Marital distress among resident physicians.
نویسنده
چکیده
R esidency training has long been known to constitute a stressful time in the professional development of physicians.1-4 Considerable literature has documented problems in work performance,5 anxiety states,4 alcohol and drug abuse,6 depression7'8 and suicide9 among residents, but marital issues10 have been discussed less often. In 1984 Dr. Terry Isomura, Department of Psychiatry, Shaughnessy Hospital, Vancouver, and I administered a questionnaire to all women physicians who were enrolled in the various residency programs at the University of British Columbia. A large proportion of the women said that they and their partners had communication difficulties, did not have enough time together, had arguments over finances, work and sharing of domestic responsibilities, and were concerned about their sexual relationship (unpublished data, 1984). What are the problems that commonly beset married resident physicians? Long work days and frequent on-call assignments rapidly lead to insufficient time with their spouses. Subsequent lack of sleep results in diminished mental alertness, irritability, loss of pleasure in light-hearted activities and decreased interest in sex. The stage is set for increasing tension at home and frequent arguments that, if unresolved, lead to eroded intimacy and feelings of loneliness in one or both individuals. Junior trainees struggle with conflicts about their chosen specialty. Self-doubts, lack of professional confidence, a sense of dysequilibrium, second thoughts about career choice and conflicts with authority figures may contribute to marital tension and estrangement in residents who do not disclose their concerns to their spouses or who play down their internal distress. Also, as physicians progress through residency many changes
منابع مشابه
Barriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results.
OBJECTIVE To evaluate perceived attitudes, knowledge, and behaviors regarding the use of low tidal volume ventilation in acute respiratory distress syndrome among physicians, nurses, and respiratory therapists in intensive care units. DESIGN Cross-sectional, self-administered survey. SETTING Large Acute Respiratory Distress Syndrome Network teaching hospital in Baltimore, MD. PARTICIPANTS...
متن کاملAssociation of various reproductive rights, domestic violence and marital rape with depression among Pakistani women
BACKGROUND Depression among women is common in developing countries. Gender inequality can contribute to women's risk for depression. Lack of reproductive and sexual rights is an important marker of gender inequality and women do not have the freedom to express their reproductive and sexual needs in many parts of the world. Therefore we designed this study to determine the association of depres...
متن کاملAssociation between Sexual Function and Marital Relationship in Patients with Ischemic Heart Disease
BACKGROUND Patients with ischemic heart disease (IHD) may report difficulties with sexual function and marital relationship. However, there is a dearth of studies focusing on the association between these aspects in IHD patients. The present study sought to assess the association between sexual function and marital relationship among IHD patients and also test the effect modification of gender,...
متن کاملA New Approach to Prevention of Marital Distress Based Upon Stress and Coping
The Couples Coping Enhancement Training (CCET) (Bodenmann, 1997a; 2000b) is based both upon stress and coping theory and research on couples. In addition to traditional elements of couples programs (e.g., communication and problem solving skills), CCET also addresses individual and dyadic coping in promoting marital satisfaction and reducing marital distress. CCET enjoys good consumer acceptanc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 134 10 شماره
صفحات -
تاریخ انتشار 1986