Assessment of cognitive factors and their relationship with burnout syndrome at different levels of medical education

Consecutive completion of specialist and residency training is an important stage in the development of a young physician. Therapeutic activity implies emotional intensity and a great number of factors, causing stress. The syndrome of emotional burnout is not only a result of neuropsychological stress, but also a consequence of uncontrolled stress. The aim of the research was to determine influence of thinking styles, types of thinking and creativity level on factors of cognitive appraisal as predictors of burnout syndrome development in higher education trainees (specialist and postgraduate training programmes). The search of predictors of a burnout syndrome was carried out for a sample of 330 medical students and 50 physicians of the control group. As a result of research it has been revealed that trainees as well as practitioners have a practical style of thinking; postgraduate trainees more often use the combined one, students, figurative; and physicians, sign type of thinking; higher parameters of creativity are marked in postgraduate trainees over physicians. In general, students on specialty and postgraduate training programmes have less difficulty with most of the cognitive assessment factors. The correlation analysis showed as follows: for students, there were direct links of medium strength between the sign type of thinking and “strong emotionsˮ, emotional detachment, and “future perspectiveˮ; for postgraduate trainees, there were direct and inverse links of very weak and weak strength, which could be neglected. However, further factor analysis is required in order to assess the influence of certain factor on the development of emotional burnout syndrome in medical trainees.

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Cognitive foundations of residents' burnout syndrome in postgraduate education

Вестник Костромского государственного университета им Н А Некрасова ◽

10.34216/2073-1426-2021-27-1-77-82 ◽

2021 ◽

Vol 27 (1) ◽

pp. 77-82

Author(s):

Lyudmila A. Savelyeva ◽

Mergalyas M. Kashapov ◽

Mikhail V. Ilyin

Keyword(s):

General Practitioners ◽

Postgraduate Education ◽

Burnout Syndrome ◽

Professional Activity ◽

Cognitive Resource ◽

Number Of Factors ◽

Conflict Resolution Strategy ◽

Cognitive Foundations ◽

The Individual ◽

Emotional Burnout

Postgraduate education of the resident is the basis of its professional activity, which involves the presence of emotional saturation and a large number of factors that cause stress. Emotional burnout syndrome (CMEA), being the body's reaction to prolonged stressors, is a consequence of psychological overwork. The aim of the study was to study the cognitive resource capabilities of the individual and determine ways to prevent the development of CMEA in 100 residents of surgical and therapeutic specialties using CMEA analysis techniques, assessing conflict and communicative competencies, as well as creativity and creative characteristics of the individual. The comparison group was 30 general practitioners. Evidence has been obtained for hypotheses that CMEA in residents is less pronounced and distributed than in general practitioners; differences in the choice of conflict resolution strategy contribute to the development of CMEA symptoms. The reasons for psychological discomfort of students under residency programmes were revealed. A comparative analysis of conflict competency and symptoms of CMEA, has been carried out. It has been established that conflict competency is manifested as cognitive resource opportunities, the deliberate development of which can serve as a means of preventing CMEA in residents.

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CORRECTIONAL WORK IN OCCUPATIONAL EMOTIONAL BURNOUT SYNDROME

Hygiene and Sanitation ◽

10.18821/0016-9900-2019-98-7-738-743 ◽

2019 ◽

Vol 98 (7) ◽

pp. 738-743

Author(s):

Nadezhda I. Vlakh ◽

I. P. Danilov ◽

T. D. Logunova ◽

M. A. Gugushvili

Keyword(s):

Interpersonal Communication ◽

Burnout Syndrome ◽

Occupational Activity ◽

Control Group ◽

Career Growth ◽

Psychological Assistance ◽

Psychological Balance ◽

Professional Information ◽

Emotional Burnout ◽

Emotional Burnout Syndrome

Introduction. The paper considers the authors’ view on occupational deformation often manifested in the form of emotional burnout syndrome, and on the methods of correcting these states. Material and methods. The sample (2002-2010) was 968 people. These people were clients of the Psychological Center assistance at the Institute of Business Education of Novokuznetsk, Kemerovo Region, each of them had complaints indicating for the presence of a subdepressive state. All participants in the study were divided. into 2 groups. 465 people were assigned to the main group; 503 people presented a control group. Results and its discussion. The paper contains a model for providing comprehensive support and assistance to individuals suffered from emotional burnout syndrome with preneurotic subdepressive states. This model is presented in several stages. First of all, the psychologist must solve the problem related to the removal of the stressor, the existing stress, as well as leveling psychological balance. At the next stage, work is carried out on the formation of a person who is provided with psychological assistance of the sound responses to difficulties emerging under occupational activity, as well as his ability to deal with stress. Conclusion. Preventing emotional burnout can be the exchange of professional information with other services and departments, the improvement of interpersonal communication, the expansion of a person’s worldview, which makes a person’s world multifaceted. Self-education, further vocational training, participation in conferences, career growth, etc. can help. All this will save you from excessive expectations and destructive competition and, as a result, from frustration, which in turn will lead to more severe consequences.

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Features of Mental States at Different Levels of Teachers Emotional Burnout

Baikal Research Journal ◽

10.17150/2411-6262.2019.10(2).6 ◽

2019 ◽

Vol 10 (2) ◽

Author(s):

Anna Kozhevina ◽

Svetlana Dubrovina

Keyword(s):

Self Regulation ◽

Mental States ◽

Burnout Syndrome ◽

Life Situation ◽

Emotional Tone ◽

Emotional Processes ◽

Emotional Burnout ◽

Different Levels ◽

Passive Attitude ◽

Emotional Burnout Syndrome

The article studies the features of mental states of teachers with different severity of emotional burnout. It reveals that the teachers with the formed syndrome of emotional burnout have a reduced emotional background. It is expressed in deformation of relations with other people against the background of a negative assessment of themselves, their professional achievements and successes. In the group of teachers with emotional burnout syndrome, who find in the stage of formation, asthenic conditions prevail. The article marks in a greater degree a sense of frustration, observes the states of powerlessness, anguish, sadness, sorrow. Also equally expressed are the states of tension, anxiety and dissatisfaction with themselves, a passive attitude to life, characteristic is a larger involvement of resources and emotional tension. The main causes of emotional discomfort are problems with subordinates. The teachers with undeveloped emotional burnout syndrome have an active, optimistic attitude to the life situation, confidence in their abilities and capabilities, predominance of the positive emotional tone, calm flow of emotional processes, high emotional stability, effectiveness of еру mental self-regulation, behavior and activity.

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Specifics of the emotional burnout syndrome in the representatives of "helping" professions

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2021-61-8-503-509 ◽

2021 ◽

Vol 61 (8) ◽

pp. 503-509

Author(s):

Nadezhda I. Vlakh ◽

Igor P. Danilov ◽

Maksim A. Gugushvili ◽

Tatyana D. Logunova

Keyword(s):

Burnout Syndrome ◽

Control Group ◽

Emotional States ◽

Helping Professions ◽

Main Research ◽

Existential Crisis ◽

Personal Value ◽

Wide Range ◽

Emotional Burnout ◽

Emotional Burnout Syndrome

Relevance. Emotional burnout is dangerous due to the presence of a wide range of neurotic and psychosomatic symptoms. The article discusses the features of the structure and formation of the emotional burnout syndrome as manifestations of personal value-semantic deformations. Burnout has been found to be negatively associated with solving existential problems. The study aims to explore the specifics of the emotional burnout syndrome as manifestations of personal value-semantic deformations in the representatives of "helping" professions. Materials and methods. The study involved 968 respondents employed in the field of "helping" professions. Of the entire sample, 465 people (consulted persons) made up the main research group, and 503 individuals were included into the control group. The main study methods were clinical and psychological and experimental-psychological. Results. Psychodiagnostics made it possible to clarify the types of emotional states and self-attitudes that characterized the specificity of burnout. Psychodiagnostic examination confirmed the presence in the subjects studied the elements of existential crisis associated with both professional situations and the personality traits of the "burned out" persons. Conclusions. Emotional burnout syndrome is a "payment" not for sympathy and love for people from the representatives of "helping" professions, but for their unfulfilled expectations, for the lack of sometimes visible result of work, for the loss of the activities meaning, for the devaluation of efforts by those around him.

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Emotional burnout syndrome among dentists

Kazan medical journal ◽

10.17816/kmj1565 ◽

2012 ◽

Vol 93 (4) ◽

pp. 657-660

Author(s):

P I Petrov ◽

G G Mingazov

Keyword(s):

Work Experience ◽

Maxillofacial Surgery ◽

Postgraduate Education ◽

Burnout Syndrome ◽

Length Of Service ◽

Professional Activities ◽

Emotional Detachment ◽

Medical University ◽

Emotional Burnout ◽

Emotional Burnout Syndrome

Aim. To study the emotional burnout syndrome among dentists in relation to age, gender, work experience and specialization. Methods. Examined were 200 dentists enrolled for training at the Department of Dentistry and Maxillofacial Surgery of the Institute of Postgraduate Education of Bashkir State Medical University in 2010/2011 academic year. The test of V.V. Boiko «Methods of diagnosing the level of emotional burnout» was used. Results. Symptoms of emotional burnout were found in 53.8% of respondents. The magnitude of the phases of emotional burnout was independent of age, gender, length of service as a dentist (p 0.05). When accounting for occupational specialization differences were found in the entry «driven into a cage» (p=0.019). This symptom was most pronounced in dental therapists, followed by dental surgeons. Among dentists-orthopedists the symptom of «emotional detachment» was predominant (p=0.027). Conclusion. Emotional burnout syndrome develops in the course of professional activities of a dentist, professional specialization of the dentist affects the development of this syndrome.

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The effect of coping program against creativity-based burnout on decreasing the burnout syndrome among nurses: a group study caseYaratıcılığa dayalı tükenmişlikle başa çıkma programının hemşirelerin tükenmişliklerini azaltmadaki etkisi: bir grup çalışması örneği

Journal of Human Sciences ◽

10.14687/ijhs.v12i1.3164 ◽

2015 ◽

Vol 12 (1) ◽

pp. 1302

Author(s):

Feyruz Usluoğlu ◽

Bülent Gündüz ◽

Erdinç Çağlayan

Keyword(s):

Data Analysis ◽

State Hospital ◽

Maslach Burnout Inventory ◽

Nonparametric Tests ◽

Burnout Syndrome ◽

Control Group ◽

Final Test ◽

Study Case ◽

Emotional Burnout ◽

Test Control

Present study probes into the effect of coping program against creativity-based burnout on decreasing the burnout syndrome among nurses. Data of the research in which pretest-final test control group experimental pattern is employed have been obtained from 22 nurses stationed in different units in a state hospital within Adana. 11 nurses were categorized under experiment group and 11 nurses were placed in control group in. Data of the research in which creativity-based coping program prepared by researchers have been utilized were collected via Maslach Burnout Inventory. In data analysis, nonparametric tests have been implemented and obtained results have proven that tested-program created significant effect in decreasing emotional burnout of nurses. ÖzetBu araştırmada, yaratıcılığa dayalı tükenmişlikle başaçıkma programının hemşirelerin tükenmişliklerini azaltmadaki etkisi incelenmiştir. Öntest-sontest kontrol gruplu deneysel desenin kullanıldığı araştırmanın verileri Adana’da bir devlet hastanesinde farklı birimlerde görev yapmakta olan 11’i deney ve 11’i kontrol grubu olmak üzere 22 hemşireden elde edilmiştir. Araştırmacılar tarafından hazırlanan yaratıcılığa dayalı başaçıkma programının kullanıldığı çalışmanın verileri Maslach Tükenmişlik Envanteri ile toplanmıştır. Verilerin analizinde nonparametrik testler kullanılmış ve sonuçlar uygulanan programın hemşirelerin duygusal tükenmişliklerini azaltmada önemli düzeyde etkisinin olduğunu göstermiştir.

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A differentiated approach to the dental caries prevention in children with different levels of caries risk

Стоматология детского возраста и профилактика ◽

10.33925/1683-3031-2020-20-3-211-215 ◽

2020 ◽

Vol 20 (3) ◽

pp. 211-215

Author(s):

T. N. Tserakhava ◽

N. V. Shakavets ◽

E. I. Melnikava ◽

M. I. Klenovskaya ◽

D. N. Naumovich ◽

...

Keyword(s):

Oral Hygiene ◽

Calcium Phosphates ◽

Clinical Effectiveness ◽

Control Group ◽

Caries Risk ◽

Health Group ◽

High Caries Risk ◽

Permanent Molars ◽

Different Levels ◽

First Permanent Molars

Relevance. Prevention of caries of the first permanent molars is one of the most relevant problems in pediatricdentistry.Purpose – to develop an algorithm for prevention of first permanent molars caries in children with differentlevels of caries risk.Materials and methods. The article presents the results of the implementation of the algorithm for prevention of first permanent molars caries in children with different levels of caries risk. This algorithm includes a comprehensive assessment of the values of indices dmft, DMFT, OHI-S, and the patient's health group is also taken into account. The study involved 253 children aged 6-7 years divided into 4 groups: 3 groups of children depending on the health group and the control group. 3 subgroups were identified in each group – with a low, medium, and high caries risk. We developed preventive measures schemes were for children of each group including training in oral hygiene; controlled and home toothbrushing using fluoride-containing toothpastes; applications of varnishes containing fluoride, calcium, phosphates from 2 to 3 times a year; fissure sealing of the first permanent molars. We carried out these activities were for 24 months, and then evaluated theirs effectiveness. Children in the control group were trained in oral hygiene. The clinical effectiveness of medical prophylaxis was evaluated by changes in the above clinical indicators.Results. In group of children with medium caries risk the increase in caries was 0.09, and the reduction in caries was 89.65%. In children with a low and high caries risk no increase in caries was observed; the reduction in the intensity of caries was 100%. A significant decrease in OHI-S oral hygiene index values was noted in all groups (p < 0.05). We noted high preventive efficacy of fissures sealing in the first permanent molars. No occlusal surface caries developed in sealed fissures.Conclusions. The application of the proposed preventive schemes in patients demonstrates high efficacy of fluoride and calcium-containing varnishes and sealing the fissures of the first permanent molars.

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Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali

Nutrients ◽

10.3390/nu13020367 ◽

2021 ◽

Vol 13 (2) ◽

pp. 367

Author(s):

Pilar Charle-Cuéllar ◽

Noemí López-Ejeda ◽

Mamadou Traore ◽

Adama Balla Coulibaly ◽

Aly Landouré ◽

...

Keyword(s):

Community Health ◽

Community Health Workers ◽

Low Income ◽

Community Intervention ◽

Health Workers ◽

Acute Malnutrition ◽

Control Group ◽

Supportive Supervision ◽

Supervision Group ◽

Different Levels

(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.

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Time-Dependent Changes in Excitability After One-Trial Conditioning of Hermissenda

Journal of Neurophysiology ◽

10.1152/jn.1997.78.6.3460 ◽

1997 ◽

Vol 78 (6) ◽

pp. 3460-3464 ◽

Cited By ~ 13

Author(s):

Terry Crow ◽

Vilma Siddiqi

Keyword(s):

Time Dependent ◽

Control Group ◽

Type B ◽

Control Groups ◽

Phototactic Behavior ◽

Parallel Processes ◽

Short And Long Term ◽

A Site ◽

Different Levels

Crow, Terry and Vilma Siddiqi. Time-dependent changes in excitability after one-trial conditioning of Hermissenda. J. Neurophysiol. 78: 3460–3464, 1997. The visual system of Hermissenda has been studied extensively as a site of cellular plasticity produced by classical conditioning. A one-trial conditioning procedure consisting of light paired with the application of serotonin (5-HT) to the exposed, but otherwise intact, nervous system produces suppression of phototactic behavior tested 24 h after conditioning. Short- and long-term enhancement (STE and LTE) of excitability in identified type B photoreceptors is a cellular correlate of one-trial conditioning. LTE can be expressed in the absence of STE suggesting that STE and LTE may be parallel processes. To examine the development of enhancement, we studied its time-dependent alterations after one-trial conditioning. Intracellular recordings from identified type B photoreceptors of independent groups collected at different times after conditioning revealed that enhanced excitability follows a biphasic pattern in its development. The analysis of spikes elicited by 2 and 30 s extrinsic current pulses at different levels of depolarization showed that enhancement reached a peak 3 h after conditioning. From its peak, excitability decreased toward baseline control levels 5–6 h after conditioning followed by an increase to a stable plateau at 16 to 24 h postconditioning. Excitability changes measured in cells from unpaired control groups showed maximal changes 1 h posttreatment that rapidly decremented within 2 h. The conditioned stimulus (CS) elicited significantly more spikes 24 h postconditioning for the conditioned group as compared with the unpaired control group. The analysis of the time-dependent development of enhancement may reveal the processes underlying different stages of memory for this associative experience.

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Hemostasis in rats with different levels of motor activity after vital stress

Тромбоз, гемостаз и реология ◽

10.25555/thr.2019.3.0893 ◽

2019 ◽

Author(s):

Ю.А. Бондарчук ◽

О.В. Алексеева ◽

И.И. Шахматов ◽

Ю.Б. Лебедева ◽

Е.Ю. Медведева

Keyword(s):

Motor Activity ◽

Male Rats ◽

Control Group ◽

Psychoemotional Stress ◽

Partner Death ◽

Mental Trauma ◽

Total Body ◽

Antithrombin Iii Activity ◽

Different Levels ◽

Body Response

Введение. Психоэмоциональный стресс, связанный с риском для жизни и здоровья (витальный стресс), вызывает комплексную ответную реакцию всего организма. Система гемостаза, обеспечивающая жидкостные характеристики циркулирующей крови, играет существенную роль в формировании процессов адаптации или дезадаптации. Нарушения равновесия в процессах свертывания и противосвертывания вместе с изменениями микроциркуляции являются основой патогенеза острых и хронических заболеваний с развитием тромботических либо геморрагических осложнений. Цель исследования: оценить состояние системы гемостаза у крыс с разным уровнем двигательной активности после острой психогенной травмы в виде витального стресса. Материалы и методы. Исследования выполнены на 44 лабораторных половозрелых крысахсамцах линии Wistar, которые составили 2 экспериментальные группы с низкой (n 15) и высокой (n 15) двигательной активностью и контрольную группу интактных животных (n 14). Спонтанную двигательную активность оценивали с помощью теста открытое поле . В качестве острого психотравмирующего воздействия использовали модель психической травмы у крыс в виде витального стресса, вызванного переживанием гибели партнера от действий хищника. Результаты. Острое психотравмирующее воздействие у животных с низкой двигательной активностью вызывало угнетение агрегации тромбоцитов. В группе животных с высокой двигательной активностью была выявлена гиперкоагуляция по внешнему пути активации плазменного гемостаза, а также на конечных этапах коагуляции. В обеих экспериментальных группах наблюдали укорочение времени полимеризации фибринмономера, снижение уровня фибриногена, а также активности антитромбина III на фоне активации фибринолиза. Заключение. Изменения состояния системы гемостаза у крыс с разным уровнем двигательной активности после острого психоэмоционального стресса имели одинаковую направленность, но различную степень выраженности ответной реакции. Полученные результаты позволяют охарактеризовать однократное психоэмоциональное воздействие как не выходящее за рамки эустресса (по данным коагулограммы). Introduction. Psychoemotional stress associated with the risk to life and health (vital stress) causes a complex total body response. Hemostasis supports fluid characteristics of circulating blood and plays a significant role in the formation of adaptation or disadaptation processes. Imbalance in the processes of coagulation and anticoagulation with microcirculation changes are the basis of pathogenesis of acute and chronic diseases with the development of thrombotic or hemorrhagic complications. Aim: to assess hemostasis state in rats with different levels of motor activity after acute psychogenic trauma (vital stress). Materials and methods. The studies were performed on 44 laboratory matured Wistar male rats that were divided into 2 experimental groups with low (n 15) and high (n 15) motor activity and a control group of intact animals (n 14). Spontaneous motor activity was assessed using the open field test. A model of mental trauma was used for the formation of acute psychotraumatic effect in rats in the form of vital stress caused by the experience of partner death from a predator. Results. Acute psychotraumatic effect in animals with low motor activity caused inhibition of platelet aggregation. In animals with high motor activity, hypercoagulation was revealed in the external pathway of plasma hemostasis activation, as well as at the final stages of coagulation. Shortening of fibrin monomer polymerization time, decreasing of fibrinogen level and antithrombin III activity with fibrinolysis activation were observed in both experimental groups. Conclusion. After acute psychoemotional stress hemostasis changes in rats with different levels of motor activity had the same direction, but different intensity of response. The obtained results allow to characterize a single psychoemotional effect as not exceeding the limits of eustress (according to the coagulogram data).

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