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 and Sheng-Hsuan Lin
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Yu-Hsuan Lin: Institute of Population Health Sciences, National Health Research Institutes, Miaoli 35053, Taiwan
Kuan-I Lin: Institute of Statistics, National Chiao Tung University, Hsinchu 30010, Taiwan
Yuan-Chien Pan: Institute of Population Health Sciences, National Health Research Institutes, Miaoli 35053, Taiwan
Sheng-Hsuan Lin: Institute of Statistics, National Chiao Tung University, Hsinchu 30010, Taiwan

IJERPH, 2020, vol. 17, issue 20, 1-10

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.

Keywords: phantom vibration syndrome; phantom ringing; hallucination; anxiety; depression; stress; mechanism; mediation analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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