top of page

Journal Club: Work-Family Conflict and the Sex Difference in Depression Among Training Physicians

This post contains affiliate links. SheMD will make a commission at no extra cost to you should you click the link and make a purchase. Read our disclosure for more info.

Why is this article important?

  • Per the ACGME, depression and suicide rates among physicians is 1.41 times higher than the general population in men and 2.27 times higher in women. This article looks at the increases in depressive symptoms among residents in their intern year. It compares scores between men and women and then looks at the relationship among depressive symptoms and work-family-conflict. It is important to find solutions and modifiable risk factors to improve mental health and wellness among physicians.

Article Summary

What they looked at:

  • Does depression disproportionately affect female physicians compared with male physicians during the internship year, and does work-family conflict impact the sex difference in depressive symptoms among training physicians?

How they measured things:

  • Following the 2015-2016 match year, 5150 email addresses of eligible residents were obtained via public database. 3120 (61%) agreed to participate. Qualtrics surveys gathered general demographic data, depressive symptoms via PHQ-9 and conflict between work and family roles through a work and family conflict scale at 2 months prior to intern year and 6 months into intern year.

  • Statistical analysis via chi-squared tests, t-tests and pearson correlation were used to determine baseline differences between men and women with respect to demographics, history of depression and changes in work-family conflict scores.

What were their outcomes:

  • Both men and women had a statistically significant increase in depressive symptoms during their internship year (93% increase in men and 115% increase in women). Increases in work family conflict were correlated with increase in depressive scores.

  • Even after adjusting for work-family conflict the increase in depression scores was still higher in women than among men.

Why do we care about this article?

What does this mean?

  • This study shows that depressive symptoms increase dramatically during internship year in both men and women, but the increase is greater for women. Work family conflict was shown to have positive correlation with increase in depressive symptoms. If that is the case, if work-family-conflict could be reduced, in theory so could depressive symptoms among residents. Residency training was designed decades ago. At that time applicants were primarily male. While some changes have been made over the years to things such as work hours, overall things are not much different. There needs to be a stronger focus on mental health and wellness when designing the medical education programs of the future.

Similar Articles

  • For further reading on the topic, check out these articles!

    • Mata DA, Ramos MA, Bansal N, et al. Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis. JAMA. 2015;314(22):2373-2383.

    • Williams ES, Konrad TR, Scheckler WE, et al. Understanding physicians’ intentions to withdraw from practice: the role of job satisfaction, job stress, mental and physical health. Health Care Manage Rev. 2001;26(1):7-19.

    • Schernhammer ES, Colditz GA. Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004;161(12):2295-2302.

148 views25 comments


In the bustling city of Mumbai, where innovation and technology converge, there exists a vibrant landscape of mobile app development companies that epitomize the spirit of progress and digital transformation. Among the myriad players in this dynamic industry, one company stands out as a beacon of excellence and innovation: a mobile app development company in mumbai that has carved a niche for itself in the ever-evolving tech ecosystem of Mumbai.


In the realm of Customer Service, the integration of AI chatbots has revolutionized the way businesses interact with their clientele. These intelligent virtual assistants are designed to provide instant and efficient support, ensuring a seamless and personalized experience for customers. One of the key advantages of AI chatbots in customer service is their round-the-clock availability.


Throughout florence residences floor plan, careful attention has been paid to optimizing natural lighting and ventilation. Large windows allow sunlight to flood the interiors, creating bright and inviting spaces that promote a sense of well-being. Additionally, each unit is crafted with high-quality materials and finishes, reflecting a commitment to both style and durability.


While Study In France offers an abundance of benefits, it's important to consider the practical aspects as well. The cost of living can vary depending on your location, but with careful budgeting and the availability of student discounts, it is manageable. Part-time work opportunities are also available for international students, helping them cover their expenses and gain work experience.


NVMe Drives: NVMe (Non-Volatile Memory Express) drives offer the highest performance among storage options. Dell R740 Server These drives connect directly to the PCIe bus, reducing latency and providing blazing-fast data access speeds. Dell R740 supports U.2 NVMe drives and PCIe add-in cards for NVMe SSDs.

bottom of page