Adamis Dimitrios, Minihan Elisha, Hannan Noel, Doherty Anne M, McNicholas Fiona
Department of Psychiatry, Sligo Mental Health Services, Ireland; and School of Medicine and Medical Science, University College Dublin, Ireland.
School of Medicine and Medical Science, University College Dublin, Ireland.
BJPsych Open. 2023 Oct 6;9(6):e177. doi: 10.1192/bjo.2023.552.
Burnout is a consequence of chronic occupational stress. Specific work-related factors may contribute to burnout experienced by those working in mental health services (MHS), many of which have increased since the COVID-19 pandemic.
To examine personal, work- and patient-related burnout among MHS staff in Ireland during the COVID-19 pandemic, and explore the impact of work-related conditions on burnout.
We conducted a cross-sectional survey of three MHS across Ireland utilising a study-specific questionnaire, the Copenhagen Burnout Inventory and the Effort-Reward Imbalance scale.
Of 396 participants, 270 (70.6%) were female. Moderate and high personal burnout was experienced by 244 (64.1%) participants; work-related burnout by 231 (58.5%) participants and patient-related burnout by 83 (21.5%) participants. Risk factors for both personal and work-related burnout were female gender, urban service, time spent outside main responsibilities, overcommitment, high score on the Effort-Reward Imbalance scale and intention to change job. Being younger, with high workload and deterioration of personal mental health during the pandemic was associated with higher personal burnout, whereas a lack of opportunity to talk about work-related stress contributed to work-related burnout. Fewer factors were associated with patient-related burnout, namely overcommitment, working in urban services and poorer physical and mental health during the COVID-19 pandemic.
High levels of personal and work-related burnout were found among mental health workers. The weak association with COVID-19-related factors suggest levels of burnout predated the pandemic. This has implications for MHS given the recognised additional work burden created by COVID-19.
职业倦怠是长期职业压力的结果。特定的工作相关因素可能导致心理健康服务（MHS）工作者出现职业倦怠，自新冠疫情以来，其中许多因素有所增加。
研究新冠疫情期间爱尔兰心理健康服务工作人员中与个人、工作和患者相关的职业倦怠情况，并探讨工作相关条件对职业倦怠的影响。
我们使用特定研究问卷、哥本哈根职业倦怠量表和付出-回报失衡量表，对爱尔兰的三个心理健康服务机构进行了横断面调查。
在396名参与者中，270名（70.6%）为女性。244名（64.1%）参与者经历了中度和高度的个人职业倦怠；231名（58.5%）参与者经历了工作相关的职业倦怠，83名（21.5%）参与者经历了与患者相关的职业倦怠。个人和工作相关职业倦怠的风险因素包括女性、城市服务机构、主要职责以外的工作时间、过度投入、付出-回报失衡量表得分高以及有换工作的意向。年龄较小、工作量大以及疫情期间个人心理健康状况恶化与较高的个人职业倦怠相关，而缺乏谈论工作相关压力的机会则导致工作相关的职业倦怠。与患者相关职业倦怠相关的因素较少，即过度投入、在城市服务机构工作以及新冠疫情期间身心健康状况较差。
心理健康工作者中存在高水平的个人和工作相关职业倦怠。与新冠疫情相关因素的弱关联表明职业倦怠水平在疫情之前就已存在。鉴于新冠疫情带来的额外工作负担已得到认可，这对心理健康服务机构具有重要意义。
