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Table 4 Associations between characteristics of residents, residency program-related factors, occurrence of abuses and presence of burnout

From: Individual and residency program factors related to depression, anxiety and burnout in physician residents – a Brazilian survey

Variable

Burnout (n = 525)

Controls (n = 894)

OR (95%CI)

pa

ORadj (95%CI)b

pb

Age (years, median, IQR)

28 (26–30)

28 (27–30)

-

.083

.94 (.90–99)

.010

Male sex (n, %)

226 (43.6)

309 (35.0)

1.44 (1.15–1.80)

.001

2.11 (1.58–2.81)

 < .001

Non-heterosexual (n, %)

50 (9.7)

90 (10.2)

1.06 (.74–1.53)

.782

-

 

Marital status single (n, %)

376 (71.6)

602 (67.3)

1.22 (.97–1.55)

.096

-

 

Have children (n, %)

38 (7.2)

89 (10.0)

.71 (.48–1.05)

.101

-

 

Live alone (n, %)

210 (40.0)

330 (36.9)

1.14 (.91–1.42)

.314

-

 

Move to participate in this residency (n, %)

346 (65.9)

567 (63.4)

1.12 (.89–1.40)

.359

-

 

Surgical training area (n, %)

266 (50.7)

344 (38.5)

1.64 (1.32–2.04)

 < .001

-

 

Post-graduation year (median, IQR)

2 (1–3)

2 (1–3)

 

.925

-

 

Weekly working hours in residency (median, IQR)

70 (60–90)

60 (60–80)

-

 < .001

1.20 (1.10–1.32)

 < .001

Weekly moonlighting hours (median, IQR)

9 (3–18)

9 (3–18)

-

.460

-

 

Leisure time (hours/week, median, IQR)

4 (2–8)

6 (4–12)

-

 < .001

.98 (.96–1.00)

.044

Absence of day off (n, %)

242 (46.1)

248 (27.7)

2.23 (1.78–2.79)

 < .001

1.34 (1.00–1.79)

.047

Poor learning experience (n, %)

223 (42.5)

192 (21.5)

2.70 (2.13–3.42)

 < .001

1.48 (1.09–2.02)

.013

Work-personal life conflicts (n, %)

455 (86.7)

648 (72.5)

2.47 (1.84–3.30)

 < .001

-

 

General poor feeling about residency program (n, %)

168 (32.0)

128 (14.3)

2.82 (2.17–3.66)

 < .001

-

 

Few classroom activities (n, %)

302 (58.0)

424 (47.9)

1.50 (1.21–1.87)

 < .001

-

 

Providing assistance without supervision often (n, %)

365 (69.5)

418 (46.8)

2.60 (2.07–3.26)

 < .001

1.32 (1.00–1.76)

.049

Choosing the wrong specialty (n, %)

280 (53.3)

232 (26.0)

3.26 (2.60–4.09)

 < .001

1.77 (1.32–2.35)

 < .001

Occurrence of psychological abuse (n, %)

410 (78.1)

478 (53.5)

3.10 (2.43–3.96)

 < .001

-

 

Occurrence of psychological abuse from attendings (n, %)

303 (57.7)

283 (31.7)

2.95 (2.36–3.68)

 < .001

1.56 (1.21–2.13)

.002

Occurrence of psychological abuse from patients (n, %)

142 (27.0)

151 (16.9)

1.82 (1.41–2.37)

 < .001

1.57 (1.13–2.17)

.006

Occurrence of psychological abuse from colleague residents (n, %)

142 (27.0)

102 (11.4)

2.88 (2.17–3.82)

 < .001

-

 

Occurrence of sexual abuse in your residency program (n, %)

198 (37.7)

220 (24.6)

1.86 (1.47–2.34)

 < .001

-

 

Occurrence of sexual abuse in your residency program from attendings (n, %)

91 (17.3)

66 (7.4)

2.63 (1.88–3.69)

 < .001

-

 

Occurrence of physical aggression in your residency program (n, %)

119 (22.7)

119 (13.3)

1.91 (1.44–2.53)

 < .001

-

 

Anxiety (n, %)

388 (73.9)

415 (46.4)

3.27 (2.58–4.14)

 < .001

-

 

Depression (n, %)

359 (68.4)

307 (34.3)

4.14 (3.29–5.20)

 < .001

2.53 (1.89–3.38)

 < .001

Diurnal somnolence† (n, %)

397 (75.6)

499 (55.8)

2.46 (1.93–3.12)

 < .001

1.52 (1.13–2.04)

.006

  1. a Fisher exact or Mann–Whitney tests
  2. b Final binary logistic regression model: AUROC = .780 (95%CI = .753-.806)
  3. This model enrolled 1,398 individuals (21 [1,5%] had at least one missing variable)