Age and sex differences in burnout, career satisfaction, and well-being in US neurologists

Neurology ◽  
2018 ◽  
Vol 91 (20) ◽  
pp. e1928-e1941 ◽  
Author(s):  
Kathrin LaFaver ◽  
Janis M. Miyasaki ◽  
Christopher M. Keran ◽  
Carol Rheaume ◽  
Lisa Gulya ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sex Differences ◽  
Career Satisfaction ◽  
Univariate Analysis ◽  
Well Being ◽  
Independent Predictive Factor ◽  
Burnout Risk ◽  
Professional Fulfillment ◽  
Age And Sex

ObjectiveTo examine age and sex differences in burnout, career satisfaction, and well-being in US neurologists.MethodsQuantitative and qualitative analyses of men's (n = 1,091) and women's (n = 580) responses to a 2016 survey of US neurologists.ResultsEmotional exhaustion in neurologists initially increased with age, then started to decrease as neurologists got older. Depersonalization decreased as neurologists got older. Fatigue and overall quality of life in neurologists initially worsened with age, then started to improve as neurologists got older. More women (64.6%) than men (57.8%) met burnout criteria on univariate analysis. Women respondents were younger and more likely to work in academic and employed positions. Sex was not an independent predictive factor of burnout, fatigue, or overall quality of life after controlling for age. In both men and women, greater autonomy, meaning in work, reasonable amount of clerical tasks, and having effective support staff were associated with lower burnout risk. More hours worked, more nights on call, higher outpatient volume, and higher percent of time in clinical practice were associated with higher burnout risk. For women, greater number of weekends doing hospital rounds was associated with higher burnout risk. Women neurologists made proportionately more negative comments than men regarding workload, work–life balance, leadership and deterioration of professionalism, and demands of productivity eroding the academic mission.ConclusionsWe identified differences in burnout, career satisfaction, and well-being in neurologists by age and sex. This may aid in developing strategies to prevent and mitigate burnout and promote professional fulfillment for different demographic subgroups of neurologists.

Author response: Age and sex differences in burnout, career satisfaction, and well-being in US neurologists

Neurology ◽  
2019 ◽  
Vol 93 (19) ◽  
pp. 863.1-863
Author(s):  
Kathrin LaFaver ◽  
Janis M. Miyasaki ◽  
Christopher M. Keran ◽  
Carol Rheaume ◽  
Lisa Gulya ◽  
...  
Keyword(s):  
Sex Differences ◽  
Career Satisfaction ◽  
Well Being ◽  
Author Response ◽  
Age And Sex

scholarly journals THE DIFFERENT MENTAL HEALTH PATIENT QUALITY OF LIFE DURING SHACKLING, TREATMENT, AND POST TREATMENT

2020 ◽  
Vol 2 (2) ◽  
pp. 45
Author(s):  
Arif Widodo ◽  
Supratman Supratman
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Human Life ◽  
Univariate Analysis ◽  
Treatment Phase ◽  
Well Being ◽  
Post Treatment ◽  
Mental Health Patient ◽  
Value Analysis

Background: Mental health is a well-being mental state associated with happiness, joy, satisfaction, achievement, optimism, and hope. Good mental health allows a harmonious and productive life as an integral part of one's quality of life by taking into account all aspects of human life. This study aims to assess the different quality of life among mental health disorder patients during shackling, treatment, and post-treatment in Sukoharjo Regency.Methods: Quantitative descriptive was used in this study. Our population was all mental disorder patient in Sukoharjo District who has experienced with shackling and finished the treatment in the RSJD “dr Arif Zainudin," Surakarta during 2011-2015. We took total sampling and excluded patients who died, move to another place, and recover. Thirty out of thirty-four post-shackling patients in the Sukoharjo Regency participated in this study. A tested questionnaire was used to collect the data from the patient. The analysis was performed using univariate analysis – central tendency value analysis. Results: We found differences in patients' quality of life during shackling, treatment, and post-treatment. The survivor had the highest quality of life in the post-treatment phase compared to the shackled and treatment period.Conclusions: The quality of life of post-treatment patients is better compared during shackled and treatment.

Quality of Life in Myelodysplastic Syndromes and Physicians' Perception.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 3822-3822
Author(s):  
Esther Natalie Oliva ◽  
Valeria Santini ◽  
Poloni Antonella ◽  
Vincenzo Liso ◽  
Daniela Cilloni ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myelodysplastic Syndromes ◽  
Conflicts Of Interest ◽  
Univariate Analysis ◽  
Laboratory Data ◽  
Well Being ◽  
Prognostic Scores ◽  
Experimental Drugs ◽  
Therapeutic Choice

Abstract Abstract 3822 Poster Board III-758 BACKGROUND The heterogeneous nature of myelodysplastic syndromes (MDS), age- and disease-related factors (complications and progression to acute leukemia) are associated with the complexity of quality of Life (QoL). Patients are offered mainly non-curative or experimental drugs and/or supportive care. The exploration of QoL in MDS is a prerequisite for adequate therapeutic choice. METHODS We designed an observational study in MDS patients with IPSS risk score ≤2 to evaluate determinants of QoL and its correlates. Clinical and laboratory data were collected up to 18 months and QoL instruments (QOL-E v.2, LASA scale, and EQ-5D) were completed by patients and physicians (both blind to each other's responses) at baseline, months 1, 3, 6, 12, and 18. After diagnosis, treatment was assigned based on investigators' judgment. RESULTS Of 148 patients enrolled (mean age 72 years, 56% males), 115 (78%) patients were anemic at diagnosis and 38 (26%) had already received transfusions. Mean (± SD) Hb was 10.3 ± 2.1, ANC 2.3 ± 1.9×103/μL and PLT count 155 ± 118×103/μL. Charlson's Comorbidity Score was > 1 in 33 (22%). Physical and functional QoL, health, energy, activity and general states were generally poor (<65). In 94 cases ECOG PS was assigned a 0 (best) value, though 36 patients had a physical QoL-E score < 60. Surprisingly, there were significant correlations between patients' and physicians' QoL-E scores in all but those regarding the disturbances due to dependency on hospital and staff and to the inability to travel. However, MDS-specific well-being was systematically overestimated by physicians in the MDS-specific domain (p<0.0001). After 12 months, 94 patients have completed the QoL instruments. There was a transient increase in Hb with parallel changes in QoL and no significant change at 12 months (only MDS-specific QoL-E scores worsened from 79 ± 17 to 73 ± 22, p=0.005). At univariate analysis, Hb correlated with all QoL-E and LASA activity scores at baseline. After 12 months, Hb correlated with social, fatigue, MDS-specific, health status and LASA scales, while transfusion dependence with MDS-specific QOL-E scores (p<0.01). At multivariate analysis (Table), major determinants of QoL at baseline were comorbidities, IPSS, and Hb; at 12 months QoL was independently predicted by age, comorbidities, transfusion-dependence and mainly by Hb, while thrombocytopenia (PLT < 50000 microliters) and neutropenia did not seem to have a relevant impact. CONCLUSIONS QoL, together with prognostic scores, should guide therapeutic choice in MDS. Avid research in MDS tends to focus on younger and fit patients to offer more aggressive or novel therapies with the aim of increasing survival. However, patients of advanced age with comorbidities complicated with severe anemia and transfusion-dependence represent a fragile category with particularly poor QoL that actually require special therapeutic attention to favor transfusion-independence and possibly an hemoglobin response. Disclosures: No relevant conflicts of interest to declare.

scholarly journals Comparing the Maslach Burnout Inventory to Other Well-Being Instruments in Emergency Medicine Residents

2018 ◽  
Vol 10 (5) ◽  
pp. 532-536 ◽  
Author(s):  
Kelly Williamson ◽  
Patrick M. Lank ◽  
Navneet Cheema ◽  
Nicholas Hartman ◽  
Elise O. Lovell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Medicine ◽  
Emotional Exhaustion ◽  
Career Satisfaction ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Work Life ◽  
Personal Accomplishment ◽  
Life Balance

ABSTRACT Background  The Maslach Burnout Inventory (MBI) is considered the “gold standard” for measuring burnout, encompassing 3 scales: emotional exhaustion, depersonalization, and personal accomplishment. Other well-being instruments have shown utility in various settings, and correlations between MBI and these instruments could provide evidence of relationships among key variables to guide well-being efforts. Objective  We explored correlations between the MBI and other well-being instruments. Methods  We fielded a multicenter survey of 9 emergency medicine (EM) residencies, administering the MBI and 4 published well-being instruments: a quality-of-life assessment, a work-life balance rating, an appraisal of career satisfaction, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire 2 question screen. Consistent with the Maslach definition, burnout was defined by high emotional exhaustion (&gt; 26) and high depersonalization (&gt; 12). Results  Of 334 residents, 261 (78%) responded. Residents who reported lower quality of life had higher emotional exhaustion (ρ = –0.437, P &lt; .0001), higher depersonalization (ρ = –0.18, P &lt; .005), and lower personal accomplishment (ρ = 0.347, P &lt; .001). Residents who reported a negative work-life balance had emotional exhaustion (P &lt; .001) and depersonalization (P &lt; .009). Positive career satisfaction was associated with lower emotional exhaustion (P &lt; .0001), lower depersonalization (P &lt; .005), and higher personal accomplishment (P &lt; .05). A positive depression screen was associated with higher emotional exhaustion, higher depersonalization, and lower personal achievement (all P &lt; .0001). Conclusions  Our multicenter study of EM residents demonstrated that assessments using the MBI correlate with other well-being instruments.

Age and Sex Differences in Quality of Life Assessments in Present Alcohol Epidemiology Reports

2012 ◽  
Author(s):  
Vatsalya Vatsalya ◽  
Vijay A. Ramchandani ◽  
Marion A. Coe ◽  
Robert D. Karch
Keyword(s):  
Quality Of Life ◽  
Sex Differences ◽  
Age And Sex

Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim
Keyword(s):  
Quality Of Life ◽  
Patient Autonomy ◽  
Positive Association ◽  
Well Being ◽  
Negative Association ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
People With Dementia ◽  
Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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