Mente Aberta-Brazilian Center for Mindfulness and Health Promotion, Department of Preventive Medicine, Universidade Federal de São Paulo (UNIFESP), 13565-905 São Paulo, Brazil.
Primary Care Prevention and Health Promotion Research Network (RedIAPP), 50009 Zaragoza, Spain.
Int J Environ Res Public Health. 2020 Feb 8;17(3):1081. doi: 10.3390/ijerph17031081.
Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the "Burnout Clinical Subtypes Questionnaire" (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, "Maslach Burnout Inventory-General Survey", "Utrecht Work Engagement Scale", "Hospital Anxiety/Depression Scale", "Positive-Negative Affect Schedule", and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data using the BCSQ-36, which allowed a general factor for each subtype. The three-correlated factors model fit better to the BCSQ-12. Internal consistence was appropriate, and the convergence between the long-short versions was high. The pattern of relationships between the burnout subtypes and the psychological outcomes suggested a progressive deterioration from the frenetic to the under-challenged and worn-out. In sum, the Brazilian BCSQ-36/BCSQ-12 showed appropriate psychometrics to be used in primary healthcare personnel.
初级保健人员表现出高度的倦怠。已经开发出一种新的倦怠模型，将其分为三个亚类：狂热型、挑战不足型和疲惫型，分别表现为工作时不知所措、缺乏刺激和脱离工作。本研究旨在评估巴西初级保健人员中“倦怠临床亚型问卷”（BCSQ-36/BCSQ-12）的长/短巴西版本的心理测量特性，以及其与其他心理健康相关结果的可能关联。开展了一项针对 407 名巴西初级保健人员的在线横断面研究。参与者回答了一项巴西特定的调查，其中包括 BCSQ-36/BCSQ-12、“马斯拉赫倦怠量表-一般调查”、“乌得勒支工作投入量表”、“医院焦虑/抑郁量表”、“积极-消极情感量表”和工作内疚感的视觉模拟量表。使用 BCSQ-36 时，双因素模型是最适合数据的模型，它为每个亚型提供了一个通用因素。三相关因素模型更适合 BCSQ-12。内部一致性是适当的，长短期版本之间的收敛性很高。倦怠亚型与心理结果之间的关系模式表明，从狂热型到挑战不足型和疲惫型逐渐恶化。总之，巴西的 BCSQ-36/BCSQ-12 在初级保健人员中具有适当的心理计量学特性。
