Aourarh Benayad, Adioui Tarik, Berrag Sanaa, Nejjari Fouad, Aourarh Aziz, Tamzaourte Mouna
Department of Gastroenterology I, Faculty of Medicine and Pharmacy of Rabat, Mohammed V Military Hospital, Mohammed V University, Hay Riad, Rabat 10100, Morocco.
Department of Gastroenterology I, Mohamed V Military Hospital, Rabat, Morocco.
Therap Adv Gastroenterol. 2025 May 12;18:17562848251340264. doi: 10.1177/17562848251340264. eCollection 2025.
Gastroenterologists are exposed to various health-related risks due to their diverse professional roles, including endoscopy, clinical care, and academic responsibilities.
This study aims to assess the work-life balance (WLB), the prevalence of work-related physical and mental symptoms among gastroenterologists practicing in Morocco, and the effects of WLB on their health.
Survey study.
A total of 152 gastroenterologists from various Moroccan cities participated in an anonymous electronic questionnaire regarding their daily activities and symptoms. A WLB ratio was calculated, and musculoskeletal, gastrointestinal, and mental symptoms were recorded. The Maslach Burnout Inventory (MBI) was used to measure the burnout score. Data were analyzed using JAMOVI 2.5 software. The reporting of this study conforms to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) statement.
This study included 152 gastroenterologists (72.4% female; sex ratio = 0.38) with a median age of 31 years (range: 26-64). Among participants, 61.8% were married, and 70.2% were married to physicians. The average working hours were 50.2 ± 12.7 h/week. Health-related symptoms were common: 86.8% reported musculoskeletal disorders, and 71.1% reported digestive disorders. Regarding mental symptoms, 23.7% reported anxiety, and 46.1% reported depression, with 21.1% experiencing both. The median WLB ratio was 0.42 (range: 0.32-0.55). In univariate analysis, the ratio was correlated with age ( < 0.001) and mental symptoms (depression, < 0.001; anxiety, = 0.007). Multivariate analysis revealed age as the only significant associated factor (beta = -0.24 (95% confidence interval: -0.46 to -0.013)). Using the MBI scale, 72.4% of respondents experienced burnout, which correlated with the WLB ratio ( = 0.04). In addition, depersonalization (DP) showed a moderate negative correlation with age ( = 0.002, = -0.32), while personal accomplishment (PA) showed a moderate positive correlation with age ( = 0.003, = 0.31).
Moroccan gastroenterologists suffer from musculoskeletal, digestive, and mental symptoms, and are prone to burnout likely due to long and labor-intensive. Our study found that younger individuals worked more and were more likely to experience burnout, particularly with increased DP toward patients and diminished PA. The mechanisms behind this observation may be linked to higher workloads, less autonomy, and limited coping strategies, factors that should be explored further.
由于胃肠病学家承担着包括内镜检查、临床护理和学术职责等多种专业角色，他们面临着各种与健康相关的风险。
本研究旨在评估摩洛哥胃肠病学家的工作与生活平衡（WLB）、工作相关的身体和精神症状的患病率，以及WLB对他们健康的影响。
调查研究。
来自摩洛哥不同城市的152名胃肠病学家参与了一项关于他们日常活动和症状的匿名电子问卷。计算了WLB比率，并记录了肌肉骨骼、胃肠道和精神症状。使用马氏倦怠量表（MBI）来测量倦怠得分。数据使用JAMOVI 2.5软件进行分析。本研究的报告符合互联网电子调查结果报告清单（CHERRIES）声明。
本研究纳入了152名胃肠病学家（72.4%为女性；性别比=0.38），中位年龄为31岁（范围：26 - 64岁）。参与者中，61.8%已婚，70.2%的配偶为医生。平均工作时长为50.2±12.7小时/周。与健康相关的症状很常见：86.8%报告有肌肉骨骼疾病，71.1%报告有消化系统疾病。关于精神症状，23.7%报告有焦虑，46.1%报告有抑郁，21.1%同时经历了两者。WLB比率的中位数为0.42（范围：0.32 - 0.55）。在单因素分析中，该比率与年龄（<0.001）和精神症状（抑郁，<0.001；焦虑，=0.007）相关。多因素分析显示年龄是唯一显著的相关因素（β=-0.24（95%置信区间：-0.46至-0.013））。使用MBI量表，72.4%的受访者经历了倦怠，这与WLB比率相关（=0.04）。此外，去个性化（DP）与年龄呈中度负相关（=0.002，=-0.32），而个人成就感（PA）与年龄呈中度正相关（=0.003，=0.31）。
摩洛哥胃肠病学家患有肌肉骨骼、消化系统和精神症状，并且可能由于工作时间长和劳动强度大而容易出现倦怠。我们的研究发现，年轻个体工作更多，更容易出现倦怠，特别是对患者的DP增加而PA减少。这一观察结果背后的机制可能与更高的工作量、更少的自主权和有限的应对策略有关，这些因素应进一步探索。
