TY - JOUR
T1 - Prevalence and Professional Impact of Mental Health Conditions Among Cardiologists
AU - Sharma, Garima
AU - Rao, Shiavax J.
AU - Douglas, Pamela S.
AU - Rzeszut, Anne
AU - Itchhaporia, Dipti
AU - Wood, Malissa J.
AU - Nasir, Khurram
AU - Blumenthal, Roger S.
AU - Poppas, Athena
AU - Kuvin, Jeffrey
AU - Miller, Andrew P.
AU - Mehran, Roxana
AU - Valentine, Michael
AU - Summers, Richard F.
AU - Mehta, Laxmi S.
N1 - Publisher Copyright:
© 2023 American College of Cardiology Foundation
PY - 2023/2/14
Y1 - 2023/2/14
N2 - Background: Mental illness among physicians is an increasingly recognized concern. Global data on mental health conditions (MHCs) among cardiologists are limited. Objectives: The purpose of this study was to investigate the global prevalence of MHCs among cardiologists and its relationships to professional life. Methods: The American College of Cardiology conducted an online survey with 5,931 cardiologists globally in 2019. Data on demographics, practice, MHC, and association with professional activities were analyzed. The P values were calculated using the chi-square, Fischer exact, and Mann-Whitney U tests. Univariate and multivariate logistic regression analysis determined the association of characteristics with MHC. Results: Globally, 1 in 4 cardiologists experience any self-reported MHC, including psychological distress, or major or other psychiatric disorder. There is significant geographic variation in MHCs, with highest and lowest prevalences in South America (39.3%) and Asia (20.1%) (P < 0.001). Predictors of MHCs included experiencing emotional harassment (OR: 2.81; 95% CI: 2.46-3.20), discrimination (OR: 1.85; 95% CI: 1.61-2.12), being divorced (OR: 1.85; 95% CI: 1.27-2.36), and age <55 years (OR: 1.43; 95% CI: 1.24-1.66). Women were more likely to consider suicide within the past 12 months (3.8% vs 2.3%), but were also more likely to seek help (42.3% vs 31.1%) as compared with men (all P < 0.001). Nearly one-half of cardiologists reporting MHCs (44%) felt dissatisfied on at least one professional metric including feeling valued, treated fairly, and adequate compensation. Conclusions: More than 1 in 4 cardiologists experience self-reported MHCs globally, and the association with adverse experiences in professional life is substantial. Dedicated efforts toward prevention and treatment are needed to maximize the contributions of affected cardiologists.
AB - Background: Mental illness among physicians is an increasingly recognized concern. Global data on mental health conditions (MHCs) among cardiologists are limited. Objectives: The purpose of this study was to investigate the global prevalence of MHCs among cardiologists and its relationships to professional life. Methods: The American College of Cardiology conducted an online survey with 5,931 cardiologists globally in 2019. Data on demographics, practice, MHC, and association with professional activities were analyzed. The P values were calculated using the chi-square, Fischer exact, and Mann-Whitney U tests. Univariate and multivariate logistic regression analysis determined the association of characteristics with MHC. Results: Globally, 1 in 4 cardiologists experience any self-reported MHC, including psychological distress, or major or other psychiatric disorder. There is significant geographic variation in MHCs, with highest and lowest prevalences in South America (39.3%) and Asia (20.1%) (P < 0.001). Predictors of MHCs included experiencing emotional harassment (OR: 2.81; 95% CI: 2.46-3.20), discrimination (OR: 1.85; 95% CI: 1.61-2.12), being divorced (OR: 1.85; 95% CI: 1.27-2.36), and age <55 years (OR: 1.43; 95% CI: 1.24-1.66). Women were more likely to consider suicide within the past 12 months (3.8% vs 2.3%), but were also more likely to seek help (42.3% vs 31.1%) as compared with men (all P < 0.001). Nearly one-half of cardiologists reporting MHCs (44%) felt dissatisfied on at least one professional metric including feeling valued, treated fairly, and adequate compensation. Conclusions: More than 1 in 4 cardiologists experience self-reported MHCs globally, and the association with adverse experiences in professional life is substantial. Dedicated efforts toward prevention and treatment are needed to maximize the contributions of affected cardiologists.
KW - burnout
KW - cardiologist
KW - mental health
KW - mental health condition
KW - mental illness
KW - physician
KW - well-being
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U2 - 10.1016/j.jacc.2022.11.025
DO - 10.1016/j.jacc.2022.11.025
M3 - Article
C2 - 36585350
AN - SCOPUS:85147219178
VL - 81
SP - 574
EP - 586
JO - Journal of the American College of Cardiology.
JF - Journal of the American College of Cardiology.
SN - 0735-1097
IS - 6
ER -