Department of Neurosurgery, University Hospital of Grenoble, Grenoble, France.
Psychology Laboratory, Cognition, Behavior, Communication, University of Rennes 2, Rennes, France.
PLoS One. 2020 May 29;15(5):e0233137. doi: 10.1371/journal.pone.0233137. eCollection 2020.
The neurosurgical community is particularly exposed to burnout. The objectives of this study were to report the prevalence and associated factors of burnout within the French neurosurgical community using validated academic and psychologic scales.
A national survey was sent to 141 French residents and 432 neurosurgeons between April and July 2019. Burnout was surveyed using the Maslach burnout inventory. The survey included demographic data and several academic psychologic scales. A stepwise multiple regression was used to determine factors that are associated with burnout scores.
The response rate was 100% and 23.6% for residents and neurosurgeons, respectively. Prevalence of burnout within the French neurosurgical community was 49%. There were no significant differences between residents and neurosurgeons. Two categories of factors were associated with the main dimensions of burnout during the stepwise multiple regression: personality and factors related with neurosurgical practice. Personality types such as neuroticism were negatively associated with burnout while agreeableness was protective. Work addictive profile with excessive work and absorption at work were negatively associated. Factors associated with neurosurgical practice such as conflict of work into family life, unbalanced effort to reward ratio, work duration were negatively associated. Pleasure at work was protective.
Prevalence of burnout is high among French neurosurgeons. Predictive models can be used to identify and prevent burnout among profiles at risk.
神经外科学界尤其容易出现职业倦怠。本研究的目的是使用经过验证的学术和心理学量表，报告法国神经外科学界职业倦怠的流行情况及其相关因素。
2019 年 4 月至 7 月期间，向 141 名法国住院医师和 432 名神经外科医生发送了一项全国性调查。使用 Maslach 职业倦怠量表调查职业倦怠情况。该调查包括人口统计学数据和几项学术心理学量表。采用逐步多元回归确定与职业倦怠评分相关的因素。
住院医师和神经外科医生的回复率分别为 100%和 23.6%。法国神经外科学界职业倦怠的患病率为 49%。住院医师和神经外科医生之间没有显著差异。在逐步多元回归中，有两类因素与职业倦怠的主要维度相关：人格和与神经外科实践相关的因素。神经质等人格类型与职业倦怠呈负相关，而宜人性则具有保护作用。工作成瘾型人格，即过度工作和工作投入，与职业倦怠呈负相关。与神经外科实践相关的因素，如工作与家庭生活的冲突、努力与回报比例失衡、工作时间等，与职业倦怠呈负相关。工作中的乐趣具有保护作用。
法国神经外科医生职业倦怠的患病率较高。预测模型可用于识别和预防高危人群的职业倦怠。
