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Médecine du travail du personnel hospitalier

Burnout and Alcohol Abuse/Dependence Among U.S. Medical Students

Auteur     Eric R. Jackson
Auteur     Tait D. Shanafelt
Auteur     Omar Hasan
Auteur     Daniel V. Satele
Auteur     Liselotte N. Dyrbye
Volume     91
Numéro     9
Pages     1251-1256
Publication     Academic Medicine: Journal of the Association of American Medical Colleges
ISSN     1938-808X
Date     Sep 2016
Résumé     PURPOSE: To explore the relationship between alcohol abuse/dependence with burnout and other forms of distress among a national cohort of medical students. METHOD: In 2012, the authors completed a national survey of medical students from the American Medical Association’s Physician Masterfile containing validated items assessing alcohol abuse/dependence, burnout, depression, suicidality, quality of life (QOL), and fatigue. Descriptive and comparative statistical analyses were computed, including chi-square and multivariate logistic regression, to determine relationships between variables. RESULTS: Of the 12,500 students, 4,402 (35.2%) responded. Of these, 1,411 (32.4%) met diagnostic criteria for alcohol abuse/dependence. Students who were burned out (P = .01), depressed (P = .01), or reported low mental (P =.03) or emotional (P = .016) QOL were more likely to have alcohol abuse/dependence. Emotional exhaustion and depersonalization domains of burnout were strongly associated with alcohol abuse/dependence. On multivariate analysis, burnout (OR 1.20; 95% CI 1.05-1.37; P < .01), having $50,000 to $100,000 (OR 1.21 versus < $50,000; CI 1.02-1.44; P < .05) or > $100,000 (OR 1.27 versus < $50,000; CI 1.08-1.48; P < .01) of educational debt, being unmarried (OR 1.89; CI 1.57-2.27; P < .001), and being younger (for every five years, OR 1.15; CI 1.02-1.28; P = .01) were independently associated with increased risk for alcohol abuse/dependence. CONCLUSIONS: Burnout was strongly related to alcohol abuse/dependence among sampled medical students and increased educational debt predicted a higher risk. A multifaceted approach addressing burnout, medical education costs, and alcohol use is needed.

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