男性医师倦怠状况的病理性人格特征与面观对照研究

Psych Pub Date : 2022-12-22 DOI:10.3390/psych5010001
S. Holzgang, A. Pazhenkottil, M. Princip, B. Auschra, S. Euler, R. von Känel
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引用次数: 1

摘要

医生职业倦怠的发生率很高,对职业和个人层面都有影响。根据ICD-11和DSM-5中的维度人格模型,本研究旨在调查与健康对照组相比,倦怠医生是否表现出特定的病理特征和人格方面。对感知压力、焦虑和抑郁在群体差异中的作用进行了探索性调查。男医生(n=60)被分为两组(倦怠组和健康组)。采用DSM-5简表加个性量表(PID5BF+)和Maslach倦怠量表(MBI)。Wilcoxon秩和检验(WRS)在PID5BF+的六个性状中的五个和十七个方面中的六个方面显示出群体差异。控制年龄的多元二元逻辑回归显示,欺骗(3.34(1.36–9.35),p=0.013)和冲动(10.20(2.4–61.46),p=0.004)显著预测倦怠。此外,WRS在感知压力、抑郁和焦虑症状方面显示出显著的群体差异(均p<0.00)。研究结果表明,在男性医生样本中,病理性人格方面与倦怠之间存在关系。特别是,欺骗和冲动似乎起着重要作用。此外,倦怠表现出众所周知的与感知压力、抑郁和焦虑症状的关联。
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Burnout among Male Physicians: A Controlled Study on Pathological Personality Traits and Facets
There is a high prevalence of job burnout in physicians, impacting both the professional and personal levels. This study aimed to investigate whether physicians with burnout show specific pathological traits and facets of their personalities compared with healthy controls, according to the dimensional personality models in the ICD-11 and DSM-5. The role of perceived stress, anxiety, and depression were exploratively investigated regarding group differences. Male physicians (n = 60) were recruited into two groups (burnout vs. healthy). The Personality Inventory for the DSM-5 Brief Form Plus (PID5BF+) and the Maslach Burnout Inventory (MBI) were applied. The Wilcoxon rank-sum test (WRS) showed group differences in five of the six traits and in six of the seventeen facets of the PID5BF+. Multiple binary logistic regression, controlling for age, showed that deceitfulness (3.34 (1.36–9.35), p = 0.013) and impulsivity (10.20 (2.4–61.46), p = 0.004) significantly predicted burnout. Moreover, the WRS showed significant group differences in perceived stress, depressive, and anxiety symptoms (all p < 0.00)]. The findings suggest a relationship between pathological personality facets and burnout in a sample of male physicians. In particular, the facets of deceitfulness and impulsivity appear to play an important role. Furthermore, burnout showed well-known associations with perceived stress, depressive, and anxiety symptoms.
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