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[一项住院多模式精神心理治疗方案治疗职业倦怠的有效性]

[Effectiveness of an inpatient multimodal psychiatric-psychotherapeutic program for the treatment of job burnout].

作者信息

Schwarzkopf Kathleen, Conrad Nathalie, Straus Doris, Porschke Hildburg, von Känel Roland

机构信息

1 Universitätsklinik für Neurologie, Inselspital Bern.

2 ZHAW Zürcher Hochschule für angewandte Wissenschaften, Zürich.

出版信息

Praxis (Bern 1994). 2016 Mar 16;105(6):315-21. doi: 10.1024/1661-8157/a002301.

DOI:10.1024/1661-8157/a002301
PMID:26980682
Abstract

We studied the clinical course and long-term effects of inpatient treatment in 723 patients with job burnout referred with an ICD-10 F diagnosis and Z73.0 code («overwhelming exhaustion») to a Swiss hospital specialized in the treatment of job stress-related disorders. Patients were characterized in terms of age, gender, socioeconomic status. Self-rated psychological measures related to general and burnout-specific symptoms (i. e., emotional exhaustion, depersonalization, and diminished personal accomplishments) were applied before and after a six-week treatment program, as well as at 15 months after hospital discharge in 232 patients. The results show that the multimodal inpatient psychiatric-psychotherapeutic treatment was successful with a sustainable effect on psychological well-being (>90 %), including improvements regarding emotional exhaustion, depersonalization and personal accomplishments as well as professional reintegration in 71 % of cases.

摘要

我们研究了723名被诊断为ICD - 10 F且编码为Z73.0(“极度疲惫”)的职业倦怠患者在一家专门治疗与工作压力相关疾病的瑞士医院接受住院治疗的临床过程和长期效果。患者的特征包括年龄、性别、社会经济地位。在为期六周的治疗方案前后,以及232名患者出院15个月后,采用了与一般症状和职业倦怠特定症状相关的自评心理测量方法(即情感耗竭、去个性化和个人成就感降低)。结果表明,多模式住院精神心理治疗取得了成功,对心理健康产生了可持续的影响(>90%),包括情感耗竭、去个性化和个人成就感方面的改善,以及71%的病例实现了职业重新融入。

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