Salud Mental

Digital survey of mental health, associated psychosocial, and work factors in medical specialty residents in the Guadalajara metropolitan area


Jesús Alejandro Aldana López
Eric Foulkes González
José Fernando Ojeda Palomera
Jaime Carmona Huerta
Martín Acosta Fernández


Introduction. Medical specialty residents have become a high-risk population for mental health disorders, mainly due to long working days, limited time for rest and recreation, problems inherent in the work environment, and substance use. Since all these factors not only alter the training of future specialists, but also the care they provide for people, the study of an intervention in this population is of interest to the health system and human resource training in the health sector.

Objective. To evaluate the mental health status, prevalence of work exhaustion and associated psychosocial and work factors in medical residents in the Guadalajara Metropolitan Area.

Method. This was a cross-sectional, observational, descriptive, and comparative study, in which, through a digitized survey on the Google Forms platform, the GHQ-28, ASSIST, and Maslach Burnout Inventory scales were administered to medical specialty residents from various health institutions in the Guadalajara Metropolitan Area.

Results. The total sample comprised 306 residents, representing 11.23% of the total residents in the Guadalajara Metropolitan Area (2,724). Female physicians had a higher percentage of participation with 61.4% (n = 188), with male physicians accounting for 38.6% (n = 118). The average age was 28.9 years and 84.9% (n = 260) were pursuing a clinical specialty, and 15.1% (n = 46) a surgical one p ˂ 05. On average, they worked 74.1 hours per week, whereas in surgical specialties they worked another 10 hours (82.63 ± 23.40 vs. 72.67 ± 19.76, p = .002). 72.5% (n = 222) showed a high risk of developing burnout. 9.2% (n = 28) obtained scores compatible with severe depression, which was related to a higher number of hours worked per week and heavier alcohol consumption than residents without depression, 21.24% (n = 65) of respondents frequently thought about dropping out, 22.5% (n = 69) felt dissatisfied with their work, while 14.05% (n = 43) of the residents had recently noticed that they had had frequent thoughts of taking their own lives.

Discussion and conclusion. The higher number of hours worked per week, surgical specialties, and the presence of workplace harassment were recognized as psychosocial and occupational factors associated with mental health problems in resident physicians, such as depression, thoughts of death, burnout, and psychoactive substance use. In a country like Mexico, where medical residents are a crucial pillar of the public health system, it is necessary to ensure their well-being, and seek to improve the working and academic conditions of medical residencies to ensure that this is reflected in the quality and safety of patient care.
Mental health, medical residents, depression, substance use, suicide risk, burnout, medical specialties


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Anderson, P. (2018). Doctorʼs suicide rate highest of any profession. WebMD. Retrieved from

Brazeau, C. M., Shanafelt, T., Durning, S. J., Massie, F. S., Eacker, A., Moutier, C., ... Dyrbye, L. N. (2014). Distress among matriculating medical students relative to the general population. Academic Medicine, 89(11), 1520-1525. doi: 10.1097/acm.000000000000482

Dewa, C. S., Loong, D., Bonato, S., Trojanowski, L., & Rea, M. (2017). The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review. BMC Medical Education, 17, 195. doi: 10.1186/s12909-017-1040-y

Dyrbye, L. N., Thomas, M. R., Massie, F. S., Power, D. V., Eacker, A., Harper, W., ... Shanafelt, T. D. (2008). Burnout and suicidal ideation among U.S.medical students. Annals of Internal Medicine, 149(5), 334-341. doi: 10.7326/0003-4819-149-5-200809020-00008

García Viniegras, C. R. (1999). Manual para la utilización del cuestionario de salud general de Goldberg: Adaptación cubana. Revista Cubana de Medicina General Integral, 15(1), 88-97.

Gold, K. J., Andrew, L. B., Goldman, E. B., & Schwenk, T. L. (2016). “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospital Psychiatry, 43, 51-57. doi: 10.1016/j.genhosppsych.2016.09.004

Hederich-Martínez, C., & Caballero-Domínguez, C. C. (2016). Validación del cuestionario Maslach Burnout Inventory-Student Survey (MBI-SS) en contexto académico colombiano. Revista CES Psicología, 9(1), 1-15.

Jiménez-López, J. L., Arenas-Osuna, J., & Angeles-Garay, U. (2015). Síntomas de depresión, ansiedad y riesgo de suicidio en médicos residentes durante un año académico. Revista Médica del Instituto Mexicano del Seguro Social, 53(1), 20-28.

Kane, L. M. (2019). Medscape National Physician Burnout, Depression & Suicide Report 2019. Medscape. Retrieved from

Karp, J. F., & Levine, A. S. (2018). Mental health services for medical students—time to act. New England Journal of Medicine, 379(13), 1196-1198. doi: 10.1056/nejmp1803970

Kerry, D. Y. (2019). Desgaste profesional de médicos: explicando diferencias entre países. Medscape. Retrieved from

Levy S. (2018). Medscape Residents Lifestyle y Happiness Report. Medscape. Retrieved from

Lobo, A., Pérez-Echeverría, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (GHQ-28) in a Spanish population. Psychological Medicine, 16(1), 135-140. doi:10.1017/s0033291700002579

Martínez-Lanz, P., Medina-Mora, M. E., & Rivera, E. (2005). Adicciones, depresión y estrés en médicos residentes. Rev Fac Med UNAM, 48(5), 191-197.

Mata, D. A., Ramos, M. A., Bansal, N., Khan, R., Guille, C., Di Angelantonio, E., & Sen, S. (2015). Prevalence of depression and depressive symptoms among resident physicians: A systematic review and meta-analysis. JAMA, 314(22), 2373-2383. doi: 10.1001/jama.2015.15845

Organización Mundial de la Salud [OMS]. (2011). La prueba de detección de consumo de alcohol, tabaco y sustancias (ASSIST): Manual para uso en la atención primaria. 1-67. Retrieved from

Pérez Cruz, E. (2006). Síndrome de burnout como factor de riesgo de depresión en médicos residentes. Medicina Interna de México, 22(4), 282-286. Retrieved from

Prieto-Miranda, S. E., Rodríguez-Gallardo, G. B., Jiménez-Bernardino, C. A., & Guerrero-Quintero, L. G. (2013). Desgaste profesional y calidad de vida en médicos residentes. Revista Médica del Instituto Mexicano del Seguro Social, 51(5), 574-579.

Rayhan, R. U., Zheng, Y., Uddin, E., Timbol, C., Adewuyi, O., & Baraniuk, J. N. (2013). Administer and collect medical questionnaires with Google documents: a simple, safe, and free system. Applied Medical Informatics, 33(3), 12-21.

Schwenk, T. L., Davis, L., & Wimsatt, L. A. (2010). Depression, stigma, and suicidal ideation in medical students. JAMA, 304(11), 1181-1190. doi:10.1001/jama.2010.1300

Velásquez-Pérez, L., Colin-Piana, R., & González-González, M. (2013). Afrontando la residencia médica: depresión y burnout. Gaceta Médica de México, 149(2), 183-195. Retrieved from

Whitcomb, M. E. (2004). Helping physicians in training to care for themselves. Academic Medicine, 79(9), 815-816.

Yaghmour, N. A., Brigham, T. P., Richter, T., Miller, R. S., Philibert, I., Baldwin Jr., D. C., & Nasca, T. J. (2017). Causes of death of residents in ACGME-accredited programs 2000 through 2014: Implications for the learning environment. Academic Medicine, 92(7), 976-983. doi: 10.1097/acm.0000000000001736