From the University of Florida College of Medicine, Gainesville, FL (Ockerman).
Division of Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Aurora, CO (Mardourian).
J Am Coll Surg. 2024 Nov 1;239(5):485-493. doi: 10.1097/XCS.0000000000001128. Epub 2024 Oct 16.
Physician burnout and poor mental health are highly prevalent issues within the surgical community. Authenticity, defined as the degree to which individuals align their actions with their true selves, has been identified as a potential factor facilitating positive mental health. This study explores the impact of authenticity on burnout, depression, and suicide among surgeons.
Members of the department of surgery at a large academic medical center were sent an anonymous survey between April and May 2023. The survey evaluated authenticity using Authenticity Scale, depression using Patient Health Questionnaire, burnout using Copenhagen Burnout Inventory, and suicidality using Ask-Suicide Screening Questions (ASQ) tool.
Of the 170 surgeons, 94 (55.3%) completed the survey. Higher Authentic Living Scores correlated with reduced burnout (r = -0.21, p = 0.047) and depression (r = -0.37, p = 0.0002). Conversely, higher Accepting External Influence (AEI) scores were associated with increased depression (r = 0.23, p = 0.023), and higher Authenticity Self-Alienation (ASA) scores were associated with increased burnout (r = 0.43, p < 0.0001) and depression (r = 0.48, p < 0.0001). Although authenticity domain scores were not significantly associated with ASQ, specific AEI and ASA questions indicated an elevated odds ratio (p = 0.029 and p = 0.010, respectively) of a positive ASQ. Authentic Living Score increased with advancement in professional rank (p = 0.007), whereas AEI (p = 0.0001), ASA (p = 0.003), depression (p = 0.014), and ASQ (p = 0.02) decreased.
In this study, higher authenticity was associated with a lower likelihood of burnout and depression among surgeons. This study contributes valuable insights into the development of targeted intervention and support mechanisms aimed at promoting authenticity and mental health within the surgical profession.
医生倦怠和心理健康问题在外科领域非常普遍。真实性是指个人的行为与其真实自我的一致性程度，它被认为是促进心理健康的一个潜在因素。本研究探讨了真实性对外科医生倦怠、抑郁和自杀的影响。
2023 年 4 月至 5 月期间，对一家大型学术医疗中心外科部门的成员进行了匿名调查。该调查使用真实性量表评估真实性，使用患者健康问卷评估抑郁，使用哥本哈根倦怠量表评估倦怠，使用自杀筛查问题（ASQ）工具评估自杀倾向。
在 170 名外科医生中，有 94 名（55.3%）完成了调查。较高的真实生活得分与较低的倦怠（r = -0.21，p = 0.047）和抑郁（r = -0.37，p = 0.0002）相关。相反，较高的接受外部影响（AEI）得分与抑郁增加相关（r = 0.23，p = 0.023），较高的真实性自我异化（ASA）得分与倦怠增加（r = 0.43，p < 0.0001）和抑郁（r = 0.48，p < 0.0001）相关。尽管真实性领域得分与 ASQ 无显著相关性，但特定的 AEI 和 ASA 问题表明，积极的 ASQ 比值（p = 0.029 和 p = 0.010）较高。随着专业职级的提高，真实生活得分增加（p = 0.007），而 AEI（p = 0.0001）、ASA（p = 0.003）、抑郁（p = 0.014）和 ASQ（p = 0.02）得分降低。
在这项研究中，较高的真实性与外科医生倦怠和抑郁的可能性降低相关。本研究为制定有针对性的干预和支持机制提供了有价值的见解，旨在促进外科专业的真实性和心理健康。
