Burnout syndrome in peruvian dental students: a prevalence study

Aim: Burnout syndrome describes the state of long-term physical, emotional and mental exhaustion related to work. This syndrome can cause health problems related to stress, insomnia, cardiovascular and musculoskeletal diseases, including an increase in alcohol consumption and drug use. It is important to recognize the presence of the initial signs of this syndrome, therefore this study aimed to determine the prevalence of the burnout syndrome in peruvian dental students. Methods: The study was observational, cross-sectional, and descriptive. It was carried out from September to November 2018, and it included a total of 154 dental students of four universities of La Libertad region, surveyed by census method. Three were private universities and one was public. Burnout was evaluated through the Maslach Burnout Student Survey Questionnaire (MBI-SS). The results were presented in absolute and percentage frequencies, as well as confidence intervals, using double-entry tables. Results: It was found that 24.68% of the students (24.71% in male students and 24.64% in female students) presented burnout syndrome. The public university of Trujillo presented the highest percentage of affected students (47.37%). A prevalence of 53,90% of emotional exhaustion was also found among the students under evaluation. Conclusions: Almost a quarter of the students surveyed presented burnout. It was also observed that the public University of Trujillo had a higher percentage of burnout than the three private ones. The percentage of prevalence of the burnout syndrome according to sex was similar. However according to dimensions, emotional exhaustion presented the highest percentage

Monitoreo serológico y psicológico en personal de salud durante el comienzo de la pandemia COVID-19 / Serological and psychological monitoring of healthcare workers during the start of the COVID-19 pandemic

Introducción: el personal de salud (PdS) es esencial en la lucha contra el COVID-19. Al inicio de la pandemia, el riesgo de adquirir la enfermedad en este grupo era desconocido. Buscamos estimar incidencia y prevalencia de anticuerpos anti-SARS-CoV-2, y prevalencia de burnout en una cohorte de PdS durante la pandemia COVID-19, así como valorar la prevalencia de burnout y depresión en la cohorte. Materiales y métodos: cohorte prospectiva conformada por médicos que atendían pacientes COVID-19 desde marzo de 2020 hasta enero de 2021, en un hospital de alta complejidad de la ciudad de Buenos Aires. Se evaluó IgM e IgG anti-SARS-CoV-2 quincenalmente durante 3 meses, así como la presencia de síntomas compatibles y factores asociados a la exposición. Se remitió a participantes con alteraciones de la esfera psíquica a contacto con el equipo de salud mental del hospital. Resultados: se incluyeron 52 participantes; de ellos, 31 eran mujeres; mediana de edad 32 años (rango 25-58). La mediana de horas semanales de trabajo autoinformadas fue 48 (IIC [intervalo intercuartil] 40-69,5). Inicialmente todos fueron PCR SARS-CoV-2 negativos en hisopado nasal; 11 (21,50% IC 95%; 9,62-32,53%) tuvieron COVID-19 sintomático con anticuerpos positivos. Los factores con mayor asociación a riesgo de COVID-19 fueron anosmia/disgeusia OR 403,33 (IC 95%; 47,60-3417,02), fiebre OR 172,53 (IC 95%; 28,82-1032,65), mialgias OR 41,97 (IC 95%; 8,08-217,84), conviviente con COVID-19 OR 28,17 (IC 95%; 5,67-179,97). Cerca del 40% presentaba alteraciones en las escalas de medición de burnout o depresión. Discusión: la incidencia hallada coincide con las cifras informadas acerca de personal de salud en la etapa inicial de la pandemia en la Argentina. Otro aspecto similar fue una mayoría de infecciones de curso leve, sin ningún paciente hospitalizado. No obstante, se halló una elevada incidencia de alteraciones de la esfera psíquica, tanto al comienzo como al final del seguimiento. Conclusiones: la incidencia de positivización de anticuerpos anti-SARS-CoV-2 fue cercana al 20%. No evidenciamos infecciones presintomáticas o asintomáticas. En cambio, la prevalencia de burnout y depresión fue elevada. La salud mental es un componente del personal de salud que debe ser priorizado en situaciones futuras de impacto similar. (AU)

Introduction: healthcare personnel are essential in the response against COVID-19. At the beginning of the pandemic the risk of acquiring the disease in this group was unknown. We sought to estimate incidence and prevalence of anti SARS-CoV-2 antibodies, as well as burnout prevalence in a cohort of healthcare staff during the pandemic, as well as assessing the prevalence of burnout and depression in this group. Materials and methods: prospective cohort formed by physicians tending to COVID-19 patients from march 2020 to january 2021 in a high-complexity hospital in the city of Buenos Aires. We evaluated anti SARS-CoV-2 IgM and IgG each 15 days for 3 months as well as the presence of compatible symptoms and factors associated to exposition to the virus. Patients showing signs of burnout and/or depression were referred to proper care by the mental health team in the hospital. Results: we included 52 patients, 31 women, median age was 32 years (range 25 - 58). Median amount of self-reported hours worked each week was 48 (IQR 40 - 69.5). Initially all participants had a negative COVID-19 PCR nasopharyngeal swab; 11 (21.50% CI95% 9.62 - 32.53%) had symptomatic COVID-19 with positive antibodies. Factors showing stronger association with testing positive were anosmia/dysgeusia OR 403.33 (CI95% 47.60-3417.02), fever OR 172.53 (CI95% 28.82 - 1032.65), myalgia OR 41.97 (CI95% 8.08 - 217.84), cohabitation with confirmed COVID-19 case OR 28.17 (CI95% 5.67 - 179.97). Near 40% showed alterations in burnout or depression scales. Discussion: the incidence rate we found was like reported values in the initial stages of the pandemic in Argentina. Another similarity was that all cases were mild; no hospitalization was required for any participant. We found an elevated incidence of alterations in the psychic sphere, both at the beginning and end of the follow up period. Conclusions:the incidence of positive SARS-CoV-2 antibodies was around 20%. No pre or asymptomatic cases were identified. Burnout and depression incidence was high. Mental health is a component that should never be overlooked in similar situations to come. (AU)

Relationship between social support and parental burnout in COVID-19 among Chinese young parents / 北京大学学报(医学版)

OBJECTIVE@#To explore potential categories of parental social support for young parents under the coronavirus disease 2019 (COVID-19) epidemic, and to examine correlations of different types of parents' social support with parental burnout.@*METHODS@#In April 2020, we conducted an online voluntary survey among young parents across China with scales and a self-designed questionnaire. The latent profile analysis method was used to analyze parents' received social support and perceived social support. The social support categories were taken as independent variables and parental burnout as dependent variables, and multiple regression analysis was carried out to explore the relationship between received social support, perceived social support and parental burnout. Finally, the moderating effect of resilience between social support groups and parental burnout was discussed.@*RESULTS@#The results of latent profile analysis revealed three potential types of received social support, namely isolate, normal, and multi-support and the proportions of the respondents with the three profiles were 14.1%, 78.0%, and 7.9%. Four potential types of perceived social support, namely, indigent, medium, affluent and divergent and the proportions of the respondents with the four profiles were 13.7%, 29.6%, 25.3%, and 31.3%. Among them, the parents with divergent perceived social support had more perception of social support from the couple, family and relatives, but less perception of social support from net-friend, social organizations and the government. Regression analysis showed that there was no statistically significant correlation between different profiles of received social support and parental burnout, and among the groups of perceived social support, there was a statistically significant correlation between indigent and divergent types of social support and parental burnout. The divergent parents had lower levels of parental burnout compared with indigent (β=-0.120, P=0.003). Also, resilience moderated the effect of divergent perceived social support and parental burnout. Compared with the parents with low resilience, the parents with high resilience perceived divergent social support with lower parenting burnout.@*CONCLUSION@#There are prominent latent types of received social support and perceived social support under epidemic. People with divergent perceived social support (more perceived supports from partner, family and friends) are prone to have a relatively lower risk of parental burnout. Parents with higher resilience will be more sensitive to the support of close acquaintances, and can better resist parental burnout.

Síndrome de Burnout en psiquiatras de Pinar del Río / Burnout syndrome in Psychiatrists from Pinar del Río Province

Introducción: Las frecuentes quejas expresadas por profesionales de diferentes especialidades vinculadas a las tensiones generadas por el trabajo favorecen conductas que expresan agotamiento emocional, pérdida de interés en el trabajo y actitudes indiferentes ante las personas a las cuales atiende, lo que ha sido llamado síndrome de burnout. La apreciable frecuencia en que estas manifestaciones son expresadas por los colegas motivó la realización de la investigación. Objetivo: Identificar la presencia del síndrome de burnout en un grupo de psiquiatras de la provincia de Pinar del Río. Métodos: Se realizó una investigación transversal mediante la aplicación del Maslach Burnout Inventory a 35 psiquiatras de la provincia Pinar del Río, se utilizó el método porcentual de cálculo. Resultados: Se identificaron 12 profesionales (34,2 por ciento) que se les diagnosticó síndrome de burnout o en riesgo, así como una baja incidencia de casos en los 10 primeros años de graduado como médico, no así en los psiquiatras en que sí se diagnosticó mayoritariamente en los primeros años de ejercer la especialidad. La relación mental estable presupone un mayor riesgo de padecer el síndrome o estar en riesgo. Conclusiones: El síndrome de burnout o el riesgo de padecerlo se diagnosticó en poco más de un tercio de los psiquiatras, la relativa alta frecuencia del síndrome en los que tienen pareja estable pudiera atribuirse a otros factores que gravitan junto a los vinculados al trabajo y no a este solamente(AU)

Introduction: Complaints frequently expressed by professionals from different specialties and related to the tensions produced by work may provoke behaviors consistent with emotional exhaustion, loss of interest in work and indifferent attitudes towards the people they attend. This has been called burnout syndrome. The appreciable frequency in which these manifestations are expressed by colleagues motivated this research. Objective: To identify the presence of burnout syndrome in a group of psychiatrists in Pinar del Río Province. Methods: A cross-sectional research was carried out through the application of the Maslach Burnout Inventory to 35 psychiatrists from Pinar del Río Province. The percentage method of calculation was used. Results: Twelve professionals (34.2 percent) were identified as diagnosed with burnout syndrome or at risk of it, together with a low incidence of cases in the first ten years after graduating as a medical doctor; but not among psychiatrists, in which it was diagnosed mostly in the first years of practicing the specialty. The stable mental relationship presupposes a greater risk for suffering from the syndrome or for being at risk. Conclusions: Burnout syndrome or the risk of suffering from was diagnosed in just over one third of psychiatrists. The relative high frequency of the syndrome in those with a stable partner could be attributed to other factors together with those related to work and not to this alone(AU)

Impact of the COVID-19 pandemic on the development of burnout syndrome in frontline physicians: prevalence and associated factors

SUMMARY OBJECTIVE: To evaluate the prevalence of burnout syndrome (BS) in physicians working during the COVID-19 pandemic in Paraíba and to investigate the association between BS and the sociodemographic and labor variables of these professionals. METHODS: This was a cross-sectional study including physicians who were active during the pandemic in Paraíba, whether they were on the front line (group 1) or not (group 2). Sociodemographic and labor variables were collected, and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire was applied. RESULTS: A total of 126 physicians were included, including 82 who were on the front line. Among the professionals with results compatible with BS, 85.5% were in group 1, compared with 14.5% in group 2, and this difference was statistically significant. At the 5% level, the variables associated with BS were age (24-33 years), not having children, working on the front line, working in the COVID-19 ICU, being on duty, and having contracted COVID-19. CONCLUSIONS: This case series found a positive association between the development of BS and medical action on the front line of the COVID-19 pandemic in Paraíba.

Ideação suicida como fator associado à síndrome de Burnout em estudantes de Medicina / Suicidal ideation as a factor associated with Burnout syndrome in medical students

OBJETIVO: Identificar a prevalência e fatores associados à síndrome de Burnout nos estudantes de Medicina. MÉTODOS: Estudo transversal com estudantes de Medicina de uma instituição privada de ensino na região Sul do Brasil. Utilizou-se o Maslach Burnout Inventory ­ Student Survey para a identificação da síndrome e um instrumento para a coleta de informações sociodemográficas, hábitos, rotina e situação acadêmica. Realizou-se análise descritiva dos dados e avaliaram-se associações entre as informações obtidas a partir do instrumento de coleta com a presença da síndrome de Burnout, utilizando-se razões de prevalência por meio do teste qui-quadrado ou teste de Fisher. Associações com valor de p < 0,25 foram inseridas em um modelo multivariado, em formato step-forward, utilizando-se regressão de Poisson. Foram consideradas significativas associações com valor de p < 0,05. RESULTADO: Quinhentos e vinte e dois (88,2%) alunos participaram da pesquisa. A prevalência da síndrome de Burnout foi de 12,3%. As associações com síndrome de Burnout que possuíram valor de p < 0,25 foram "não viver com parceiro", "residir sozinho", "dormir até cinco horas por dia", "ter até cinco horas semanais de lazer", "possuir pensamento suicida" e "realizar acompanhamento psicológico". Após inserir essas variáveis no modelo multivariado, identificou-se apenas 10% de maior probabilidade de síndrome de Burnout no estudante que relatou pensamento suicida, sendo esse o único fator associado encontrado à ocorrência de burnout (p < 0,001). CONCLUSÃO: A prevalência de síndrome de Burnout entre os acadêmicos de Medicina foi de 12,3%, e apenas a presença de pensamentos suicidas durante o curso foi associada à sua ocorrência.

OBJECTIVE: To identify the prevalence and factors associated with Burnout syndrome in medical students. METHODS: Cross-sectional study with medical students from a private educational institution in southern Brazil. The Maslach Burnout Inventory ­ Student Survey was used to identify the syndrome and an instrument for collecting sociodemographic information, habits, routine and academic situation. Descriptive analysis of the data was carried out and associations between related information were assessed using the collection instrument with the presence of Burnout syndrome, using the prevalence ratios using the chi-test or Fisher's test. Associations with a p-value < 0.25 were inserted in a multivariate model, in a step-forward format, using Poisson regression. They were considered signed with p value < 0.05. RESULT: Five hundred and twenty-two (88.2%) students participated in the survey. The prevalence of Burnout syndrome was 12.3%. Associations with Burnout syndrome that had a value of p < 0.25 were "not living with a partner", "living alone", "sleeping up to five hours a day", "having up to five hours a week of leisure", "having thoughts suicide" and "psychological counseling". After inserting these variables in the multivariate model, only 10% higher likelihood of Burnout syndrome was identified in the student who reported suicidal thinking, which is the only associated factor found with the occurrence of burnout (p < 0.001). CONCLUSION: The prevalence of Burnout syndrome among medical students was 12.3% and only the presence of suicidal thoughts during the course was associated with its occurrence.

Burnout, workaholism e qualidade de vida entre docentes de pós-graduação em enfermagem / Burnout, workaholism y calidad de vida de docentes de posgrado en enfermería / Burnout, workaholism and quality of life among professors in graduate-level nursing programs

Resumo Objetivo: Verificar a associação do burnout com workaholism e qualidade de vida entre docentes de mestrado e/ou doutorado em enfermagem. Métodos: Estudo transversal realizado com docentes permanentes vinculados aos Programas de Pós-Graduação da área da Enfermagem de 47 universidades públicas das cinco regiões do Brasil. Entre julho e dezembro de 2018, convidou-se 919 docentes, dos quais 368 responderam a quatro questionários: caracterização sociodemográfica, de saúde e ocupacional, Maslach Burnout Inventory - Human Services Survey, Dutch Work Addiction Scale e World Health Organization Quality of Life Assessment Instrument - Bref. Os dados foram analisados por estatística descritiva e as associações foram verificadas por regressão logística múltipla bruta e ajustada. Resultados: A prevalência de indicativo de burnout foi de 28,0%, de workaholism foi de 35,5% e de baixa qualidade de vida geral foi de 17,7% entre os docentes permanentes investigados. Trabalho compulsivo, trabalho excessivo e ser workaholic aumentaram significativamente as chances de altos níveis de exaustão emocional, despersonalização e baixa eficácia profissional. Por outro lado, níveis significativamente menores foram observados nos trabalhadores positivos, com alta percepção de qualidade de vida geral, física, psicológica, social e do meio ambiente. Os modelos múltiplos das dimensões da síndrome indicaram que suas dimensões são direta e positivamente associadas com o workaholism e direta e negativamente associadas à qualidade de vida geral, mesmo após o ajuste com variáveis sociodemográficas, de saúde e ocupacionais. Conclusão: A síndrome de burnout foi associada aos professores de mestrado e/ou doutorado com workaholism e que consideravam ter uma baixa qualidade de vida.

Resumen Objetivo: Verificar la relación del burnout con el workaholism y la calidad de vida de docentes de maestría y doctorado en enfermería. Métodos: Estudio transversal realizado con docentes permanentes vinculados a los Programas de Posgrado del área de Enfermería de 47 universidades públicas de las cinco regiones de Brasil. Entre julio y diciembre de 2018, se invitó a 919 docentes, de los cuales 368 respondieron cuatro cuestionarios: caracterización sociodemográfica, de salud y ocupacional, Maslach Burnout Inventory - Human Services Survey, Dutch Work Addiction Scale y World Health Organization Quality of Life Assessment Instrument - Bref. Los datos fueron analizados mediante estadística descriptiva y las relaciones fueron verificadas mediante regresión logística múltiple bruta y ajustada. Resultados: La prevalencia de indicios de burnout fue del 28,0 %, de workaholism del 35,5 % y de baja calidad de vida general del 17,7 % entre los docentes permanentes investigados. Trabajo compulsivo, trabajo en exceso y ser workaholic aumentaron significativamente la probabilidad de altos niveles de agotamiento emocional, despersonalización y baja eficacia profesional. Por otro lado, se observaron niveles significativamente menores en trabajadores positivos, con una alta percepción de calidad de vida general, física, psicológica, social y del medio ambiente. Los modelos múltiples de las dimensiones del síndrome indicaron que sus dimensiones están directa y positivamente relacionadas con el workaholism y directa y negativamente relacionadas con la calidad de vida general, inclusive después de ajustar las variables sociodemográficas, de salud y ocupacionales. Conclusión: El síndrome de burnout está relacionado con profesores de maestría y doctorado con workaholism y que consideran que tienen una mala calidad de vida.

Abstract Objective: To verify the association of burnout between workaholism and quality of life among graduate-level nursing professors. Methods: A cross-sectional study was conducted with permanent professors linked to Postgraduate Programs in Nursing at 47 public universities in the five regions of Brazil. Between July and December 2018, 919 teachers were invited, of whom 368 answered four questionnaires: sociodemographic, health and occupational characterization, Maslach Burnout Inventory - Human Services Survey, Dutch Work Addiction Scale and World Health Organization Quality of Life Assessment Instrument - Bref. The data were analyzed using descriptive statistics and the associations were verified by unadjusted and adjusted multiple logistic regression. Results: The prevalence of indicative of burnout was 28.0%, of workaholism was 35.5% and of low general quality of life was 17.7% among the permanent professors investigated. Working excessively, working compulsively and being a workaholic significantly increased the chances of high levels of emotional exhaustion, depersonalization and low professional accomplishment. On the other hand, significantly lower levels were observed in the positive professionals, with a high perception of general, physical, psychological, social, and environmental quality of life. The multiple models of the syndrome indicated that its dimensions are directly and positively associated with workaholism and directly and negatively associated with the general quality of life, even after adjustment with sociodemographic, health and occupational variables. Conclusion: Burnout was associated with professors with workaholism and those who consider themselves as having a poor quality of life.

Prevalence of burnout syndrome and perception by playing position in professional football players

Abstract Aim: The present study aimed to investigate the indicators of burnout, to determine whether playing position affects the perception of syndrome dimensions, and to identify burnout prevalence in professional football players. Methods: The participants were 100 professional football players (mean age 24.3 ± 4.6 years and meantime as a professional athlete of 9.2 ± 4.5 years) who were divided into three groups: 27 forwards, 34 midfielders, and 39 defenders. The Athlete Burnout Questionnaire (ABQ) and a sociodemographic questionnaire were applied. Results: The results show that a) the majority of athletes had low burnout indicators, b) there was no difference in the perception of burnout dimensions by playing position, and c) the prevalence of athletes with burnout, whether mild, moderate, or severe, was 13%. Conclusion: The variable of playing position was not a determinant of perception of burnout dimensions among the forwards, midfielders, and defenders. Nonetheless, the prevalence of burnout deserves attention, as the negative effects of this syndrome may exert impacts on health, well-being, and sports performance, making athletes more likely to abandon their sport.

Prevalencia del síndrome de burnout en estudiantes de medicina / Prevalence of Burnout Syndrome in medical students

Introducción: El síndrome de burnout puede afectar a los estudiantes de manera similar que a los profesionales formales. Además del cansancio emocional, despersonalización y baja realización personal, se añade un cuarto componente en el contexto estudiantil: la emoción negativa frente al aprendizaje. Objetivo: Determinar la presencia del síndrome de burnout en estudiantes de la Facultad de Ciencias Médicas de la Universidad Regional Autónoma de los Andes (UNIANDES), en Ecuador. Métodos: Se realizó un estudio descriptivo, transversal, comparativo de 90 estudiantes, durante el semestre comprendido entre octubre de 2017 y marzo de 2018. Se estudiaron las variables edad, sexo, estado civil, número de hijos, vivienda compartida, trabajo extraacadémico y las dimensiones de la escala para la clasificación del síndrome de burnout: Agotamiento emocional, Despersonalización y Realización personal, según los criterios del Maslach Burnout Inventory. Conclusiones: El mayor nivel de síndrome de burnout fue el moderado, seguido del severo. Hubo una mayor frecuencia de estudiantes mujeres afectadas y con categoría de burnout moderado. Incluso a un nivel leve ya apareció agotamiento emocional y despersonalización entre los estudiantes. En cambio, la dimensión Realización personal del síndrome apareció en el nivel severo. Los estudiantes que tuvieron trabajo extraacadémico presentaron una prevalencia alta del síndrome de burnout(AU)

Introduction: Burnout syndrome can affect students in a similar way as formal professionals. In addition to emotional exhaustion, depersonalization and low personal fulfillment, a fourth component is added in the student context: negative emotion in the face of learning. Objective: To determine the presence of burnout syndrome in students of the Faculty of Medical Sciences of the Regional Autonomous University of the Andes (UNIANDES), in Ecuador. Methods: A descriptive, cross-sectional, comparative study of 90 students was carried out during the semester between October 2017 and March 2018. The variables age, sex, marital status, number of children, shared housing, extra-academic work and the dimensions of the scale for the classification of burnout syndrome: emotional exhaustion, depersonalization and personal fulfillment, according to the criteria of the Maslach Burnout Inventory. Conclusions: The highest level of burnout syndrome was moderate, followed by severe. There was a higher frequency of affected female students with a moderate burnout category. Even at a slight level, emotional exhaustion and depersonalization have already appeared among the students. Instead, the Personal Realization dimension of the syndrome appeared at the severe level. Students who had extra-academic work had a high prevalence of burnout syndrome(AU)

Burnout Syndrome in medical internship students and its prevention with Balint Group

SUMMARY BACKGROUND: We intend to estimate the Burnout Syndrome prevalence and its associated factors among medical internship students at a public university in northeastern Brasil, besides investigating the Balint Group (BG) contribution in its prevention. METHODS: We conducted a cross-sectional study in February/2018 with Medical Internship Students at the University researched. We applied a structured questionnaire developed by the authors about socio-demographic data, educational process with BG participation, and current psycho-emotional experiences, in addition to the Maslach Burnout Inventory - Student Survey (MBI-SS), for Burnout Syndrome screening. We performed descriptive data analysis, logistic regression, and cluster analysis. RESULTS: A total of 184 students (98%) participated in the study, with a mean age of 25.9±3.9 years, of which 54.9% were men. The prevalence of Burnout Syndrome was 10.3% based on the three-dimensional criterion and 35.9% on two-dimensional criterion (Exhaustion and Cynicism); it was higher in those who thought about quitting the program (OR=2.14), were dissatisfied with the teaching strategies (OR=2.67) and their performance (OR=2.64) and made use of licit drugs (OR=2.37). The variables associated with Burnout Syndrome allowed individuals to be discriminated, classifying them into three subgroups. Burnout Syndrome prevalence decreased, and vulnerability factors were attenuated when there was a higher frequency of students participating in BG. CONCLUSIONS: The prevalence of two-dimensional Burnout Syndrome was high, with factors associated with the educational process. Participation in BG was associated with a lower Burnout rate prevalence. Longitudinal studies should be conducted.

RESUMO OBJETIVO: Estimar a prevalência de Síndrome de Burnout (SB) e fatores associados entre os internos de medicina de uma universidade pública no Nordeste do Brasil, além de investigar a contribuição do Grupo Balint (GB) na sua prevenção. MÉTODOS: Estudo transversal em fevereiro/2018 com os internos de medicina da universidade pesquisada. Aplicou-se um questionário estruturado elaborado pelos autores sobre características sociodemográficas, processo educacional com participação do GB e vivências psicoemocionais atuais, além do Maslach Burnout Inventory - Student Survey (MBI-SS) para triagem de SB. Realizaram-se análise descritiva, regressão logística e análise de agrupamentos. RESULTADOS: Participaram 184 estudantes (98%), com idade média de 25,9±3,9 anos, sendo 54,9% do sexo masculino. A prevalência de SB foi 10,3% pelo critério tridimensional e 35,9% pelo bidimensional (Exaustão e Descrença), sendo maior naqueles que pensaram em abandonar o curso (OR=2,14), estavam insatisfeitos com as estratégias de ensino (OR=2,67) e com seu desempenho acadêmico (OR=2,64) e faziam uso de drogas lícitas (OR=2,37). As variáveis associadas à SB permitiram discriminar os indivíduos classificando-os em três subgrupos. A prevalência de SB diminuiu e fatores de vulnerabilidade foram atenuados quando houve maior frequência de estudantes participantes do GB. CONCLUSÕES: A prevalência de SB pelo critério bidimensional foi alta, com fatores associados ao processo educacional. A participação no GB foi associada à menor prevalência de SB. Estudos longitudinais devem ser realizados.

Impactos da Síndrome de Burnout na qualidade de vida dos profissionais de enfermagem da atenção básica à saúde / Impacts of burnout syndrome on the quality of life of basic health care nursing professionals

Objetivo: Identificar o impacto da Síndrome de Burnout (SB) na qualidade de vida dos profissionais de enfermagem da Atenção Básica à Saúde. Métodos: Estudo exploratório e descritivo, com caráter quanti-qualitativo, desenvolvido com 52 profissionais da Rede de Atenção Básica à Saúde da Cidade de Bayeux, região metropolitana de João Pessoa-PB. Resultados: 13,5% das pro-fissionais estudadas manifestaram características relacionadas à SB e 30,8% apresentaram predisposição para o desenvolvi-mento da mesma. Conclusão: O profissional acometido pela SB tende a apresentar diminuição em seu rendimento de trabalho e dificuldades na relação com a equipe de trabalho, refletindo o impacto negativo que a síndrome traz para a qualidade de vida. (AU)

Objective: To identify the impact of the Burnout Syndrome (SB) on the quality of life of nursing professionals in Basic Health Care. Methods: An exploratory and descriptive study, with quantitative and qualitative character, developed with 52 professionals from the Network of Basic Attention to Health of the city of Bayeux, metropolitan region of João Pessoa-PB. Results: 13.5% of the professionals studied showed character-istics related to SB, and 30.8% presented a predisposition for its development. Conclusion: the professional affected by SB tends to present a decrease in his work income and difficulties in the relationship with the work team, reflecting the negative impact that the syndrome brings to the quality of life. (AU)

Fatores relacionados à probabilidade de sofrer problemas de saúde mental em profissionais de emergência / Factors related to the probability of suffering mental health problems in emergency care professionals / Factores relacionados con la probabilidad de padecer problemas de salud mental en profesionales de urgencias

Objetivos: avaliar a influência exercida pelo Burnout e as estratégias de enfrentamento utilizadas pelo pessoal de saúde do serviço de emergência hospitalar sobre o estado de saúde mental e determinar as características sociodemográficas e laborais. Método: estudo descritivo transversal em uma amostra de 235 profissionais de enfermagem e médicos que atuaram em quatro serviços de emergência hospitalar. Como instrumentos de coleta de dados foram utilizados questionários originais e específicos de variáveis sociodemográficas e de trabalho, o Maslach Burnout Inventory, General Health Questionnaire e o Inventario breve de afrontamiento-COPE 28. Aplicou-se estatística descritiva, inferencial e multivariante. Resultados: a dimensão de despersonalização, enfrentamento centrado na evitação e ser médico estiveram relacionados à presença de sintomas somáticos, ansiedade, disfunção social e depressão. O aumento da experiência profissional esteve associado à maior disfunção social do pessoal de saúde e o aumento do número de pacientes foi relacionado à sintomatologia depressiva entre os profissionais de saúde. Conclusões: as dimensões de exaustão emocional e despersonalização, enfrentamento centrado na evitação, ser médico e consumir tabaco diariamente aumentam o risco de se constituir um caso psiquiátrico. A prática de exercício físico diário é um fator de proteção.

Objectives: to evaluate the influence of burnout and coping strategies used by health professionals of the hospital emergency service on their mental health status and to determine sociodemographic and labor characteristics. Method: descriptive cross-sectional study in a sample of 235 nursing professionals and physicians who worked in four hospital emergency services. The Maslach Burnout Inventory, the General Health Questionnaire and the Inventario Breve de Afrontamiento-cope 28 were used as data collection instruments and specific and original questionnaires of sociodemographic and labor variables. Descriptive, quantitative and multivariate statistics were applied. Results: the dimension of depersonalization, avoidance-centered coping and being a physician were related to the presence of somatic symptoms, anxiety, social dysfunction and depression. Increased professional experience was associated with greater social dysfunction among health personnel and increased number of patients was related to depressive symptoms among health professionals. Conclusions: the dimensions of emotional exhaustion and depersonalization, avoidance-centered coping, being a physician and a daily smoker increase the risk of a psychiatric case. The practice of daily physical exercise is a protective factor.

Objetivos: evaluar la influencia que ejerce el burnout y las estrategias de afrontamiento empleadas por el personal sanitario del servicio de urgencias hospitalario sobre el estado de salud mental y determinar las características sociodemográficas y laborales relacionadas. Método: estudio descriptivo transversal en una muestra de 235 profesionales de enfermería y medicina que trabajaban en cuatro servicios de urgencias hospitalarios. Como instrumentos de recogida de datos se utilizaron cuestionarios originales y específicos de variables sociodemográficas y laborales, el Maslach Burnout Inventory, el General Health Questionnaire y el Inventario breve de afrontamiento-COPE 28. Se aplicó estadística descriptiva, inferencial y multivariante. Resultados: la dimensión de despersonalización, el afrontamiento centrado en la evitación y ser médico estuvieron relacionados con la presencia de síntomas somáticos, de ansiedad, disfunción social y depresión. El aumento de la experiencia profesional estuvo asociado a una mayor disfunción social del personal sanitario y el incremento del número de pacientes se relacionó con la sintomatología depresiva entre los profesionales sanitarios. Conclusiones: las dimensiones de agotamiento emocional y despersonalización, el afrontamiento centrado en la evitación, ser médico y consumir tabaco diariamente incrementan el riesgo de constituir un caso psiquiátrico. La práctica de ejercicio físico diario constituye un factor protector.

Burnout in anesthesiology / Burnout em anestesiologia

Abstract Background and objectives Burnout is a chronic condition caused by high levels of stress and anesthesiology is a stressful medical specialty with more vulnerability to burnout. The aim of this study is to review the characteristics and impact of burnout in anesthesiology. Contents In this review, the stressors and risk factors, manifestations, assessment, complications, management and prevention of burnout as well as the inconsistent research found in the state-of-art are approached. Conclusions Anesthesiologists are in a high-risk group to develop burnout, with different manifestations and consequences such as suicide or medical errors. Although there is no specific treatment yet, there are a lot of helpful measures to cope this condition. Prevention is considered an important step in order to reduce the prevalence of burnout.

Resumo Justificativa e objetivos Burnout é uma condição crônica de esgotamento causada por níveis altos de estresse e a anestesiologia é uma especialidade médica estressante com maior vulnerabilidade ao burnout. O objetivo deste estudo foi revisar as características e o impacto do burnout em anestesiologia. Conteúdo Nesta revisão, são abordados os estressores e fatores de risco, manifestações, avaliação, complicações, manejo e prevenção do burnout, bem como as pesquisas inconsistentes encontradas no estado da arte. Conclusões Os anestesiologistas estão em um grupo de alto risco para desenvolver burnout, com diferentes manifestações e consequências, como suicídio ou erros médicos. Embora ainda não haja tratamento específico, existem muitas medidas úteis para lidar com essa condição. A prevenção é considerada um passo importante para reduzir a prevalência de burnout.

Prevalence of burnout syndrome among anesthesiologists in the Federal District / Prevalência de síndrome de burnout entre os anestesiologistas do Distrito Federal / Prevalencia del síndrome de burnout entre los anestesistas del Distrito Federal

BACKGROUND: Burnout syndrome is a result of chronic stress, characterized by emotional exhaustion, depersonalization, and a sense of low professional accomplishment. It affects workers under extreme responsibility or those who care for individuals at risk, including anesthesiologists who distanced themselves from the work, patients and colleagues because they feel safer in maintaining indifference. OBJECTIVE: To evaluate the prevalence of burnout syndrome and the intensity of its components and identify the characteristics of those with the syndrome among anesthesiologists in the Federal District. METHOD: A cross-sectional study was carried out with 241 anesthesiologists enrolled in the Society of Anesthesiology of the Federal District. A self-administered questionnaire was used, which included the Maslach Burnout Inventory, demographic, professional, and leisure data. RESULTS: Of the 134 completed questionnaires (55.8%), there was a predominance of male (65.6%), aged 30-50 years (67.9%). Significant lower levels of job satisfaction (47.7%), depersonalization (28.3%), and emotional exhaustion (23.1%) were found. Burnout syndrome showed a prevalence of 10.4%, occurring mainly in men (64.2%), aged 30-50 years (64.2%), with over 10 years of experience (64.2%), working in night shifts (71.4%), sedentary (57.1%), and not taking courses unrelated to medicine (78.5%). Of the participants, 50.7% had at least one of the three criteria to develop the syndrome and only 8.2% have a low risk to manifest it. CONCLUSION: The prevalence of burnout is relevant among anesthesiologists in the Federal District. It is advisable to seek strategies for labor restructuring to reduce stress factors and loss of motivation and increase job satisfaction. .

JUSTIFICATIVA: a síndrome de burnout (queimar até a exaustão), consequência do estresse crônico, caracteriza-se por exaustão emocional, despersonalização e sentimento de baixa realização profissional. Acomete trabalhadores sob extrema responsabilidade ou que assistem indivíduos sob risco, incluindo anestesiologistas. Podem apresentar distanciamento em relação ao trabalho, pacientes e colegas, por sentirem-se mais seguros ao manter a indiferença. OBJETIVO: avaliar a prevalência da síndrome do esgotamento profissional, a intensidade de seus componentes e identificar características dos seus portadores entre anestesiologistas do Distrito Federal. MÉTODO: estudo transversal, com 241 anestesiologistas inscritos na Sociedade de Anestesiologia do Distrito Federal. Usou-se questionário autoaplicável que incluiu o Inventário de Burnout de Maslach, dados sociodemográficos, profissionais e de lazer. RESULTADOS: dos 134 questionários respondidos (55,8%), foram predominantes os preenchidos por homens (65,6%), com faixa de 30 a 50 anos (67,9%). Foram encontrados níveis significativos de baixa realização profissional (47,7%), despersonalização (28,3%) e exaustão emocional (23,1%). A síndrome de burnout apresentou prevalência de 10,4%, ocorreu principalmente em homens (64,2%), na faixa de 30 a 50 anos (64,2%), com mais de dez anos de profissão (64,2%), com atuação em plantões noturnos (71,4%), sedentários (57,1%) e que não fazem cursos não relacionados à medicina (78,5%). Dos participantes, 50,7% apresentaram pelo menos um de três critérios para desenvolver a síndrome e apenas 8,2% têm baixo risco para sua manifestação. CONCLUSÃO: a prevalência da síndrome de burnout é relevante entre os anestesiologistas do Distrito Federal. É aconselhável buscar estratégias de reorganização laboral para diminuir fatores de estresse e perda da motivação e aumentar a satisfação no emprego. .

JUSTIFICACIÓN: El síndrome de burnout (quemarse hasta la saciedad), consecuencia del estrés crónico, se caracteriza por agotamiento emocional, despersonalización y sentimiento de baja satisfacción profesional. Afecta a trabajadores bajo extrema responsabilidad o que ayudan a individuos que están en situación de riesgo, incluyendo a los anestesistas. Pueden presentar un distanciamiento con relación al trabajo, pacientes y colegas, al sentirse más seguros con el mantenimiento de la indiferencia. OBJETIVO: Evaluar la prevalencia del síndrome del burnout, la intensidad de sus componentes e identificar las características de sus portadores entre los anestesistas del Distrito Federal. MÉTODO: Estudio transversal, con 241 anestesistas registrados en la Sociedad de Anestesiología del Distrito Federal. Usamos un cuestionario autoadministrado que incluyó el Inventario de Burnout de Maslach, datos sociodemográficos, profesionales y de ocio. RESULTADOS D: e los 134 cuestionarios respondidos (55,8%) predominaron los que fueron rellenados por hombres (65,6%), con una franja etaria de 30-50 años (67,9%). Fueron encontrados niveles significativos de baja satisfacción profesional (47,7%), despersonalización (28,3%) y agotamiento emocional (23,1%). El síndrome de burnout presentó una prevalencia de un 10,4%, ocurrió principalmente en los hombres (64,2%), en la franja etaria de 30-50 años (64,2%), con más de 10 años de profesión (64,2%), que trabajaban haciendo guardias nocturnas (71,4%), sedentarios (57,1%) y que no hacen cursos no relacionados con la medicina (78,5%). De los participantes, un 50,7% tuvieron por lo menos uno de los 3 criterios existentes para desarrollar el síndrome y solamente un 8,2% presentó un bajo riesgo para su manifestación. CONCLUSIÓN: La prevalencia del síndrome de burnout es relevante entre los anestesistas del Distrito Federal. Se aconseja buscar estrategias de reorganización laboral para disminuir los factores de estrés y ...

Síndrome de Burnout en el personal de enfermería del servicio de Terapia Polivalente Hospital Saturnino Lora / Burnout syndrome in the nursing personnel of the Polyvalent Therapy Service of "Saturnino Lora" Hospital

Objetivo: medir el grado de estrés laboral a que está sometido el personal de enfermería que labora en el servicio de Terapia Polivalente del Hospital Provincial Docente Saturnino Lora de la provincia Santiago de Cuba. Métodos: se realizó un estudio descriptivo de corte transversal en el servicio de Terapia Polivalente del Hospital Provincial Docente Saturnino Lora, provincia Santiago de Cuba, en el período de febrero a marzo de 2006. De un universo de 62 enfermeros se tomaron como muestra los 59 que se encontraban laborando en el momento de la recogida de la información, se les pidió su disposición para participar en la investigación, y se les aplicó una encuesta de satisfacción laboral propuesta por Maslach (1982), además de un instrumento diseñado por los autores, el cual fue validado, que recoge consideraciones generales y profesionales sobre aspectos que pudieran influir en el Burnout. Se utilizó como medida de resumen el porcentaje, se procesaron los datos en tablas de doble entrada. Resultados: en este estudio predominó el sexo femenino, el mayor grupo de edades estuvo comprendido de 31 a 35 años, la mayoría están casadas y el predominio de los hijos está entre 1 y 2. El mayor por ciento está realizado en su trabajo y sienten el reconocimiento de sus directivos por la labor que realizan. No se encontraron diferencias notables en los que consideran que el horario de trabajo influye en el estrés, sólo 5,1 por ciento desearía laborar en otros servicios y en su gran mayoría han laborado en otros servicio, quedando demostrado en esta investigación que el personal que labora en estos momentos en este servicio no está afectado con el síndrome de Burnout. Conclusiones: al hacer la medición a través de la interpretación de los niveles de estrés de la escala de Maslach el nivel alto se hace más significativo en el personal que lleva más de 11 años laborando en el servicio lo que nos alerta a mantener un control sobre los aspectos que infieren en el estrés y el Burnout, por lo que dejamos recomendaciones a los directivos del servicio(AU)

Objetive: to measure the degree of occupational stress to which the nursing personnel working at the Polyvalent Therapy Service of "Saturnino Lora" Hospital of Santiago de Cuba is subjected. Methods: a descriptive cross-sectional study was undertaken at the Polyvalent Therapy Service of "Saturnino Lora" Hospital in the province of Santiago de Cuba, from February to March, 2006. Of a group of 62 nurses, the 59 that were working at the moment of collecting the information were taken as a sample. They gave their consent to take part in the research and they were applied a survey of working satisfaction proposed by Maslach (1982) and an instrument designed by the authors, which was validated and included general and professional considerations on some aspects that may influence on the Burnout. Percentage was used as an outcome measure. The data were processed in doble- entry tables. Results: females prevailed in this study. The oldest group was 31-35. Most of them were married and they had one or two children. The highest per cent was satisfied with their jobs and they felt the recognition of their chiefs for their work. No marked differences were found among those who considered that the working hours influenced on stress. Only 5.1 percent would wish to work in other services, and most of them had done it. It was proved that the personnel working in this service at that moment was not affected by the Burnout syndrome. Conclusions: on measuring by interpreting the levels of stress of Maslach's scale, the high level was more significant in the personnel that had been working for more than 11 years in this service, which made us maintain the control of the aspects influencing on stress and on the Burnout and give some recommendations to the heads of the service(AU)