Rotstein Sarah, Hudaib Abdul-Rahman, Facey Adam, Kulkarni Jayashri
Psychiatry Registrar, Monash Alfred Psychiatry Research Centre, Melbourne, VIC, and; Monash University Central Clinical School, Melbourne, VIC, and; Alfred Health, Melbourne, VIC, Australia.
Research Medical Officer, Monash Alfred Psychiatry Research Centre, Melbourne, VIC, Australia.
Australas Psychiatry. 2019 Jun;27(3):249-254. doi: 10.1177/1039856219833800. Epub 2019 Mar 25.
Doctors are known to have poor mental health compared with the general population. Psychiatrists are exposed to a number of unique stressors that may increase the risk of poor mental health. The aim of this study was to undertake a meta-analysis of burnout rates in psychiatrists.
Electronic databases (including MEDLINE, PsycINFO and Embase) were searched. Only studies published since 1999 and using the 22-item Maslach Burnout Inventory were included in the analysis. A meta-analysis was conducted using the Comprehensive Meta-Analysis software.
A total of 11 studies, across nine publications, were included in the final analysis. Studies were significantly heterogenous but there was no indication of publication bias. The pooled mean for emotional exhaustion was 22.03 (95% confidence interval (CI): 19.71-24.34, tau = 3.74). For depersonalisation, the pooled mean was 7.41 (95% CI: 5.91-8.90, tau = 2.45). The pooled mean for personal accomplishment was 30.00 (95% CI: 24.75-35.27, tau = 8.87).
The high level of psychiatrist emotional exhaustion is a significant concern. Further research is needed to consider the role of modifiable risk factors in the aetiology of psychiatrist burnout.
众所周知，与普通人群相比，医生的心理健康状况较差。精神科医生面临一些独特的压力源，这可能会增加心理健康不佳的风险。本研究的目的是对精神科医生的倦怠率进行荟萃分析。
检索电子数据库（包括MEDLINE、PsycINFO和Embase）。分析仅纳入1999年以后发表且使用22项马氏倦怠量表的研究。使用综合荟萃分析软件进行荟萃分析。
最终分析纳入了来自9篇出版物的11项研究。研究存在显著异质性，但没有发表偏倚的迹象。情感耗竭的合并均值为22.03（95%置信区间（CI）：19.71 - 24.34，tau = 3.74）。去个性化的合并均值为7.41（95% CI：5.91 - 8.90，tau = 2.45）。个人成就感的合并均值为30.00（95% CI：24.75 - 35.27，tau = 8.87）。
精神科医生情感耗竭程度高是一个重大问题。需要进一步研究以考虑可改变的风险因素在精神科医生倦怠病因学中的作用。
