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述情障碍对创伤性脑损伤患者亲属职业倦怠的影响。

The impact of alexithymia on burnout amongst relatives of people who suffer from traumatic brain injury.

作者信息

Katsifaraki Maria, Wood Rodger Ll

机构信息

Psychology Department, Swansea University , Swansea , UK.

出版信息

Brain Inj. 2014;28(11):1389-95. doi: 10.3109/02699052.2014.919538. Epub 2014 Jun 19.

Abstract

BACKGROUND

Although previous research has provided some indication of the association of alexithymia and burnout, this is the first study exploring the association of these two variables in a sample of relatives of individuals who have sustained traumatic brain injury (TBI).

OBJECTIVE

To explore the degree to which relatives experience burnout and the extent to which alexithymia acts as a pre-disposing factor, controlling for depression and coping strategies.

METHOD

Toronto Alexithymia Scale-20, Maslach Burnout Inventory-Human Services, Estonian COPE Dispositional Inventory and Beck Depression Inventory-II were completed by 60 relatives of patients with TBI drawn from a tertiary head injury clinic population.

RESULTS

Levels of emotional exhaustion, reduced personal accomplishment and depression were significantly higher in the sub-group of relatives with alexithymia than in the sub-group of relatives without alexithymia. Difficulty describing feelings and externally oriented thinking style were significant predictors of emotional exhaustion, while difficulty identifying feelings and difficulty describing feelings were important predictors of depersonalization.

CONCLUSIONS

Relatives who present with alexithymia need to be identified at an early stage to minimize risks of burnout leading to adverse effects on patient-caregiver relationships.

摘要

背景

尽管先前的研究已对述情障碍与职业倦怠的关联有所提示,但这是第一项在创伤性脑损伤(TBI)患者亲属样本中探究这两个变量之间关联的研究。

目的

探讨亲属经历职业倦怠的程度以及述情障碍作为一个易感因素的影响程度,同时控制抑郁和应对策略的影响。

方法

来自一家三级颅脑损伤诊所的60名TBI患者亲属完成了多伦多述情障碍量表-20、马氏职业倦怠量表-人类服务版、爱沙尼亚应对倾向量表和贝克抑郁量表-II。

结果

述情障碍亲属亚组的情感耗竭、个人成就感降低和抑郁水平显著高于无述情障碍亲属亚组。难以描述情感和外向型思维方式是情感耗竭的显著预测因素,而难以识别情感和难以描述情感是去人格化的重要预测因素。

结论

需要尽早识别出存在述情障碍的亲属,以将职业倦怠风险降至最低,避免对患者-照顾者关系产生不利影响。

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