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. 2022 Jul 31;37(4):e403. doi: 10.5001/omj.2022.78

Table 4. Comparison of prevalence of four-item Patient Health Questionnaire (PHQ-4) stages in residents before and after implementing duty hour limits.

Work schedule/
PHQ-4 Stage
All, % 24-hour, % Night float, %
After,
n = 158
Before,
n = 181
After,
n = 137
Before,
n = 141
After,
n = 21
Before,
n = 40
Normal 29.7 18.8 32.8 22.0 38.1 7.5
Mild 29.1 39.2 33.6 40.4 57.1 35.0
Moderate 24.7 22.1 23.4 19.1 4.8 32.5
Severe 16.5 19.9 10.2 18.4 0.0 25.0
χ2 7.53 7.72 18.89, Fisher’s exact test
p-value 0.057 0.052 < 0.001