American Journal of Psychiatry Audio

Executive Editor Michael Roy speaks with Constance Guille, M.D., and Richard F. Summers, M.D., about their article on the prevalence of burnout and depressive symptoms among North American psychiatrists, demographic and practice characteristics associated with risk for these symptoms, and the correlation between burnout and depression. A related commentary on burnout by Dr. Summers also is discussed.

Dr. Guille is a professor in the Departments of Psychiatry and Behavioral Sciences and of Obstetrics and Gynecology at the Medical University of South Carolina. She is a member of the American Psychiatric Association (APA) Board of Trustees Workgroup on Psychiatrist Well-Being and Burnout, and she is co-investigator on the Intern Health Study, a large prospective study examining stress and depression among medical trainees. She directs the Women’s Reproductive Behavioral Health Division at the Medical University of South Carolina and has published widely on topics including women’s health, stress, and depression.

Dr. Summers is clinical professor of psychiatry and senior residency advisor at the Perelman School of Medicine at the University of Pennsylvania. He currently is APA treasurer, and he served as chair of the APA Board of Trustees Workgroup on Psychiatrist Well-Being and Burnout. He has published widely on topics including psychodynamic therapy training, the therapeutic alliance, psychodynamic formulation, positive psychology, and psychiatry residency training. He is a distinguished life fellow of APA.

• Formation of the APA Board of Trustees Workgroup on Psychiatrist Well-Being and Burnout [3:03]
• The distinction between burnout and depression, and whether there is a general agreement in the field on how these two constructs are related [4:44]
• What previous research has shown regarding the prevalence of burnout among physicians in other specialties [6:37]
• How the present study collected data, and what measures were used to quantify burnout and depression [9:04]
• Demographic characteristics of the study population [11:58]
• Demographic and work characteristics associated with burnout [13:01]
• Demographic and work characteristics associated with depression [13:28]
• Did any results surprise the authors? [13:43]
• Study limitations [17:57]
• Placing the present work in context with previous work [19:49]
• Implications of the study for health care organizations and for workforce policy in general [21:58]
• Discussion of Dr. Summers’ commentary on what burnout is and what it is not [25:53]
• Recommendations for further work in this area [29:19]

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Dr. Charles Nemeroff (University of Texas at Austin) joins AJP Editor-in-Chief Dr. Ned Kalin to discuss the January issue of the American Journal of Psychiatry. Dr. Nemeroff is a guest editor of the special issue, which takes a close look at the potential, pitfalls, and clinicial implications of psychedelics in mental health treatment.

• 00:38 Nemeroff interview
• 02:27 McIntyre et al.
• 04:06 Ramaekers et al.
• 05:44 Ghaznavi et al.
• 08:01 Fonzo et al.
• 09:17 Wolfgang et al.
• 10:45 Psychedelics and psychotherapies
• 12:31 Aaronson et al.
• 14:17 Pagni et al.
• 15:31 Kirlić et al.
• 17:06 Olson

Transcript

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Executive Editor Michael Roy speaks with Karen L. Bierman, Ph.D., about her article on reducing adolescent psychopathology in socioeconomically disadvantaged children with a preschool intervention.

Dr. Karen Bierman is the Evan Pugh University Professor, Professor of Psychology, Professor of Human Development and Family Studies, and Director of the Child Study Center at Penn State University. Her research looks at the design and evaluation of programs for social and emotional learning within schools and communities. She has also developed and evaluated group interventions for peer-rejected children.

• How the author became interested in this area of research [1:58]
• What we know about how exposure to chronic or unpredictable negative circumstances disturbs a developing brain [3:21]
• Why the intersection of growing up in adverse conditions and the beginning of formal schooling is significant in the life of a child [6:41]
• Objective of the study [7:54]
• Outline of the Head Start REDI program [9:26]
• Description of study participants [11:26]
• How the authors collected and analyzed data [13:20]
• How well did the intervention work in terms of reducing conduct problems, emotional symptoms, and peer problems among students? [14:31]
• Other key findings of the study [17:21]
• Did any results surprise the authors? [18:45]
• Study limitations [20:26]
• How this work fits in to the overall literature on this subject [22:21]
• Implications this work has for public health policy [24:49]
• Key points that researchers, clinicians, and other mental health professionals should take away from the article [26:31]
• Recommendations for further research in this area [27:37]

Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Podcasts, Stitcher, Spotify, or wherever you listen to it.

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Watch Deputy Editor Daniel S. Pine, M.D., present highlights from the April 2021 issue.

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Executive Editor Michael Roy speaks with Damiaan Denys, M.D., Ph.D., and Ilse Graat, M.D., about their research on the tolerability and effectiveness of deep brain stimulation (DBS) for patients with refractory obsessive-compulsive disorder (OCD).

• What characterizes OCD, and how widespread is it? [2:35]
• What treatment with DBS involves [4:07]
• Outline of study methods [6:25]
• Why the part of the brain studied is relevant for DBS, and description of the scales used to measure how well the treatment worked [7:54]
• Main findings with regard to response of OCD symptoms in patients who received DBS [10:51]
• Discussion of adverse events [12:40]
• Implications of the work for researchers, clinicians, and other mental health professionals [14:54]
• What further studies should explore with regard to treatment with DBS [15:43]

Be sure to let your colleagues know about the podcast, and please rate and review it on Apple Podcasts, Google Play, Stitcher, Spotify, or wherever you listen to it.

Subscribe to the podcast here.

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Browse articles online. Also visit the online edition of this month’s Journal to watch a video of Deputy Editor Daniel S. Pine, M.D., present highlights from the issue.

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E-mail us at [email protected]