For the integrated multidisciplinary approach to patient care

Return to the Southern Medical Journal

Current User S2 Access Level: -1 ()
CAN NOT ACCESS LEVEL 2
Original Article

Utilization of Counseling Services at One Medical School

Elaine Chang, MD, Florence Eddins-Folensbee, MD, Ben Porter, BS , John Coverdale, MD, MEd
Volume: 106 Issue: 8 August, 2013

Abstract:

Objectives: The purpose of this study was to assess the usage of mental health counseling services by medical students. Medical students experience high rates of burnout, depression, and suicidal ideation. Our medical school (Baylor) provides free professional counseling services.

Methods: The authors administered a survey that included a burnout scale; a depression screen; and questions about demographics, usage of counseling services, and helpful coping mechanisms for 526 first-through third-year students (336 respondents) at one school.

Results: Approximately 24% of students with high rates of burnout and 24% of students with depressive symptoms took advantage of counseling services at least once. Of the students who had not used counseling services, approximately 49% were found to have high rates of burnout in the domain of emotional exhaustion. Similarly, of the students who had not accessed counseling services, 56% had depressive symptoms.

Conclusions: A large percentage of medical students across three classes did not use mental health counseling services provided by the school. Students should be clearly informed about the availability of counseling services and their potential utility. In addition, specific barriers to attendance should be identified and reduced.

Article:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Images:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

References:

1. Rosal MC, Ockene IS, Ockene JK, et al. A longitudinal study of students’ depression at one medical school. Acad Med. 1997; 72: 542–546.
 
2. Dyrbye LN, Thomas MR, Massie FS, et al. Burnout and suicidal ideation among U.S. medical students. Ann Intern Med. 2008; 149: 334–341.
 
3. Santen SA, Holt DB, Kemp JD, et al. Burnout in medical students: examining the prevalence and associated factors. South Med J. 2010; 103: 758–763.
 
4. Givens JL, Tjia J. Depressed medical students’ use of mental health services and barriers to use. Acad Med. 2002; 77: 918–921.
 
5. Tjia J, Givens JL, Shea JA. Factors associated with undertreatment of medical student depression. J Am Coll Health. 2005; 53: 219–224.
 
6. Ghodasara SL, Davidson MA, Reich MS, et al. Assessing student mental health at the Vanderbilt University School of Medicine. Acad Med. 2011; 86: 116–121.
 
7. Thompson T, Hollon SD. Behavioral and cognitive–behavioral interventions. In: Ebert MH, Loosen PT, Nurcombe B, Leckman JF. (eds): CURRENT Diagnosis & Treatment: Psychiatry. New York: McGraw-Hill; 2008;, 2nd ed.
 
8. Kumar S, Hatcher S, Huggard P. Burnout in psychiatrists: an etiological model. Int J Psychiatry Med. 2005; 35: 405–416.
 
9. Rø KEI, Gude T, Tyssen R, et al. Counselling for burnout in Norwegian doctors: one year cohort study. BMJ. 2008; 337: a2004
 
10. Firth-Cozens J, Hardy GE. Occupational stress, clinical treatment and changes in job perceptions. J Occup Organ Psychol. 1992; 65: 81–88.
 
11. Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012; 172: 1377–1385.
 
12. Chang E, Eddins-Folensbee F, Coverdale J. A survey of the prevalence of burnout, stress, depression and the use of supports by medical students at one school. Acad Psychiatry. 2012; 36: 177–182.
 
13. Arthur NM. The assessment of burnout: a review of three inventories useful for research and counseling. J Couns Dev. 1990; 69: 186–189.
 
14. Söderfeldt M, Söderfeldt B, Warg LE, et al. The factor structure of the Maslach Burnout Inventory in two Swedish human service organizations. Scand J Psychol. 1996; 37: 437–443.
 
15. Dyrbye LN, Thomas MR, Eacker A, et al. Race, ethnicity, and medical student well-being in the United States. Arch Intern Med. 2007; 167: 2103–2109.
 
16. Dyrbye LN, Thomas MR, Huntington JL, et al. Personal life events and medical student burnout: a multicenter study. Acad Med. 2006; 81: 374–384.
 
17. Dyrbye LN, Massie FS Jr, Eacker A, et al. Relationship between burnout and professional conduct and attitudes among US medical students. JAMA. 2010; 304: 1173–1180.
 
18. Dyrbye LN, Thomas MR, Power DV, et al. Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med. 2010; 85: 94–102.
 
19. Dyrbye LN, Thomas MR, Harper W, et al. The learning environment and medical student burnout: a multicentre study. Med Educ. 2009; 43: 274–282.
 
20. Thomas MR, Dyrbye LN, Huntington JL, et al. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med. 2007; 22: 177–183.
 
21. Dyrbye LN, Thomas MR, Huschka MM, et al. A multicenter study of burnout, depression, and quality of life in minority and nonminority US medical students. Mayo Clin Proc. 2006; 81: 1435–1442.
 
22. Spitzer RL, Williams JB, Kroenke K, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994; 272: 1749–1756.
 
23. Whooley MA, Avins AL, Miranda J, et al. Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 1997; 12: 439–445.
 
24. Glaser BG. The constant comparative method of qualitative analysis. Soc Probl. 1965; 12:; 436–445.
 
25. Chew-Graham CA, Rogers A, Yassin N. “I wouldn’t want it on my CV or their records”: medical students’ experiences of help-seeking for mental health problems. Med Educ. 2003; 37: 873–880.
 
26. Oppenheimer K, Miller M, Forney P. Effect of history of psychological counseling on selection of applicants for residencies. J Med Educ. 1987; 62: 504–508.
 
27. Roberts LW, Warner TD, Lyketsos C, et al. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. Compr Psychiatry. 2001; 42: 1–15.
 
28. Dyrbye LN, Shanafelt TD. Medical students and depression. Acad Med. 2009; 84: 976
 
29. Thompson D, Goebert D, Takeshita J. A program for reducing depressive symptoms and suicidal ideation in medical students. Acad Med. 2010; 85: 1635–1639.

CME:

Portions of this issue may be available for CME credit. Please email education@sma.org for a complete listing of current Southern Medical Journal activities, as well as other SMA educational offerings.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Permissions