Correlation between Stress and Meaning in Life in Early Career Doctors in Pakistan: Stress and Meaning in Life in Early Career Doctors

Samiya  Iqbal

doi:10.54393/pjhs.v3i04.85

Authors

Samiya Iqbal Department of Psychiatry, KRL Hospital, Islamabad

DOI:

https://doi.org/10.54393/pjhs.v3i04.85

Keywords:

Stress, Psychological Distress, Meaning in Life, Purpose in Life, Doctors

Abstract

Doctors experience significant stress in their everyday occupational activities. Objective: To assess the correlation between stress and meaning in life in early career doctors in Pakistan. Methods: The study design was cross-sectional. It was conducted from March to May 2021 using non-probability convenience sampling with early career doctors in Pakistan as the subjects. The data was collected using a form distributed online that included demographic variables, Purpose in Life (PIL) test and Perceived Stress Scale (PSS). SPSS 26.0 was used for data entry and analysis. Results: The average score on PIL test was 67.64 ± 15.20 and PSS was 20.20 ± 5.88. Women doctors reported higher perceived stress (18.82 ± 6.11) than men (20.75 ± 5.07). A statistically significant negative correlation between the PIL and PSS was found, r (215) = -.610, p <0.01. r = -0.610 represents a large effect size. Conclusions: Higher meaning in life is associated with lower perceived stress in doctors. Interventions that focus on meaning in life may help improve the well-being of doctors

References

Firth-Cozens J. Doctors, their wellbeing, and their stress. BMJ. 2003 Mar; 326(7391):670-1. doi: 10.1136/bmj.326.7391.670

Grover S, Dua D, Shouan A, Nehra R, Avasthi A. Perceived stress and barriers to seeking help from mental health professionals among trainee doctors at a tertiary care centre in North India. Asian Journal of Psychiatry. 2019 Jan; 39:143-149. doi: 10.1016/j.ajp.2018.12.020

Farhangi P and Khajehnasiri F. The Prevalence of Depression, Anxiety, and Stress Among Medical Residents: A Cross-Sectional Study in Iran. Acta Medica Iranica. 2020 Nov: 452-5. doi: 10.18502/acta.v58i9.4767

Ismail M, Lee KY, Sutrisno Tanjung A, Ahmad Jelani IA, Abdul Latiff R, Abdul Razak H, et al. The prevalence of psychological distress and its association with coping strategies among medical interns in Malaysia: A national-level cross-sectional study. Asia Pacific Psychiatry. 2020 Aug; 13(2):e12417. doi: 10.1111/appy.12417

Wahed WY and Hassan SK. Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria Journal of medicine. 2017; 53(1):77-84. doi: 10.1016/j.ajme.2016.01.005

Khuwaja AK, Qureshi R, Andrades M, Fatmi Z, Khuwaja NK. Comparison of job satisfaction and stress among male and female doctors in teaching hospitals of Karachi. Journal of Ayub Medical College Abbottabad. 2004 Mar; 16(1):23-7

Mumtaz Y, Jahangeer A, Habib A, Adnan S, Mumtaz Z. Stress in postgraduate trainee doctors of public and private universities of Karachi. Pakistan Journal of Medical Sciences. 2010 Apr; 26(2).

Firth-Cozens J. Doctors, their wellbeing, and their stress: It's time to be proactive about stress—and prevent it. Bmj. 2003 Mar; 326(7391):670-1. doi: 10.1136/bmj.326.7391.670

Riley GJ. Understanding the stresses and strains of being a doctor. The Medical Journal of Australia. 2004 Oct; 181(7):350-3. doi: 10.5694/j.1326-5377.2004.tb06322.x

Arnsten AFT and Shanafelt T. Physician Distress and Burnout: The Neurobiological Perspective. Mayo Clinic Proceedings. 2021 Mar; 96(3):763-769. doi: 10.1016/j.mayocp.2020.12.027

Southwick SM, Lowthert BT, Graber AV. Relevance and application of logotherapy to enhance resilience to stress and trauma. InLogotherapy and existential analysis 2016 (pp. 131-149). Springer, Cham. doi: 10.1007/978-3-319-29424-7_13

Mulahalilović A, Hasanović M, Pajević I, Jakovljević M. Meaning and the Sense of Meaning in Life from a Health Perspective. Psychiatria Danubina. 2021 Spring-Summer;33(Suppl 4):1025-1031

Hill PL, Sin NL, Turiano NA, Burrow AL, Almeida DM. Sense of Purpose Moderates the Associations Between Daily Stressors and Daily Well-being. Annals of Behavioral Medicine. 2018 Jul; 52(8):724-729. doi: 10.1093/abm/kax039

Ward S, Womick J, Titova L, King L. Meaning in Life and Coping With Everyday Stressors. Personality and Social Psychology Bulletin. 2022 Feb; 1461672211068910. doi: 10.1177/01461672211068910

Ostafin BD and Proulx T. Meaning in life and resilience to stressors. Anxiety Stress Coping. 2020 Nov; 33(6):603-622. doi: 10.1080/10615806.2020.1800655

Barnett MD, Moore JM, Garza CJ. Meaning in life and self-esteem help hospice nurses withstand prolonged exposure to death. Journal of Nursing Management. 2019 May; 27(4):775-780. doi: 10.1111/jonm.12737

Moreno-Milan B, Cano-Vindel A, Lopez-Dóriga P, Medrano LA, Breitbart W. Meaning of work and personal protective factors among palliative care professionals. Palliat Support Care. 2019 Aug; 17(4):381-387. doi: 10.1017/S147895151800113X

Arslan G and Allen KA. Exploring the association between coronavirus stress, meaning in life, psychological flexibility, and subjective well-being. Psychology, Health and Medicine. 2022 Apr; 27(4):803-814. doi: 10.1080/13548506.2021.1876892

Eisenbeck N, Carreno DF, Pérez-Escobar JA. Meaning-Centered Coping in the Era of COVID-19: Direct and Moderating Effects on Depression, Anxiety, and Stress. Frontiers in Psychology. 2021 Mar; 12:648383. doi: 10.3389/fpsyg.2021.648383

Yousaf RA, Noureen AN, Bhatti ZG, Mehmood H. Meaning In Life as a Moderator of Stress in Undergraduate Students. Journal of Psychology and Mental Health Care (JPMHC). 2019 Dec.

Nazir N, Hussain HA, Tanveer F, Ullah S, Khokar M, Sabri AA. Correlation of perceived stress and psychological well-being among doctors serving at various government and private hospitals of Faisalabad. Rawal Medical Journal. 2020 Oct; 45(4):886.

Nazir N, Hussain HA, Ahmed U, Sabri AA, Ahmad N, Rasool AG. Perceived stress score among doctors serving at various government and private hospitals in Faisalabad. Journal of Pakistan Medical Association. 2021 May; 71(5):1424-1427. doi: 10.47391/JPMA.232

Park J and Baumeister RF. Meaning in life and adjustment to daily stressors. The Journal of Positive Psychology. 2017 Jul; 12(4):333-41. doi: 10.1080/17439760.2016.1209542

Arif MM, Qadir A, Ahmad SR, Baqir M, Irfan M. Occupational Stress among Medical and Paramedical Staff in Tertiary Care Hospitals Based on Observational Study. Pakistan Journal of Public Health. 2020; 10(4):231-41. doi: 10.32413/pjph.v10i4.623