[Burnout and reaction to stress].
De las Cuevas CJosé Luis González de Rivera y RevueltaDe la Fuente JaMontserrat AlvianiA. Ruiz-Benítez
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Abstract:
The recent flurry of attention to burnout syndrome still leaves numerous questions unanswered. One of them is the relationship between individual factors and the development of burnout. An understanding of the individual factors underlying burnout must include an assessment of the individual reactivity to stress. The occurrence, distribution and relationship with stress reactivity of the three dimensions of the burnout syndrome (emotional exhaustion, depersonalization and lowered feelings of personal accomplishment) were studied among a representative sample of the different professionals involved in the Primary Care Health System. Our results indicate that stress reactivity could be a variable that modulates the experienced psychopathology, suggesting a predisposition that increases the susceptibility to the development of burnout.Keywords:
Burnout Syndrome
Reactivity
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The recent flurry of attention to burnout syndrome still leaves numerous questions unanswered. One of them is the relationship between individual factors and the development of burnout. An understanding of the individual factors underlying burnout must include an assessment of the individual reactivity to stress. The occurrence, distribution and relationship with stress reactivity of the three dimensions of the burnout syndrome (emotional exhaustion, depersonalization and lowered feelings of personal accomplishment) were studied among a representative sample of the different professionals involved in the Primary Care Health System. Our results indicate that stress reactivity could be a variable that modulates the experienced psychopathology, suggesting a predisposition that increases the susceptibility to the development of burnout.
Burnout Syndrome
Reactivity
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A pesar de la gran atención suscitada por el fenómeno burnout en los últimos tiempos todavía persisten numerosas cuestiones por dilucidar en el mismo. Una de ellas es la relación existente entre los factores individuales y el desarrollo de desgaste profesional. Para una adecuada comprensión de los factores individuales subyacentes al burnout es imprescindible la valoración de la reactividad individual ante el estrés. En este artículo se analizan la presencia, distribución, y relación con la reactividad al estrés de las tres dimensiones reconocidas en el síndrome de desgaste profesional (agotamiento emocional, despersonalización y ausencia de logros personales) en una muestra representativa de los distintos profesionales involucrados en el Sistema de Atención Primaria a la Salud. Nuestros resultados son indicativos de que la reactividad al estrés puede ser una variable moduladora de la psicopatología padecida, siendo así mismo indicativa de una predisposición que incrementa la susceptibilidad general para el desarrollo de burnout.
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Background: Burnout is a psychological syndrome characterised as state of emotional exhaustion, negative attitude towards the recipient of care (depersonalisation) and a feeling of low accomplishments in human service professionals. However, there is very limited literature about Burnout syndrome among medical interns from India. Thus, this study aimed to found out the prevalence of burnout syndrome among medical interns and to find any gender differences between male and female interns.Methods: The study was a cross sectional study with a convenient sample of 100 medical Interns. Subjects filled a pretested semi-structured questionnaire, which consisted of demographic data and measures of assessment. Burnout was assessed by application of Masalach Burnout Inventory. Definition of burnout was taken as high score (>27 points) on Emotional exhaustion subscale, along with high scores (>10 points) on depersonalization subscale and Low score (<33 points) on personal accomplishment subscale.Results: Mean age of the sample was 23.9 years. 48 % were males and 52% were females. Burnout syndrome was found to be present in 22% subjects. 34% scored High on Emotional exhaustion subscale, while 46% scored High on depersonalization subscale and 77% scored Low on personal accomplishment subscale. Burnout status and subscales scores did not vary significantly with gender.Conclusions: Considering the higher ratings on various domains of Burnout among medical interns there is a need for targeted action and further research for a healthy workforce development in field of Medical care.
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The study deals with relations of optimism, coping strategies
and Burnout syndrome in the population of general
practitioners. The research sample consisted of 67 physicians,
including 29 men (43.3%) and 38 women (56.7%). Mean age of the
group was 46.54 years. The main aim of the research was to
investigate whether and to which extent optimism correlates
with dimensions of the Burnout syndrome, and to find out which
coping strategies correlate with dimensions of the burnout
syndrome positively and which negatively. Relations between the
Burnout syndrome and sex, length of practice and mental hygiene
activities were also investigated. We used questionnaire LOT-R
for measuring optimism, the SVF 78 for identification of
individual coping strategies and the MBI questionnaire to
determine the degree of the Burnout syndrome in dimensions
emotional exhaustion, depersonalization and personal
accomplishment. Data analysis revealed that practitioners with
higher level of optimism show a lower degree of emotional
exhaustion and depersonalization, and greater personal
accomplishment. Both dimensions of Burnout, i.e. emotional
exhaustion and depersonalization are associated with negative
coping strategies, and not related to positive coping
strategies. Dimension of personal accomplishment is related
with the positive coping strategy rather than with negative
strategies.
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Introducción: el burnout es un síndrome tridimensional caracterizado por agotamiento emocional, despersonalización y baja realización personal, con mayor prevalencia en trabajadores del área de la salud. Objetivos: describir las características sociodemográficas y cognitivas de un grupo de hematooncólogos en Colombia relacionadas con el síndrome del burnout. Método: estudio transversal descriptivo con un muestreo no probabilístico por conveniencia, realizado con 60 médicos especialistas en hematología, oncología y hematooncología vinculados a la ACHO. Los instrumentos utilizados fueron una encuesta de datos sociodemográficos y laborales de elaboración propia, cuestionario de esquemas de Young, inventario de pensamientos automáticos e inventario de burnout de Maslach. Resultado: los resultados obtenidos mostraron la presencia de los esquemas cognitivos de autosacrificio y estándares inflexibles, así como las distorsiones de falacia de razón y de recompensa divina, presencia del burnout en niveles medios (M = 59,1), al igual que en las dimensiones de baja realización personal (M = 67,4), despersonalización (M = 59,6) y agotamiento emocional (M = 40,6). En relación con el género se encontró que las mujeres obtuvieron puntuaciones más altas de SB (M = 74,8) que los hombres (M = 53,7). Conclusiones: los hematooncólogos evaluados podrían desarrollar niveles superiores del burnout a futuro, sobre todo las mujeres, por lo cual es necesario encaminar acciones de prevención al respecto.
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Introduction The COVID-19 pandemic has become a major challenge for both the overall health system and the individual ability for health professionals to stress coping. Objectives To find the link between the perception of danger from coronavirus and the severity of burnout syndrome in medical workers during the COVID-19 pandemic in Russia. Methods We used a socio-demographic questionnaire (20 questions), a Stress Perception Questionnaire (Linville, 1987; Ababkov et al., 2016), a Modified Pandemic Perception Questionnaire (Broadbent et al.,2006;Yaltonsky et al., 2017), and Maslach Burnout Inventory (Maslach et al., 1996; Lozinskaya et a. 2007). 249 medical workers (58 men and 191 women) took part in the online survey between April 27 and October 26 in Russia. Results The severity of stress is positively correlated with the perception of pandemic as threatening (r=0.532, p=0.000) and unknown disease (r=0.297, p=0.000). Stress severity also correlates with all burnout parameters: exhaustion (r=0.737, p=0.000), depersonalization (r=0.342, p=0.000), and belief in personal achievement (r=-0.417, p=0.000). The perception of pandemics as threatening events is significantly associated with exhaustionm (r=0.458, p=0.000), depersonalization (r=0.133, p= 0.036), and belief in personal achievement (r=-0.152, p=0.016).The feeling of uncertainty from the pandemic is statistically significantly associated with exhaustion (r=0.242, p=0.000), while the feeling of control over the pandemic is positively associated with belief in personal achievements (r=0.129, p=0.042) and negatively associated with exhaustion (r=-0.161, p=0.011) and depersonalization (r=-0.125, p=0.049). Conclusions Uncertainty and a sense of threat from the coronavirus and the pandemic are significant factors of stress and emotional burnout for health workers. To determine the interaction between parameters such as signs of burnout, perception of the COVID-19 pandemic and the severity of stress, further construction of a structural model is required.
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Burnout syndrome (BOS) is the result of chronic stress at work, and is characterized by emotional exhaustion (EE), depersonalization (DP), and low professional accomplishment. Anesthesiologyis a stressful profession. The aim of this study was to assess the prevalence of burnout as well as the sociodemographic and working characteristics associated with this syndrome's emotional factors, in anesthesiologists from Southern Brazil. We assessed burnout severity, depressive symptoms, and self-esteem using the Maslach burnout inventory, the Beck depression inventory, and the Rosenberg self-esteem scale, respectively. Of the 198 anesthesiologists included in this study, 48.7% were positive for burnout, 26.9% for EE, 41.3% for DP and 32.7% for low personal accomplishment. Trends in BOS was associated with a younger age, difficulty to conciliate family and work demands, low self-esteem, and depressive symptoms.
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The aim of the study was to explore predictors of burnout in clinicians working across different mental health settings in Greece. The Maslach & Jackson Inventory (MBI; Maslach & Jackson, 1981) was used to evaluate burnout syndrome and assess the relationship between demographic factors (age, children, education & job experience) and each sub-factor (emotional exhaustion, depersonalisation & personal accomplishment) of the MBI. Results revealed that out of three burnout factors, emotional exhaustion (EE) and personal accomplishment (PA) demonstrated one significant predictor each whereas depersonalisation (DP) showed no significant predictors. In addition, job experience (years in the job) was found to be a significant predictor of emotional exhaustion in clinical staff. Further analysis showed no significant differences across job type for emotional exhaustion, depersonalisation , and personal accomplishment. The findings are discussed with a focus on prevention and coping strategies for clinicians working in mental health settings.
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Occupational Burnout
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Background: Burnout syndrome is an increasingly prevalent problem, characterised by emotional exhaustion (EE), depersonalization (D), and low personal accomplishment (PA), feelings that appear with prolonged exposure to stress-inducing situations. The syndrome alters physical well-being and endangers the quality of services provided. Among nurses working in the paediatric area, the association between burnout and the corresponding risk profile has received little research attention, despite the highly stressful nature of this work. Materials and Methods: The study population was composed of 95 nurses working in four hospitals in the province of Granada. Data were collected using the Maslach Burnout Inventory, the NEO Personality Inventory, and the Educational-Clinical Questionnaire: Anxiety and Depression. Results: According to the results obtained, 22.0% of the nurses working in the paediatric area present high levels of EE, 18.5% present high levels of D, and 39.6% had feelings of low PA. These burnout levels do not depend on sociodemographic or labour variables, but the three domains of the syndrome are related to the psychological factors analysed. Conclusions: Among the nurses who participated in this study, 38.6% presented high levels of burnout, especially regarding feelings of low personal accomplishment. Personality factors play an important role in the development of this syndrome. This study shows the impact of burnout in paediatric nurses as well as the risk factors, providing information for the development of strategies to prevent it.
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Introduction: Burnout, a concept coined during the 1970’s, is a concern across many disciplines and of international interest. The term originally used colloquially to refer to the negative effects of chronic drug abuse, was applied by Fredenberger to describe the psychological state of human service workers under severe and prolonged stress (Soderfelt & Soderfelt, 1995). Maslach, a noted researcher on burnout and the author of the Maslach Burnout Inventory, defines burnout as «a syndrome of emotional exhaustion and cynicism that occurs frequently among individuals who do ‘people-work’ of some kind. A key aspect of the burnout syndrome is increased feelings of emotional exhaustion» (Maslach & Jackson, 1981b, p.99 as cited by Soderfelt & Soderfelt, 1995). Also associated with burnout are depression, feelings of alienation, helplessness and hopelessness, loss of idealism and spirit, and physical and emotional drain. According to Maslach, burnout has three dimensions including emotional exhaustion or feeling unable to give of oneself psychologically, depersonalization or feeling cynical and uncaring toward clients, and reduced personal accomplishment resulting in dissatisfaction with ones’ work (Lloyd, Kind & Chenoweth, 2002).
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