Depression, Burnout and Effort-Reward Imbalance among Psychiatrists

Braun, M.; Schönfeldt‐Lecuona, Carlos; Freudenmann, Roland W.; Mehta, Tara; Hay, Birgit; Kächele, H; Beschoner, Petra

doi:10.1159/000319531

Cited by 20 publications

(12 citation statements)

References 15 publications

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“…High levels of distress have been reported by about 25 % of all psychiatrists in the UK, who score above the threshold for vulnerability to psychiatric morbidity [16]. In a German survey of psychiatrists, 44.6 % indicated that they had already suffered from a depressive episode [5].…”

Section: Stress and Burnout In Mental Health Workersmentioning

confidence: 99%

Stress, burnout, and job dissatisfaction in mental health workers

Rössler

2012

Eur Arch Psychiatry Clin Neurosci

192

137

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As the industrial world has transformed toward a service economy, a particular interest has developed in mental health problems at the workplace. The risk for burnout is significantly increased in certain occupations, notably for health care workers. Beyond the effects of an extensive workload, many working hours, or long night shifts, the medical field has specific stressors. Physicians work in emotionally demanding environments with patients, families, or other medical staff. They must make quick decisions while faced with a quite frequent information overload. All of these stressors have to be weighed against a rapidly changing organizational context within medicine. Today, economics objectives have priority over medical values in health care. In principal, mental health workers should experience similar work stressors and the same contextual factors as health professionals from other medical disciplines. However, several studies have identified stressors that are unique to the psychiatric profession. These challenges range from the stigma of this profession, to particularly demanding relationships with patients and difficult interactions with other mental health professionals as part of multidisciplinary teams to personal threats from violent patients. Other sources of stress are a lack of positive feedback, low pay, and a poor work environment. Finally, patient suicide is a major stressor, upon which a majority of mental health workers report post-traumatic stress symptoms.

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Section: Stress and Burnout In Mental Health Workersmentioning

confidence: 99%

Stress, burnout, and job dissatisfaction in mental health workers

Rössler

2012

Eur Arch Psychiatry Clin Neurosci

192

137

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“…In the present study, 23.9% psychiatrists had ERR scores above 1 (ERR > 1), with a mean (SD) of 0.777 (0.493), which is higher than the 0.66 (0.34) of Chinese healthcare providers (physicians and nurses) [ 49 ], that of Chinese workers with coronary heart disease [ 29 ], and that of Chinese physicians [ 30 ], and is higher than the 19.3% found in German psychiatrists [ 50 ]. These implied that Chinese psychiatrists were experiencing high level of occupational stress.…”

Section: Discussionmentioning

confidence: 99%

Factors related to health-related quality of life among Chinese psychiatrists: occupational stress and psychological capital

Liu

Wang

Zhao

2015

BMC Health Serv Res

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BackgroundPsychiatry has been considered as one of the most stressful medical specialities, and psychiatrists are likely to experience impaired health-related quality of life (HRQOL). However, few studies are available in regard to related factors of HRQOL among psychiatrists in China. This study aims to evaluate the condition of HRQOL of psychiatrists and explore its predictive factors, especially the effects of occupational stress and psychological capital.MethodsA cross-sectional, multicenter survey was conducted among psychiatrists from different regions of Liaoning province, China, during August 2013-April 2014. Self-administrated questionnaires including the 36-item Short-Form Health Survey (SF-36), the Chinese version Psychological Capital Questionnaire, effort-reward-imbalance (ERI) scale and participants’ basic characteristics were distributed to 500 psychiatrists from 10 psychiatric hospitals of 8 major cities in Liaoning province. Overall, 373 psychiatrists became our final research objects. Hierarchical multiple regression analysis (HMR) was performed to explore the predictors of psychiatrists’ HRQOL.ResultsThe mean (SD) scores of PCS and MCS among psychiatrists were 79.78 (16.55) and 71.50 (19.24) respectively. The mean (SD) of ERR were 0.777 (0.493), and 89 (23.9%) had ERR scores above 1 (ERR > 1). Hierarchical multiple regression analysis showed that, psychiatrists’ basic characteristics that significant correlated with PCS and MCS were educational level, turnover intention, and exercise; age, weekly working hours were associated with MCS; psychiatrists’ experienced occupational stress (both ERR and overcommitment), and PsyCap were significant predictors for PCS and MCS.ConclusionsChinese psychiatrists experienced relatively good physical QOL but impaired mental QOL, and they experienced high level of occupational stress. For the sake of psychiatrists’ HRQOL, the reduction of occupational stress should be implemented. The enhancement of PsyCap could be a new intervention strategy and should be paid attention to in improving HRQOL of psychiatrists. Proportionate occupational reward (money, esteem, career opportunities) to their high work demands, psychological counseling, and stress management courses should be provided to psychiatrists to improve their QOL. PsyCap, as a personal coping resource open to change, should be managed and developed among psychiatrists.

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“…These emotions, if not adequately managed, may interfere with personal well‐being of professionals (Braun et al . ) and with the outcome of the medical profession, in terms of negative feelings towards patients (Holmqvist & Jeanneau ), increased turnover (Gupta et al . ), absenteism at work (Gil‐Monte ) and a lower quality of provided care (Adams et al .…”

Section: Introductionmentioning

confidence: 99%

Risk of burnout among early career mental health professionals

Volpe

Luciano

Palumbo

et al. 2014

Psychiatric Ment Health Nurs

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Burnout is a stress-related syndrome that often affects mental health professionals (MHPs) and may have serious consequences on personal well-being as well as on the quality of provided psychiatric care. Established literature shows a high risk to develop burnout among MHPs. Few data are available on the incidence and on the clinical implications of the burnout syndrome in the early phases of MHP professional career. We confirmed the presence of burnout among early career MHPs: early career psychiatrists showed a lower sense of personal accomplishment, while non-medical MHPs tended to have more depersonalization and suffered from higher levels of depression. Specific programmes to identify the presence of the burnout syndrome and to cope with it should be taught within mental health training curricula. Burnout is a stress-related syndrome that often affects professionals working in emotionally loaded and highly interpersonal environments. Mental health professionals (MHPs) are long known to be at high risk to develop the burnout syndrome, but this has rarely been investigated in professionals in an early phase of career. The aim of the present study was to evaluate the presence of the burnout syndrome and of depressive symptoms among early career psychiatrists and 'non-medical' MHPs. One hundred MHPs (including 50 psychiatrists and 50 non-medical MHPs) were screened for the presence of burnout and depression, with the Maslach Burnout Inventory and the Beck Depression Inventory - revised, respectively. The relationships of burnout with socio-demographical and professional characteristics were also explored. We confirmed the presence of burnout among both groups of early career MHPs, but psychiatrists had a significantly higher degree of emotional exhaustion and a lower sense of personal accomplishment, while non-medical MHPs adopted more frequently depersonalization as a coping strategy and had higher scores for depression, which is associated with higher level of burnout. The risk of developing burnout should be properly addressed in training curricula and strategies to overcome it should be systematically taught, in order to promote personal well-being and efficient team work in mental health settings.

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Depression, Burnout and Effort-Reward Imbalance among Psychiatrists

Cited by 20 publications

References 15 publications

Stress, burnout, and job dissatisfaction in mental health workers

Stress, burnout, and job dissatisfaction in mental health workers

Factors related to health-related quality of life among Chinese psychiatrists: occupational stress and psychological capital

Risk of burnout among early career mental health professionals

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