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Guseva Canu I, Getzmann R, Shoman Y, Rota F, Saillant S, von Känel R, Cohidon C, Lazor-Blanchet C, Rochat L, Weissbrodt R, Droz N, Wahlen A. Diagnosis and treatment of occupational burnout in the Swiss outpatient sector: A national survey of healthcare professionals' attributes and attitudes. PLoS One 2024; 19:e0294834. [PMID: 39661609 PMCID: PMC11633953 DOI: 10.1371/journal.pone.0294834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 11/13/2024] [Indexed: 12/13/2024] Open
Abstract
We aimed to describe the attributes and attitudes of Swiss health professionals who treat persons with occupational burnout (POB) in the outpatient sector and explore associated determinants. The study design was descriptive cross-sectional survey, distributed to the 16,883 general practitioners (GP), psychiatrist-psychotherapists (PP), occupational physicians (OP) and psychologists registered in the Swiss Medical Association, the Swiss Federation of Psychologists, and other specialized associations. Using an online questionnaire, we identified professionals who consult and treat POB, their attributes, volume of POB consultations, diagnostics and treatment modalities and outcomes (OB severity, average proportion of POB who returned to work and who relapsed). Multinomial regression analysis was conducted to identify attributes associated with these outcomes. Among 3216 respondents, 2951 reported to consult POB, and 1130 (713 physicians and 410 psychologists) to treat them. POB consultations constitute 5 to 25% of professionals' consultations, which varies across professionals' specialties and specializations and geographic regions. The profile of POB consulted also differs across professionals. Work psychologists reported more often consulting POB at early OB stage, GPs mostly reported having patients with moderate OB, while PPs reported having the largest proportion of patients with severe OB. The treatment practices depend on OB severity but neither latter nor former was associated with the proportion of relapsed POB or POB who return to work. Physicians with waiting time >3 months reported more often having a higher proportion of relapsed patients. Since the study had an exploratory nature using a cross-sectional survey design and aggregated outcomes, these findings should be considered as first descriptive data, motivating further research.
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Affiliation(s)
- Irina Guseva Canu
- Department of Environmental and Occupational Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Roger Getzmann
- Department of Environmental and Occupational Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Yara Shoman
- Department of Environmental and Occupational Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | - Fulvia Rota
- Swiss Society for Psychiatry and Psychotherapy, Bern, Switzerland
| | - Stéphane Saillant
- Centre Neuchâtelois de Psychiatrie (CNP), Neuchatel, Switzerland
- University of Lausanne, Lausanne, Switzerland
| | - Roland von Känel
- Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zürich, Switzerland
| | - Christine Cohidon
- Department of Family Medicine, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | | | - Lysiane Rochat
- Department of Environmental and Occupational Health, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
| | | | - Nadia Droz
- PSY4WORK.ch, the Swiss Association of work & organization psychologists, Lausanne, Switzerland
| | - Anny Wahlen
- PSY4WORK.ch, the Swiss Association of work & organization psychologists, Lausanne, Switzerland
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Le Moal M, Thurik R, Torrès O. Validation and psychometric evaluation of the French version of the recovery experience questionnaire: internal consistency and validity assessment. Front Psychol 2024; 15:1466905. [PMID: 39417027 PMCID: PMC11480058 DOI: 10.3389/fpsyg.2024.1466905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2024] [Accepted: 09/18/2024] [Indexed: 10/19/2024] Open
Abstract
Background Entrepreneurs often experience high levels of stress, anxiety, and burnout due to the demanding nature of their professional activities. Therefore, recovery from work-related stress is a relevant activity for entrepreneurs. The Recovery Experience Questionnaire (REQ) is a widely used 16-item self-reported measure covering four recovery factors: psychological detachment from work, relaxation, mastery, and control. The present study addresses the validation of a French version of the REQ. Methods A total of 1,043 French entrepreneurs from various sectors participated in this study. Internal consistency and correlations were examined to assess the psychometric properties of the French version of the REQ. Confirmatory factor analysis (CFA) was used to validate the four-factor structure of the REQ, with seven error covariances added to improve model fit. Results The French version of the REQ demonstrated good internal consistency (psychological detachment: α = 0.88, relaxation: α = 0.91, mastery: α = 0.90, control: α = 0.91). CFA supported that the four-factor structure was confirmed based on the following data: RMSEA = 0.071 (95% CI [0.066, 0.077]), CFI/TLI = 0.955/0.950, SRMR = 0.050, and χ2 (108) = 593.861, p < 0.001. Significant correlations were found between REQ scores and health indicators such as stress, loneliness, physical health, mental health, and sleep quality. The results confirm that the REQ is a valid and reliable measure for assessing recovery experiences among French entrepreneurs. Conclusion We conclude that the REQ is a valid measure and a useful tool for research on entrepreneurs' general health. Additionally, the validated French version of the REQ can be applied to other working populations, making it a versatile instrument for evaluating health and recovery in diverse occupational settings. To support this claim, we conducted the same validation analysis on a sample of 1,231 French agricultural employees, again showing that REQ is a valid and reliable measure for assessing recovery experiences.
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Affiliation(s)
- Mathieu Le Moal
- LabEx Entreprendre, MRM, Université de Montpellier - MOMA, Montpellier, France
- Laboratoire EPSYLON, Université Paul-Valery, Montpellier, France
| | - Roy Thurik
- LabEx Entreprendre, MBS School of Business, Montpellier, France
- Erasmus School of Economics, Rotterdam, Netherlands
| | - Olivier Torrès
- LabEx Entreprendre, MRM, Université de Montpellier - MOMA, Montpellier, France
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Aljerian K. Factors Influencing Residents' Specialty Choices and Satisfaction: Impact of Gender, Career Motivation and Life Goals. JOURNAL OF SURGICAL EDUCATION 2022; 79:302-308. [PMID: 34702692 DOI: 10.1016/j.jsurg.2021.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 09/08/2021] [Accepted: 09/25/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Resident physicians working in medical specialties play an essential role in the makeup of the healthcare workforce. However, there is little theoretical understanding of how different medical specialties are perceived or how residents' choices are made. Many factors can influence resident physicians' choice of specialty. Previous studies have looked at personality differences within specialties, but were unable to describe the heterogeneity of viewpoints that existed within each specialty. Our objective, was to gather information about factors related to resident's life goals and career motivation as a means of improving residency program design and enhancing the college's advisory capacity. DESIGN Our study used a self-report anonymous questionnaire to characterize the relationship between resident physicians' preferences and their choice of specialty. SETTING King Saud University & King Saud University Medical City. PARTICIPANTS 353 residents. RESULTS The majority of respondents reported that their current specialty was one of their top three choices. Almost half were satisfied with their residency program, and 24.1% were very satisfied. Gender, specialty, and workload demonstrated significant associations with residency program satisfaction. CONCLUSIONS Our findings highlight the effects of career motivation and life goals for resident physicians in enhancing their career satisfaction. Ensuring that residents are able to find time for personal needs has important consequences for their perceptions of wellbeing and may be an effective strategy for promoting career satisfaction.
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Affiliation(s)
- Khaldoon Aljerian
- Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
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Shi J, Sznajder KK, Liu S, Xie X, Yang X, Zheng Z. Resilience and Posttraumatic Growth of Patients With Breast Cancer During the COVID-19 Pandemic in China: The Mediating Effect of Recovery. Front Psychol 2022; 12:811078. [PMID: 35126261 PMCID: PMC8811123 DOI: 10.3389/fpsyg.2021.811078] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 12/31/2021] [Indexed: 12/14/2022] Open
Abstract
PurposeThis study aims to examine the mediating role recovery plays in the relationship between resilience and posttraumatic growth (PTG) among breast cancer patients.MethodsA cross-sectional study design was implemented between January 02, 2021 and April 29, 2021. A total of 789 breast cancer patients from eight hospitals in Liaoning province were selected for participation in this study. These participants completed questionnaires, which included the Post-Traumatic Growth Inventory, EGO Resilience Scale and the Questionnaire about the Process of Recovery. The associated factors of PTG were analyzed using hierarchical multiple regression (HMR). The proposed relationships among resilience, recovery, and PTG were checked by structural equation modeling (SEM) analyses.ResultsThe average PTG score of breast cancer patients was 53.00 ± 28.30. PTG was positively correlated with both recovery and PTG (a*b = 0.1, BCa95% CI: 0.154 ∼ 0.054).ConclusionBreast cancer patients were found to exhibit a moderate degree of PTG. Resilience was positively associated with PTG and recovery mediated the positive effect of resilience on PTG. Resilience might serve as a crucial protective factor that could explain positive growth in life-threatening illnesses through the mediating path of recovery.
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Affiliation(s)
- Jing Shi
- Department of Medical Oncology, The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Kristin K. Sznajder
- Department of Public Health, College of Medicine, Pennsylvania State University, Hershey, PA, United States
| | - Shuo Liu
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Xinyue Xie
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Xiaoshi Yang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
- Xiaoshi Yang,
| | - Zhen Zheng
- Department of Intensive Care Unit, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, China
- *Correspondence: Zhen Zheng,
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Sznajder KK, Harlow SD, Wang J, Tso L, Ashagre Y, Han C. Factors associated with symptoms of poor mental health among women factory workers in China's supply chain. Int Arch Occup Environ Health 2022; 95:1209-1219. [PMID: 35001196 PMCID: PMC8743097 DOI: 10.1007/s00420-021-01820-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 11/15/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Foreign direct investment (FDI) to China has motivated increased labor migration to export processing zones (EPZs). Work environments with high occupational stress, such as production line jobs typical in EPZs, have been associated with adverse mental health symptoms. METHODS A cross-sectional survey that examined occupational stress and symptoms of poor mental health was implemented among Chinese women factory workers in three electronic factories in the Tianjin Economic-Technological Development Area. Symptoms of mental health measured in the survey were hopelessness, depression, not feeling useful or needed, and trouble concentrating. Crude and adjusted prevalence odds ratios and their 95% confidence intervals were calculated with logistic regression. RESULTS Responses were collected from 696 women factory workers. Participants were aged 18-56 years (mean 28 ± 5.8), 66% of whom were married and 25% of whom were migrants. Nearly 50% of participants reported at least one symptom of poor mental health. After adjusting for covariates associated with each outcome in the bivariate analysis, high job strain was associated with hopelessness (OR 2.68, 95% CI 1.58, 4.56), not feeling useful (OR 2.05, 95% CI 1.22, 3.43), and feeling depressed (OR 1.78, 95% CI 1.16, 2.72). CONCLUSION This study expands on the international body of research on the well-being of women working in the global supply chain and provides evidence on the associations between occupational stressors, migration, and social support on symptoms of poor mental health among women workers. Future research to better understand and improve psychological health and to prevent suicide among workers in China's factories is critical to improve the health of China's labor force.
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Affiliation(s)
- K. K. Sznajder
- Department of Public Health Sciences, Penn State University College of Medicine, 90 Hope Drive, Hershey, PA 17033 USA
| | - S. D. Harlow
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI USA
| | - J. Wang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, Liaoning China
| | - L. Tso
- Anthropology, Global Health and Medical Humanities Initiative, Massachusetts Institute of Technology, Cambridge, MA USA ,Center for Health and Human Development Studies, Sun Yat-Sen University, Guangzhou, Guangdong China
| | - Y. Ashagre
- Department of Public Health Sciences, Penn State University College of Medicine, 90 Hope Drive, Hershey, PA 17033 USA
| | - C. Han
- Department of Occupational and Environmental Health, Tianjin Centers for Disease Control and Prevention, Tianjin, China
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Bredicean C, Tamasan SC, Lungeanu D, Giurgi-Oncu C, Stoica IP, Panfil AL, Vasilian C, Secosan I, Ursoniu S, Patrascu R. Burnout Toll on Empathy Would Mediate the Missing Professional Support in the COVID-19 Outbreak. Risk Manag Healthc Policy 2021; 14:2231-2244. [PMID: 34104014 PMCID: PMC8180265 DOI: 10.2147/rmhp.s300578] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 04/26/2021] [Indexed: 12/18/2022] Open
Abstract
Purpose The year 2020 was marked by the COVID-19 pandemic, massively disruptive at the general population level and for healthcare systems. We aimed to evaluate the psychological distress associated with work-related experiences among medical professionals and supporting staff during the pandemic outbreak. Patients and Methods A cross-sectional survey was conducted between April and May 2020, employing a self-administered on-line questionnaire that included the collection of socio-demographic and professional status information, Hamilton Anxiety Rating Scale, nine-item Patient Health Questionnaire (PHQ-9), Maslach Burnout Inventory - General Survey, Connor-Davidson Resilience Scale, and a subscale of the International Personality Item Pool (IPIP) for empathy. A total of 364 professionals of the county-coordinated area responded. Descriptive statistics summarized the findings and a mediation model was analyzed, applying the causal step strategy. The specific direct and causal mediation effects were estimated with the bias-corrected and accelerated bootstrap sampling method. Results Anxiety, burnout, stress, resilience, and empathy proved to be significantly associated with both the professional category (ie, consultant, specialty doctor, trainee doctor, senior nurse, trainee nurse or other) and the perceived professional support (the nonparametric multivariate permutation test resulted in p=0.048 and p<0.001, respectively). When controlling for the marital and professional status, the female gender had an OR=2.26, 95% CI (1.21; 4.22) toward a high level of empathy compared to males. The causal mediation effect of the perceived lack of professional support on empathy through burnout-depersonalization was highly significant (p<0.001) with an average of 0.0599, 95% CI (0.0238; 0.10), while the direct effect was non-significant (p=0.536) with an average of 0.0295, 95% CI (-0.0774; 0.15). Conclusion We highlighted the impact of the lack of professional support on healthcare workers' empathy through burnout-depersonalization in a context of a high workload, time pressure, job stress beyond previous training, and inherently limited organizational support, which are potentially modifiable factors in the mid-term.
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Affiliation(s)
- Cristina Bredicean
- NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Department of Neuroscience, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.,Psychiatry Compartment, "Dr. Victor Popescu" Emergency Military Clinical Hospital, Timisoara, Romania
| | | | - Diana Lungeanu
- Center for Modeling Biological Systems and Data Analysis, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Catalina Giurgi-Oncu
- NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, Department of Neuroscience, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.,"Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Ileana-Pepita Stoica
- Mental Health Center, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Anca-Livia Panfil
- Liaison Psychiatry, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Claudia Vasilian
- Liaison Psychiatry, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Ica Secosan
- Department of Plastic and Reconstructive Surgery, "Pius Branzeu" County Emergency Hospital, Timisoara, Romania
| | - Sorin Ursoniu
- "Pius Branzeu" County Emergency Hospital, Timisoara, Romania.,Discipline of Public Health and Health Management, Center for Translational Research and Systems Medicine, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
| | - Raul Patrascu
- "Pius Branzeu" County Emergency Hospital, Timisoara, Romania.,Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania
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Yang F, Ding J, Ma R, Song W, Jia Y, Zhao J, Yang X. Recovery Experience: A Concept for Maintaining Quality of Life and Its Mediating Effect Among Female Nurses in China. Psychol Res Behav Manag 2020; 13:831-841. [PMID: 33116971 PMCID: PMC7553666 DOI: 10.2147/prbm.s261666] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 09/08/2020] [Indexed: 11/23/2022] Open
Abstract
Purpose Nurses are high-risk groups for job burnout, which affect their quality of life (QOL). Recovery experience, a conceptualization of positive psychological resources, can combat the negative impacts of job burnout on health and QOL. The aim of this study was to examine the mediating effect of recovery experience on the relationship between job burnout and QOL among female nurses in China. Participants and Methods QOL information was captured from 1068 female nurses from December 2017 to February 2018 in tertiary hospitals in Shenyang, Liaoning Province of China. A structural equation model was employed to examine the mediating effect of recovery experience on the relationship between job burnout and QOL. Results Job burnout had a significant impact on both the mental component summary and the physical component summary of a 36-item Short-Form Health Survey. However, mental component summary scores were significantly lower than physical component summary scores in female nurses. Recovery experience played a mediating role in the relationship between job burnout and QOL. Conclusion Job burnout could result in a reduction in QOL among Chinese female nurses. Recovery experience, as a mediating factor, could alleviate the impact of job burnout on QOL. Recovery experience should be strengthened to attenuate job burnout and enhance QOL.
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Affiliation(s)
- Fengzhi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Jialin Ding
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Ruqing Ma
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Wenjie Song
- Office of Clinical Quality Improvement, Children's Hospital of Philadelphia, Philadelphia, PA 19147, USA
| | - Yajing Jia
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
| | - Jinfeng Zhao
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland 1142, New Zealand
| | - Xiaoshi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110122, People's Republic of China
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