Tomei G, Cinti Maria Elena, Palitti Tania, Rosati Maria Valeria, Tria Marina, Monti C, Tomei F, Fioravanti M
Dipartimento di Scienze Psichiatriche e Medicina Psicologica, Sapienza Università di Roma.
Med Lav. 2008 Sep-Oct;99(5):327-51.
According to scientific literature, burnout can be described as a multi-dimensional syndrome with three fundamental dimensions: emotional exhaustion, depersonalization and reduced personal accomplishment.
Since attention for this phenomenon is increasing, with a large number of articles published in scientific journals in recent years, we set out to evaluate the scientific evidence on this topic by applying the meta-analytical method.
All comparative studies performed on burnout were identified and examined in order to compute the Effect Size of the results. Forty studies complied with the inclusion criteria of this analysis for a total of 2,031 burnout cases versus 1,950 controls.
Our results revealed a significant disparity in the methods of selecting subjects with burnout. This problem emphasizes the lack of a standardized definition of burnout as a univocal clinical entity and, consequently, the lack of a unanimously agreed procedure for the identification of patients to be included in this diagnostic category.
The wide heterogeneity between studies thus considerably reduces the possibility of comparing them and generalizing the results.
根据科学文献,职业倦怠可被描述为一种具有三个基本维度的多维度综合征:情感耗竭、去个性化和个人成就感降低。
鉴于近年来科学期刊上发表了大量关于这一现象的文章,人们对该现象的关注度不断提高,我们着手通过应用荟萃分析方法来评估关于这一主题的科学证据。
识别并检查所有针对职业倦怠进行的比较研究,以便计算结果的效应量。40项研究符合该分析的纳入标准,共有2031例职业倦怠病例和1950例对照。
我们的结果显示,在选择职业倦怠受试者的方法上存在显著差异。这个问题凸显了作为一个明确临床实体的职业倦怠缺乏标准化定义,因此也缺乏一个一致认可的程序来识别应纳入这一诊断类别的患者。
研究之间广泛的异质性极大地降低了比较它们并推广结果的可能性。