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自恋量表“受威胁的自我”对男性医生职业倦怠发生情况的影响。

Effect of the Narcissism Subscale "Threatened Self" on the Occurrence of Burnout Among Male Physicians.

作者信息

Kreis Antonia Tiziana, von Känel Roland, Holzgang Sarah Andrea, Pazhenkottil Aju, Keller Jeffrey Walter, Princip Mary

机构信息

Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.

Cardiac Imaging, Department of Nuclear Medicine, University Hospital Zurich, 8091 Zurich, Switzerland.

出版信息

J Clin Med. 2025 May 10;14(10):3330. doi: 10.3390/jcm14103330.

Abstract

Burnout is a highly prevalent issue among physicians. Recent research has indicated that personality traits, such as narcissism, may influence the development of burnout. This study investigates the relationship between the threatened self (TS) narcissism subscale and burnout in male physicians. We analyzed data from 60 male physicians in Switzerland, divided into burnout ( = 30) and control ( = 30) groups. Male physicians in Switzerland were recruited via hospitals, clinics, medical associations, professional journals, and direct email outreach. We assessed participants using the Maslach burnout inventory (MBI-HSS) and the Narcissism Inventory (NI-20). A generalized linear model (GLM) was used for the statistical analysis. The results showed that lower TS scores were significantly associated with a reduced likelihood of burnout, suggesting that self-esteem instability and emotional vulnerability, characteristic of TS, may act as risk factors for burnout. Furthermore, we found that Effort-Reward Imbalance (ERI) was significantly associated with burnout. These findings highlight the importance of considering personality traits such as TS in burnout research and could be explored in further studies. In clinical practice, increasing therapists' awareness of TS may support more targeted interventions and help prevent the onset of burnout.

摘要

职业倦怠是医生中非常普遍的问题。最近的研究表明,自恋等人格特质可能会影响职业倦怠的发展。本研究调查了男性医生中受威胁自我(TS)自恋子量表与职业倦怠之间的关系。我们分析了来自瑞士60名男性医生的数据,分为职业倦怠组(n = 30)和对照组(n = 30)。瑞士的男性医生通过医院、诊所、医学协会、专业期刊以及直接电子邮件 outreach 招募。我们使用马氏职业倦怠量表(MBI-HSS)和自恋量表(NI-20)对参与者进行评估。采用广义线性模型(GLM)进行统计分析。结果表明,较低的TS分数与职业倦怠可能性降低显著相关,这表明TS所特有的自尊不稳定和情绪易感性可能是职业倦怠的风险因素。此外,我们发现努力-回报失衡(ERI)与职业倦怠显著相关。这些发现凸显了在职业倦怠研究中考虑TS等人格特质的重要性,可在进一步研究中进行探索。在临床实践中,提高治疗师对TS的认识可能有助于支持更有针对性的干预措施,并有助于预防职业倦怠的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f22a/12112562/7ebc3d7ea024/jcm-14-03330-g001.jpg

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