The well-being of doctors is under significant strain
and negative experiences contributing to burnout and depression
This issue affects not only healthcare professionals themselves but also their patients and the whole healthcare system
A recent review in The New England Journal of Medicine summarizes research on the prevalence of burnout and depression among doctors while highlighting effective countermeasures
The authors offered suggestions for further research and actionable steps for clinics
and policymakers to address these challenges effectively
“This review highlights an important aspect of occupational health management that has gained traction in German hospitals in recent years,” said Peter Zwanzger
chief physician in general psychiatry and psychosomatics at the kbo-Inn-Salzach clinic in Wasserburg am Inn
and a board member of the German Society for Psychiatry and Psychotherapy
psychiatrists at the University of South Carolina
emphasized that depression is a better-defined diagnosis than burnout
Their analysis of 182 studies found 142 different definitions of burnout
leading to prevalence rates among doctors ranging from 0% to 80.5%
This variation prompted the authors to concentrate on studies related to depression
“These concepts — depression and burnout — are not equivalent
scientifically recognized diagnoses,” Zwanzger clarified
scientifically validated diagnosis found in all major diagnostic systems
burnout is not a recognized diagnosis but rather a risk state
Symptoms that lead to a diagnosis of depression include low energy
Symptoms are similar whether depression is triggered by external factors or internal pathological states
Excessive workload is a major cause of depression and burnout among doctors. In one study
young residents experienced up to a sixfold increase in depression rates after beginning clinical work
with shifts extending to as much as 90 hours per week
a 40-45 hour working week caused a doubling in the incidence of depression
“One of the most important steps to counteract general overload is the regulation of working hours established under European labor laws,” Zwanzger explained
excessively long shifts and significant weekly hours should be a thing of the past.”
Other systemic triggers of depression include lack of access to mental health services
often due to additional family pressures on women and less social integration for minorities
it’s also observed that high-intensity workloads in some medical specialties lead to mental health complaints
and a higher risk of substance abuse and dependency,” Zwanzger said
workplace health management in German hospitals has advanced significantly in recent years
Many institutions have implemented screening programs for mental health concerns through occupational health services.”
The authors outline several recommendations:
This story was translated from Medscape German edition using several editorial tools
Human editors reviewed this content before publication
Send comments and news tips to news@medscape.net
TSV 1860 Munich experienced great times with him
The cult coach died on Easter Sunday after a long illness in a hospital in Wasserburg am Inn
The announcement was made by TSV 1860 Munich
the club with which Lorant experienced his greatest times as a coach
"The entire Löwen family is in deep mourning
He left a deep mark on TSV 1860 Munich," said a statement from the Munich club
where Lorant took over as coach in July 1992
The club was also playing in the third division at the time
the club was promoted from the Bayernliga to the Bundesliga
He worked for the Löwen until October 2001
Many other and mostly much shorter spells followed
Lorant always remained true to his style: gnarly
"I only change when someone breaks a leg," he once said
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Werner Lorant once made history with the "Löwen"
He truly earned his nickname "Beinhart"
Werner Lorant spent his retirement in Waging am See
He lived in a vacation apartment above the reception of the local campsite with his girlfriend Brigitte and his dog Jackson
who had earned the nickname "Beinhart" ("tough as nails") for his toughness towards opponents
was still coaching children at the five-star facility during the summer months at the local football school together with former national team player Dieter Eckstein
It was a long journey from Welver in the district of Soest
to a campsite with a view of the Chiemgau Alps
who died on Easter Sunday in a hospital in Wasserburg am Inn at the age of 76
but his talent as a professional footballer became apparent early on
Lorant once grabbed his opponent Jupp Kapellmann so hard in the privates that the international had to go to hospital
At the side of then president Karl-Heinz Wildmoser
the man with the white high-voltage hairstyle led the "Lions" from July 1992 onwards from the 3rd division almost all the way to the Champions League
Lorant celebrated his greatest success in the 1999/2000 season
when TSV won two derbies against FC Bayern and finished fourth in the table to qualify for the Champions League
"I only make changes when someone breaks a leg," the hot-blooded coach once said
formulating his questionable secret to success
Lorant was forced to leave TSV 1860 and was dismissed by Wildmoser in a dispute
he was a very demanding person," Wildmoser
"He only cares about his shitty Allianz Arena
you need a team that can win," said Lorant against Wildmoser's plans at the time
who nevertheless refused to be deterred from building a stadium with rivals FC Bayern
he could hardly do anything with today's generation of players
"Many of them lack the right attitude to become even better," criticized Lorant
who also repeatedly commented on the events at his "Löwen"
"Most of them can't even find a place to live themselves," he scoffed
"They get everything blown up their asses."
he had claimed that he would be 100 years old: "I know that." It didn't come to that
But the "Löwen" family will remember him
"He has left a deep mark on TSV 1860 Munich