a Department of Pulmonology , Medical Center Leeuwarden , Leeuwarden , The Netherlands.
b Department of Orthopedic Surgery and Traumatology , Isala Hospital , Zwolle , The Netherlands.
Med Teach. 2019 May;41(5):584-590. doi: 10.1080/0142159X.2018.1514459. Epub 2018 Nov 3.
To examine the associations between residents' personality traits, type of specialty, and symptoms of burnout. A cross-sectional online survey among Dutch residents was conducted (see Supplementary Material ). The 20-item Dutch translation of the Maslach Burnout Inventory was used to ascertain burnout. Personality traits were assessed with the 44-item Dutch Big Five Inventory. Logistic regression analyses, including all five personality traits, were used to assess associations with burnout. Analyses were stratified by specialties. One thousand two hundred thirty one residents participated, 185 (15.0%) of whom met the criteria for burnout. Neuroticism was significantly associated with resident burnout in all specialties, more strongly in supportive (odds ratio (OR) 6.19, 95% CI 2.12-18.12) and surgical (OR 4.37, 95% CI 1.76-10.86) than in medical residents (OR 1.99, 95% CI 1.22-3.24). Extraversion was significantly associated with less burnout in surgical residents (OR 0.26, 95% CI 0.13-0.58). These findings remained highly significant after controlling for gender, overtime, autonomy at work, satisfaction between work and private life, and the perceived quality of the learning environment. Burnout risk was associated with personality traits in residents. Consistently, residents scoring high on neuroticism reported more burnout. Extraverted surgical residents were less susceptible to burnout. Residents scoring high on neuroticism may require more intense monitoring during their training years.
探讨住院医师人格特质、专业类型与 burnout 症状之间的关系。方法：采用横断面在线调查方式，对荷兰住院医师进行研究（详见补充材料）。采用 Maslach 倦怠量表的 20 项荷兰语翻译版来确定 burnout 症状。采用 44 项荷兰语大五人格量表评估人格特质。采用包含所有 5 项人格特质的 logistic 回归分析来评估与 burnout 相关的关联。按专业类型进行分层分析。结果：共有 1231 名住院医师参与了研究，其中 185 名（15.0%）符合 burnout 标准。在所有专业类型中，神经质与住院医师 burnout 显著相关，在支持性专业（比值比（OR）6.19，95%置信区间（CI）2.12-18.12）和外科（OR 4.37，95% CI 1.76-10.86）中比在医学住院医师（OR 1.99，95% CI 1.22-3.24）中更为显著。外向性与外科住院医师 burnout 程度较低显著相关（OR 0.26，95% CI 0.13-0.58）。在校正性别、加班、工作自主性、工作与私人生活满意度以及学习环境质量后，这些发现仍然具有高度显著性。住院医师的 burnout 风险与人格特质相关。神经质得分较高的住院医师报告 burnout 症状更为严重。外向的外科住院医师不易发生 burnout。神经质得分较高的住院医师可能需要在培训期间进行更严格的监测。
