title: Mental health promotion for junior physicians working in emergency medicine: evaluation of a pilot study.
abstract: OBJECTIVE
  Work-related stress is highly prevalent among physicians working in emergency medicine. Mental health promotion interventions offer the chance to strengthen physicians' health, work ability, and performance. The aim of this study was to implement and evaluate a mental health promotion program for junior physicians working in emergency medicine.
  
  
  METHODS
  In total, 70 junior physicians working in emergency medicine were randomized to either the mental health promotion program (n=35) or a waitlist control arm (n=35). The training involved 90-min sessions over a time period of 3 months. The primary outcome was perceived stress. The secondary outcomes included emotional exhaustion, emotion regulation, work engagement, and job satisfaction. Self-report assessments for both groups were scheduled at baseline, after the training, after 12 weeks, and 6 months.
  
  
  RESULTS
  The intervention group showed a highly significant reduction in perceived stress and emotional exhaustion from baseline to all follow-up time points, with no similar effects found in the comparison group. The benefit of the mental health promotion program was also evident in terms of improved emotion regulation skills, job satisfaction, and work engagement. Participating physicians evaluated the training with high scores for design, content, received outcome, and overall satisfaction.
  
  
  CONCLUSIONS
  The results suggest that this health promotion program is a promising intervention to strengthen mental health and reduce perceived work stress. It is suitable for implementation as a group training program for junior physicians working in emergency medicine. Comparable interventions should be pursued further as a valuable supportive offer by hospital management.
authors.affiliation: Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf, Hamburg.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Mache
authors.affiliation: Institute of Occupational Medicine, Charité - Universitätsmedizin Berlin, Free University and Humboldt University, Berlin.
authors.forename: Monika
authors.initials: M
authors.lastname: Bernburg
authors.affiliation: Institute of Occupational Medicine, Charité - Universitätsmedizin Berlin, Free University and Humboldt University, Berlin.
authors.forename: Lisa
authors.initials: L
authors.lastname: Baresi
authors.affiliation: Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany.
authors.forename: David
authors.initials: D
authors.lastname: Groneberg
mesh_terms: D000328:Adult; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D008603:Mental Health; D008875:Middle Aged; D064866:Mindfulness / Q000379:methods; D000073397:Occupational Stress / Q000517:prevention & control* / Q000523:psychology; D010865:Pilot Projects; D016896:Treatment Outcome; D017132:Workplace / Q000523:psychology*