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[普通人群中自我报告的职业倦怠综合征诊断的患病率及共病情况]

[Prevalence and Comorbidity of Self-Reported Diagnosis of Burnout Syndrome in the General Population].

作者信息

Maske Ulrike E, Riedel-Heller Steffi G, Seiffert Ingeburg, Jacobi Frank, Hapke Ulfert

机构信息

Abt. Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin.

Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig.

出版信息

Psychiatr Prax. 2016 Jan;43(1):18-24. doi: 10.1055/s-0034-1387201. Epub 2014 Aug 26.

Abstract

OBJECTIVE

To determine the prevalence and comorbid mental disorders of self-reported diagnosis of burnout syndrome in the general population of Germany.

METHODS

In the German Health Interview and Examination Survey (DEGS1) self-reported diagnosis of a burnout syndrome made by a physician or psychotherapist was assessed in a standardized interview (N = 7987). For N = 4483 mental disorders were determined with the Composite International Diagnostic Interview (CIDI). Weighted lifetime and 12-month prevalences were calculated.

RESULTS

Lifetime prevalence of diagnosed burnout syndrome was 4.2 % (women 5.2 %, men 3.3 %), 12-month prevalence was 1.5 % (women 1.9 %, men 1.1 %). Highest prevalences were found in 40 - 59 year olds, in people with middle and high socio economic status and in women with low and men with high social support. Among the 12-month cases, 70.9 % had at least one DSM-IV disorder. Associations were found for the diagnosis of burnout syndrome with somatoform, affective and anxiety disorders.

CONCLUSION

The diagnosis of burnout syndrome is less frequently given and reported than expected. People with a burnout diagnosis often have a manifest mental disorder.

摘要

目的

确定德国普通人群中自我报告的职业倦怠综合征诊断的患病率及共病精神障碍。

方法

在德国健康访谈与检查调查(DEGS1)中,通过标准化访谈评估了医生或心理治疗师对职业倦怠综合征的自我报告诊断(N = 7987)。对于N = 4483,使用综合国际诊断访谈(CIDI)确定精神障碍。计算加权终生患病率和12个月患病率。

结果

确诊的职业倦怠综合征终生患病率为4.2%(女性5.2%,男性3.3%),12个月患病率为1.5%(女性1.9%,男性1.1%)。患病率最高的是40 - 59岁人群、社会经济地位中等和较高的人群以及社会支持低的女性和社会支持高的男性。在12个月的病例中,70.9%至少患有一种DSM-IV疾病。发现职业倦怠综合征诊断与躯体形式障碍、情感障碍和焦虑障碍有关。

结论

职业倦怠综合征的诊断比预期的给予和报告频率更低。被诊断为职业倦怠的人通常有明显的精神障碍。

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