D'Addazio Miriam, Poddighe Laura, Bianchi Renzo, Calza Stefano, Carnevale Martina, Starace Fabrizio, Zamparini Manuel, de Girolamo Giovanni
Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Stress Health. 2024 Dec;40(6):e3492. doi: 10.1002/smi.3492. Epub 2024 Oct 10.
This study examined the association between burnout, psychological distress, ward atmosphere, and working alliance (WA) among mental health workers treating patients with schizophrenia spectrum disorder (SSD). Data were collected from 345 patients with SSD and 151 mental health workers across 98 residential facilities (RFs) as part of the DiAPAson project from October 2020 to October 2021. Participants were excluded from the study if they exhibited patient-operator matching errors, dropped out, or had many missing Maslach Burnout Inventory (MBI) scores. The final sample included 282 patients and 155 healthcare workers. Burnout was assessed using the MBI. Psychological distress was evaluated with the 12-item version of the General Health Questionnaire. WA and ward atmosphere were evaluated with the WA Inventory and the Ward Atmosphere Scale, respectively, in both staff and patients. Sociodemographic and clinical data was also collected and analysed. Burnout was associated with a less supportive ward atmosphere, a weaker WA, and higher staff distress. Severe psychiatric symptoms evaluated with Brief Psychiatric Rating Scale in patients were also linked to staff burnout levels. Discrepancies in the perceptions of the ward atmosphere and the WA were observed between staff and patients, with patients reporting better perceptions in both domains. Our findings highlight the complex dynamics of well-being within psychiatric care settings, emphasizing the importance of role clarity, professional autonomy, and a positive ward atmosphere in mitigating burnout. Interventions focused on such factors may help support mental health professionals involved in SSD patient care. ISRCTN registry ID ISRCTN21141466.
本研究调查了治疗精神分裂症谱系障碍（SSD）患者的心理健康工作者的职业倦怠、心理困扰、病房氛围和工作联盟（WA）之间的关联。作为DiAPAson项目的一部分，于2020年10月至2021年10月从98个住院设施（RFs）中的345例SSD患者和151名心理健康工作者处收集数据。如果参与者出现患者-操作者匹配错误、退出研究或有许多缺失的马氏职业倦怠量表（MBI）分数，则被排除在研究之外。最终样本包括282例患者和155名医护人员。使用MBI评估职业倦怠。用12项版一般健康问卷评估心理困扰。分别用WA量表和病房氛围量表对工作人员和患者的WA和病房氛围进行评估。还收集并分析了社会人口学和临床数据。职业倦怠与支持性较差的病房氛围、较弱的WA以及较高的工作人员困扰相关。用简明精神病评定量表评估的患者严重精神症状也与工作人员的职业倦怠水平有关。观察到工作人员和患者对病房氛围和WA的看法存在差异，患者在这两个方面的看法更好。我们的研究结果突出了精神科护理环境中幸福感的复杂动态，强调了角色明确、专业自主权和积极的病房氛围在减轻职业倦怠方面的重要性。针对这些因素的干预措施可能有助于支持参与SSD患者护理的心理健康专业人员。国际标准随机对照试验编号：ISRCTN21141466。
