University of California Davis, Sacramento, CA, USA.
Sierra Sacramento Valley Medical Society, Sacramento, CA, USA.
Acad Psychiatry. 2021 Apr;45(2):159-163. doi: 10.1007/s40596-020-01381-z. Epub 2021 Jan 6.
Little research has occurred in physicians on the prevalence of adverse childhood experiences (ACEs) and their potential correlation with burnout. The authors hypothesized that there would be a relationship between burnout levels and ACE scores, with physicians reporting more burnout being likely to have higher ACE scores.
Three hundred physicians completed the ten-question ACE scale and two burnout scales, the Mini-Z, and two items from the Maslach Burnout Inventory.
One hundred and thirty eight (46%) of the physicians were positive on one or the other of the two burnout measures, and 49% of the respondents were positive for at least one ACE, while 9% were positive for four or more ACEs. The most common ACEs reported by the group were having a family member being depressed, being mentally ill, or attempting suicide (22%). The burnout measures correlated strongly with each other (r = 0.68, p < .001), and separate logistic regression models revealed that the physicians with an ACE score of 4 or more had more than two and half times the risk of burnout on either burnout scale measured.
In this group of physicians, almost half reported experiencing ACEs, and half reported symptoms of burnout. The research hypothesis, which physicians reporting more burnout would be more likely to have higher ACE scores, was supported. It is possible that ACEs are a vulnerability factor in physicians for the development of burnout. This possibility and potential protective factors should be further studied.
关于不良童年经历（ACEs）的普遍性及其与倦怠的潜在相关性，针对医生的研究甚少。作者假设倦怠水平和 ACE 评分之间存在关联，报告倦怠程度较高的医生更有可能 ACE 评分较高。
300 名医生完成了 ACE 量表的十个问题、Mini-Z 量表和 Maslach 倦怠量表的两个项目。
138 名（46%）医生在两项倦怠测量中的一项或另一项呈阳性，49%的受访者至少有一种 ACE 呈阳性，而 9%的受访者有四种或更多 ACE 呈阳性。该组报告的最常见 ACE 是有家庭成员抑郁、精神疾病或试图自杀（22%）。倦怠测量彼此之间相关性很强（r = 0.68，p <.001），单独的逻辑回归模型显示，ACE 评分为 4 或更多的医生在两个或更多倦怠量表上出现倦怠的风险是前者的两倍半以上。
在这群医生中，近一半报告有 ACE 经历，一半报告有倦怠症状。医生报告的倦怠程度越高，ACE 评分越高的研究假设得到了支持。ACE 可能是医生倦怠发展的脆弱性因素。这种可能性和潜在的保护因素应进一步研究。
