):331-332
[PMID: 37159361 ]
PLoS One. 2021 Aug 20;16(8):e0256446
[PMID: 34415954 ]
World Psychiatry. 2023 Jun;22(2):233-234
[PMID: 37159368 ]
Int J Environ Res Public Health. 2022 Feb 04;19(3):
[PMID: 35162802 ]
BMJ Open. 2019 Jul 9;9(7):e029029
[PMID: 31289089 ]
Local Reg Anesth. 2020 Oct 28;13:171-183
[PMID: 33149664 ]
Humans
Students, Medical
Burnout, Professional
Burnout, Psychological
Prevalence
Female
Male
Cross-Sectional Studies