Burnout Syndrome(and Major Depression)

in Medical Schools

Dr Panom Ketumarn

Faculty of Medicine Siriraj Hospital Mahidol University

Objectives

1 What is ldquoBurnout Syndromerdquo

2 Major Depression

3 Prevention in medical schools

Burnout Syndrome is a syndrome

Not a disorder

Burnout

Low Battery

Low mood

Negative thought

Lethargy

Desire to quit job

Suspiciousness

Emotional Exhaust

TirednessPoor concentration

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Objectives

1 What is ldquoBurnout Syndromerdquo

2 Major Depression

3 Prevention in medical schools

Burnout Syndrome is a syndrome

Not a disorder

Burnout

Low Battery

Low mood

Negative thought

Lethargy

Desire to quit job

Suspiciousness

Emotional Exhaust

TirednessPoor concentration

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Burnout Syndrome is a syndrome

Not a disorder

Burnout

Low Battery

Low mood

Negative thought

Lethargy

Desire to quit job

Suspiciousness

Emotional Exhaust

TirednessPoor concentration

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Burnout

Low Battery

Low mood

Negative thought

Lethargy

Desire to quit job

Suspiciousness

Emotional Exhaust

TirednessPoor concentration

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Low mood

Negative thought

Lethargy

Desire to quit job

Suspiciousness

Emotional Exhaust

TirednessPoor concentration

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Symptoms of Burnout Syndrome

bullAffective low mood anxiety depression irritable

bullCognitive negative thought to self other and environment suspiciousness poor motivation poor concentration

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Symptoms of Burnout Syndrome

Affective Cognitive Psychomotor

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Burnout Syndrome prevalent

10-50 in medical students and doctors

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Medical students in Spain

third year 148

sixth-year 375

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Surveyhttpswwwncbinlmnihgovpubmed21373879 Galaacuten F1 Sanmartiacuten A Polo J Giner L

Burnout Syndrome in Medical Students 2016

Mild Moderate Severe

Y1-3 941 28 -

Y4-6 - 278 83

p=002Burnout syndrome in first to sixth-year medical students at a private university in the north of Mexico descriptive cross-sectional studyhttpswwwncbinlmnihgovpubmed27187775

Burnout Syndrome

In Medical Students

Y4-6 (2019)

Essential Course of Medical Educator 6

Thai Medical Students

ECME6 Project 2019

Burnout in Medical Students High Very High

Emotional Exhaust 2199 1726

Cynicism 1253 615

Professional Efficacy 2151 1111

The Maslach Burnout Inventory-Student Survey

Exhaustion Cynicism Efficacy

Associated Factors

Social Personal Curriculum Environment

TeacherPeer

WorkloadTestExam

SupportEQ Trait

Resiliency

YerkesndashDodson Law

httpswwwyoutubecomwatchv=b8Ax4Afbbs4

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

ECME6 Project 2019

Burnout in Medical Students High Very High

Emotional Exhaust 2199 1726

Cynicism 1253 615

Professional Efficacy 2151 1111

The Maslach Burnout Inventory-Student Survey

Exhaustion Cynicism Efficacy

Associated Factors

Social Personal Curriculum Environment

TeacherPeer

WorkloadTestExam

SupportEQ Trait

Resiliency

YerkesndashDodson Law

httpswwwyoutubecomwatchv=b8Ax4Afbbs4

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

The Maslach Burnout Inventory-Student Survey

Exhaustion Cynicism Efficacy

Associated Factors

Social Personal Curriculum Environment

TeacherPeer

WorkloadTestExam

SupportEQ Trait

Resiliency

YerkesndashDodson Law

httpswwwyoutubecomwatchv=b8Ax4Afbbs4

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Associated Factors

Social Personal Curriculum Environment

TeacherPeer

WorkloadTestExam

SupportEQ Trait

Resiliency

YerkesndashDodson Law

httpswwwyoutubecomwatchv=b8Ax4Afbbs4

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

YerkesndashDodson Law

httpswwwyoutubecomwatchv=b8Ax4Afbbs4

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Consequences of Burnout Syndrome

Decrease

Efficacy Quit job PsychosomaticMajor

Depression

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Symptoms of Major Depression DSM 5

1 Depressed mood

2 Loss of interest

3 Poor appetite wt problems

4 Insomnia sleep problems

5 Poor memory and Concentration

6 Psychomotor retardation

7 Lethargy

8 Guilt self blame

9 Suicide

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

DEPRESSIONPHQ 9

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Symptoms of Major Depression

bullAffective depression irritable anxiety low mood

bullCognitive negative thought to self other and environment suspiciousness self blame guilt

bullPsychomotor lethargic retardation procrastination poor outcome of work errors careless suicide

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Burnout syndrome with self blame and suicide

isMajor Depression

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Burnout syndrome VS Major Depression

Guilt and Suicide Causes

Medication

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Major Depression

Life time prevalence 17-24

bull Kessler RC McGonagle KA Zhao SNelson CB Hughes M Eshleman S et alLifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States Results from the National Comorbidity Survey Arch Gen Psychiatry 1994518-19

bull Kessler RC Berglund P Demler O Jin RKoretz D Merikangas KR et al The epidemiology of major depressive disorder results from the National Comorbidity Survey Replication (NCS-R) JAMA20032893095-15

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Psychiatric Disorders N Frequency 1000y1Adjustment disorders 107 34

2 Depressive episode 69 223 Dysthymia 10 034 Schizophrenia 9 034 Bipolar affective disorder 9 034 Obsessive-compulsive disorder 9 037 Psychological and behavioral factors associated with disorder or disease

classified elsewhere 7 028 Unspecified nonorganic psychosis 5 0168 Generalized anxiety disorder 5 016Others 28 09

Total 258 84

Psychiatric Disorders in Medical Students (26 years)

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Statistics of the number of students that have received the counseling service and Clinic 1714 since 2012 -

2019 (separated according to the symptoms of the disease)

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Prevention of Burnout Syndrome Major Depression

1 Biological Aerobic Exercises

2 Psychological Positive Psychologybull Thought

bull Feeling

3 Social Environmentbull Curriculum

bull Support system

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Aerobic Exercises

bull30 minday

bull60-70 of maximum heart rate (max HR = 220-year of age)

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Environment

Human Medical Teachers

Job Meaning and Accomplishment

Engagement

Relationship

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Peer group

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Positive Psychology

Scientific study of optimal human functioning aims to discover and promote the factors that allow individuals

and communities to thrive

Martin Seligman

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Positive Psychology

Anxiety depression Happiness

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

PERMA five factors of well-being

1 Positive emotion

2 Engagement

3 Relationships

4 Meaning and purpose5 Accomplishment

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Mindfulness MeditationSelf Awareness

Mindfulness

Contemplation

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

Summary

1 Burnout Syndrome

2 Major Depression

3 Prevention

May Force Be With You

Q-A

May Force Be With You

Q-A

Q-A