[Burnout in Tunisian medical residents: About 149 cases].

Journal: L'Encephale

Volume: 44

Issue: 4

Year of Publication: 2019

Affiliated Institutions:  Service de psychiatrie C, hôpital Razi, cité des Orangers, La Manouba, Tunisie. Electronic address: asma_benzid@hotmail.fr. Service de psychiatrie C, hôpital Razi, cité des Orangers, La Manouba, Tunisie.

Abstract summary 

Burnout is a professional psychological chronic stress-induced syndrome defined by three dimensions: emotional exhaustion, depersonalization, and low personal accomplishment. This syndrome concerns all professions but especially healthcare staff. Numerous studies have attempted to document the impact of work activities on the doctor's mental health. According to the literature, junior doctors are more vulnerable to develop this syndrome.Are to determine the prevalence of severe burnout among residents of different specialties: anesthesiology, general surgery, emergency medicine, psychiatry, basic sciences. The secondary end points are to analyze risk factors, causes and consequences associated with burnout.A cross-sectional study conducted among medical residents working in hospitals located in the governorates of Tunis. Three instruments were used: an anonymous self-administered questionnaire, Maslach Burnout Inventory (MBI) to assess burnout, and Abstract Beck Depression Inventory to evaluate the intensity of depression. Severe burnout was defined as a severely high level of both emotional exhaustion and depersonalization associated with a severely low level of personal accomplishment.A total of 149 participants (response rate=76.8%) participated in the survey. Among participants, 17.14% (n=26) had a severe burnout. The emergency medicine residents had the highest rate of emotional exhaustion and depersonalization and severe depression. Overall, resident respondents, 31% (n=46), had moderate to severe depression. Among stress factors, those significantly correlated to burnout were: lack of hobbies (P<0.001), bad job conditions (P=0.031), poor conditions of the workplace (P=0.046), relationship problems in workplace (P=0.01), work-family conflicts (P<0.001). The consequences of occupational stress associated with burnout were: Antecedents of specialty change (P=0.017) and desire for a specialty change (P<0.001). A significant correlation between depression and severe burnout was not found.Medical residents in all specialties are at risk of burnout. Nevertheless, this study revealed that some specialties are more exhausting, which is consistent with the results reported in the literature. Moreover, it is shown that several stress factors as well as many consequences are related to severe burnout, which is in agreement with numerous studies. However, results between different studies are disparate.

Authors & Co-authors:  Ben Zid A A Homri W W Ben Romdhane I I Bram N N Labbane R R

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.encep.2017.06.006
SSN : 0013-7006
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Burnout;Depression;Doctors;Dépression;MBI;Médecins;Syndrome d’épuisement professionnel
Study Design
Cross Sectional Study
Study Approach
Country of Study
Tunisia
Publication Country
France