Original Research

Depressive symptoms and associated factors in medical interns at a tertiary hospital

Kaveshin Naidu, John R. Torline, Michelle Henry, Helena B. Thornton
South African Journal of Psychiatry | Vol 25 | a1322 | DOI: https://doi.org/10.4102/sajpsychiatry.v25i0.1322 | © 2019 Kaveshin Naidu, John Ross Torline, Michelle Henry, Helena Barbara Thornton | This work is licensed under CC Attribution 4.0
Submitted: 31 August 2018 | Published: 04 July 2019

About the author(s)

Kaveshin Naidu, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
John R. Torline, Specialist Psychiatrist, Cape Town, South Africa
Michelle Henry, Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa
Helena B. Thornton, Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa


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Abstract

Background: It is known that medical doctors suffer from increased rates of depression with medical interns being most at risk. Despite this, little is known about the prevalence of depression in interns in South Africa.

Objectives: This study aimed to assess the prevalence of depressive symptoms in interns employed at Groote Schuur Hospital, a tertiary hospital in the Western Cape.

Method: The study was a cross-sectional study. All 91 interns were invited to participate in the study and consenting interns were required to complete a demographic and related questionnaire and the Beck Depression Inventory 2 (BDI-2).

Results: Fifty-four (59.3%) of all invited interns participated in the study. Twenty-two interns (40.7%) reported a BDI-2 score of 14 or greater, indicating at least mild self-reported symptoms of depression. Features associated with a BDI-2 score of 14 or greater, included female gender, a previous diagnosis of depression, seeing a psychotherapist and previously being on antidepressant medication during internship. Other features also significantly associated with higher BDI-2 scores included suicidal ideation, thoughts of emigration, wanting to leave medicine and using substances to cope. The most significant associated feature of high BDI-2 scores was a subjective feeling of being ‘burnt out’.

Conclusion: Interns had a higher prevalence of depressive symptoms when compared to the general population. The feeling of being ‘burnt out’ was the most significant factor associated with the severity of depressive symptoms. It is imperative that the mental health of both medical students and newly qualified doctors be prioritised, supported and monitored.


Keywords

Depressive symptoms; Burnout; Medical interns; Beck Depression Inventory 2; South Africa

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