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职业倦怠的预测因素:一项前瞻性社区研究的结果

Predictors of burnout: results from a prospective community study.

作者信息

Rössler Wulf, Hengartner Michael P, Ajdacic-Gross Vladeta, Angst Jules

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatics, University of Zurich, Militärstrasse 8, 8004, Zurich, Switzerland,

出版信息

Eur Arch Psychiatry Clin Neurosci. 2015 Feb;265(1):19-25. doi: 10.1007/s00406-014-0512-x. Epub 2014 Jun 14.

Abstract

The possible link between work strain and subsequent mental disorders has attracted public attention in many European countries. Burnout has become a favored concept within this context. Most burnout research has concentrated on various professional groups and less so on ordinary community samples. We analyzed the data collected from a 30-year community sample during seven measuring occasions, beginning in 1978. In the last assessment (2008), we included for the first time the Maslach Burnout Inventory (MBI). Making the diagnosis of a lifetime mental disorder a predictor for burnout required us to compile the cumulative prevalence rate over all seven occasions. We also evaluated various psycho-social predictors of burnout over the life cycle of our sample. Concurrent associations of the MBI with subscales from the SCL-90-R were also investigated. The relationship of burnout with several SCL-90-R subscales demonstrated that, in all dimensions, burnout is associated with significant psychopathology. Persons with a lifetime mood disorder, and especially those with a combination of mood and anxiety disorders, had a higher risk for subsequent burnout. Various partnership problems were another predictor for burnout. In conclusion, the role of mental disorder as an occupational illness remains controversial. Various forms of such disorders as well as some psycho-social predictors can predispose to burnout. By contrast, work-related predictors appear to be less important.

摘要

工作压力与后续精神障碍之间可能存在的联系在许多欧洲国家引起了公众关注。在这种背景下,职业倦怠已成为一个备受青睐的概念。大多数职业倦怠研究都集中在各个专业群体上,而对普通社区样本的研究较少。我们分析了从1978年开始的七次测量中收集的一个为期30年的社区样本数据。在最后一次评估(2008年)中,我们首次纳入了马氏职业倦怠量表(MBI)。将终生精神障碍的诊断作为职业倦怠的预测因素,这要求我们汇总所有七次测量的累积患病率。我们还评估了样本生命周期中职业倦怠的各种心理社会预测因素。同时还研究了MBI与症状自评量表(SCL-90-R)各分量表之间的相关性。职业倦怠与SCL-90-R几个分量表之间的关系表明,在所有维度上,职业倦怠都与明显的精神病理学相关。患有终生情绪障碍的人,尤其是那些同时患有情绪和焦虑障碍的人,后续发生职业倦怠的风险更高。各种伴侣关系问题是职业倦怠的另一个预测因素。总之,精神障碍作为一种职业病的作用仍存在争议。各种形式的此类障碍以及一些心理社会预测因素可能易引发职业倦怠。相比之下,与工作相关的预测因素似乎不那么重要。

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