title: The Impact of Stigma and Personal Experiences on the Help-Seeking Behaviors of Medical Students With Burnout.
abstract: OBJECTIVE
  Because of the high prevalence of burnout among medical students and its association with professional and personal consequences, the authors evaluated the help-seeking behaviors of medical students with burnout and compared their stigma perceptions with those of the general U.S. population and age-matched individuals.
  
  
  METHODS
  The authors surveyed students at six medical schools in 2012. They measured burnout, symptoms of depression, and quality of life using validated instruments and explored help-seeking behaviors, perceived stigma, personal experiences, and attitudes toward seeking mental health treatment.
  
  
  RESULTS
  Of 2,449 invited students, 873 (35.6%) responded. A third of respondents with burnout (154/454; 33.9%) sought help for an emotional/mental health problem in the last 12 months. Respondents with burnout were more likely than those without burnout to agree or strongly agree with 8 of 10 perceived stigma items. Respondents with burnout who sought help in the last 12 months were twice as likely to report having observed supervisors negatively judge students who sought care (odds ratio [OR] 2.06 [95% confidence interval (CI) 1.25-3.39], P < .01). They also were more likely to have observed peers reveal a student's emotional/mental health problem to others (OR 1.63 [95% CI 1.08-2.47], P = .02). A smaller percentage of respondents would definitely seek professional help for a serious emotional problem (235/872; 26.9%) than of the general population (44.3%) and age-matched individuals (38.8%).
  
  
  CONCLUSIONS
  Only a third of medical students with burnout seek help. Perceived stigma, negative personal experiences, and the hidden curriculum may contribute.
authors: L.N. Dyrbye is professor of medicine and medical education, Department of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota. A. Eacker is associate professor of medicine, University of Washington School of Medicine, Seattle, Washington. S.J. Durning is professor of medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland. C. Brazeau is professor of family medicine and psychiatry, Rutgers New Jersey Medical School, Newark, New Jersey. C. Moutier was professor of psychiatry, University of California, San Diego School of Medicine, San Diego, California, at the time of this study. She is now chief medical officer, American Foundation for Suicide Prevention, New York, New York. F.S. Massie is professor of medicine, University of Alabama School of Medicine, Birmingham, Alabama. D. Satele is statistician, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota. J.A. Sloan is professor of biostatistics and oncology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota. T.D. Shanafelt is professor of medicine, Department of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota.
authors: Liselotte N
authors: LN
authors: Dyrbye
authors: Anne
authors: A
authors: Eacker
authors: Steven J
authors: SJ
authors: Durning
authors: Chantal
authors: C
authors: Brazeau
authors: Christine
authors: C
authors: Moutier
authors: F Stanford
authors: FS
authors: Massie
authors: Daniel
authors: D
authors: Satele
authors: Jeff A
authors: JA
authors: Sloan
authors: Tait D
authors: TD
authors: Shanafelt
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000150:complications / Q000523:psychology / Q000628:therapy*; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology / Q000523:psychology / Q000628:therapy*; D005260:Female; D000066505:Help-Seeking Behavior; D006801:Humans; D008297:Male; D016555:Matched-Pair Analysis; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D011788:Quality of Life; D057545:Social Stigma; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States