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Psychosocial and biological predictors of resident physician burnout.
Olivé, V; Navinés, R; Macías, L; López, J A; Ariz, J; Quesada, S; Barroso, S; Filella, X; Langohr, K; Martin-Santos, R.
Afiliación
  • Olivé V; Department of Medicine, Psychiatry Functional Unit, Institute of Neuroscience, University of Barcelona (UB), Barcelona, Spain.; Department of Occupational Health and Prevention, Hospital Clinic, Barcelona, Spain. Electronic address: volive@clinic.cat.
  • Navinés R; Department of Psychiatry and Psychology, Hospital Clinic, UB, Institut d' Investigació, Biomèdica August Pi i Sunyer (IDIBAPS), CIBERSAM, Barcelona, Spain. Electronic address: rnavines@clinic.cat.
  • Macías L; Department of Biochemistry and Molecular Genetics, Center of Biomedic Diagnosis (CDB), Hospital Clinic, UB, IDIBAPS, Barcelona, Spain. Electronic address: lamacias@clinic.cat.
  • López JA; Department of Occupational Health and Prevention, Hospital Clinic, Barcelona, Spain. Electronic address: jlopezm@clinic.cat.
  • Ariz J; Department of Occupational Health and Prevention, Hospital Clinic, Barcelona, Spain. Electronic address: jariz@clinic.cat.
  • Quesada S; Department of Occupational Health and Prevention, Hospital Clinic, Barcelona, Spain. Electronic address: squesada@clinic.cat.
  • Barroso S; Department of Occupational Health and Prevention, Hospital Clinic, Barcelona, Spain. Electronic address: sbarroso@clinic.cat.
  • Filella X; Department of Biochemistry and Molecular Genetics, Center of Biomedic Diagnosis (CDB), Hospital Clinic, UB, IDIBAPS, Barcelona, Spain. Electronic address: xfilella@clinic.cat.
  • Langohr K; Department of Statistics and Operations Research, Universitat Politècnica de Catalunya/Barcelonatech (UPC), Barcelona, Spain. Electronic address: klaus.langohr@upc.edu.
  • Martin-Santos R; Department of Medicine, Psychiatry Functional Unit, Institute of Neuroscience, University of Barcelona (UB), Barcelona, Spain.; Department of Psychiatry and Psychology, Hospital Clinic, UB, Institut d' Investigació, Biomèdica August Pi i Sunyer (IDIBAPS), CIBERSAM, Barcelona, Spain. Electronic addre
Gen Hosp Psychiatry ; 78: 68-71, 2022.
Article en En | MEDLINE | ID: mdl-35901627
BACKGROUND: A high proportion of health professionals in training suffer from work-related stress and may develop a burnout syndrome. OBJECTIVES: To study the incidence of burnout after the first year of residency in a teaching hospital and to identify baseline psychological, psychosocial work conditions, and biological risk factors. METHODOLOGY: We assessed the following in a prospective cohort of residents at baseline (first month residence) and after 1 year: background factors (socio-demographics, psychiatric history), perceived stress score (Perceived Stress Scale), Maslach Burnout Inventory score, and psychosocial factors (Job Content Questionnaire). Blood samples were obtained to study serum cortisol, IL-6, and TNF-α concentrations. The cumulative incidence was modelled by multivariate log-binomial regression analysis. RESULTS: We included 71 participants with a female majority (64.8%), age 26.4 (2.65) years, psychiatric history in 20%, and burnout in 13%. Among those without burnout initially (N = 59), it had developed by 1 year in 22% of residents. Increased job demand (RR = 1.259, 95%CI = 1.019-1.556, p = 0.033) and decreased cortisol levels (RR = 0.877, 95%CI = 0.778-0.989, p = 0.032) predicted burnout after 1 year of residency among medical trainees. CONCLUSION: Burnout syndrome develops in 22% of residents by 1 year of training and can be predicted by increased work demands and decreased cortisol levels.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Agotamiento Profesional Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Gen Hosp Psychiatry Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Agotamiento Profesional Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans Idioma: En Revista: Gen Hosp Psychiatry Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos