The prevalence and ramifications of psychopathology in psychiatric residents: an overview

Although estimates of psychopathology in psychiatric residents vary from 4% to 22%, at either end of the spectrum emotional disturbance is a significant problem that merits greater attention. The prevalence of psychopathology may be seriously underestimated when obtained from residency program directors, who may be aware of only the most blatant cases. On the other hand, figures that rely on self-report of the subjective impressions of faculty may be spuriously inflated by transient manifestations of stress commonly experienced during residency training in psychiatry. The author makes recommendations for improved screening of candidates and greater commitment by training programs to recognizing and meeting the emotional needs of psychiatric residents.