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 This website is using a security service to protect itself from online attacks The action you just performed triggered the security solution There are several actions that could trigger this block including submitting a certain word or phrase You can email the site owner to let them know you were blocked Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page 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