Mental Health

Clinical work perception and mental health in Danish resident doctors.

TL;DR

Substantial mental health concerns exist among Danish junior doctors, with pre-graduate locum experience enhancing confidence but not emotional resilience, suggesting institutional measures such as structured supervision, mentorship and targeted well-being support are needed in early medical careers.

Key Findings

The majority of Danish junior doctors reported positive perceptions of their introduction, supervision, and preparedness for clinical work.

  • 66-79% of respondents reported positive perceptions across these domains
  • Survey included 297 junior doctors in the North Denmark Region with a 38% response rate
  • The questionnaire was developed with input from junior doctor focus groups

One in four Danish junior doctors doubted their ability to remain in the profession.

  • 25% of respondents expressed doubt about their ability to remain in the profession
  • This was identified despite the majority reporting positive perceptions of introduction and supervision
  • Sample consisted of 297 junior doctors completing a cross-sectional survey

Approximately one-third of junior doctors reported experiencing exhaustion or stress more than half the time.

  • Roughly one-third of the 297 respondents reported exhaustion or stress more than half the time
  • Stress and exhaustion measures were drawn from validated items including the Copenhagen Psychosocial Questionnaire
  • This finding indicates a high burden of work-related stress among early-career doctors

A substantial proportion of Danish junior doctors scored at high risk for stress-related disorders on the WHO-5 Well-Being Index.

  • 13% scored below 35 on the WHO-5 Well-Being Index, indicating a high risk of stress-related disorders
  • The WHO-5 Well-Being Index is a validated instrument included in the survey
  • A score below 35 is the established threshold for high risk of stress-related disorders on this scale

18% of Danish junior doctors had Major Depression Inventory scores consistent with depression.

  • 18% had a Major Depression Inventory score ≥ 20, consistent with depression
  • The Major Depression Inventory is a validated instrument used in the survey
  • A score of ≥ 20 is the established threshold indicating depression on this scale

Pre-graduate locum experience was significantly associated with greater perceived preparedness and confidence, but not with reduced stress or depressive symptoms.

  • Pre-graduate locum experience showed a statistically significant association with greater perceived preparedness and confidence
  • No significant association was found between pre-graduate locum experience and reduced stress or depressive symptoms
  • This finding suggests pre-graduate experience enhances confidence but not emotional resilience
  • The analysis was conducted as part of a cross-sectional survey design

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Citation

Øhrstrøm E, Bøggild H, Johansson N, Klitgaard T, Leutscher P, Arenholt L. (2026). Clinical work perception and mental health in Danish resident doctors.. Danish medical journal. https://doi.org/10.61409/A05250361