CESP/UMR-S1178, Equipe "Dépression et Antidépresseurs", Univ Paris-Sud, Faculté de Médecine, INSERM, 94270 Le Kremlin-Bicêtre, France; Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Hôpital Bicêtre, Hôpitaux Universitaires Paris Sud, Assistance Publique-Hôpitaux de Paris, 94275 Le Kremlin-Bicêtre, France; Dispositif Territorial de Recherche et de Formation (DTRF) Paris Sud, 94275 Le Kremlin-Bicêtre, France.
CESP/UMR-S1178, Equipe "Dépression et Antidépresseurs", Univ Paris-Sud, Faculté de Médecine, INSERM, 94270 Le Kremlin-Bicêtre, France; Dispositif Territorial de Recherche et de Formation (DTRF) Paris Sud, 94275 Le Kremlin-Bicêtre, France; Service Hospitalo-Universitaire de Psychiatrie de l'adulte et du sujet âgé, Hôpital Corentin-Celton, Hôpitaux Universitaires Paris Ouest, Assistance Publique-Hôpitaux de Paris, 92130 Issy-les-Moulineaux, France.
Psychiatry Res. 2020 Feb;284:112662. doi: 10.1016/j.psychres.2019.112662. Epub 2019 Oct 30.
To compare prevalence and risk factors for burnout, anxiety and depression among hospital psychiatrists and non-psychiatrists.
Regional online survey of psychiatric and non-psychiatric hospital physicians was performed including: a job-stress scale, the Hospital Anxiety and Depression Scale (HADS), the Copenhagen Burnout Inventory (CBI), a stressful work relationships list and a six items scale about work-related psychosocial risk factors (PRFs). The client-related burnout scale of the CBI has been changed to an interpersonal burnout scale. Cases were defined by a score of 8+ for the HADS-A/HADS-D and 50+ for the three CBI subscales.
285 psychiatrists and 326 non-psychiatrists participated. The prevalence of depression, personal burnout and work-related burnout did not differ between physicians. Anxiety was lower in psychiatrists and interpersonal burnout was higher in senior psychiatrists. Multivariate analysis showed two main PRFs, common to both groups of physicians: "work intensity and time" was associated with four of the five syndromes and "emotional demands" with the three burnout syndromes. Interpersonal burnout was associated with stressful relationships with leaders, but not with patients.
Reducing the workload, improving the management of emotions and increasing managerial skills are important approaches for prevention.
比较医院精神科医生和非精神科医生中 burnout、焦虑和抑郁的患病率和危险因素。
对精神科和非精神科医院医生进行区域性在线调查，包括：工作压力量表、医院焦虑和抑郁量表（HADS）、哥本哈根倦怠量表（CBI）、紧张工作关系清单和关于工作相关心理社会危险因素（PRFs）的六个项目量表。CBI 的与客户相关的倦怠量表已更改为人际倦怠量表。HADS-A/HADS-D 得分为 8+和 CBI 三个子量表得分为 50+的病例定义为病例。
285 名精神科医生和 326 名非精神科医生参与了调查。精神科医生和非精神科医生的抑郁、个人倦怠和与工作相关的倦怠患病率没有差异。焦虑在精神科医生中较低，而在资深精神科医生中人际倦怠较高。多变量分析显示了两组医生共有的两个主要 PRFs：“工作强度和时间”与五个综合征中的四个相关，“情绪需求”与三个倦怠综合征相关。人际倦怠与与领导的紧张关系有关，但与患者无关。
减轻工作量、改善情绪管理和提高管理技能是预防的重要方法。
