The Relationship between Emotional Burnout and the Quality of Life of Psychiatrists

I. A. Zrazhevskaya, K. V. Bykov, E. Topka, R. N. Isaev, A. M. Orlov
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Abstract

Background: effective and safe provision of medical care depends on the well-being of medical workers – problems related to health and quality of life do not allow the clinician to realize his potential fully. A high level of work stress undermines the well-being of medical personnel. One of its most characteristic manifestations is burnout.The aim was to study the relationship between burnout and quality of life with the construction of a mathematical model for prediction of the quality of life based on information about the degree of psychiatrists’ burnout.The main hypothesis of this study was that burnout significantly and negatively affects the quality of life.Participants and methods: 82 psychiatrists, working in Moscow psychiatric clinics, independently filled out the Maslach Burnout Inventory and an abbreviated version of the WHO questionnaire «Quality of Life» (WHOQOL-BREF). The multiple linear regression was used to assess the impact of burnout on the quality of life of physicians. The values of the Maslach Burnout Inventory, the age, and gender of the respondents were used as predictors; the response variables were the values of WHOQOL-BREF.Results: the value of the domain «emotional exhaustion» is negatively associated with the four dimensions of the WHOQOL-BREF such as «physical health», «psychological health», «social relationships», «environment». The domain «personal accomplishment» positively correlated with respondents’ physical and psychological health. Age affected these indicators negatively but did not affect social relationships and health in the «environment» subscale. The gender of psychiatrists did not have a significant impact on their quality of life. The adjusted coefficient of determination of the models was in the range from 0.1907 to 0.511.Conclusions: еmotional burnout negatively affects the quality of life of practicing psychiatrists. Prospective, longitudinal studies are still needed to establish causal connections between these constructs.
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情感倦怠与精神科医生生活质量之间的关系
背景:有效和安全地提供医疗服务取决于医务工作者的福祉--与健康和生活质量有关的问题使临床医生无法充分发挥其潜力。高度的工作压力会损害医务人员的健康。本研究的目的是研究职业倦怠与生活质量之间的关系,并根据精神科医生职业倦怠程度的相关信息建立一个预测生活质量的数学模型。本研究的主要假设是,职业倦怠会对生活质量产生显著的负面影响。参与者和方法:82 名在莫斯科精神病诊所工作的精神科医生独立填写了马斯拉赫职业倦怠量表和世界卫生组织 "生活质量 "问卷(WHOQOL-BREF)的缩写版。采用多元线性回归法评估职业倦怠对医生生活质量的影响。结果显示:"情绪衰竭 "领域的值与 WHOQOL-BREF 的四个维度(如 "身体健康"、"心理健康"、"社会关系 "和 "环境")呈负相关。个人成就感 "与受访者的身体和心理健康呈正相关。年龄对这些指标有负面影响,但对 "环境 "分量表中的社会关系和健康没有影响。精神科医生的性别对其生活质量没有显著影响。模型的调整决定系数在 0.1907 至 0.511 之间:情感倦怠对精神科医生的生活质量有负面影响。仍需进行前瞻性的纵向研究,以确定这些因素之间的因果关系。
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