Vittori Alessandro, Petrucci Emiliano, Cascella Marco, Bignami Elena Giovanna, Simonini Alessandro, Sollecchia Giacomo, Fiore Gilberto, Vergallo Alessandro, Marinangeli Franco, Pedone Roberto
Department of Anesthesia and Critical Care, ARCO ROMA, Ospedale Pediatrico Bambino Gesù IRCCS, 00165, Rome, Italy.
Department of Anesthesia and Intensive Care Unit, San Salvatore Academic Hospital of L'Aquila, 67100, L'Aquila, Italy.
J Anesth Analg Crit Care. 2024 Jun 21;4(1):36. doi: 10.1186/s44158-024-00171-5.
Burnout is a maladaptive response to chronic stress, particularly prevalent among clinicians. Anesthesiologists are at risk of burnout, but the role of maladaptive traits in their vulnerability to burnout remains understudied.
A secondary analysis was performed on data from the Italian Association of Hospital Anesthesiologists, Pain Medicine Specialists, Critical Care, and Emergency (AAROI-EMAC) physicians. The survey included demographic data, burnout assessment using the Maslach Burnout Inventory (MBI) and subscales (emotional exhaustion, MBI-EE; depersonalization, MBI-DP; personal accomplishment, MBI-PA), and evaluation of personality disorders (PDs) based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders Fourth Edition) criteria using the assessment of DSM-IV PDs (ADP-IV). We investigated the aggregated scores of maladaptive personality traits as predictor variables of burnout. Subsequently, the components of personality traits were individually assessed.
Out of 310 respondents, 300 (96.77%) provided complete information. The maladaptive personality traits global score was associated with the MBI-EE and MBI-DP components. There was a significant negative correlation with the MBI-PA component. Significant positive correlations were found between the MBI-EE subscale and the paranoid (r = 0.42), borderline (r = 0.39), and dependent (r = 0.39) maladaptive personality traits. MBI-DP was significantly associated with the passive-aggressive (r = 0.35), borderline (r = 0.33), and avoidant (r = 0.32) traits. Moreover, MBI-PA was negatively associated with dependent (r = - 0.26) and avoidant (r = - 0.25) maladaptive personality features.
There is a significant association between different maladaptive personality traits and the risk of experiencing burnout among anesthesiologists. This underscores the importance of understanding and addressing personality traits in healthcare professionals to promote their well-being and prevent this serious emotional, mental, and physical exhaustion state.
职业倦怠是对慢性压力的一种适应不良反应，在临床医生中尤为普遍。麻醉医生有职业倦怠的风险，但适应不良特质在其职业倦怠易感性中的作用仍未得到充分研究。
对意大利医院麻醉医生、疼痛医学专家、重症监护和急诊医生协会（AAROI-EMAC）医生的数据进行二次分析。该调查包括人口统计学数据、使用马氏职业倦怠量表（MBI）及其子量表（情感耗竭，MBI-EE；去个性化，MBI-DP；个人成就感，MBI-PA）进行的职业倦怠评估，以及基于《精神疾病诊断与统计手册第四版》（DSM-IV）标准使用DSM-IV人格障碍评估量表（ADP-IV）对人格障碍（PDs）的评估。我们将适应不良人格特质的综合得分作为职业倦怠的预测变量进行研究。随后，对人格特质的各个组成部分进行单独评估。
在310名受访者中，300名（96.77%）提供了完整信息。适应不良人格特质的总体得分与MBI-EE和MBI-DP分量表相关。与MBI-PA分量表存在显著负相关。在MBI-EE子量表与偏执型（r = 0.42）、边缘型（r = 0.39）和依赖型（r = 0.39）适应不良人格特质之间发现了显著正相关。MBI-DP与被动攻击型（r = 0.35）、边缘型（r = 0.33）和回避型（r = 0.32）特质显著相关。此外，MBI-PA与依赖型（r = -0.26）和回避型（r = -0.25）适应不良人格特征呈负相关。
不同的适应不良人格特质与麻醉医生职业倦怠风险之间存在显著关联。这凸显了了解和解决医疗保健专业人员人格特质对于促进其幸福感以及预防这种严重的情绪、心理和身体疲惫状态的重要性。
