scholarly journals Evaluation of the prevalence of burnout and psychological morbidity among radiation oncologist members of the Kyoto Radiation Oncology Study Group (KROSG)

2016 ◽  
Vol 58 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Wambaka Ange Mampuya ◽  
Yukinori Matsuo ◽  
Akira Nakamura ◽  
Masahiro Hiraoka

Abstract This study aimed to evaluate the self-reported prevalence of burnout and psychological morbidity among radiation oncologists members of the Kyoto Radiation Oncology Study Group (KROSG) and to identify factors contributing to burnout. We mailed an anonymous survey to 125 radiation oncologists members of the KROSG. The survey included; the demographic data, the Maslach Burnout Inventory – Human Services Survey (MBI-HSS) and the 12-item General Health Questionnaire (GHQ-12). There were 87 responses out of 125 eligible respondents (69.6% response rate). In terms of burnout, three participants (3.4%) fulfilled the MBI-HSS criteria of having simultaneously high emotional exhaustion (EE), high depersonalization (DP) and low sense of personal accomplishment (PA). Eighteen (20.6%) reported a high score for either EE or DP meeting the alternative criteria for burnout with three of these simultaneously having high EE and high DP. The prevalence of psychological morbidity estimated using GHQ-12 was 32%. A high level of EE and low level of PA significantly correlated with high level of psychological morbidity with P < 0.001 and <0.01 respectively. Having palliative care activities other than radiotherapy and number of patients treated per year were the only factors associated with burnout. This is the first study investigating the prevalence of burnout and psychological morbidity among radiation oncologists in Japan. Compared with other studies involving radiation oncologists, the prevalence of low personal accomplishment was particularly high in the present study. The prevalence of psychological morbidity was almost the double that of the Japanese general population and was significantly associated with low PA and high EE.

2010 ◽  
Vol 67 (9) ◽  
pp. 741-746 ◽  
Author(s):  
Sreten Vicentic ◽  
Aleksandar Jovanovic ◽  
Bojana Dunjic ◽  
Zorana Pavlovic ◽  
Milutin Nenadovic ◽  
...  

Background/Aim. So far, studies of stress have shown that physicians are at a high risk of sickness from psychic and somatic disorders related to professional stress, that can lead to important disturbance of personal, familiar and professional functionating. The aim of this study was to investigate the doctors exposition level to professional stress, to compare stress level in general practitioners (GP) group with that in the group of psychiatrists and risk level for the apperance of burnout syndrome. Methods. This cross-section study included subjects recruited by a random sample method. Thirty General Practice doctors and 30 psychiatrists (totally 60 doctors) filled the set of 3 questionnaires: Sociodemographics features, General Health Questionnaire (GHQ; Goldberg D, 1991), and Maslach Burnout Inventory (MBI; Maslach C, 1996). Appropriate statistical procedures (Pearson test, t-test, variance analysis) in interpretation of the results were used. Results. A total level of psychic distress measured with the GHQ test in both groups of physicians was very low implying their good mental health. A difference in Burnout risk based on MBI test between the groups was statistically significant (?2 = 4,286; p < 0.05) only at subscale Personal Accomplishment (MBI-PA); it was a consequence of a higher number of GPs with medium burnout risk (13.3 : 0.0%). However, even 35 physicians from the sample were affected with a high burnout risk measured with subscales Emotional Ehausation (MBI-EE) and MBI-DP, showing that both groups of physicians had risk for the appearance of burnout syndrome. Conclusion. The obtained results showed a high burnout risk level in both, GPs and psychiatrists, groups. In both groups there was no presence of psychic disorders (anxiety, depression, insomnia), while there was a high level of emotional ehausation and overtension by job, and also a lower total personal accomplishment. Level of exposition to professional stress is higher in GPs than in psychiatrists, but the difference was not statistically significant.


Author(s):  
Eglė Slabšinskienė ◽  
Andrej Gorelik ◽  
Aistė Kavaliauskienė ◽  
Apolinaras Zaborskis

Although burnout has been described as a serious hazard for personal and professional lives and has been surveyed among dentists in many countries, no study has been published regarding burnout among dentists in Lithuania. This study aimed to evaluate the burnout level among Lithuanian dentists and its association with demographic variables, job satisfaction, and other job-related variables. The data were collected among dentists online or during professional conferences while using an anonymous questionnaire (n = 380). The Maslach Burnout Inventory (MBI) was used to evaluate the burnout level. A Poisson regression was applied for the analysis of relationships between variables. We observed that 42.3% of the respondents had a high emotional exhaustion (EE) (95% confidence interval (CI): 37.4–42.3%), while 18.7% (95% CI: 15.0–22.9%) and 28,2% (95% CI: 23.4–32.6%) had high depersonalization (DP) and low personal accomplishment (PA), respectively. Nonetheless, 15.3% (95% CI: 11.8–18.9%) of the study population experienced a high level of overall burnout. An original job satisfaction index was elaborated. It was significantly associated with sum scores of all burnout dimensions: with the EE sum score (Ratio of Sum Score Means (RSSM) 1.54; 95% CI: 1.46–1.62), DP sum score (RSSM 1.59; 95% CI: 1.45–1.74), and PA sum score (RSSM 0.88; 95% CI: 0.84–0.92). It was concluded that Lithuanian dentists can be characterised by high burnout intensity and high prevalence of burnout, being especially evident in emotional exhaustion. The dentist with low job satisfaction appeared to be the most vulnerable to all burnout dimensions.


Author(s):  
Marc Petitpierre ◽  
Ludwig Stenz ◽  
Ariane Paoloni-Giacobino

Introduction: The effects of acupuncture treatment in patients suffering from burnout may imply an epigenetic control mediated by DNA methylation changes. In this observational study, a genome-wide characterization of epigenetic changes in blood DNA, before and after acupuncture treatment, was performed in a cohort of 11 patients suffering from burnout. Methods: Burnout was assessed using the Maslach Burnout Inventory (MBI) and DNA was extracted from blood samples and analyzed by Illumina EPIC BeadChip. Results: Before acupuncture, all patients suffered of emotional exhaustion (EE) (MBI-EE score, 44±6), 81% suffered of depersonalization (DP) (MBI-DP score, 16±6), and 72% of low feelings of personal accomplishment (PA) (MBI-PA score, 29±9). After acupuncture, all MBI dimensions improved significantly (EE, 16±11 [p=1.5*10-4]; DP, 4±5 [p=5.3*10-4]; and PA, 40±6 [p=4.1*10-3]). For each patient, both methylomes obtained before and after acupuncture co-clustered in the multidimensional scaling plot, indicating a high level of similarity. Genes corresponding to the 10 most differentially methylated CpGs showed enrichment in the brain dopaminergic signalling, steroid synthesis and in the insulin sensitivity pathways. Conclusion: Acupuncture treatment was found to be highly effective on all burnout dimensions and the epigenetic targets identified were involved in some major disturbances of this syndrome.


2019 ◽  
Vol 160 (3) ◽  
pp. 472-479 ◽  
Author(s):  
Marco Raftopulos ◽  
Eugene H. Wong ◽  
Thomas E. Stewart ◽  
R. Niell Boustred ◽  
Richard J. Harvey ◽  
...  

Objectives Surgical trainee burnout has gained attention recently as a significant factor leading to poorer quality of patient care, decreased productivity, and personal dysfunction. As a result, we aimed to determine the prevalence and associated risk factors for burnout among otolaryngology–head and neck surgery (OHNS) trainees in Australia. Study Design Cross-sectional survey. Setting National cohort of accredited OHNS trainees in Australia. Subjects and Methods Participants completed the Maslach Burnout Inventory (MBI). Trainee burnout was defined if any threshold of the 3 MBI domains—emotional exhaustion, depersonalization, or personal accomplishment—reached an established high threshold. Demographic data on potential predictors of burnout, such as stressors, workload, satisfaction, and support systems, were collected from survey responses. Predictors were compared with the burnout status. Results Of 67 OHNS trainees, 60 responded (66.7% men). Burnout was common among respondents, with 73.3% suffering from burnout in at least 1 of the 3 MBI domains (70.0%, emotional exhaustion; 46.7%, depersonalization; 18.3%, personal accomplishment). Trainee burnout was significantly influenced by training location (chi-square, P = .05), living geographically apart from social supports (odds ratio [OR], 3.49; chi-square, P = .007), number of years trained rurally or away from social supports (Kendall’s tau-B, P = .03), difficulty balancing work and nonwork commitments (OR, 10.0; chi-square, P = .03), training negatively affecting their partner or family (OR, 14.30; chi-square, P = .05), and feeling uncomfortable approaching a supervisor (OR, 2.50; chi-square, P < .0001). Conclusion Burnout was found to be very common among OHNS trainees in Australia. The statistically significant predictors identified should be addressed to minimize trainee burnout.


2020 ◽  
Vol 7 ◽  
pp. 238212052094492
Author(s):  
Achariya Charoentanyarak ◽  
Thunyarat Anothaisintawee ◽  
Ruankwan Kanhasing ◽  
Panitee Poonpetcharat

Objectives: To assess the prevalence of burnout and associated factors among family medicine residents in Thailand. Materials and Methods: This cross-sectional study was conducted by all Thai Family Medicine residents year 1 to 3 during February 2019. Self-reported questionnaires, including demographic data, and the Thai version of the Maslach Burnout Inventory were distributed to 703 residents via electronic transmissions, including e-mail, Facebook, and Line instant communication application. Burnout was diagnosed by the following criteria: high-level emotional exhaustion, high-level depersonalization, and low-level personal accomplishment. Factors associated with burnout were explored by the univariate logistic regression model. Multivariate logistic regression analysis was applied to examine the independent risk factors of burnout among Thai Family Medicine residents. Results: There were 149 residents who participated in this study, with a response rate of 21% (n = 703). As no residents diagnosed with burnout using the proposed criteria, burnout was, therefore, redefined as residents reporting high-level emotional exhaustion and high-level depersonalization. The prevalence of burnout in family medicine residents in this study was 10.74% (95% confidence interval [CI]: 6.26%-16.85%). Our study found that having relationship problems with patients, having relationship problems with colleagues, and having thought of resigning from the training program were independently associated with burnout with odds ratios of 6.93 (95% CI: 1.64-29.27), 6.31 (95% CI: 1.89-21.12), and 4.16 (95% CI: 1.09-15.81), respectively. Conclusions: Burnout at high level in emotional exhaustion and high level in depersonalization can occur among family medicine residents. Concerning factors were found to be patient and colleague relationship problems and having thought of resigning from the residency program. Other factors that may contribute to burnout were type of training programs, insufficient income, and family relationship. We recommend that the training institute should be able to monitor residents’ stress level and to help prevent those who have burnout and reduce its impact.


2019 ◽  
Vol 35 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Giacomo Ercolani ◽  
Silvia Varani ◽  
Barbara Peghetti ◽  
Luca Franchini ◽  
Maria Beatrice Malerba ◽  
...  

Objective: The study examines psychophysical distress of health-care professionals providing home-based palliative care. The aim is to investigate potential correlations between dimensions of burnout and different coping strategies. Methods: The present study is an observational cross-sectional investigation. The study involved all the home palliative care teams of an Italian nonprofit organization. Of a total of 275 practitioners working for the organization, 207 (75%) decided to participate in the study and complete questionnaires. Questionnaires employed were Maslach Burnout Inventory, General Health Questionnaire 12, Psychophysiological Questionnaire of CBA 2.0, and Coping Orientation to Problems Experienced. Professionals were physicians (50%), nurses (36%), and psychologists (14%). There were no exclusion criteria. Data were processed by SPSS 23 and analyses employed were Spearman ρ, Mann-Whitney U test, and 1-way analysis of variance on ranks. Results: Among participants, a low number of professionals were emotionally exhausted (11%) or not fulfilled at work (20%), whereas most of them complained of depersonalization symptoms (67%). Emotional exhaustion and depersonalization were found to be associated with avoidance coping strategies, whereas problem-solving and positive attitude were negatively associated with emotional exhaustion and positively with personal accomplishment. Moreover, using avoidance strategies was related to a worse psychological and physical condition. Conclusions: Findings suggest the need to provide professionals training programs about coping and communication skills tailored to fit the professionals’ needs according to their work experience in palliative care and aimed at improving the approach to patients and relatives.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 6071-6071
Author(s):  
Catherine A. Fitzgerald ◽  
Lyly H. Le ◽  
David W. Petrik ◽  
Kevin C. Murphy

6071 Background: Burnout, reported to affect 30-60% of oncology workers, is a syndrome of psychological distress typically manifesting in three dimensions: Emotional Exhaustion (EE), Depersonalization (DP) and Low Personal Accomplishment (PA). Causal factors include workload, dealing with terminally ill patients and difficulties maintaining a balance between professional and personal life. As workload rises due to increased complexity of therapy and increasing prevalence of cancer patients, burnout may increase, especially in times of financial constraint. We sought to determine the prevalence of burnout in medical and radiation oncologists working at BCCA, which provides all radiation and the majority of medical oncology services to BC’s 4.5 million people. Methods: In March 2011, BCCA oncologists were invited to participate in a confidential online survey consisting of basic demographics and the 22 item MasLach Burnout Inventory (MBI) instrument, the latter a validated tool measuring distress in the three main dimensions of burnout. Normative data for physicians were used to interpret the results. Results: Response rate was 59%, female:male 40:60% with similar response rates for medical and radiation oncology (60 v 59%). Of the 73 who indicated their age range, 34 (47%) were between 35 and 44 years old. Respondents indicated that they had considered reducing their Full Time Equivalent (FTE) (67%) or leaving BC (46%). In those with at least 2 scores at a severe level, these rates were 76% and 71% respectively. Conclusions: Over 60% of responding BCCA oncologists report burnout in at least one domain of the MBI tool. Many have considered leaving the province or reducing their hours. These data are consistent with Grunfeld’s survey of Ontario oncologists (CMAJ 2000), although the rate of burnout is higher in this survey. Further research into ways to lessen burnout in oncology is urgently needed. [Table: see text]


2020 ◽  
Vol 3 (1) ◽  
pp. 39-51
Author(s):  
Obekpa IO ◽  
Amedu MA ◽  
Udofia O

Background: Previous studies show that academic burnout among undergraduates in Nigeria is prevalent and impacts negatively on their mental wellbeing and quality of life. Few studies have looked at the relationship between burnout, psychological morbidity and quality of life. The objective of this study was to determine the prevalence of burnout syndrome among undergraduates and its relationship with psychological morbidity and quality of life. Methods: A total of 933 undergraduates from the faculties of education, law and medicine, Bayero University Kano, participated in this descriptive, cross sectional study. Study instruments included a socio-demographic questionnaire, Maslach Burnout Inventory-students’ survey, 12-item version of the General Health Questionnaire, and WHO Quality of Life Survey-Abbreviated Version. Statistical Package for Social Sciences version 16 was used to analyse the data using Chi square and ANOVA and a p-value of 0.05 or less was considered statistically significant. Results: This showed a burnout prevalence of 153(16.4%) for emotional exhaustion, 230(24.7%) for cynicism and 194(20.8%) for reduced academic efficacy. Burnout increased with increasing length of academic activity, increasing psychological morbidity and decreasing Quality of Life. Education students had more burnout on cynicism subscale while medical students had more burnout on academic efficacy subscale. Overall, law students were the least burnout.Conclusion: Burnout is common among undergraduates of Bayero University Kano. Families (through participatory parenting) and university authorities should put in place functional programmes to reduce the burden of burnout and more researches are needed to gain deeper understanding of burnout and its effects on students’ mental health.


2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0006
Author(s):  
Robert Nugent ◽  
Tara E. Gaston ◽  
Michael Markowitz ◽  
Joseph N. Daniel ◽  
Quincy Cheesman

Category: Other Introduction/Purpose: Burnout affects physicians in a multitude of ways, resulting in low levels of personal accomplishment (PA), depersonalization (DP), and high emotional exhaustion (EE). Overall, burnout has a direct impact on physician well-being and can negatively impact personal relationships, contribute to drug or alcohol use, and result in reduced outcomes in the work field. Although orthopaedic surgeon burnout rates of up to 50-60% have been reported, there have been no studies comparing burnout rates by orthopaedic subspecialty. The primary goal of this study is to examine the prevalence of burnout amongst orthopedic generalists and subspecialists. Given that a multitude of factors may contribute to burnout, a secondary goal is to identify trends in demographic data that may contribute to burnout. Methods: This was a multicenter, cross-sectional study conducted from March 2019 through December 2019 involving 149 orthopaedic surgeons with all orthopaedic subspecialties represented. The survey utilized an abbreviated 12-item Maslach Burnout Inventory - Human Services Survey (aMBI-HSS) to assess burnout. The aMBI-HSS consisted of three subcategories; PA, DP, and EE, each of which represented their own burnout score. Depression was also assessed in order to identify any correlation to increased burnout. Finally, independent factors, including demographics, personal characteristics, professional characteristics, and family life/spousal support were collected to assess how they contributed to burnout. Univariate and bivariate regression was performed to identify independent variables for multivariate regression analysis. Three separate generalized linear regressions were then performed to assess which independent factors led to an increase or decrease in the EE, DP, or PA burnout scores. Results: Mean burnout amongst all respondents was 62.29%, with 16.7% screening positive for depression. Oncology (100%), Sports Medicine (67.70%), and Trauma (62.50%) were the three specialties with highest burnout. In contrast, lowest burnout rates were seen in Shoulder and Elbow (50.0%), Pediatrics (51.6%), and Foot and Ankle (53.8%). Trauma (50.0%), Oncology (40.0%), and General (20.0%) had the highest rates of depression, while Shoulder and Elbow (0.00%), Spine (0.00%), and Sports Medicine (6.5%) had the lowest rates of depression. Independent factors associated with increased risk of burnout included Oncology subspecialty, older age, and increased debt. Contrarily, independent factors associated with decreased burnout were more years in practice, more hours worked per week, more time spent with family and close friends, work environment satisfaction, and home life satisfaction. Conclusion: Burnout is a growing problem amongst physicians. This study sought to determine which orthopaedic subspecialties had the highest rates of burnout and depression, while identifying any secondary contributing factors. Our study found that orthopaedic Trauma and Oncology had the highest rates of burnout and depression. Additionally, older age and higher debt load contributed to an increased rate of burnout and depression. As this is only a small representation of the orthopaedic surgical community, larger studies are necessary to help further understand burnout and elucidate effective treatment options for orthopaedic surgeons.


Author(s):  
Bahaa Aldin Alhaffar ◽  
Ghadir Abbas ◽  
Alaa Aldin Alhaffar

Abstract Introduction Burnout syndrome is a work-related chronic stress that is described as emotional exhaustion, a decreased sense of personal accomplishment, and depersonalization. it has been considered an important problem especially among workers in the health sector. Objectives The aim of this research was to study the prevalence of burnout among Syrian residents during the Syrian crisis, which started 9 years ago, and to assess the factors related to burnout syndrome. Methods A cross-sectional study was conducted to assess the levels of burnout syndrome; data were collected from residents doing their residency in 12 different hospitals spread over 8 governorates in Syria. A web-based Arabic version of Maslach Burnout Inventory questionnaire was used. The final sample size was 3350 residents from different specialties. SPSS V.22 was used to analyses the data using descriptive and inferential statistics. Results (93.75%) had a high level in at least one of the three domains of the burnout index, and (19.3%) of the residents had a high level of burnout in all three domains. Significant relation was found between gender, age group and affiliated authority variables and the levels of burnout. However no significant relation was found between burnout and the specialties or geographic variables. Males, residents in Ministry of Defense, and emergency medicine residents had the highest levels of burnout. Conclusion High levels of burnout was found among residents during the Syrian crisis in comparison with other studies, which highlights the role of the current situation in raising workload on the Syrian residents.


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