Burnout syndrome in psychiatry residents: a descriptive study

Authors

  • Rodrigo Nieto R. Clínica Psiquiátrica Universitaria, Facultad de Medicina, Campus Norte, Universidad de Chile
  • Alejandra Gálvez B. Clínica Psiquiátrica Universitaria, Facultad de Medicina, Universidad de Chile
  • Ximena Mateluna C. Servicio Médico y Dental de los Alumnos (SEMDA), Universidad de Chile
  • Yael Weinstein G. Servicio Médico y Dental de los Alumnos (SEMDA), Universidad de Chile

Abstract

Burnout syndrome is defined as a response to a chronic emotional stress, whose main features are physical and psychological exhaustion, a cold and depersonalized attitude in the relationship with others and a feeling of inadequacy in the tasks to be performed. Currently it is understood as a social and public health problem, which damages the quality of life of the person who suffers it and decreases the quality of care. Considering the high emotional burden of permanent contact with mental health difficulties, this study aims to explore the levels of risk of professional burnout in a group of doctors pursuing the specialty program in psychiatry. The Maslach Burnout Inventory (MBI) survey was applied to a total of 22 psychiatry scholars from the University Psychiatric Clinic (in September 2010), and the demographic characteristics were recorded for the subsequent analysis. The average scores obtained in the subscales of Emotional Exhaustion, Depersonalization, and Personal Achievement are analyzed for different subgroups according to the demographic characteristics studied (gender, marital status, previous experience, training program and year of residency).

Keywords:

Psychiatry residents, burnout, emotional exhaustion, depersonalization, personal achievement, Maslach scale

References

1. Morales, G, Pérez, J. & Menares. M. (2003) Procesos emocionales de cuidado y riesgo en profesionales que trabajan con el sufrimiento
humano. Rev de Psicología, U. de Chile, vol. 12, número 001, pp 9-25.
2. Turnes A. (2002) El síndrome de desgaste profesional. La salud mental, el médico y los profesionales de la salud. México DF, DF: El Diario Médico.
3. Santana, A & Farkas, Ch (2007) Estrategias de Autocuidado en Equipos Profesionales que Trabajan en Maltrato Infantil PSYKHE Vol.16, N.° 1, 77-89.
4. Pallavicini J, Venegas L, Romo O. Estrés en estudiantes de medicina de la Universidad Católica de Chile. Rev Psiquiatr Clín 1988; 25: 23-29.
5. Restrepo A., Jaramillo F., Martin J.C. Estres en estudiantes de medicina del Instituto de Ciencias de la Salud. CES med;2(1):38-43, ene.-jun. 1988.
6. Marty M., Matías Lavín G., Maximiliano Figueroa M., Demetrio Larraín de la C., Carlos Cruz M. Prevalencia de estrés en estudiantes del área de la salud de la Universidad de los Andes y su relación con enfermedades infecciosas. Rev. chil. neuro-psiquiatr. v.43 n.1 Santiago mar. 2005.
7. Perales, A, Sogi, C & Morales, R. (2003) Estudio comparativo de salud mental en estudiantes de medicina de dos universidades estatales peruanas. Anales de la Facultad de Medicina Vol. 64, N.º 4, pp. 239-246. Universidad Nacional Mayor de San Marcos.
8. Dyrbye L, Shanafelt T. A narrative review on burnout experienced by medical students and residents. Medical Education 2016: 50: 132-149.
9. Dyrbye LN, West CP, Satele D, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med 2014; 89:443-51.
10. Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med 2006;81: 82-5.
11. Michels PJ, Probst JC, Godenick MT, Palesch Y. Anxiety and anger among family practice residents: a South Carolina family practice research consortium study. Acad Med 2003;78: 69-79.
12. Golub J, Weiss P, Ramesh A, Ossoff R, Johns M. Burnout in residents of otolaryngologyhead and neck surgery: a national inquiry into the health of residency training. Acad Med 2007;82: 596-601.
13. Campbell J, Prochazka AV, Yamashita T, Gopal R. Predictors of persistent burnout in internal medicine residents: a prospective cohort study. Acad Med 2010; 85:1630-4.
14. Shanafelt TD, Boone S, Tan L et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med 2012;172: 1377-85.
15. Ferrari S, et al. Young and burnt? Italian contribution to the international BurnOut Syndrome Study (BOSS) among residents in psychiatry.
Med Lav. 2015 May 4;106(3):172-85.
16. Tateno M, Jovanovi N, Beezhold J, et al. Suicidal ideation and burnout among psychiatric trainees in Japan. Early Intervention in Psychiatry. 2017;1-3.
17. Shanafelt, T. D., Balch, C. M., Dyrbye, L., Bechamps, G., Russell, T., Satele, D., Oreskovich, M. R. (2011). Special report: Suicidal ideation among American surgeons. Archives of Surgery, 146, 54-62.
18. Jovanovic, N., Podlesek, A., Volpe, U., Barrett, E., Ferrari, S., Rojnic, Kuzman, M., Beezhold, J. (2016). Burnout syndrome among psychiatric
trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. European Psychiatry, 32, 34-41.