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[人类服务专业人员的职业倦怠综合征——医生、护士、护理人员、教师和职员(1)。马氏职业倦怠量表:人类服务专业人员样本的因素结构及其与zung自评抑郁量表(SDS)的关系]

[Burnout syndrome of human services professionals--doctors, nurses, caregivers, teachers and clerks (1). Maslach Burnout Inventory: factor structures for samples of human services professionals, and its relation with Zung's Self-rating Depression Scale (SDS)].

作者信息

Masuko E, Yamagishi M, Kishi R, Miyake H

机构信息

Department of Public Health, Sapporo Medical College.

出版信息

Sangyo Igaku. 1989 Jul;31(4):203-15. doi: 10.1539/joh1959.31.203.

DOI:10.1539/joh1959.31.203
PMID:2585803
Abstract

During the past decade, burnout syndrome has been widely discussed not only in the USA but also in Japan. To evaluate the state of "burnout," two major scales are available: the first is the Maslach Burnout Inventory (MBI) developed by C. Maslach and the other is the burnout scale by A. Pines. MBI is suggested to be independent of and incompatible with Pines' burnout scale, but, Pines' burnout scale is predominantly used in Japan, while both are used in the USA. Since hardly any studies of burnout using MBI have been made in Japan, we measured and analyzed MBI to evaluate the burnout state of doctors, nurses, caregivers, teachers and clerks who are engaged in "human services professions." The available data were subjected to factor analysis, reliability analysis and multiple regression analysis using Zung's Self-rating Depression Scale (SDS). The following results were obtained. 1) The factor analysis showed that the factor loading pattern was similar to that of Maslach's, but two different factors were emerged in addition to the standard factors in the intensity subscale. 2) In the relationship with the state of depression, burnout is closely related to depression but simultaneously has its own factors. This suggest that burnout is not a subtype of the depressive state.

摘要

在过去十年中,职业倦怠综合征不仅在美国,而且在日本都得到了广泛讨论。为了评估“职业倦怠”的状态,有两种主要量表:第一种是由C. 马斯拉赫编制的马斯拉赫职业倦怠量表(MBI),另一种是A. 派恩斯编制的职业倦怠量表。有人认为MBI与派恩斯的职业倦怠量表相互独立且不兼容,但派恩斯的职业倦怠量表在日本使用得更为普遍,而在美国则两种量表都有人使用。由于在日本几乎没有使用MBI进行职业倦怠研究,我们测量并分析了MBI,以评估从事“人类服务职业”的医生、护士、护理人员、教师和职员的职业倦怠状态。利用宗氏自评抑郁量表(SDS)对现有数据进行了因子分析、信度分析和多元回归分析。得到了以下结果。1)因子分析表明,因子载荷模式与马斯拉赫的相似,但在强度子量表的标准因子之外还出现了两个不同的因子。2)在与抑郁状态的关系中,职业倦怠与抑郁密切相关,但同时也有其自身的因素。这表明职业倦怠不是抑郁状态的一种亚型。

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