Sleep Quality and Burnout Syndrome among Residents in Training at the Faculty of Medicine, Prince of Songkla University

Thirapath  Chatlaong; Jarurin  Pitanupong; Pakawat  Wiwattanaworaset

doi:10.33192/Smj.2020.41

Authors

Thirapath Chatlaong Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110 http://orcid.org/0000-0002-2984-0359
Jarurin Pitanupong Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110 http://orcid.org/0000-0001-9312-9775
Pakawat Wiwattanaworaset Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110 http://orcid.org/0000-0002-3560-0415

DOI:

https://doi.org/10.33192/Smj.2020.41

Keywords:

Resident, sleep quality, burnout syndrome

Abstract

Objective: To assess sleep quality, burnout syndrome and associated factors among residents in training.
Methods: A cross-sectional study surveyed all residents in training at the Faculty of Medicine, Prince of Songkla University; from August to October, 2019. The questionnaires were composed of 3 parts: 1) Personal and demographic inquiry 2) The Pittsburgh Sleep Quality Index (PSQI), Thai version 3) The Maslach Burnout Inventory (MBI), Thai version. All data were analyzed using descriptive statistics, and the results were showed as average, percentage, frequency, and standard deviation. Associated factors of sleep quality were analyzed by chi-square and logistic regression.
Results: There were 217 respondents. The majority of residents were female (57.1%), with a mean age of; 26.8+1.6 years. The participants reported their mean working hours, per week, as 67.8+28.5, and 78.3% of them had poor sleep quality. The problematic sleep subscales were subjective sleep quality, sleep duration, and daytime dysfunction. In addition, the disturbed factors for sleep quality were sleep disruption while being on call at 02.00-04.00am, temperature and noise in the bedroom while being on duty. The prevalence of burnout syndrome among residents was 95.4%, with the highest score revealed to be emotional exhaustion. Logistic regression showed that the associated factors of sleep quality were environmental problems in the bedroom while being on duty and emotional exhaustion.
Conclusion: Most residents had poor sleep quality; with associated factors of sleep quality being environmental problems in the bedroom and burnout syndrome.

References

1. Kalmbach D, Arnedt J, Song P, Guille C, Sen S. Sleep disturbance and short sleep as risk factors for depression and perceived medical errors in first-year residents. Sleep 2017;40(3).
2. Barger L, Cade B, Ayas N, Cronin J, Rosner B, Speizer F, et al. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 2005;352(2):125-34.
3. Shad R, Thawani R, Goel A. Burnout and sleep quality: a cross-sectional questionnaire-based study of medical and non-medical students in India. Cureus 2015;7(10):e361.
4. Srikam S, Jiamjarasrangsi V, Lalitanantpong D. Job burnout and related factors among residents of King Chulalongkorn Memorial Hospital. J Psychiatr Assoc Thailand 2014;59(2):139-50.
5. Sargent M, Sotile W, Sotile M, Rubash H, Barrack R. Stress and coping among orthopedic surgery residents and faculty. J Bone Joint Surg Am 2004;86(7):1579-86.
6. Vela BA, Moreno JB, Rodríguez MA, Olavarrieta BS, Fernández MJ, De la Cruz TJ, et al. Insomnia and sleep quality among primary care physicians with low and high burnout levels. J Psychosom Res 2008;64(4):435-42.
7. Pitanupong J, Tanchaiswat W. The comparison of level of the vigilance among rotating shift working nurses at Songklanagarind Hospital. J Psychiatr Assoc Thailand 1999;44(1):12-8.
8. Yamma C, Lueboonthavatchai P. Sleep problems, fatigue and work efficiency among registered nurse at King Chulalongkorn Memorial Hospital. J Psychiatr Assoc Thailand 2013;58(2):183-96.
9. Pitanupong J, Jatchavala C. A study on the comparison of burnout syndrome, among medical doctors in the restive areas and non-restive areas of the South Thailand Insurgency. J Health Sci Med Res 2018;36(4):277-89.
10. Thamrongvisava S, Pitanupong J. The prevalence and associated factors of burnout syndrome among residents in training at faculty of medicine, Songklanagarind Hospital. J Psychiatr Assoc Thailand 2018;63(4):309-20.
11. Reangsing C. Quality of sleep and mental health of professional nurses in government hospitals [dissertation]. Bangkok metropolis: Chulalongkorn University; 2007.
12. Chanamanee P, Taboonpong S, Intanon T. Sleep quality and related factors among university students in southern Thailand. Songkla Med J 2006;24(3):163-73.
13. .Lerthattasilp T. Burnout among psychiatrists in Thailand: national survey. J Psychiatr Assoc Thailand 2011;56(4):437-48.
14. Sammawart S. Burnout among nurse in Ramathibodi hospital [Thesis]. Bangkok: Mahidol University; 1989.
15. Maslach C, Jackson S. The measurement of experienced burnout. J Organ Behav 1981;2(2):99-113.
16. Maslach C, Schaufeli W, Leiter M. Job burnout. Annu Rev Psychol 2001;52(1):397-422.
17. .Murthy V, Nayak A, Assessment of sleep quality in post-graduate residents in a tertiary hospital and teaching institute. Ind Psychiatry J 2014;23(1):23-6.
18. Virtanen M, Ferrie J, Gimeno D, Vahtera J, Elovainio M, Singh-Manoux A, et al. Long working hours and sleep disturbance: the Whitehall ii prospective cohort study. Sleep 2009;32(6):737-45.
19. Sereesitthipitak V. Burnout: definition, inventory, prevention and intervention. Journal of Somdet Chaopraya Institute of Psychiatry 2007;1(2):121-30.
20. Felton JS. Burnout as a clinical entity-its importance in health care workers. Occup Med 1998; 48(4):237-50.
21. Wood BD, Killion JB. Burnout among healthcare professionals. Radiol Manage 2007;29:30-4.
22. Ishak W, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, et al. Burnout during residency training: a literature review. J Grad Med Educ 2009;1:236-42.
23. Chaiudomsom K, Paholpak P, Vadhanavikkit P, Aphisitphinyo S. Psychiatry. 2nded. Khon Kaen: Klungnana vittaya press; 2017.