BACKGROUND AND OBJECTIVES: There is awareness of depression in resident physicians, yet limited information on self-treatment or informal treatment behaviors for depression. This study sought to identify the prevalence of moderate to severe depression, self-treatment, and informal treatment for depression in resident physicians. METHODS: A total of 704 residents at the University of Utah were sent a survey on depression in the fall of 2009, with a response rate of 36.9% (260). RESULTS: Moderate to severe depression was present in 17.7% (46/260) of residents. Only 1.2% (3/254) of all residents had prescribed their own antidepressant medication, and just 0.8% (2/257) of residents had self-treated for depression with samples from their clinic. Regarding informal prescribing, 5.9% (15/256) of residents had received prescription antidepressants from another provider without a formal clinical consultation or appointment, and 3.1% (8/254) of residents had informally prescribed antidepressant medications to another resident colleague. Merely 26.7% (12/45) of residents with moderate to severe depression scores were currently receiving treatment for depression. CONCLUSIONS: Moderate to severe depression in resident physicians is common and undertreated. Self-treatment behaviors of self-prescribing and use of clinical samples have a low prevalence but are present. Similarly, informally obtaining prescription antidepressants and informally prescribing antidepressants to other residents exist at a low rate.
BACKGROUND AND OBJECTIVES: There is awareness of depression in resident physicians, yet limited information on self-treatment or informal treatment behaviors for depression. This study sought to identify the prevalence of moderate to severe depression, self-treatment, and informal treatment for depression in resident physicians. METHODS: A total of 704 residents at the University of Utah were sent a survey on depression in the fall of 2009, with a response rate of 36.9% (260). RESULTS: Moderate to severe depression was present in 17.7% (46/260) of residents. Only 1.2% (3/254) of all residents had prescribed their own antidepressant medication, and just 0.8% (2/257) of residents had self-treated for depression with samples from their clinic. Regarding informal prescribing, 5.9% (15/256) of residents had received prescription antidepressants from another provider without a formal clinical consultation or appointment, and 3.1% (8/254) of residents had informally prescribed antidepressant medications to another resident colleague. Merely 26.7% (12/45) of residents with moderate to severe depression scores were currently receiving treatment for depression. CONCLUSIONS: Moderate to severe depression in resident physicians is common and undertreated. Self-treatment behaviors of self-prescribing and use of clinical samples have a low prevalence but are present. Similarly, informally obtaining prescription antidepressants and informally prescribing antidepressants to other residents exist at a low rate.
Authors: Michelle D Lall; Theodore J Gaeta; Arlene S Chung; Erin Dehon; William Malcolm; Adam Ross; David P Way; Lori Weichenthal; Nadine T Himelfarb Journal: West J Emerg Med Date: 2019-02-28
Authors: Douglas A Mata; Marco A Ramos; Narinder Bansal; Rida Khan; Constance Guille; Emanuele Di Angelantonio; Srijan Sen Journal: JAMA Date: 2015-12-08 Impact factor: 56.272