Department of Occupational Health, Cambridge University Hospitals NHS Trust, Cambridge, UK.
Guy's and St. Thomas' Occupational Health Service, Lambeth, London.
Occup Med (Lond). 2019 Feb 7;69(1):9-21. doi: 10.1093/occmed/kqz004.
Burnout is a pervasive health condition affecting many doctors at various stages in their careers. Characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment it can result in significant personal and professional consequences putting patient care at risk. Emotion regulation describes a capacity to self-modulate emotions to achieve desirable emotional outcomes. Emotional intelligence theory suggests that emotion regulation skills facilitate the maintenance of appropriate emotions, reducing or adapting undesirable emotions in oneself and others. Emotion regulation is usually automatic but can be controlled through learnt strategies. There is evidence that occupationally stressed individuals are less capable of down-regulating negative emotions. This paper systematically reviews studies of the role of emotion regulation in burnout in doctors.
To examine the relationship between emotion regulation and burnout among doctors.
Four online databases (Psych Info 1833-2017, Medline 1928-2017, Scopus 1960-2017 and Embase 1974-2017) were searched in August 2017. Searches returned 15 539 citations, which after de-duplication yielded 12 295 citations. After title and abstracts screening 12 273 citations were excluded. Twenty-two full text articles were read and eight excluded for ineligibility. Following data extraction, bias and methodological quality assessment, findings were synthesized using descriptive analysis and presented according to relevant themes.
A correlative relationship was observed between emotion regulation and burnout in doctors. Findings also indicated that-using self-regulatory or taught emotion regulation skills or interventions such as mindfulness were associated with a reduction in burnout.
Emotion regulation is an important psychological variable associated with burnout.
burnout 是一种普遍存在的健康状况,影响着许多医生在职业生涯的各个阶段。其特征是情绪耗竭、去人性化和成就感降低,可能导致严重的个人和职业后果,使患者护理面临风险。情绪调节描述了自我调节情绪以实现理想情绪结果的能力。情绪智力理论表明,情绪调节技能有助于维持适当的情绪,减少或适应自己和他人的不良情绪。情绪调节通常是自动的,但可以通过学习策略来控制。有证据表明,职业压力大的人在调节负面情绪方面的能力较弱。本文系统地回顾了情绪调节在医生 burnout 中的作用的研究。
研究情绪调节与医生 burnout 之间的关系。
2017 年 8 月,我们在四个在线数据库(Psych Info 1833-2017、Medline 1928-2017、Scopus 1960-2017 和 Embase 1974-2017)中进行了检索。检索返回了 15539 条引文,去重后得到 12295 条引文。经过标题和摘要筛选后,排除了 12273 条引文。阅读了 22 篇全文文章,并排除了 8 篇不符合条件的文章。在提取数据、评估偏倚和方法学质量后,使用描述性分析综合研究结果,并根据相关主题进行呈现。
在医生中观察到情绪调节与 burnout 之间存在相关性。研究结果还表明,使用自我调节或教授的情绪调节技能或干预措施,如正念,与 burnout 的减少有关。
情绪调节是与 burnout 相关的一个重要心理变量。