School of Psychiatry, University of New South Wales; and Black Dog Institute, Sydney, NSW, Australia.
J Nerv Ment Dis. 2020 Jun;208(6):452-458. doi: 10.1097/NMD.0000000000001155.
Burnout is generally defined as a triad of emotional exhaustion, lack of empathy, and reduced professional accomplishment constructs. We sought to determine in an exploratory, qualitative study whether these three constructs adequately represent burnout. Participants who self-identified as experiencing burnout completed a questionnaire that asked about their experiences of the condition. A qualitative thematic analysis was undertaken to determine the primary symptom constructs nominated by participants. The thematic analysis resulted in 12 symptom clusters or "themes" being identified as putative burnout features, with several of these themes overlapping with features identified in our independent quantitative analysis. Although we found emotional exhaustion, lack of empathy, and reduced professional accomplishment to be commonly nominated symptoms of burnout, the distinctive presence of several additional themes suggests that the burnout syndrome comprises a broader set of symptom constructs than those currently accepted as the defining features of the condition.
倦怠通常被定义为情绪枯竭、缺乏同理心和职业成就感降低的三联征。我们试图在一项探索性的定性研究中确定这三个结构是否能充分代表倦怠。自我认定为经历过倦怠的参与者完成了一份问卷,询问他们对这种情况的体验。采用定性主题分析来确定参与者提名的主要症状结构。主题分析确定了 12 个症状群或“主题”,这些主题被认为是可能的倦怠特征,其中一些主题与我们独立的定量分析中确定的特征重叠。虽然我们发现情绪枯竭、缺乏同理心和职业成就感是倦怠的常见症状,但几个额外主题的独特存在表明,倦怠综合征包含的症状结构比目前被认为是该疾病特征的更广泛。