法医职业倦怠综合征及其与替代性创伤、创伤后应激综合征和职业压力的关系。

IF 2.2 3区 医学 Q1 MEDICINE, LEGAL International Journal of Legal Medicine Pub Date : 2025-01-10 DOI:10.1007/s00414-024-03398-7
Lilioara-Alexandra Oprinca-Muja, Cosmin-Ioan Mohor, George-Călin Oprinca, Roxana Cardoș, Carmen-Daniela Domnariu, Adrian-Nicolae Cristian, Ciprian Băcilă, Sorin-Radu Fleacă, Alina Cristian, Silviu Morar
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引用次数: 0

摘要

由于对员工幸福感和科学探究的影响,职业倦怠现象是一个相当有趣的话题。职场因素,包括内在的和外在的,在其发展中起着关键作用,经常导致工作不满和更高的倦怠风险。慢性压力和倦怠会导致自主神经系统和激素通路的显著失调,以及大脑结构的变化。本文对法医学工作者倦怠综合征的相关文献进行了初步综述,重点介绍了该现象的流行程度及其引发因素。本文旨在总结现有的法医工作人员职业倦怠的相关研究,突出重要的研究成果,并鼓励进一步的研究。症状从士气低落到身体不适。马斯拉克倦怠量表(MBI)是评估倦怠水平的主要工具,与职业压力、替代性创伤和创伤后应激综合征的测量一起。法医工作者面临着独特的压力源,对职业倦怠水平有显著影响。这些员工经历了工作场所冲突和创伤案例等挑战,导致中度或高度的倦怠水平,特别是情绪衰竭、人格解体或个人成就感低。尽管职业倦怠普遍存在,但许多法医工作者缺乏获得支持网络的机会,并且认为主管对他们的福祉漠不关心。目前迫切需要进一步研究倦怠综合征的生物学机制、易感因素,并发现其诊断标志物,以期在《精神疾病诊断与统计手册》等诊断手册中将其识别为精神疾病。
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Burnout Syndrome in forensic medicine and its association with vicarious trauma, posttraumatic stress syndrome and occupational stress.

The burnout phenomenon is a subject of considerable interest due to its impact on both employee well-being and scientific inquiry. Workplace factors, both intrinsic and extrinsic, play a pivotal role in its development, often leading to job dissatisfaction and heightened burnout risk. Chronic stress and burnout induce significant dysregulation in the autonomic nervous system and hormonal pathways, alongside structural brain changes. This paper presents a preliminary review of the literature on burnout syndrome among forensic science workers, focusing on the prevalence of this phenomenon and its triggers. This review aims to consolidate existing research on burnout among forensic medicine workers, highlight significant findings, and encourage further studies. Symptoms range from demoralization to somatic complaints. The Maslach Burnout Inventory (MBI) was the main tool in assessing burnout levels alongside measures of occupational stress, vicarious trauma and posttraumatic stress syndrome. Forensic medicine workers face unique stressors, with notable impacts on burnout levels. These workers experience challenges such as workplace conflicts and exposure to traumatic cases, leading to moderate or high burnout levels, particularly, emotional exhaustion, depersonalization or low personal accomplishment. Despite the prevalence of burnout, many forensic medicine workers lack access to support networks and perceive a disregard for their well-being from supervisors. There is a pressing need for further research to understand the biological mechanisms, susceptibility factors, and discover diagnostic markers of burnout syndrome, with the goal of its recognition as a psychiatric disorder in diagnostic manuals like the Diagnostic and Statistical Manual of Mental Disorders.

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来源期刊
CiteScore
5.80
自引率
9.50%
发文量
165
审稿时长
1 months
期刊介绍: The International Journal of Legal Medicine aims to improve the scientific resources used in the elucidation of crime and related forensic applications at a high level of evidential proof. The journal offers review articles tracing development in specific areas, with up-to-date analysis; original articles discussing significant recent research results; case reports describing interesting and exceptional examples; population data; letters to the editors; and technical notes, which appear in a section originally created for rapid publication of data in the dynamic field of DNA analysis.
期刊最新文献
Reply to the commentary of Burkhard Madea and Elke Doberentz on our article "An assessment of the Henssge method for forensic death time estimation in the early post-mortem interval". A critical review of medicolegal research and information asymmetries in investigating cases of extrajudicial executions and forced disappearances. Socio-demographic and toxicological findings from autoptic cases in a Northern Italy community (2017-2022). Conventional and machine learning-based analysis of age, body weight and body height significance in knot position-related thyrohyoid and cervical spine fractures in suicidal hangings. Integration of a high-resolution melt curve assay into a commercial quantification kit for preliminary identification of biological mixtures.
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