UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046897
Receipt number R000053510
Scientific Title An observational cross-sectional study of the relationship between developmental characteristics and burnout among early residents in psychiatric training.
Date of disclosure of the study information 2022/02/14
Last modified on 2026/08/28 11:03:17

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Basic information

Public title

An observational cross-sectional study of the relationship between developmental characteristics and burnout among early residents in psychiatric training.

Acronym

An observational cross-sectional study of the relationship between developmental characteristics and burnout among early residents in psychiatric training.

Scientific Title

An observational cross-sectional study of the relationship between developmental characteristics and burnout among early residents in psychiatric training.

Scientific Title:Acronym

An observational cross-sectional study of the relationship between developmental characteristics and burnout among early residents in psychiatric training.

Region

Japan


Condition

Condition

Burnout
Atypical developmental characteristics

Classification by specialty

Psychiatry Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

(1) To what extent are ASD/ADHD characteristics (atypical developmental characteristics) present in early career residents during post-graduate clinical training, (2) To what extent are burnout and depressive anxiety states above the diagnostic threshold, and (3) Is the presence of developmental characteristics associated with burnout, depressive anxiety states, psychological flexibility, stigma toward mental illness, and doctor-patient empathy?

Basic objectives2

Others

Basic objectives -Others

Correlation analysis
Regression Analysis

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Prevalence of burnout among early career residents in psychiatric training.

Key secondary outcomes

Burnout subscales, anxiety-depression scale, stigma toward mental illness, psychological flexibility, and empathy among physician-patients among early career residents in psychiatric training


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Early career residents in psychiatry training

Key exclusion criteria

None

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Takafumi
Middle name
Last name Watanabe

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Psychiatry

Zip code

467-8601

Address

1, Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya.

TEL

+81-52-851-5511

Email

tw28@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name Takafumi
Middle name
Last name Watanabe

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Psychiatry

Zip code

467-8601

Address

1, Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya.

TEL

+81-52-851-5511

Homepage URL


Email

tw28@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Department of Psychiatry, Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

Department of Psychiatry, Nagoya City University Graduate School of Medical Sciences

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Gifu Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical research management center, Nagoya City University Hospital

Address

1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya

Tel

+81-52-858-7215

Email

clinical_research@med.nagoya-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 02 Month 14 Day


Related information

URL releasing protocol

https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1858994/full

Publication of results

Published


Result

URL related to results and publications

https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1858994/full

Number of participants that the trial has enrolled

148

Results

Prevalence of ALTs and ADHLTs was 23.6 percent. ALTs correlated with lower accomplishment, high depression and anxiety, and lower empathy. ADHLTs correlated with emotional exhaustion. In mediation analyses, values progress showed indirect links between ALTs and outcomes. Cognitive fusion showed indirect links for ADHLTs. Neurodevelopmental traits link to distinct psychological functioning patterns.

Results date posted

2026 Year 08 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This cross-sectional observational study was conducted at two institutions in Japan: Nagoya City University Hospital, an urban university-affiliated hospital, and Gifu Hospital, a medium-sized psychiatric specialty hospital. Participants were consecutively recruited among junior residents undergoing clinical psychiatry training at these institutions.

Participant flow

Between April and March residents who completed psychiatry rotations at Nagoya City University Hospital were invited to participate in an online survey administered through Google Forms To reach the target sample size an additional residents who completed psychiatry training at Gifu Hospital between April and March were also invited No prior information was available regarding participants neurodevelopmental or mental health diagnoses including autism ADHD anxiety disorders or depression No explicit exclusion criteria based on psychiatric or neurodevelopmental diagnoses current mental health treatment or pharmacological treatment were applied This decision was made because the study aimed to examine neurodevelopmental traits and psychological functioning in a consecutive sample of junior residents in real world postgraduate training settings However information on current psychiatric diagnoses or ongoing treatment was not collected The study followed the STrengthening the Reporting of OBservational studies in Epidemiology STROBE guidelines Ethical approval was obtained from the Institutional Review Board of the Graduate School of Medical Sciences Nagoya City University Electronic informed consent was obtained from all participants before their engagement

Adverse events

None

Outcome measures

Autism Spectrum Traits ALTs Assessed using the 21 item Japanese version of the Autism Spectrum Quotient AQ J 21 with a cut off score of 12 used to classify participants as having ALTs Adult ADHD Traits ADHLTs Measured using the Japanese version of the Adult ADHD Self Report Scale ASRS Screener where participants scoring 4 on Part A 6 items were classified as having ADHLTs Burnout Evaluated using the Maslach Burnout Inventory MBI a 22 item scale comprising three subscales Emotional Exhaustion MBI EE Depersonalization MBI DP and Personal Accomplishment MBI PA Depression and Anxiety Symptoms Assessed using the Hospital Anxiety and Depression Scale HADS a 14 item screening tool with a total score threshold of 20 used to classify clinically significant symptoms Physician Patient Empathy Measured using the Jefferson Scale of Physician Empathy JSPE a 20 item self report instrument consisting of perspective taking compassionate care and standing in the patient's shoes Psychological Flexibility Measured using three instruments the Valuing Questionnaire VQ the Cognitive Fusion Questionnaire 7 CFQ 7 and the Work related Acceptance and Action Questionnaire WAAQ

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 02 Month 14 Day

Date of IRB

2022 Year 04 Month 01 Day

Anticipated trial start date

2022 Year 04 Month 01 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2022 Year 02 Month 14 Day

Last modified on

2026 Year 08 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000053510