Constance Guille

ORCID: 0000-0001-6004-3027
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About
Contact & Profiles
Research Areas
  • Maternal Mental Health During Pregnancy and Postpartum
  • Prenatal Substance Exposure Effects
  • Healthcare professionals’ stress and burnout
  • Diversity and Career in Medicine
  • Maternal and Perinatal Health Interventions
  • Child and Adolescent Psychosocial and Emotional Development
  • Opioid Use Disorder Treatment
  • Innovations in Medical Education
  • Medical Education and Admissions
  • Mental Health Treatment and Access
  • Infant Development and Preterm Care
  • Attachment and Relationship Dynamics
  • Breastfeeding Practices and Influences
  • Stress Responses and Cortisol
  • Gestational Diabetes Research and Management
  • Bipolar Disorder and Treatment
  • Health disparities and outcomes
  • Mental Health Research Topics
  • Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Adolescent and Pediatric Healthcare
  • Mobile Health and mHealth Applications
  • Workplace Health and Well-being
  • Stress and Burnout Research
  • Treatment of Major Depression
  • Birth, Development, and Health

Medical University of South Carolina
2016-2025

University of Michigan
2010-2024

University of North Carolina at Chapel Hill
2023

University of Puerto Rico at Carolina
2023

American Psychiatric Association
2020-2021

Rutgers, The State University of New Jersey
2020-2021

University of Pennsylvania
2010-2021

Johns Hopkins University
2020

University of Iowa
2020

Mayo Clinic in Florida
2020

Although the prevalence of depression among medical interns substantially exceeds that general population, specific factors responsible are not well understood. Recent reports a moderating effect genetic polymorphism (5-HTTLPR) in serotonin transporter protein gene on likelihood life stress will precipitate may help to understand development mood symptoms interns.To identify psychological, demographic, and residency program associated with use internship as model study effects this...

10.1001/archgenpsychiatry.2010.41 article EN Archives of General Psychiatry 2010-06-01

Background For diagnostic purposes, the nine symptoms that compose DSM-5 criteria for major depressive disorder (MDD) are assumed to be interchangeable indicators of one underlying disorder, implying they should all have similar risk factors. The present study investigates this hypothesis, using a population cohort shifts from low elevated depression levels. Method We assessed MDD criterion (using Patient Health Questionnaire; PHQ-9) and seven factors (personal family history, sex, childhood...

10.1017/s0033291713002900 article EN Psychological Medicine 2013-12-02

<h3>Importance</h3> Depression is common among training physicians and may disproportionately affect women. The identification of modifiable risk factors key to reducing this disease burden its negative impact on patient care physician career attrition. <h3>Objective</h3> To determine the presence magnitude a sex difference in depressive symptoms work-family conflict physicians; if impacts physicians. <h3>Design, Setting, Participants</h3> A prospective longitudinal cohort study medical...

10.1001/jamainternmed.2017.5138 article EN JAMA Internal Medicine 2017-10-30

While short and poor quality sleep among training physicians has long been recognized as problematic, the longitudinal relationships sleep, work hours, mood, performance are not well understood. Here, we prospectively characterize risk of depression medical errors based on preinternship disturbance, internship-related duration, duty hours. Survey data from 1215 nondepressed interns were collected at baseline, then 3 6 months into internship. We examined how internship hours affected months,...

10.1093/sleep/zsw073 article EN SLEEP 2017-03-01

<h3>Importance</h3> The COVID-19 pandemic has placed increased strain on health care workers and disrupted childcare schooling arrangements in unprecedented ways. As substantial gender inequalities existed medicine before the pandemic, physician mothers may be at particular risk for adverse professional psychological consequences. <h3>Objective</h3> To assess differences work-family factors mental among parents during pandemic. <h3>Design, Setting, Participants</h3> This prospective cohort...

10.1001/jamanetworkopen.2021.34315 article EN cc-by-nc-nd JAMA Network Open 2021-11-12

The relationship between attention deficit hyperactivity disorder (ADHD) and earlier age at onset of affective illness was examined in probands with a history bipolar disorder.The authors assessed 56 adult subjects. Those childhood ADHD (N=8) were sex matched subjects without (N=8).The the first episode lower for (mean=12.1 years, SD=4.6) than those (mean=20. 0 SD=11.3).ADHD children might identify highest risk development disorder.

10.1176/appi.ajp.157.3.466 article EN American Journal of Psychiatry 2000-03-01

Improving our ability to accurately predict individual risk for depression would have profound public health benefits. While there has been growing interest in understanding the relation between measures of positive emotion, such as well-being, and depression, it is not clear whether low well-being an independent predictor short term risk. We assessed a factor depressive symptoms. Medical internship well-established period stress when levels symptoms increase dramatically. 1621 individuals...

10.1371/journal.pone.0067395 article EN cc-by PLoS ONE 2013-07-01

<h3>Importance</h3>In 2003, the first phase of duty hour requirements for US residency programs recommended by Accreditation Council Graduate Medical Education (ACGME) was implemented. Evidence suggests that this resulted in a modest improvement resident well-being and patient safety. To build on these initial changes, ACGME new set took effect July 2011.<h3>Objective</h3>To determine effects 2011 reforms first-year residents (interns) their patients.<h3>Design</h3>As part Intern Health...

10.1001/jamainternmed.2013.351 article EN JAMA Internal Medicine 2013-03-25

In the United States, approximately 1 physician dies by suicide every day. Training physicians are at particularly high risk, with suicidal ideation increasing more than 4-fold during first 3 months of internship year. Despite this increase, to our knowledge, very few efforts have been made prevent escalation thoughts among training physicians.To assess effectiveness a web-based cognitive behavioral therapy (wCBT) program delivered prior start year in prevention medical interns.A randomized...

10.1001/jamapsychiatry.2015.1880 article EN JAMA Psychiatry 2015-11-04

| Individual, institutional, and societal risk factors for the development of burnout can differ women men physicians. While some studies on physician report an increased prevalence […]

10.31478/201905a article EN NAM Perspectives 2019-05-23

Compared with graduate students and young adults in the general population, depression is more prevalent among training physicians, yet physicians are often reluctant to seek mental health treatment. The purpose of this study identify perceived barriers treatment depressed physicians.Subjects for were drawn from intern classes during 2007-2008 2008-2009 academic years 6 13 participating community university hospitals, respectively. At 3-month intervals throughout year, participants completed...

10.4300/jgme-d-09-00086.1 article EN Journal of Graduate Medical Education 2010-06-01

Objective: The authors examined the prevalence of burnout and depressive symptoms among North American psychiatrists, determined demographic practice characteristics that increase risk for these symptoms, assessed correlation between depression. Methods: A total 2,084 psychiatrists participated in an online survey, completed Oldenburg Burnout Inventory (OLBI) Patient Health Questionnaire–9 (PHQ-9), provided data information. Linear regression analysis was used to determine factors associated...

10.1176/appi.ajp.2020.19090901 article EN American Journal of Psychiatry 2020-07-14

Objective: The Clinical Monitoring Form (CMF) for mood disorders was developed as a time efficient record keeping tool routine clinical use. This report presents preliminary data evaluating the correlation between CMF's dimensional subscales depression and elevation formal rating scales across wide spectrum of states. Methods: To harvest 500 follow‐up visits required collection from consecutive records accumulated during conduct seven double blind trials involving total 58 participants....

10.1034/j.1399-5618.2002.01195.x article EN Bipolar Disorders 2002-09-25
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