scholarly journals Investigation of physician burnout and the development of symptoms of anxiety and depression: burnout in consultant doctors in Ireland study (BICDIS)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S17-S18
Author(s):  
Genevieve Crudden ◽  
Anne Doherty ◽  
Fabio Margiotta ◽  
Dara Byrne
Keyword(s):  
Maslach Burnout Inventory ◽  
Personality Factors ◽  
Depression And Anxiety ◽  
Physician Burnout ◽  
Psychological Burden ◽  
Stress Scale ◽  
Work Related ◽  
Symptoms Of Depression ◽  
Irish Hospital ◽  
Increased Risk

AimsThe objectives of this study were to investigate burnout in a sample of Irish Hospital Consultants and its association with psychopathology (symptoms of depression and anxiety). We examined the effect of personality factors on the development of psychopathology in response to burnout and in relation to work-related stress among the participants.MethodThis is a cross-sectional survey, utilising validated psychometric measures. Self-reported online questionnaires were distributed to all hospital consultants registered with the Irish Hospital Consultants Association distribution list and were completed between September to December 2016. Questionnaires sought to determine demographic information; work-related characteristics; burnout related phenomena: emotional exhaustion, depersonalization, and a reduced sense of personal effectiveness (Maslach Burnout Inventory [MBI-GS]); symptoms of depression and anxiety (Depressive Anxiety Stress Scale [DASS]; and personality characteristics (Big Five Inventory [BFI-10]).ResultA total of 477 hospital consultants (Male = 56.6%) from hospitals in Ireland took part in the study. Of those studied, 42% reported high levels of burnout. The Depression and Anxiety Stress Scale revealed that Consultants were experiencing high levels of stress symptoms but comparatively low levels of anxiety symptoms. The study population scored highest on the conscientiousness and agreeableness subscales and lowest on the neuroticism subscale. Those who scored higher in the neuroticism subtype appeared to be at an increased risk of burnout.ConclusionThe prevalence of work-related burnout in consultants is of concern. The psychological burden of burnout is reflected in reported symptoms of stress and depression. Personality, particularly conscientiousness and agreeableness appears to impact the development of physician burnout. Strategies that modulate the relationship between personality and burnout may be beneficial for optimal health care delivery. Further research is needed to identify appropriate short and long-term strategies to ensure physician wellbeing and optimal delivery of patient care.

scholarly journals 147 Training Forgiveness. A Novel Approach to Reducing Physician Burnout

CNS Spectrums ◽  
2020 ◽  
Vol 25 (2) ◽  
pp. 293-294 ◽  
Author(s):  
Lidia Firulescu ◽  
Ross W. May ◽  
Frank D. Fincham ◽  
Emelina A. Arocha ◽  
Marcos A. Sanchez-Gonzalez
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Physician Burnout ◽  
Study Objective ◽  
Work Related ◽  
Mental And Physical Health

Abstract:Study Objective:Psychological risk factors that lead to impaired work performance, negatively impacting mental and physical health, have emerged as a concern across clinical settings. Although depression and anxiety are linked to poor physician mental health, physician burnout characterized by work related stress due to chronic exhaustion from clinical work, cynicism toward meaning of the medical profession, and feelings of inadequacy toward work related accomplishments, may be an even stronger indicator of well-being. Literature suggests that work satisfaction among physicians is rapidly deteriorating owing to high rates of burnout and poor mental health. Although the relationship between work burnout (WB) and negative affectivity has been well documented, the association with positive affect, such as trait forgiveness (TF) has been overlooked. On that note, research shows that lifetime stress severity and lower levels of forgiveness predict worse mental and physical health. Since TF has been linked strongly with healthy workplace relationships, positive occupational outcomes and general well-being, its association with WB remains to be investigated. Therefore, the aim of the present study was to explore the link between TF and WB among physicians. We hypothesized that TF would be associated with reduced levels of burnout.Method:A total of 62 (F=23) medical residents at a Teaching Hospital consented for the study. Residents were administered surveys on WB (Maslach Burnout Inventory), workplace bullying, personal bullying (PB), interpersonal rejection sensitivity (IRS), perceived stress scale (PSS), TF, anxiety, and depression, all of which were anonymously submitted via electronically. Hierarchical multiple regression (HMR) models were used to determine the associations between WB, work environment social factors and TF. A p-value of <0.05 was considered significant.Results:The mean age 33.1 ± SD 4.2 years. HMR analysis using WB as main outcome contained 6 predictors: Model 1 contained depression and anxiety, Model 2 added PB, Model 3 added IRS and PSS, Model 4 added TF. Anxiety and TF were the only significant predictors (p= >0.05) accounting for 10.4% and 17.5% of the variance in WB scores, respectively.Conclusions:The novel finding of the present study is that TF was associated with low levels of burnout. Additionally, WB was found to be linked to anxiety and depression which is in line with previous research. These data suggest that TF could be a potential resolution to the deleterious influence of burnout. Further exploration is needed in order to understand the psychology of forgiveness as a potential adjuvant and/or therapeutic intervention for physicians’ burnout. These results suggest that strategies including forgiveness training aimed at decreasing WB while increasing job satisfaction among physicians warrant further exploration.

scholarly journals 42 Training Forgiveness – A Novel Approach to Reducing Physician Burnout

CNS Spectrums ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 198-199 ◽  
Author(s):  
Lidia Firulescu ◽  
Ross W. May ◽  
Frank D. Fincham ◽  
Emelina A. Arocha ◽  
Marcos A. Sanchez-Gonzalez
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Well Being ◽  
Anxiety And Depression ◽  
P Value ◽  
Depression And Anxiety ◽  
Physician Burnout ◽  
Study Objective ◽  
Work Related ◽  
Mental And Physical Health

AbstractStudy ObjectivePsychological risk factors that lead to impaired work performance, negatively impacting mental and physical health, have emerged as a concern across clinical settings. Although depression and anxiety are linked to poor physician mental health, physician burnout characterized by work related stress due to chronic exhaustion from clinical work, cynicism toward meaning of the medical profession, and feelings of inadequacy toward work related accomplishments, may be an even stronger indicator of well-being. Literature suggests that work satisfaction among physicians is rapidly deteriorating owing to high rates of burn out and poor mental health. Although the relationship between work burnout (WB) and negative affectivity has been well documented, the association with positive affect, such as trait forgiveness (TF) has been overlooked. On that note, research shows that lifetime stress severity and lower levels of forgiveness predict worse mental and physical health. Since TF has been linked strongly with healthy workplace relationships, positive occupational outcomes and general well-being, its association with WB remains to be investigated. Therefore, the aim of the present study was to explore the link between TF and WB among physicians. We hypothesized that TF would be associated with reduced levels of burnout.MethodA total of 62 (F=23) medical residents at a Teaching Hospital consented for the study. Residents were administered surveys on WB (Maslach BurnoutInventory), workplace bullying, personal bullying (PB), interpersonal rejection sensitivity (IRS), perceived stress scale (PSS), TF, anxiety, and depression, all of which were anonymously submitted via electronically. Hierarchical multiple regression (HMR) models were used to determine the associations between WB, work environment social factors and TF. A p-value of <0.05 was considered significant.ResultsThe mean age 33.1±SD 4.2 years. HMR analysis using WB as main outcome contained 6 predictors: Model 1 contained depression and anxiety, Model 2 added PB, Model 3 added IRS and PSS, Model 4 added TF. Anxiety and TF were the only significant predictors (p= >0.05) accounting for 10.4% and 17.5% of the variance in WB scores, respectively.ConclusionsThe novel finding of the present study is that TF was associated with low levels of burnout. Additionally, WB was found to be linked to anxiety and depression which is in line with previous research. These data suggest that TF could be a potential resolution to the deleterious influence of burnout. Further exploration is needed in order to understand the psychology of forgiveness as a potential adjuvant and/or therapeutic intervention for physicians’ burnout. These results suggest that strategies including forgiveness training aimed at decreasing WB while increasing job satisfaction among physicians warrant further exploration.Funding Acknowledgements: no funding

scholarly journals Mental Health and Professional Burnout among Residents During the Covid-19 Pandemic: Situational and Psychological Factors

2021 ◽  
Vol 29 (2) ◽  
pp. 9-47
Author(s):  
A.B. Kholmogorova ◽  
A.A. Rakhmanina ◽  
A.Y. Suroegina ◽  
O.Y. Mikita ◽  
S.S. Petrikov ◽  
...  
Keyword(s):  
Maslach Burnout Inventory ◽  
Professional Burnout ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Coping With Stress ◽  
Symptoms Of Depression ◽  
Ptsd Checklist ◽  
Post Traumatic ◽  
Second Wave

The paper presents the results of a study of the level and factors of mental malad- justment and professional burnout of medical residents undergoing training at the Training Center of N.V. Sklifosovsky Research Institute for Emergency Medicine during the second wave of the COVID-19 pandemic. The study involved 110 first and second year residents (30 men and 80 women; mean age — 25.1±2.32), both working in the COVID-19 “red zone” and helping other patients. The follow- ing methods were used to assess symptoms and factors of mental maladjustment and professional burnout: Beck Depression and Anxiety Scales (Beck et al., 1988; 1996), Maslach Burnout Inventory (Maslach &amp; Jackson, 1981), PTSD Checklist for DSM 5 (PSL-5; Weathers et al., 2013) Distress Thermometer (Holland, Bultz, 2007), UCLA Loneliness Scale (Russell et al., 1978) Three-Factor Perfectionism Inventory (Garanyan et al., 2018) and Toronto Alexithymia Scale (Taylor et al., 2003). According to the data, 43% of young doctors noted symptoms of depression of moderate and high severity, suicidal thoughts were present in 10%, symptoms of heightened anxiety in 30%, and more than a half (55%) had critically high rates of symptoms of post-traumatic stress. About a quarter of the respondents showed high rates of general distress (24%) and professional burnout in all three of its as- pects (emotional exhaustion — 21%, depersonalization — 23%, and personal ac- complishment — 22%). Most residents associated distress with difficulties in com- bining work and study and fear for the quality of education during the pandemic. Social support was noted as a factor in coping with stress. A series of regression analyzes showed the importance of the contribution of the experience of loneli- ness, as well as high rates of perfectionism and alexithymia, to mental distress and professional burnout of residents.

Prevalence and predictors of burnout among specialty palliative care clinicians in the United States: Results of a national survey.

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 87-87 ◽  
Author(s):  
Arif Kamal ◽  
Janet Bull ◽  
Steven Wolf ◽  
Greg Samsa ◽  
Katherine Ast ◽  
...  
Keyword(s):  
Palliative Care ◽  
Logistic Regression ◽  
Emotional Exhaustion ◽  
Cancer Care ◽  
Maslach Burnout Inventory ◽  
The United States ◽  
Biased Sampling ◽  
Stepwise Logistic Regression ◽  
Work Related ◽  
Increased Risk

87 Background: The increasing demand for specialist palliative care (PC) in cancer care requires an available and responsive clinical workforce. But as the volume of work expands, PC providers face an increased risk of burnout, characterized by depersonalization and work-related emotional exhaustion. The prevalence and predictors of burnout among PC providers is poorly understood. Methods: Members of the American Academy of Hospice and Palliative Medicine (e.g. advanced practice provider, registered nurses, chaplains) completed the Maslach Burnout Inventory (MBI) via electronic survey in the second half of 2013; respondents were recruited via e-mail, blog and Facebook posts, and Twitter tweets. The MBI determine burnout severity across two domains, Emotional Exhaustion (EE) and Depersonalization (DP). Severity is reported as “low”, “moderate”, or “high”; “high” is consistent with burnout. Demographic and work-related variables associated with burnout in other studies were determined via stepwise logistic regression. Results: We received surveys from 1,241 clinicians. We estimated a response rate of 30%. 68% of respondents were physicians. Most respondents were over age 50 (57%), female (65%), were married or partnered (82%) and had worked in the field for less than 10 years (67%). 42% took overnight call regularly, 30% reported working 50 hours per week or more, and 57% had at least 4 colleagues. Regarding burnout, 24% reported high DP, 59% reported high EE, and 62% of reported high burnout symptoms on either EE or DP scales. In logistic regression, younger physicians, those working more than 50 hours per work, and those with fewer colleagues within their practice were at greatest risk of burnout (p<0.02). Conclusions: PC clinicians report a burnout rate of 62%. Even with the limitations of our methods and potentially biased sampling, this prevalence is remarkable and higher than data reported in medical oncology (45%). Burnout severity is associated with working in isolation and working longer hours. Further studies on how burnout affects sustainability of the PC workforce are needed, especially since this workforce is so critical to the provision of high quality cancer care.

scholarly journals Demographics and Personality Factors Associated with Burnout among Nurses in a Singapore Tertiary Hospital

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Shin Yuh Ang ◽  
Satvinder S. Dhaliwal ◽  
Tracy Carol Ayre ◽  
Thendral Uthaman ◽  
Kuan Yok Fong ◽  
...  
Keyword(s):  
Multivariable Analysis ◽  
Personal Characteristics ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Personality Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Singapore General Hospital ◽  
Increased Risk

Background. The aim of the study was to evaluate the prevalence and extent of burnout among nurses in Singapore and investigate the influence of demographic factors and personal characteristics on the burnout syndrome.Methods. A cross-sectional survey design was adopted. All registered nurses working in Singapore General Hospital were approached to participate. A questionnaire eliciting data on demographics, burnout (measured using the Maslach Burnout Inventory, MBI), and personality profile (measured using the NEO Five-Factor Inventory, NEO-FFI) was used.Results. 1830 nurses out of 3588 responded (response rate: 51%). Results from 1826 respondents were available for analysis. The MBI identified 39% to have high emotional exhaustion (EE, cut-off score of >27), 40% having high depersonalization (DP, cut-off score of >10), and 59% having low personal accomplishment (PA, cut-off score of <33). In multivariable analysis, age, job grade, and neuroticism were significantly associated with each of the 3 components of the MBI. Staff nurses less than 30 years with high to very high neuroticism were more likely to experience high EE, high DP, and low PA.Conclusion. Younger nurses in Singapore are at increased risk of burnout. Personality traits also played a significant role in the experience of burnout.

scholarly journals Depression, anxiety, and stress in partners of Australian combat veterans and military personnel: a comparison with Australian population norms

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e2373 ◽  
Author(s):  
Gail V. MacDonell ◽  
Navjot Bhullar ◽  
Einar B. Thorsteinsson
Keyword(s):  
Mental Health ◽  
Combat Veterans ◽  
Mental Health Problems ◽  
Psychosocial Health ◽  
Depression And Anxiety ◽  
Population Norms ◽  
Symptoms Of Depression ◽  
Increased Risk ◽  
Previous Sample ◽  
Comparative Population

Partners of Australian combat veterans are at an increased risk of experiencing mental health problems. The present study provides a comparative analysis of the mental health of partners of veterans with that of the Australian normative data. To compare different types of groups of partners, the study samples comprised: (a) partners of Australian combat veterans (Sample 1:n= 282, ageM= 60.79,SD= 5.05), (b) a sub-sample of partners of Australian combat veterans from the previous sample (Sample 2:n= 50;M= 60.06,SD= 4.80), (c) partners of Special Air Services Regiment (SASR) personnel (Sample 3:n= 40, ageM= 34.39SD= 7.01), and (d) partners of current serving military (non-SASR) personnel (Sample 4:n= 38, ageM= 32.37,SD= 6.20). Respondents completed measures assessing their reported levels of depression, anxiety, and stress. Samples 1 and 2 comprised partners of Australian military veterans who reported significantly greater symptoms of depression, anxiety, and stress than the comparative population norms. The sample of SASR personnel partners (Sample 3) reported significantly lower levels of depression and anxiety, whereas the sample with non-SASR personnel partners (Sample 4) reported a significantly greater stress symptomatology than the comparative norms. Number of deployments was found to be associated with depression, anxiety, and stress in partners of non-SASR veterans (Sample 4). Lessons and protective factors can be learnt from groups within the current military as to what may assist partners and families to maintain a better level of psychosocial health.

Depression and anxiety in unemployed men

1988 ◽  
Vol 18 (4) ◽  
pp. 935-945 ◽  
Author(s):  
M. J. Eales
Keyword(s):  
Life Events ◽  
Job Loss ◽  
Intimate Relationship ◽  
Borderline Case ◽  
Depression And Anxiety ◽  
Symptoms Of Depression ◽  
Psychiatric Status ◽  
Increased Risk ◽  
Severe Life Events ◽  
State Examination

SynopsisPsychiatric status and psychosocial variables were assessed in a group of 80 unemployed men. Symptoms of depression and anxiety were assessed using the Present State Examination and ‘caseness’ rated according to the Bedford College criteria. Among men who were normal at the time of job loss, 14% developed a ‘case’ disorder and a further 17% a ‘borderline case’ disorder over the first 6 months of unemployment. These rates are similar to those found in studies concerned with a wider range of severe life events. An increased risk of onset was associated with three factors: lack of an intimate relationship with a wife or girlfriend, trait shyness, and preexisting economic difficulties.

scholarly journals Influence of Work-Related and Personal Characteristics on the Burnout Risk among Full- and Part-Time Teachers

2021 ◽  
Vol 18 (4) ◽  
pp. 1535
Author(s):  
Reingard Seibt ◽  
Steffi Kreuzfeld
Keyword(s):  
Personal Characteristics ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional ◽  
Work Related ◽  
Increased Risk ◽  
Part Time ◽  
Burnout Risk

Teachers are at increased risk of stress-related illnesses and burnout symptoms. Thus, a cross-sectional study involving 6109 full-time and 5905 part-time teachers at upper-level secondary schools examined the influence of presumed work-related and personal characteristics on burnout risk between January and April 2018. Burnout was recorded using the Maslach Burnout Inventory—General Survey (MBI-GS). Work-related characteristics were weekly working hours and work stress, operationalized with the effort-reward imbalance (ERI) model. Overcommitment and the inability to recover were determined as personal characteristics. Multiple linear regression analyses were performed, adjusted for age and gender. Overall, 47% of the teachers reported burnout symptoms and 3% had an indication of burnout. Full-time and part-time teachers did not differ in their risk of burnout. ERI, overcommitment, and inability to recover were identified as predictors of burnout risk (explained variance: 29%), whereby the inability to recover was the strongest predictor. In contrast, weekly working hours, extent of employment, gender and age were not related to the burnout risk. ERI was found in 33%, inability to recover in 36% and overcommitment in 39% of all the teachers studied. In particular, the inability to recover should be taken into account as an early indicator of burnout.

Symptoms of depression and anxiety during adult life: evidence for a decline in prevalence with age

1998 ◽  
Vol 28 (6) ◽  
pp. 1321-1328 ◽  
Author(s):  
A. S. HENDERSON ◽  
A. F. JORM ◽  
A. E. KORTEN ◽  
P. JACOMB ◽  
H. CHRISTENSEN ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Population ◽  
Population Sample ◽  
Adult Life ◽  
Depression And Anxiety ◽  
Adverse Life Events ◽  
Cross Sectional ◽  
Symptoms Of Depression ◽  
Increased Risk ◽  
Striking Change

Background. To test the hypothesis that the prevalence, in the general population, of symptoms of depression and anxiety declines with age.Methods. A general population sample of 2725 persons aged 18 to 79 years was administered two inventories for current symptoms of depression and anxiety, together with measures of neuroticism and of exposures that may confer increased risk of such symptoms.Results. Symptoms of depression showed a decline with age in both men and women. For anxiety, the decline was statistically significant for women but not consistently so for men. For the risk factors examined, there was a decline with age in the neuroticism score, the frequency of adverse life events, being seriously short of money and having had parents who separated or divorced. Further analysis showed that the association between age and a declining symptom score cannot be entirely attributed to these risk factors, with the single exception of neuroticism. The latter is itself likely to be contaminated by current symptoms.Conclusion. Unless these findings are due to bias in the sample of those who agreed to participate, they add to the evidence that symptoms of depression and to a lesser extent of anxiety decline in prevalence with age. Some risk factors also decline with age. It now has to be determined if these cross-sectional observations are also to be found in longitudinal data; and what process may underlie this striking change in mental health during adulthood.

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