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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">bekhterev</journal-id><journal-title-group><journal-title xml:lang="ru">Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева</journal-title><trans-title-group xml:lang="en"><trans-title>V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7053</issn><issn pub-type="epub">2713-055X</issn><publisher><publisher-name>V. M. BEKHTEREV  NATIONAL  RESEARCH  MEDICAL  CENTER  FOR  PSYCHIATRY  AND  NEUROLOGY                           OF    THE  RUSSIAN  FEDERATION   MINISTRY  OF  HEALTH</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31363/2313-7053-2020-1-3-7</article-id><article-id custom-type="elpub" pub-id-type="custom">bekhterev-378</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC REVIEW</subject></subj-group></article-categories><title-group><article-title>Условия труда и их влияние на здоровье врачей-психиатров (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>Working conditions and their effect on the health level of psychiatric staff (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Глушкова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Glushkova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Глушкова Анжела Викторовна — к.м.н., старший научный сотрудник научно-организационного отделения</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Saint-Petersburg</p></bio><email xlink:type="simple">angela_glushkova@yahoo.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Семенова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Semenova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Семенова Наталия Владимировна — д.м.н., заместитель директора по научно-организационной и методической работе</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Saint-Petersburg</p></bio><email xlink:type="simple">nvs@bekhterev.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева<country>Россия</country></aff><aff xml:lang="en">V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>01</day><month>04</month><year>2020</year></pub-date><volume>0</volume><issue>1</issue><fpage>3</fpage><lpage>7</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Глушкова А.В., Семенова Н.В., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Глушкова А.В., Семенова Н.В.</copyright-holder><copyright-holder xml:lang="en">Glushkova A.V., Semenova N.V.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.bekhterevreview.com/jour/article/view/378">https://www.bekhterevreview.com/jour/article/view/378</self-uri><abstract><p>Спектр неблагоприятных факторов производственной среды, влияющих на здоровье врачей-психиатров, довольно широк. К нему относятся биологические и химические вещества, эмоциональное истощение и профессиональное выгорание, перманентная подверженность стрессовым факторам агрессивной окружающей среды, вынужденная рабочая поза, напряжение анализаторных систем и многие другие. Кроме того, психиатры трудятся в условиях высокой эмоциональной нагрузки, что приводит к быстрому истощению нервной системы, развитию у них синдрома профессионального выгорания.</p></abstract><trans-abstract xml:lang="en"><p>The range of adverse environmental factors affecting the health of psychiatrists is quite wide. It includes biological and chemical substances, emotional exhaustion and professional burnout, permanent exposure to stress factors of an aggressive environment, forced working posture, tension of analyzer systems and many others. In addition, psychiatrists work under conditions of high emotional stress, which leads to rapid depletion of the nervous system, the development of a syndrome of professional burnout.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>психиатрия</kwd><kwd>врачи-психиатры</kwd><kwd>условия труда</kwd><kwd>качество жизни и здоровья</kwd><kwd>профессиональный стресс</kwd><kwd>профессиональное выгорание</kwd><kwd>соматическая и психическая заболеваемость</kwd></kwd-group><kwd-group xml:lang="en"><kwd>psychiatry</kwd><kwd>psychiatrists</kwd><kwd>working conditions</kwd><kwd>health level</kwd><kwd>professional stress</kwd><kwd>burnout syndrome</kwd><kwd>somatic and mental illness</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Глушкова А.В., Семенова Н.В. Профессиональное выгорание врачей психиатров: эпидемиологические и социально-гигиенические аспекты. Психология и педагогика кризисов саморазвития личности: коллективная монография. Отв. ред. А.Ю. Нагорнова. Ульяновск: Зебра; 2018:189–198.</mixed-citation><mixed-citation xml:lang="en">Glushkova AV, Semenova NV. Professional’noe vygoranie vrachey psikhiatrov: epidemiologicheskie i sotsial’no-gigienicheskie aspekty. Psikhologija i pedagogika krizisov samorazvitija lichnosti: kollektivnaja monografija. Otv. red. A.YU. Nagornova. Ul’janovsk: Zebra; 2018:189–198 (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Лозинская Е.И. Проявления синдрома перегорания у психиатров и онкологов. Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева. 2006; 3:16–19.</mixed-citation><mixed-citation xml:lang="en">Lozinskaja EI. Manifestations of burnout syndrome in psychiatrists and oncologists. Obozrenie psihiatrii i meditsinskoy psihologii imeni V.M. Bekhtereva. 2006; 3:16–19. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Лозинская Е.И., Лутова Н.Б., Вид В.Д. Системный индекс синдрома перегорания. СПб.: СПбНИПНИ им. В.М. Бехтерева. 2007:17.</mixed-citation><mixed-citation xml:lang="en">Lozinskaja EI, Lutova NB, Vid VD. Sistemnyy indeks sindroma peregoranija. SPb.: SPbNIPNI im. V.M. Bekhtereva. 2007:17. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Ляшковская С.В., Ташлыков В.А., Семенова Н.В. Подходы к определению и типологии мишеней психотерапии в контексте задач совершенствования индивидуальных программ психотерапии. Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева. 2017; 1:89-98.</mixed-citation><mixed-citation xml:lang="en">Lyashkovskaya S.V., Tashlykov V.A., Semenova N.V. Approaches to the definition and typology of targets of psychotherapy in the context of the tasks of improvement of individual programs of psychotherapy. Obozrenie psihiatrii i meditsinskoy psihologii imeni V.M. Bekhtereva. 2017; 1:89-98. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Маркарян А.Г. О состоянии здоровья врача-психиатра. Медицинская наука Армении. 2010; 50:96-101.</mixed-citation><mixed-citation xml:lang="en">Markarjan AG. About the health status among psychiatrist. Meditsinskaja nauka Armenii. 2010; 50:96-101. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Петрова Е.В., Семенова Н.В., Алехин А.Н. Закономерности развития и особенности синдрома эмоционального выгорания у врачей и медицинских сестер психиатрических учреждений. Вестник Томского гос. пед. университета. 2011; 12:194–199.</mixed-citation><mixed-citation xml:lang="en">Petrova EV, Semenova NV, Alekhin AN. Patterns of development and characteristics of the syndrome of emotional burnout in doctors and nurses of psychiatric institutions. Vestnik Tomskogo gos.ped. universiteta. 2011; 12:194–199. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Семенова Н.В. Итоги рабочего совещания главных специалистов по психиатрии Северо-Западного федерального округа. Обозрение психиатрии и медицинской психологии имени В.М.Бехтерева. 2016; 3:116-117.</mixed-citation><mixed-citation xml:lang="en">Semenova N.V. Results of working meeting of chief specialists on psychiatry of the Northwest federal district. Obozrenie psihiatrii i meditsinskoy psihologii imeni V.M. Bekhtereva. 2016; 3:116-117. (in Russ.)</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Bowers, L. Safewards: A new model of conflict and containment on psychiatric wards. Journal of Psychiatric Mental Health Nursing. 2014; 21:499– 508.</mixed-citation><mixed-citation xml:lang="en">Bowers, L. Safewards: A new model of conflict and containment on psychiatric wards. Journal of Psychiatric Mental Health Nursing. 2014; 21:499– 508.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Bressi C, Porcellana M, Gambini O, et al.: Burnout among psychiatrists in Milan: a multicenter survey. Psychiatric Services. 2009: 60:985–988. doi: 10.1176/appi.ps.60.7.985.</mixed-citation><mixed-citation xml:lang="en">Bressi C, Porcellana M, Gambini O, et al.: Burnout among psychiatrists in Milan: a multicenter survey. Psychiatric Services. 2009: 60:985–988. doi: 10.1176/appi.ps.60.7.985.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Fazel S, Ebmeier KP: Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international medical graduates? BMC Medical Education. 2009; 9:77. doi: 10.1186/1472-6920-9-77.</mixed-citation><mixed-citation xml:lang="en">Fazel S, Ebmeier KP: Specialty choice in UK junior doctors: is psychiatry the least popular specialty for UK and international medical graduates? BMC Medical Education. 2009; 9:77. doi: 10.1186/1472-6920-9-77.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Goldacre MJ, Fazel S, Smith F, et al.: Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009. British Journal of Psychiatry. 2013; 202:228–234. doi.org/10.1192/bjp.bp.112.111153.</mixed-citation><mixed-citation xml:lang="en">Goldacre MJ, Fazel S, Smith F, et al.: Choice and rejection of psychiatry as a career: surveys of UK medical graduates from 1974 to 2009. British Journal of Psychiatry. 2013; 202:228–234. doi.org/10.1192/bjp.bp.112.111153.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Harrell E. Workplace Violence, 1993–2009: National Crime Victimization Survey and the Census of Fatal Occupational Injuries. US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. 2011. Retrieved from http://www.bjs.gov/content/pub/pdf/wv09.pdf.</mixed-citation><mixed-citation xml:lang="en">Harrell E. Workplace Violence, 1993–2009: National Crime Victimization Survey and the Census of Fatal Occupational Injuries. US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. 2011. Retrieved from http://www.bjs.gov/content/pub/pdf/wv09.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Hawton K, Clements A, Sakarovitch C, et al.: Suicide in doctors: a study of risk according to gender, seniority, and specialty in medical practitioners in England and Wales, 1979–1995. Journal of Epidemiology and Community Health. 2001; 55:296–300.</mixed-citation><mixed-citation xml:lang="en">Hawton K, Clements A, Sakarovitch C, et al.: Suicide in doctors: a study of risk according to gender, seniority, and specialty in medical practitioners in England and Wales, 1979–1995. Journal of Epidemiology and Community Health. 2001; 55:296–300.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Heponiemi Т., Aalto А-М., Puttonen S., Vänskä J., Elovainio M. Work-related stress, job resources, and well-being among psychiatrists and other medical specialists in Finland. Psychiatric services. 2014; 6: 796-801.</mixed-citation><mixed-citation xml:lang="en">Heponiemi Т., Aalto А-М., Puttonen S., Vänskä J., Elovainio M. Work-related stress, job resources, and well-being among psychiatrists and other medical specialists in Finland. Psychiatric services. 2014; 6: 796-801.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ilies R, Johnson MD, Judge TA, Keeney J. A within-individual study of interpersonal conflict as a work stressor: Dispositional and situational moderators. Journal of Organizational Behavior. 2011; 32:44–64.</mixed-citation><mixed-citation xml:lang="en">Ilies R, Johnson MD, Judge TA, Keeney J. A within-individual study of interpersonal conflict as a work stressor: Dispositional and situational moderators. Journal of Organizational Behavior. 2011; 32:44–64.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Jonker EJ, Goossens PJJ, Steenhuis HM, Oud NE. Patient aggression in clinical psychiatry: Perceptions of mental health nurses. Journal of Psychiatric and Mental Health Nursing. 2008; 15:492–499</mixed-citation><mixed-citation xml:lang="en">Jonker EJ, Goossens PJJ, Steenhuis HM, Oud NE. Patient aggression in clinical psychiatry: Perceptions of mental health nurses. Journal of Psychiatric and Mental Health Nursing. 2008; 15:492–499</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Kelly E.L., Fenwick K., Brekke J.S., Novaco R.W. Well-being and safety among inpatient psychiatric staff: the impact of conflict, assault, and stress reactivity. Adm Policy Ment Health. 2016; 435:703–716. doi: 10.1007/s10488-015-0683-4.</mixed-citation><mixed-citation xml:lang="en">Kelly E.L., Fenwick K., Brekke J.S., Novaco R.W. Well-being and safety among inpatient psychiatric staff: the impact of conflict, assault, and stress reactivity. Adm Policy Ment Health. 2016; 435:703–716. doi: 10.1007/s10488-015-0683-4.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Kelly EL, Subica AM, Fulginiti A, Brekke JS, Novaco RW. A cross-sectional survey of factors related to inpatient assault of staff in a forensic psychiatric hospital. Journal of advanced nursing. 2015; 71:1110–1122.</mixed-citation><mixed-citation xml:lang="en">Kelly EL, Subica AM, Fulginiti A, Brekke JS, Novaco RW. A cross-sectional survey of factors related to inpatient assault of staff in a forensic psychiatric hospital. Journal of advanced nursing. 2015; 71:1110–1122.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Limm H, Angerer P, Heinmueller M, Marten-Mittag B, Nater UM, Guendel H. Self-perceived stress reactivity is an indicator of psychosocial impairment at the workplace. BMC public health. 2010; 10:252. doi: 10.1186/1471-2458-10-252.</mixed-citation><mixed-citation xml:lang="en">Limm H, Angerer P, Heinmueller M, Marten-Mittag B, Nater UM, Guendel H. Self-perceived stress reactivity is an indicator of psychosocial impairment at the workplace. BMC public health. 2010; 10:252. doi: 10.1186/1471-2458-10-252.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Longton J. A look at violence in the workplace against psychiatric aides and psychiatric technicians. Monthly Labor Review. U.S. Bureau of Labor Statistics. March. 2015: https://doi.org/10.21916/mlr.2015.4.</mixed-citation><mixed-citation xml:lang="en">Longton J. A look at violence in the workplace against psychiatric aides and psychiatric technicians. Monthly Labor Review. U.S. Bureau of Labor Statistics. March. 2015: https://doi.org/10.21916/mlr.2015.4.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Service Employees International Union 1000. [November 21 2014]; Violence in California’s mental health hospitals: Workers deserve stronger protection [White paper] 2011 Retrieved from: http://seiu1000.org/research/research_white%20paper_dmhviolence.pdf.</mixed-citation><mixed-citation xml:lang="en">Service Employees International Union 1000. [November 21 2014]; Violence in California’s mental health hospitals: Workers deserve stronger protection [White paper] 2011 Retrieved from: http://seiu1000.org/research/research_white%20paper_dmhviolence.pdf.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. 2014; 51:72–84. doi: 10.1016/j.ijnurstu.2013.01.010.</mixed-citation><mixed-citation xml:lang="en">Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. 2014; 51:72–84. doi: 10.1016/j.ijnurstu.2013.01.010.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Sparks K, Faragher B, Cooper CL: Well-being and occupational health in the 21st century workplace. Journal of Occupational and Organizational Psychology. 2011; 74:489–509.</mixed-citation><mixed-citation xml:lang="en">Sparks K, Faragher B, Cooper CL: Well-being and occupational health in the 21st century workplace. Journal of Occupational and Organizational Psychology. 2011; 74:489–509.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Stuart H. Violence and mental illness: an overview. World Psychiatry. June 2013: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525086/.</mixed-citation><mixed-citation xml:lang="en">Stuart H. Violence and mental illness: an overview. World Psychiatry. June 2013: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525086/.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Testa M., West S.G. Civil commitment in the United States. Psychiatry. 2010; 10:30–40.</mixed-citation><mixed-citation xml:lang="en">Testa M., West S.G. Civil commitment in the United States. Psychiatry. 2010; 10:30–40.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Thomsen S, Dallender J, Soares J, et al. Predictors of a healthy workplace for Swedish and English psychiatrists. British Journal of Psychiatry. 2008; 173:80–84.</mixed-citation><mixed-citation xml:lang="en">Thomsen S, Dallender J, Soares J, et al. Predictors of a healthy workplace for Swedish and English psychiatrists. British Journal of Psychiatry. 2008; 173:80–84.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Watts F, Lindqvist S, Pearce S, et al. Introducing a post-registration interprofessional learning programme for healthcare teams. Medical Teacher. 2007; 29:457–463.</mixed-citation><mixed-citation xml:lang="en">Watts F, Lindqvist S, Pearce S, et al. Introducing a post-registration interprofessional learning programme for healthcare teams. Medical Teacher. 2007; 29:457–463.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Whittington R, Richter D. Interactional aspects of violent behaviour on acute psychiatric wards. Psychology, Crime &amp; Law. 2005; 11(4):377–388.</mixed-citation><mixed-citation xml:lang="en">Whittington R, Richter D. Interactional aspects of violent behaviour on acute psychiatric wards. Psychology, Crime &amp; Law. 2005; 11(4):377–388.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Vuorenkoski L, Mladovsky P, Mossialos E: Finland: health system review. Health Systems in Transition. 2008; 10:1–168.</mixed-citation><mixed-citation xml:lang="en">Vuorenkoski L, Mladovsky P, Mossialos E: Finland: health system review. Health Systems in Transition. 2008; 10:1–168.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
