THE IMPACT OF JOB SATISFACTION ON ANXIETY AND DEPRESSION LEVELS AMONG UNIVERSTY PHYSICIANS

Doktorlarda depresyon, intihar ve madde kullanımı riski yüksektir. İş doyumu ve stres gibipsikososyal etmenlerin mental sağlık üzerine etkileri olduğu bilinmektedir.Amaç: Bu çalışmanın amacı üniversite hastanesinde çalışan hekimlerde depresyon veanksiyete düzeylerinin belirlenmesi ve iş doyumunun etkisinin incelenmesidir.Yöntem: Çalışmada Dokuz Eylül Üniversitesi Tıp Fakültesi\'nde çalışan ve sistematikörnek seçme yöntemi ile seçilen 300 hekime anket dağıtıldı, 153 hekimden yanıt alındı (%51,0). Sosyo-demografik ve çalışma yaşamı ile ilgili soruların sorulduğu, kapalı zarflardadağıtılan ve iki hafta sonra toplanan ankette depresyon ve anksiyete ölçümünde HastaneAnksiyete ve Depresyon Ölçeği kullanıldı. İş doyumunu değerlendirmek üzere tek bir soruile 1 ile 10 arasında derecelendirmeleri istendi ve işaretlenen puanlara göre iş doyumudüşük, orta ve yüksek olarak sınıflandırıldı.Bulgular: Yüksek anksiyete ve depresyon görülme sıklığı sırasıyla %18,9 ve 27,4\'tür. İşdoyumu ve anksiyete arasında anlamlı bir ilişki saptanmamıştır (p=0,239). İş doyumu düşükolanlarda, cerrahi bilimlerde çalışanlarda ve asistan konumunda çalışanlarda depresyondüzeyi anlamlı olarak yüksek bulunmuştur (p<0,0001).Sonuç: Hekimlerde anksiyete ve depresyon düzeyleri yüksek bulunmuştur. İş doyumu vedepresyon arasında ilişki saptanmıştır. Hekimlerin iş doyumları mental sağlıkları, kurumlarıve hastaları için önemlidir. İş doyumu bireysel bir sorun olarak değil kurumsal olarakdeğerlendirilmeli; izlem sistemi oluşturularak ileriye yönelik ve girişimsel çalışmalara olanaksağlanmalıdır.Studies have shown that physicians have an increased risk of mental health problemsincluding depression, suicide and substance abuse. Job satisfaction and job stress mightaffect physicians mental well being.Objective: The aim of this study was to determine the level of anxiety and depression ofmedical doctors working in a university hospital and whether job satisfaction has an impacton level of anxiety and depression.Methods: The study was completed with 153 physicians those systematically selectedfrom university medical faculty. The response rate was 51,0%. Hospital Anxiety andDepression Scale was used to measure anxiety and depression. The study group was ratedtheir job satisfaction by a continuous scale ranged one to ten. Then tertiles were calculatedin order to categorize the job satisfaction as low, modest and high.Results: Anxiety prevalence wasfound to be 18.9% and depressionwas 27.4%. Job satisfaction did notalter the anxiety levels (p=0.239).Depression were significantly higher inthe least job satisfied physicians (p<0.0001).Conclusion: Job satisfaction is an important issue for physicians\' mental well-being, theirinstitution and patients. Hence it should be considered not as an individual problem but asan organisational one. Surveillence systems should be established which allow follow-upand interventional studies

Contrasting cardiovascular mortality trends in Eastern Mediterranean populations: contributions from risk factor changes and treatments

Background Middle income countries are facing an epidemic of non-communicable diseases, especially coronary heart disease (CHD). We used a validated CHD mortality model (IMPACT) to explain recent trends in Tunisia, Syria, the occupied Palestinian territory (oPt) and Turkey. Methods Data on populations, mortality, patient numbers, treatments and risk factor trends from national and local surveys in each country were collated over two time points (1995–97; 2006–09); integrated and analysed using the IMPACT model. Results Risk factor trends: Smoking prevalence was high in men, persisting in Syria but decreasing in Tunisia, oPt and Turkey. BMI rose by 1–2 kg/m2 and diabetes prevalence increased by 40%–50%. Mean systolic blood pressure and cholesterol levels increased in Tunisia and Syria. Mortality trends: Age-standardised CHD mortality rates rose by 20% in Tunisia and 62% in Syria. Much of this increase (79% and 72% respectively) was attributed to adverse trends in major risk factors, occurring despite some improvements in treatment uptake. CHD mortality rates fell by 17% in oPt and by 25% in Turkey, with risk factor changes accounting for around 46% and 30% of this reduction respectively. Increased uptake of community treatments (drug treatments for chronic angina, heart failure, hypertension and secondary prevention after a cardiac event) accounted for most of the remainder. Discussion CHD death rates are rising in Tunisia and Syria, whilst oPt and Turkey demonstrate clear falls, reflecting improvements in major risk factors with contributions from medical treatments. However, smoking prevalence remains very high in men; obesity and diabetes levels are rising dramatically