Investigation of the role of anxiety and depression on the formation of phantom vibration and ringing syndrome caused by working stress during medical internship

Yu Hsuan Lin, Kuan I. Lin, Yuan Chien Pan, Sheng Hsuan Lin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Phantom vibration syndrome (PVS) and phantom ringing syndrome (PRS) are prevalent hallucinations during medical internship. Depression and anxiety are probably understudied risk factors of PVS and PRS. The aim was to evaluate the role of anxiety and depression on the relationship between working stress during medical internship and PVS and PRS. A prospective longitudinal study, consisted of 74 medical interns, was carried out. The severity of phantom vibrations and ringing, as well as anxiety and depression as measured before, at the third, sixth, and 12th month during internship, and two weeks after internship. We conducted a causal mediation analysis to quantify the role of depression and in the mechanism of working stress during medical internship inducing PVS and PRS. The results showed that depression explained 21.9% and 8.4% for stress-induced PRS and PVS, respectively. In addition, anxiety explained 15.0% and 7.8% for stress-induced PRS and PVS, respectively. Our findings showed both depression and anxiety can explain a portion of stress-induced PVS and PRS during medical internship and might be more important in clinical practice and benefit to prevention of work-related burnout.

Original languageEnglish
Article number7480
Pages (from-to)1-10
Number of pages10
JournalInternational journal of environmental research and public health
Volume17
Issue number20
DOIs
StatePublished - 2 Oct 2020

Keywords

  • Anxiety
  • Depression
  • Hallucination
  • Mechanism
  • Mediation analysis
  • Phantom ringing
  • Phantom vibration syndrome
  • Stress

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