He Yi, Pang Ying, Zhang Yening, Fielding Richard, Tang Lili
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Psycho-Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Centre for Psycho-oncology Research & Training, Division of Behavioral Sciences, School of Public Health, The University of Hong Kong, Hong Kong, China.
Psychooncology. 2017 Aug;26(8):1080-1086. doi: 10.1002/pon.4425. Epub 2017 Apr 26.
This study compared self-reported burnout between dual-role oncologists (oncologists who also do psychosocial work) and single-role oncologists, to explore if dual role is protective against or a risk factor for burnout.
Dual-role oncologists from across China (n = 131) were consecutively recruited via the Chinese Psychosocial Oncology Society and asked to identify single-role oncologist peers (n = 168) working in the same institution. Participants completed an anonymous online questionnaire, which included measures of demographic and work characteristics, Maslach Burnout Inventory-Human Services Survey, the Short Version Effort-Reward Inventory, the Job Demands-Resources (JD-R) Scales, and Work and Meaning Inventory. Fully adjusted multivariate analyses compared burnout scores for the 2 groups.
Group analysis revealed single-role participants' scores indicated significantly poorer performance than dual-role participants for depersonalization (DP), work-family conflict (JD-R demands scale), and decision authority (JD-R scale). Single-role participants showed an increased risk of DP. Higher effort-reward imbalance ratio predicted greater DP in single-, dual-role and pooled participants, and emotional exhaustion (EE) in pooled- and dual-role participants. Overcommitment was independently associated with EE in all 3 groupings, with JD-R scores among pooled- and dual-role groups, while higher decision authority scores were associated with decreased EE. Work and Meaning Inventory was associated with a decreased risk of DP among pooled and dual-role participants.
Differences in burnout-related DP scores between dual- and single-role oncologists are consistent with a protective effect from a psychosocial orientation in oncologists.
本研究比较了双重角色肿瘤学家（同时从事心理社会工作的肿瘤学家）和单一角色肿瘤学家自我报告的职业倦怠情况，以探讨双重角色是预防职业倦怠还是导致职业倦怠的危险因素。
通过中国心理肿瘤学会连续招募来自中国各地的双重角色肿瘤学家（n = 131），并要求他们确定在同一机构工作的单一角色肿瘤学家同行（n = 168）。参与者完成了一份匿名在线问卷，其中包括人口统计学和工作特征测量、马氏职业倦怠量表-人类服务调查、简短版努力-回报量表、工作要求-资源（JD-R）量表以及工作与意义量表。经过充分调整的多变量分析比较了两组的职业倦怠得分。
组间分析显示，单一角色参与者在去个性化（DP）、工作-家庭冲突（JD-R需求量表）和决策权（JD-R量表）方面的得分显著低于双重角色参与者。单一角色参与者出现DP的风险增加。更高的努力-回报失衡比率预示着单一角色、双重角色和合并参与者中DP程度更高，以及合并和双重角色参与者中情感耗竭（EE）程度更高。过度投入在所有三个分组中均与EE独立相关，在合并和双重角色组中与JD-R得分相关，而更高的决策权得分与EE降低相关。工作与意义量表与合并和双重角色参与者中DP风险降低相关。
双重角色和单一角色肿瘤学家在与职业倦怠相关的DP得分上的差异与肿瘤学家心理社会取向的保护作用一致。
