Распространенность и факторы риска развития синдрома эмоционального выгорания у врачей-интернов (обзор зарубежной литературы)

Автор: Алмадакова Ольга Александровна, Ласовская Татьяна Юрьевна

Журнал: Сибирский вестник психиатрии и наркологии @svpin

Рубрика: Лекции. Обзоры

Статья в выпуске: 3 (92), 2016 года.

Бесплатный доступ

В последние годы исследователи проявляют интерес к изучению синдрома эмоционального выгорания (СЭВ) на этапах последипломного образования (интернатура и клиническая ординатура, аналогом которой за рубежом является резидентура). Риск развития СЭВ повышен у интернов с высоким уровнем личностной тревожности, нейротизмом, недостаточным уровнем эмпатии, чертами расстройств личности и типом поведения D. Рассмотрена взаимосвязь формирования СЭВ с уровнем рабочего стресса и рабочей нагрузкой. Рабочий стресс у интернов связан со многими факторами - страхом совершить ошибку, недостаточностью средств для проживания, выполнением дополнительных обязанностей. Ограничение рабочего времени дает положительный результат в отношении СЭВ. Принадлежность к мужскому или женскому полу также может играть определенную роль в формировании СЭВ. Таким образом, изучение факторов риска СЭВ у резидентов является важным в проведении профилактических мероприятий (формирование группы риска и работа с ней).

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Синдром эмоционального выгорания, синдром эмоционального выгорания врачей-интернов, факторы риска развития синдрома эмоционального выгорания

Короткий адрес: https://sciup.org/14295936

IDR: 14295936   |   УДК: 159.96:614.

Prevalence and risk factors of burnout in medical interns. Literature review

In recent years, researchers are interested in study of burnout on postgraduate education stage (internship and clinical residency, an analog which is a residency abroad). The risk of development of burnout is high in residents with a high level of personal anxiety, neuroticism, insufficient empathy, traits of personality disorders and the type of behavior “D”. The interrelationship of formation of burnout with the level of work stress and workload was considered. Work stress among residents was associated with many factors - fear of making mistakes, lack of funds for the stay, additional responsibilities. Limitation of working hours gives a positive result in relation to the burnout. Belonging to a male or female sex may also play a role in the formation of the burnout. Thus, the study of the burnout risk factors in residents is important in carrying out preventive activities (formation of risk and work with it).

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Список литературы Распространенность и факторы риска развития синдрома эмоционального выгорания у врачей-интернов (обзор зарубежной литературы)

  • Бодагова Е.А., Говорин Н.В. Психическое здоровье врачей разного профиля//Социальная и клиническая психиатрия. -2013. -Т. 23, № 1. -С. 21-26. -www.cyberleninka.ru/article/n/psihicheskoe-zdorovie-vrachey-raznogo-profilya
  • Козина Н.В. Исследование эмпатии и её влияния на формирование «синдрома эмоционального выгорания» у медицинских работников: автореф. дис.. к.п.н. -СПб., 1998. -С. 12, 24.
  • Ласовская Т.Ю., Алмадакова О.А., Зеленская В.В. Роль уровня личностной тревожности в формировании симптомов эмоционального выгорания у врачей-интернов//Медицина и образование в Сибири. -2014. -№ 3.
  • Aksoy D.Y., Durusu Tanriover M., Unal S., Dizdar O., Kalyoncu U., Karakaya J., Unal S., Kale G. Burnout syndrome during residency in internal medicine and pediatrics in a country without working time directive//Int. J. Health Care Qual. Assur. -2014. -V. 27 (3). -P. 223-230.
  • Ashkar K., Romani M., Musharrafieh U, Chaaya M. Prevalence of burnout syndrome among medical residents: experience of a developing country//Postgrad. Med. J. -2010. -May. -V. 86 (1015). -Р. 266-271.
  • Gopal R., Glasheen J.J., Miyoshi T.J., Prochazka A.V. Burnout and internal medicine resident work-hour restrictions//Arch. Intern. Med. -2005. -V. 165 (22). -P. 2595-2600.
  • Govardhan L.M., Pinelli V., Schnatz P.F. Burnout, depression and job satisfaction in obstetrics and gynecology residents//Conn. Med. -2012. -V. 76, № 7. -P. 389-395.
  • Guido L. de A., Goulart C.T., da Silva R.M., Lopes L.F., Ferreira E.M. Stress and burnout among multidisciplinary residents//Rev. Lat. Am. Enfermagem. -2012. -V. 20, № 6. -P. 1064-1071.
  • Gustafsson G., Persson B, Eriksson S., Norberg A., Strandberg G. Personality traits among burn out and nonburn out health-care personal at the same workplaces: a pilot study//Int. J. Ment. Health Nurs. -2009. -V. 18, № 5. -P. 336-348.
  • Cecil J., McHale C., Hart J., Laidlaw A. Behaviour and burnout in medical students//Med. Educ. Online. -2014. -Aug. 25. -V. 19. -P. 252-309.
  • Cohen J.S., Leung Y., Fahey M., Hoyt L., Sinha R., Cailler L. et al. The happy docs study: a Canadian Association of Internes and Residents well-being survey examining resident physician health and satisfaction within and outside of residency training in Canada//BMC Res Notes. -2008. -V. 1. -P. 105.
  • Costa E.F., Santos S.A., Santos A.T., Melo E.V., Andrade T.M. Burnout Syndrome and associated factors among medical students: a cross-sectional study//Clinics (Sao Paulo). -2012. -V. 67, № 6. -P. 573-580.
  • Fahrenkopf A.M., Sectish T.C., Barger L.K., Sharek P.J., Lewin D., Chiang V.W., Edwards S., Wiedermann B.L., Landrigan C.P. Rates of medication errors among depressed and burnt out residents: prospective cohort study//B.M.J. -2008. -Mar. 1. -V. 336 (7642). -P. 488-491.
  • Fonseca M., Sanclemente G., Hernandez C., Visiedo C., Bragulat E., Mirô O. Residents, duties and burnout syndrome//Rev. Clin. Esp. -2010. -V. 210, № 5. -P. 209-215.
  • Hallberg U.E., Johansson G., Schaufeli W. B. Type A behavior and work situation: associations with burnout and work engagement//Scand. J. Psychol. -2007. -Apr. -V. 48 (2). -P. 135-142.
  • Hsu K., Marshall V. Prevalence of depression and distress in a large sample of Canadian residents, interns, and fellows//Am. J. Psychiatry. -1997. -V. 144. -P. 1561 -1566.
  • Hurt A.A., Grist C.L., Malesky L.A. Jr., McCord D.M. Personality traits associated with occupational 'burnout' in ABA therapists//J. Appl. Res. Intellect Disabil. -2013. -Jul. -V. 26 (4). -P. 299-308.
  • Ishak W.W., Lederer S., Mandili C., Nikravesh R., Seligman L., Vasa M., Ogunyemi D., Bernstein C.A. Burnout During Residency Training: A Literature Review//J. Grad. Med. Educ. -2009. -V. 1, № 2. -P. 236-242.
  • Joseph A. Garza et al. Burnout in Residency: A Statewide Study//Southern Medical Journal. -2004. -V. 97, № 12.
  • Kamrowska A., Kamrowski C. Professional burnout among psychiatrists//Pol. Merkul Lekarski. -2010. -V. 28, № 165. -P. 242-243.
  • Kang E.K., Lihm H.S., Kong E.H. Association of intern and resident burnout with self-reported medical errors//Korean J. Fam. Med. -2013. -V. 34, № 1. -P. 36-42.
  • Karaoglu N, Pekcan S., Durduran Y., Mergen H., Odabasi D., Ors R. A sample of paediatric residents' loneliness-anxiety-depression-burnout and job satisfaction with probable affecting factors//J. Pak. Med. Assoc. -2015. -Feb. -V. 65 (2). -P. 183-191.
  • Khan S. Relationship of Job Burnout and Type A Behaviour on Psychological Health among Secretaries//International Journal of Business and Management. -2011. -Jun. -V. 6, № 6. -www.ccsenet.org/ijbm
  • Koehl-Hackert N., Schultz J. H., Nikendei C., Möltner A., Gedrose B., van den Bussche H., Jünger J. Burdened into the job -final-year students' empathy and burnout//Zeitschrift für Evidenz, Fortbildung und Qualitätim Gesundheitswesen. -2012. -V. 106, № 2. -P. 116-124.
  • Lafreniere J.P., Rios R., Packer H., Ghazarian S., Wright S.M., Levine R.B. Burned Out at the Bedside: Patient Perceptions of Physician Burnout in an Internal Medicine Resident Continuity Clinic//J. Gen. Intern. Med. -2015. -Sep. 4.
  • Lemkau J.P., Purdy R.R., Rafferty J.P., Rudisill J.R. Correlates of burnout among family practice residents//J. Med. Educ. -1988. -Sep. -V. 63 (9). -Р. 682-691.
  • Lopez-Morales A., Gonzalez-Velazquez F., Morales-Guzman M.I., Espinoza-Martinez C.E. The burnout syndrome in medical residents working long periods//Rev. Med. Inst. Mex. Seguro Soc. -2007. -May-Jun. -V. 45 (3). -P. 233-242.
  • Lue B.H., Chen H.J., Wang C.W., Cheng Y., Chen M.C. Stress, personal characteristics and burnout among first postgraduate year residents: a nationwide study in Taiwan//Med. Teach. -2010. -V. 32, № 5. -P. 400-407.
  • Martinez A.A., Beriniaytés L., Gay Escoda C. The burnout syndrome and associated personality disturbances. The study in three graduate programs in Dentistry at the University of Barcelona//Med. Oral. Patol. Oral. Cir. Bucal. -2008. -Jul. 1. -V. 13 (7). -E444-450.
  • Martini S., Arfken C.L., Churchill A. Burnout comparison among residents in different medical specialties//Acad. Psychiatry. -2004. -V. 28, № 3. -P. 240-242.
  • Martini S., Arfken C.L., Balon R. Comparison of burnout among medical residents before and after the implementation of work hours limits//Acad. Psychiatry. -2006. -Jul.-Aug. -V. 30 (4). -P. 352-355.
  • Mazurkiewicz R., Korenstein D., Fallar R., Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study//Psychol. Health Med. -2012. -V. 17 (2). -P. 188-195.
  • Michels P.J., Probst J.C., Godenick M.T., Palesch Y. Anxiety and anger among family practice residents: a South Carolina family practice research consortium study//Acad. Med. -2003. -V. 78, № 1. -P. 69-79.
  • Mommersteeg P.M., Denollet J., Martens E.J. Type D personality, depressive symptoms and work-related health outcomes//Scand. J. Public Health. -2012. -Feb. -V. 40 (1). -P. 35-42.
  • Niku K., Thomas M. Resident Burnout//American Medical Association. All rights reserved. -2004. -V. 292, № 23.
  • Oginska-Bulik N. Occupational stress and its consequences in healthcare professionals: the role of type D personality//Int. J. Occup. Med. Environ Health. -2006. -V. 19 (2). -P. 113-122.
  • de Oliveira G.S. Jr, Chang R., Fitzgerald P. C., Almeida M. D., Castro-Alves L.S., Ahmad S., McCarthy R. J. The prevalence of burnout and depression and their association with adherence to safety and practice standards: a survey of United States anesthesiology trainees//Anesth. Analg. -2013. -Jul. -V. 117 (1). -P. 182-193.
  • Olson S.M., Odo N.U., Duran A.M., Pereira A.G., Mandel J.H. Burnout and Physical Activity in Minnesota Internal Medicine Resident Physicians//J. Grad. Med. Educ. -2014. -Dec. -V. 6 (4). -P. 669-674.
  • Pantaleoni J.L., Augustine E.M., Sourkes B. M., Bachragh L.K. Burnout in pediatric residents over a 2-year period: a longitudinal study//Acad. Pediatr. -2014. -Mar. -Apr. -V. 14 (2). -P. 167-172.
  • Pereira-Lima K., Loureiro S.R. Burnout, anxiety, depression, and social skills in medical residents//Psychol. Health Med. -2014. -V. 17. -P. 1-10.
  • Polman R., Borkoles E., Nicholls A.R. Type D personality, stress, and symptoms of burnout: the influence of avoidance coping and social support//Br. J. Health Psychol. -2010. -Sep. -V. 15 (Pt. 3). -P. 681-696.
  • Poraj G. Personality as a teache's burnout predictor//Med. Pr. -2009. -V. 60, № 4. -P. 273-282.
  • Prins J.T., Hoekstra-Weebers J.E., van de Wiel H.B., Gazendam-Donofrio S.M., Sprangers F., Jaspers F.C., van der Heijden F.M. Burnout among Dutch medical residents//Int. J. Behav. Med. -2007. -V. 14, № 3. -P. 119-125.
  • Rajan P., Bellare B. Work related stress and its anticipated solutions among post-graduate medical resident doctors: a cross-sectional survey conducted at a tertiary municipal hospital in Mumbai, India//Indian J. Med. Sci. -2011. -Mar. -V. 65 (3). -P. 100-106.
  • Reem A. Al-Youbi R.A., Jan M.M. Burnout syndrome in pediatric practice//Oman Med. J. -2013. -V. 28, № 4. -P. 252-254.
  • Ripp J., Babyatsky M., Fallar R., Bazari H., Bellini L., Kapadia C., Katz J. T., Pecker M., Korenstein D. The incidence and predictors of job burnout in first-year internal medicine residents: a five-institution study//Acad. Med. -2011. -Oct. -V. 86 (10). -P. 1304-1310.
  • Romani M., Ashkar K. Burnout among physicians//Libyan Journal of Medicine. -2014. -V. 9.
  • Rua C., Body G., Marret H., Ouldamer L. Prevalence of burnout among obstetrics and gynecology residents//Journal Gynecol. Obstet. Biol. Reprod (Paris). -2014. -V. 20, № 13.
  • Sami Abdo Radman A-Dubai, Kurubaran Ganasegeran, Wilson Perianayagam, Krishna Gopal Rampal. Emotional Burnout, Perceived Sources of Job Stress, Professional Fulfillment, and Engagement among Medical Residents in Malaysia//The Scientific World Journal. -2013. -Article ID 137620. -9 p.
  • Santen S.A., Holt D.B., Kemp J.D., Hemphill R.R. Burnout in medical students: examining the prevalence and associated factors//South Med. J. -2010. -V. 103, № 8. -P. 758-763.
  • Sevencan F., Cayir E., Uner S. Burnout status of interns and associated factors//Cah. Sociol. Demogr. Med. -2010. -Oct.-Dec. -V. 50 (4). -P. 501-515.
  • Sussman D., Paul J. E. The impact of transitioning from a 24-hour to a 16-hour call model amongst a cohort of Canadian anesthesia residents at McMaster University -a survey study//Adv. Med. Educ. Pract. -2015. -Aug. -V. 7, № 6. -P. 501-506.
  • Taycan O., Taycan S.E., Celik C. Relationship of burnout with personality, Alexitymia, and coping behaviors among physicians in a semiurban and rural area in Turkey//Arch. Environ Occup. Health. -2014. -V. 69, № 3. -P. 159-166.
  • Thomas N.K. Resident burnout//JAMA. -2004. -V. 292, № 23. -P. 2880-2889.
  • Van der Wal R.A., Bucx M.J., Hendriks J.C., Scheffer G.J., Prins J.B. Psychological distress, burnout and personality traits in Dutch anaesthesiologists: A survey//Eur. J. Anaesthesiol. -2015. -Nov. 14.
  • Velásquez-Pérez L., Colin-Piana R., Gonzalez-Gonzalez M. Coping with medical residency depression burnout//Gac. Med. Mex. -2013. -V. 149, № 2. -P. 183-195.
  • Waldman S.V., Diez J.C., Arazi H.C., Linetzky B., Guinjoan S., Grancelli H. Burnout, perceived stress, and depression among cardiology residents in Argentina//Acad. Psychiatry. -2009. -Jul.-Aug. -V. 33 (4). -P. 296-301.
  • Wiodarczyk D., Pawliszewska A. Type a behaviour as a predictor of burnout and job satisfaction in intensive care units nurses//Med. Pr. -2015. -V. 66 (2). -P. 213-224.
  • Zaré S.M., Galanko J.A., Behrns K.E., Sieff E.M., Boyle L.M., Farley D. R., Evans S. R., Meyer A.A., Farrell T.M. Psychologic well-being of Surgery residents after inception of the 80-hour workweek: a multi-institutional study//Surgery. -2005. -Aug. -V. 138 (2). -P. 150-157.
  • Zis P., Anagnostopoulos F., Sykioti P. Burnout in Medical Residents: A Study Based on the Job Demands-Resources Model//The Scientific World Journal. Published online. -2014. -Oct. 30. -dx.doi.o DOI: rg/10.1155/2014/673279
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