Psychiatry Department, Mental Health Center of Lorca, 30800 Lorca, Spain.
STI/Dermatology Department, Madrid City Council, 28006 Madrid, Spain.
Int J Environ Res Public Health. 2020 Oct 26;17(21):7816. doi: 10.3390/ijerph17217816.
Burnout syndrome is very prevalent among healthcare residents. Initiatives addressing workload conditions have had limited impact on burnout. The present study aims to explore the contribution of two emotion regulation strategies, namely emotion suppression and cognitive reevaluation, to residents' burnout, while accounting for workload factors.
Participants were 105 residents (68.6% women; mean age = 27.5, = 3.0). They completed measures of workload, burnout, and emotion regulation. The study was cross-sectional.
Emotional suppression was associated with higher burnout (depersonalization scale; = 0.20, < 0.05, CI 0.15-2.48) and cognitive revaluation was linked to lower burnout (higher personal accomplishment; = 0.35, < 0.01, CI 0.16-2.56), even after controlling for demographic and workload factors. We found interaction effects between workload variables (supervisor support and number of patient hours) and emotion regulation ( < 0.05).
The relationship between workload, emotion regulation, and burnout seems to be complex. That is, similar work conditions might generate different levels of burnout depending on the resident's emotional regulation strategies. This might partly explain why existing initiatives based on workload changes have had a modest impact on burnout. Results also support including emotion regulation training in prevention and treatment programs targeting burnout during residency.
burnout 综合征在医疗保健住院医师中非常普遍。针对工作负荷条件的举措对 burnout 影响有限。本研究旨在探索两种情绪调节策略（情绪抑制和认知重评）对住院医师 burnout 的贡献，同时考虑工作负荷因素。
参与者为 105 名住院医师（68.6%为女性；平均年龄=27.5， = 3.0）。他们完成了工作负荷、 burnout 和情绪调节的测量。该研究是横断面的。
情绪抑制与更高的 burnout（去人性化量表； = 0.20， < 0.05，CI 0.15-2.48）相关，认知重评与更低的 burnout（更高的个人成就感； = 0.35， < 0.01，CI 0.16-2.56）相关，即使在控制了人口统计学和工作负荷因素后也是如此。我们发现工作负荷变量（主管支持和患者小时数）和情绪调节（ < 0.05）之间存在交互作用。
工作负荷、情绪调节和 burnout 之间的关系似乎很复杂。也就是说，类似的工作条件可能会根据住院医师的情绪调节策略产生不同水平的 burnout。这可能部分解释了为什么基于工作负荷变化的现有举措对 burnout 的影响有限。结果还支持在住院医师期间针对 burnout 预防和治疗计划中纳入情绪调节培训。
