Humor Styles, Perceived Stress Scores, and Depression Scores among Psychiatry Residents in Saudi Arabia: A Cross-sectional Study
DOI:
https://doi.org/10.22317/jcms.v12i2.2119Keywords:
Adaptation, Psychological, Emotional Adjustment, Mental Health, Internship and Residency, Education, Medical, Graduate, Resilience, Psychological, Saudi ArabiaAbstract
Objective: To assess different humor styles among psychiatry residents in Saudi Arabia and examine their correlations with perceived stress and depression scores, while exploring demographic and training-related influencing factors.
Methods: This cross-sectional study surveyed 100 psychiatry residents across Saudi Arabia using the Humor Styles Questionnaire (HSQ), Beck Depression Inventory-II (BDI-II), and Perceived Stress Scale (PSS). Data were analyzed using descriptive statistics, Spearman correlations, and non-parametric tests.
Results: Among 100 psychiatry residents (61% male, 39% female), the median scores for humor styles were: affiliative humor (46, IQR:38.5-50), self-enhancement (36.5, IQR:29-43), self-defeating (26, IQR:18.5-33.5), and aggressive humor (25, IQR:19-30). Self-defeating humor showed significant positive correlations with both depression (r=0.427, p<0.001) and perceived stress scores (r=0.269, p=0.007). Males exhibited significantly higher aggressive and self-defeating humor scores (p=0.004 and p=0.001, respectively), while female residents reported significantly higher perceived stress than males (p=0.033). Residents with prior MDD diagnoses demonstrated higher depression and perceived stress levels (p=0.013 and p=0.021, respectively).
Conclusion: Self-defeating humor appears to be a maladaptive coping mechanism associated with poorer mental health outcomes among psychiatry residents in Saudi Arabia. Gender differences in humor styles and stress perception suggest the need for tailored wellness interventions. These findings highlight the importance of promoting adaptive humor styles in psychiatric training programs to enhance resilience and well-being.
References
Schneider M, Voracek M, Tran US. “A joke a day keeps the doctor away?” Meta-analytical evidence of differential associations of habitual humor styles with mental health. Scand J Psychol. 2018 Jun;59(3):289–300. doi:10.1111/sjop.12432 PubMed PMID: 29431190.
Martin RA, Puhlik-Doris P, Larsen G, Gray J, Weir K. Individual differences in uses of humor and their relation to psychological well-being: Development of the Humor Styles Questionnaire. J Res Personal. 2003 Feb 1;37(1):48–75. doi:10.1016/S0092-6566(02)00534-2
Mata DA, Ramos MA, Bansal N, Khan R, Guille C, Di Angelantonio E, et al. Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis. JAMA. 2015 Dec 8;314(22):2373–83. doi:10.1001/jama.2015.15845 PubMed PMID: 26647259; PubMed Central PMCID: PMC4866499.
Adler DA, McLaughlin TJ, Rogers WH, Chang H, Lapitsky L, Lerner D. Job performance deficits due to depression. Am J Psychiatry. 2006 Sep;163(9):1569–76. doi:10.1176/ajp.2006.163.9.1569 PubMed PMID: 16946182; PubMed Central PMCID: PMC4269259.
Beck AT, Steer RA, Ball R, Ranieri W. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess. 1996 Dec;67(3):588–97. doi:10.1207/s15327752jpa6703_13 PubMed PMID: 8991972.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385–96. PubMed PMID: 6668417.
Kuiper NA, Grimshaw M, Leite C, Kirsh G. Humor is not always the best medicine: Specific components of sense of humor and psychological well-being. Humor Int J Humor Res. 2004;17(1–2):135–68. doi:10.1515/humr.2004.002
Frewen PA, Brinker J, Martin RA, Dozois DJA. Humor styles and personality-vulnerability to depression. Vol. 21. 2008 May 1;21(2):179–95. doi:10.1515/HUMOR.2008.009
Alkhamees AA, Assiri H, Alharbi HY, Nasser A, Alkhamees MA. Burnout and depression among psychiatry residents during COVID-19 pandemic. Hum Resour Health. 2021 Apr 6;19(1):46. doi:10.1186/s12960-021-00584-1 PubMed PMID: 33823857; PubMed Central PMCID: PMC8022305.
Alosaimi FD, Almufleh A, Kazim S, Aladwani B. Stress-coping strategies among medical residents in Saudi Arabia: A cross-sectional national study. Pak J Med Sci. 2015;31(3):504–9. doi:10.12669/pjms.313.7490 PubMed PMID: 26150833; PubMed Central PMCID: PMC4485260.
IBM Corp. IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY; 2021.
Chan MK, Chew QH, Sim K. Burnout and associated factors in psychiatry residents: a systematic review. Int J Med Educ. 2019 Jul 30;10:149–60. doi:10.5116/ijme.5d21.b621 PubMed PMID: 31381505; PubMed Central PMCID: PMC6766386.
Dionigi A, Duradoni M, Vagnoli L. Understanding the Association Between Humor and Emotional Distress: The Role of Light and Dark Humor in Predicting Depression, Anxiety, and Stress. Eur J Psychol. 2023 Nov;19(4):358–70. doi:10.5964/ejop.10013 PubMed PMID: 38487314; PubMed Central PMCID: PMC10936143.
Jiang F, Lu S, Jiang T, Jia H. Does the Relation Between Humor Styles and Subjective Well-Being Vary Across Culture and Age? A Meta-Analysis. Front Psychol. 2020;11:2213. doi:10.3389/fpsyg.2020.02213 PubMed PMID: 33071846; PubMed Central PMCID: PMC7536505.
Dabbagh R, Alwatban L, Alrubaiaan M, Alharbi S, Aldahkil S, AlMuteb M, et al. Depression, stress, anxiety and burnout among undergraduate and postgraduate medical trainees in Saudi Arabia over two decades: A systematic review. Med Teach. 2023 May;45(5):499–509. doi:10.1080/0142159X.2022.2139669 PubMed PMID: 36355388.
Leñero-Cirujano M, González-Ordi H, Torres-González JI, Gómez-Higuera J, Piñar-Rodríguez S, López-Bermejo Minaya E, et al. Relation Between Humor Styles and Psychopathological Symptoms in Healthcare Professionals: A Cross-Sectional Study. Nurs Rep. 2025 Jan 14;15(1):21. doi:10.3390/nursrep15010021 PubMed PMID: 39852643; PubMed Central PMCID: PMC11767706.
Kokkinos CM, Voulgaridou I. Humor styles and emotional manipulation: A person-centered perspective. Personal Individ Differ. 2026 Jul 1;257:113775. doi:10.1016/j.paid.2026.113775
Navarro-Carrillo G, Torres-Marín J, Corbacho-Lobato JM, Carretero-Dios H. The effect of humour on nursing professionals’ psychological well-being goes beyond the influence of empathy: a cross-sectional study. Scand J Caring Sci. 2020 Jun;34(2):474–83. doi:10.1111/scs.12751 PubMed PMID: 31487066.
Garcia JT, DuBose L, Arunachalam P, Hairrell AS, Milman RM, Carpenter RO. The Effects of Humor in Clinical Settings on Medical Trainees and the Implications for Medical Educators: A Scoping Review. Med Sci Educ. 2023 Apr;33(2):611–22. doi:10.1007/s40670-023-01769-0 PubMed PMID: 37261025; PubMed Central PMCID: PMC10226925.
Altan-Atalay A, Fatih Boluvat M. Cognitive flexibility and depression: The moderator roles of humor styles. Curr Psychol. 2024 Jun 1;43(23):20814–23. doi:10.1007/s12144-024-05931-8
Richards K, Kruger G. Humor Styles as Moderators in the Relationship Between Perceived Stress and Physical Health. Sage Open. 2017 Apr 1;7(2):2158244017711485. doi:10.1177/2158244017711485
Li Z, Wu M, Zhang X, Yan K, Wang X, Xu H, et al. Interrelationships of stress, burnout, anxiety, depression, quality of life and suicidality among Chinese residents under Standardized Residency Training: a network analysis. Ann Med. 2024 Dec;56(1):2433030. doi:10.1080/07853890.2024.2433030 PubMed PMID: 39610267; PubMed Central PMCID: PMC11610237.
Obeng Nkrumah S, Adu MK, Agyapong B, da Luz Dias R, Agyapong VIO. Prevalence and correlates of depression, anxiety, and burnout among physicians and postgraduate medical trainees: a scoping review of recent literature. Front Public Health. 2025;13:1537108. doi:10.3389/fpubh.2025.1537108 PubMed PMID: 40697832; PubMed Central PMCID: PMC12279716.
Al Houqani M, Hashim MJ, Anwar E, Agha A. Burnout syndrome among trainee doctors in a nationally accredited postgraduate medical training system. BMC Med Educ. 2026 Feb 24;26(1):527. doi:10.1186/s12909-026-08857-w
AlNahedh A, BinRusayyis A, Al-Tannir M, AlFayyad I. Prevalence of Depression and Burnout among Family Medicine Residents in Riyadh City, Saudi Arabia. Health Psychol Res. 2023;11:90620. doi:10.52965/001c.90620 PubMed PMID: 38162541; PubMed Central PMCID: PMC10756857.
Piñar-Rodríguez S, Rodríguez-Martín D, Corcoles-Martínez D, Tolosa-Merlos D, Leñero-Cirujano M, Puig-Llobet M. Correlational study on the sense of humor and positive mental health in mental health professionals. Front Public Health. 2024;12:1445901. doi:10.3389/fpubh.2024.1445901 PubMed PMID: 39564366; PubMed Central PMCID: PMC11573542.
Tsukawaki R, Imura T. Students’ Perception of Teachers’ Humor Predicts Their Mental Health. Psychol Rep. 2022 Feb 1;125(1):98–109. doi:10.1177/0033294120972631
Ganz FD, Jacobs JM. The effect of humor on elder mental and physical health. Geriatr Nur (Lond). 2014;35(3):205–11. doi:10.1016/j.gerinurse.2014.01.005 PubMed PMID: 24656050.
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