Characteristics and determinants of professional burnout among early career psychiatrists in Russia — results of a cross-sectional study
https://doi.org/10.31363/2313-7053-2022-56-1-63-78
Abstract
The aim of the present study was to examine the characteristics of early career psychiatrists’ (ECP) work in Russia and to assess the prevalence and severity of burnout in them. Material and methods. The Early Career Psychiatrists Council of the Russian Society of Psychiatrists conducted an anonymous online survey of ECP in Russia in July-August 2019, consisted of a structured survey and screening for professional burnout using the Maslach Burnout Inventory (MBI). The final sample consisted of 165 people. Results. A high level of burnout according to at least one of the MBI scales was revealed in 79 (78.2%) women and 39 (60.9%) men (p=0.017). Mean values of the MBI Emotional Exhaustion scale corresponded to 23.33±8.97 and 17.97±8.49 (p=0.003), the MBI Depersonalization scale — 10.46±4.81 and 9.16±4.22 (p=0.083), and the MBI Personal Accomplishment scale — 33.02±5.98 and 35.32±5.75 (p=0.026) for women and men, respectively. The following risk factors for professional burnout were identified: female sex, overlapping of several working positions, difficulties in work due to changes in documentation requirements introduced since the start of professional career. Protective factors of burnout development were: work in private clinic, satisfaction with work atmosphere, subjective estimation of quality of life as above average or as good as possible. Conclusion. Burnout was established in 71.5% of ECP in Russia, which corresponds to one of the highest burnout rates in psychiatrists according to international and national studies. Further research is needed to assess the prevalence and severity and ways to prevent burnout in psychiatrists in Russia.
About the Authors
E M ChumakovRussian Federation
Egor M. Chumakov
Saint-Petersburg
A N Gvozdetsky
Russian Federation
Anton N. Gvozdetsky
Saint-Petersburg
K F Vasilchenko
Russian Federation
Kirill F. Vasilchenko
Omsk
S E Golygina
Russian Federation
Svetlana E. Golygina
Chita
M P Marachev
Russian Federation
Maxim P. Marachev
Moscow
Yu Yu Osadashiy
Russian Federation
Yurii Yu. Osadashiy
Rostov-on-Don
S S Potanin
Russian Federation
Sergei S. Potanin
Moscow
I A Fedotov
Russian Federation
Ilya A. Fedotov
Ryazan
I O Shishkina
Russian Federation
Irina O. Shishkina
Penza
N N Petrova
Russian Federation
Nataliia N. Petrova
Saint-Petersburg
References
1. Berdiaeva IA, Voit IN. Syndrome of emotional burning out in doctors of various specialties. Dal’nevostochnyj medicinskij zhurnal. 2012;2:117-120. (In Russ.)
2. Boeva AV, Ruzhenkov VA, Moskvitina US. Burnout syndrome in psychiatrists. Nauchnye vedomosti. Seriya Medicina. Farmaciya. 2013;22(11(154)):6-12. (In Russ.).
3. Bulygina VG, Petelina AS. Emotional burnout among specialists of general and forensic psychiatric practice (analytical review). Rossijskij psihiatricheskij zhurnal. 2013;6:24-30. (In Russ.). http://dx.doi.org/10.24411/1560-957X-2013-11372
4. Bykov KV, Zrazhevskaya IA, Berezkin AS, Ter-Israelyan AY. Burnout syndrome in doctors оf psychiatric hospitals of the Moscow city. Vestnik poslediplomnogo medicinskogo obrazovaniya. 2018;4:99-101. (In Russ.).
5. Glushkova AV, Semenova NV. Working conditions and their effect on the health level of psychiatric staff (literature review). Obozrenie psihiatrii i medicinskoj psihologii im. V.M. Bekhtereva. 2020;(1):3-7. (In Russ.). https://doi.org/10.31363/2313-7053-2020-1-3-7
6. Zrazhevskaya IA, Bykov KV, Topka EO, Peshkin VN, Isaev RN, Orlov AM. The Evolution of Representations about the Syndrome of Emotional Burnout. Psikhiatriya. 2020;18(4):127-138. (In Russ.). https://doi.org/10.30629/2618-6667-2020-18-4-127-140
7. Karavaeva TA, Kukhtenko YA, Makarov VV, Yakovlev AV. The relationship of the level of nervousally mental stability and prevalence of the syndrome of burnout at specialists in the field of mental health. Narkologia. 2019;18(8):60-68. (In Russ.). https://doi.org/10.25557/1682-8313.2019.08.60-68
8. Karavaeva TA, Kukhtenko YA, Makarov VV, Yakovlev AV. Results of application of an integrative group psychotherapy for correction of a burnout syndrome in specialists working with patients of psychiatric and drug profile. Narkologija. 2020;19(3):57-65. (In Russ.). https://doi.org/10.25557/1682-8313.2020.03.57-65
9. Kobyakova OS, Deev IA, Kulikov ES, Khomyakov KV, Tyufilin DS, Zagromova TA, Balaganskaya MA. The professional burnout of physicians of various specialties. Zdravoohranenie Rossijskoj Federacii.. 2017;61(6):322-329. (In Russ.). https://doi.org/10.18821/0044-197Х-2017-61-6-322-329
10. Lozinskaya E.I., Lutova N.B., Vid V.D. Sistemnyj indeks sindroma peregoraniya (na osnove testa MBI). Metodicheskie rekomendacii. NIPNI im. V.M. Bekhtereva, 2007. (In Russ.).
11. Малыгин В.Л., Искандирова А.С., Пахтусова Е.Е., Шевченко Д.В. Социально-психологические факторы риска формирования эмоционального выгорания у врачей психиатров и наркологов. Медицинская психология в России: электрон. науч. Журн. [medpsy.ru]. Medpsy; 2011 [процитировано 20 июня 2021]. Доступно: http://medpsy.ru/mprj/archiv_global/2011_4_9/nomer/nomer15.php
12. Markarjan AG. About the health status among psychiatrist. Meditsinskaja nauka Armenii. 2010;50:96-101. (in Russ.).
13. Matyushkina EY, Mikita OY, Kholmogorova AB. Burnout Level in Medical Residents Doing Internship in Emergency Medicine Hospital before the Pandemic. Konsul’tativnaya psikhologiya i psikhoterapiya. 2020;28(2):46–69. (In Russ.). https://doi.org/10.17759/cpp.2020280203
14. Petrikov SS, Kholmogorova AB, Suroegina AY, Mikita OY, Roy AP, Rakhmanina AA. Professional Burnout, Symptoms of Emotional Disorders and Distress among Healthcare Professionals during the COVID-19 Epidemic. Konsul’tativnaya psikhologiya i psikhoterapiya. 2020;28(2):8-45. (In Russ.) https://doi.org/10.17759/cpp.2020280202
15. Petrova NN, Fedotov IA, Chumakov EM. The analysis of the dynamics of psychiatrists ‘opinions on continuing medical education. Obozrenie psihiatrii i medicinskoj psihologii imeni V.M. Bekhtereva. 2019;(2):102-107. (In Russ.) https://doi.org/10.31363/2313-7053-2019-2-102-107
16. Pronicheva MM, Bulygina VG, Moskovskaya MS. Modern researches of burn-out syndrome in social service specialists. Social’naya i klinicheskaya psihiatriya. 2018;28(4):100-105. (In Russ.).
17. Samushiya MA, Ragimova AA, Amosova NA, Smolenceva IG, Ojnotkinova OS, Bonkalo TI, Berishvili TZ. Problems of Psycho-Emotional Well-Being of Medical Personnel Working in the Context of the COVID-19 Pandemic. Vestnik Rossijskoj akademii medicinskih nauk. 2020;75(5S):426-433. (In Russ.) doi: 10.15690/vramn1426
18. Filonenko AV, Golenkov AV, Filonenko VA, Orlov FV, Deomidov ES. Suicides among doctors and health care workers: review of literature. Suicidologiya. 2019;10(3):42-58. (In Russ.). https://doi.org/10.32878/suicide-rus.19-10-03(36)-42-58
19. Chernyshkova NV, Dvornikova EO, Malinina EV. Peculiarities of Emotional Burnout Syndrome in Health Professionals of Public and Private Health Care Facilities. Vestnik YUUrGU. Seriya «Psihologiya». 2018;11(4):61-72. (in Russ.). DOI: 10.14529/psy180407
20. Abu zied M, Fekry M, Mohsen N, Morsy M, El Serafy D, Salah M. Burnout syndrome among psychiatrists in Egyptian mental health hospital. Middle East Curr Psychiatry. 2020;27:25 doi: 10.1186/s43045-020-00028-x
21. Bhugra D, Sauerteig SO, Bland D, Lloyd-Kendall A, Wijesuriya J, Singh G, Kochhar A, Molodynski A, Ventriglio A. A descriptive study of mental health and wellbeing of doctors and medical students in the UK. Int Rev Psychiatry. 2019;31(7-8):563-568. doi:10.1080/09540261.2019.1648621
22. Bressi C, Porcellana M, Gambini O, Madia L, Muffatti R, Peirone A, Zanini S, Erlicher A, Scarone S, Altamura AC. Burnout among psychiatrists in Milan: a multicenter survey. Psychiatr Serv. 2009;60(7):985-988. doi:10.1176/ps.2009.60.7.985
23. Busis NA, Shanafelt TD, Keran CM, Levin KH, Schwarz HB, Molano JR, et al. Burnout, career satisfaction, and well-being among US neurologists in 2016. Neurology. 2017;88(8):797-808. doi:10.1212/WNL.0000000000003640
24. Chumakov E, Petrova N, Mamatkhodjaeva T, Ventriglio A, Bhugra D, Molodynski A. Screening of minor psychiatric disorders and burnout among a sample of medical students in St. Petersburg, Russia: a descriptive study. Middle East Curr Psychiatry. 2021;28:38. DOI: 10.1186/s43045-021-00118-4
25. Chumakov E, Petrova N, Vadivel R, Pinto da Costa M, Bhugra D, Ventriglio A. Use of Compulsory Treatment by Early-Career Psychiatrists: An International Survey (published online ahead of print, 2021 May 25). Psychiatr Serv. 2021. doi:10.1176/appi.ps.202000303
26. Coverdale J, Balon R, Beresin EV, Brenner AM, Louie AK, Guerrero A, Roberts LW. What Are Some Stressful Adversities in Psychiatry Residency Training, and How Should They Be Managed Professionally?. Acad Psychiatry. 2019;43(2):145-150. doi:10.1007/s40596-019-01026-w
27. Demerouti E, Bakker AB, Leiter M. Burnout and job performance: the moderating role of selection, optimization, and compensation strategies. J Occup Health Psychol. 2014;19(1):96-107. doi:10.1037/a0035062
28. Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice Regret Among US Resident Physicians. JAMA. 2018;320(11):1114-1130. doi:10.1001/jama.2018.12615
29. Girard DE, Hickam DH. Predictors of clinical performance among internal medicine residents. J Gen Intern Med. 1991;6(2):150-154. doi:10.1007/BF02598315
30. Heponiemi T, Aalto AM, Puttonen S, Vänskä J, Elovainio M. Work-related stress, job resources, and well-being among psychiatrists and other medical specialists in Finland. Psychiatr Serv. 2014;65(6):796-801. doi:10.1176/appi.ps.201300200
31. Jovanović N, Podlesek A, Volpe U, Barrett E, Ferrari S, Rojnic Kuzman M, et al. Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. Eur Psychiatry. 2016;32:34-41. doi:10.1016/j.eurpsy.2015.10.007
32. Lambert TW, Turner G, Fazel S, Goldacre MJ. Reasons why some UK medical graduates who initially choose psychiatry do not pursue it as a long-term career. Psychol Med. 2006;36(5):679-684. doi:10.1017/S0033291705007038
33. Maslach С, Jackson SE. The measurement of experienced burnout. J Occup Behav. 1981;2(2):99-113. doi: 10.1002/job.4030020205
34. Maslach C, Leiter MP. Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry. 2016;15(2):103-111. doi:10.1002/wps.20311
35. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. doi:10.1146/annurev.psych.52.1.397
36. McLoughlin C, Casey S, Feeney A, Weir D, Abdalla AA, Barrett E. Burnout, Work Satisfaction, and Well-being Among Non-consultant Psychiatrists in Ireland. Acad Psychiatry. 2021;45(3):322-328. doi:10.1007/s40596-020-01366-y
37. Molodynski A, Lewis T, Kadhum M, Farrell SM, Chelieh LM, De Almeida TF, et al. Cultural variations in wellbeing, burnout and substance use amongst medical students in twelve countries. Int Rev Psychiatry. 2021;33(1-2):37-42. doi:10.1080/09540261.2020.1738064
38. O’Connor K, Muller Neff D, Pitman S. Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99. doi:10.1016/j.eurpsy.2018.06.003
39. Roberts DL, Cannon KJ, Wellik KE, Wu Q, Budavari AI. Burnout in inpatient-based versus outpatient- based physicians: a systematic review and meta-analysis. J Hosp Med. 2013;8(11):653-664. doi:10.1002/jhm.2093
40. Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4):402-409. doi:10.1016/j.jemermed.2017.12.001
41. Rotenstein LS, Torre M, Ramos MA, Rosales RC, Guille C, Sen S, Mata DA. Prevalence of Burnout Among Physicians: A Systematic Review. JAMA. 2018;320(11):1131-1150. doi:10.1001/jama.2018.12777
42. Shanafelt TD, Sloan JA, Habermann TM. The wellbeing of physicians. Am J Med. 2003;114(6):513- 519. doi:10.1016/s0002-9343(03)00117-7
43. Sorokin MY, Kasyanov ED, Rukavishnikov GV, Makarevich OV, Neznanov NG, Morozov PV, Lutova NB, Mazo GE. Stress and stigmatization in healthcare workers during the COVID-19 pandemic. Indian J Psychiatry. 2020;62(Suppl 3):S445-S453. doi:10.4103/psychiatry.IndianJPsychiatry_870_20
44. Summers RF, Gorrindo T, Hwang S, Aggarwal R, Guille C. Well-Being, Burnout, and Depression Among North American Psychiatrists: The State of Our Profession. Am J Psychiatry. 2020;177(10):955-964. doi:10.1176/appi.ajp.2020.19090901
45. Ventriglio A, Watson C, Bhugra D. Suicide among doctors: A narrative review. Indian J Psychiatry. 2020;62(2):114-120. doi:10.4103/psychiatry.IndianJPsychiatry_767_19
46. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272-2281. doi:10.1016/S0140-6736(16)31279-X
47. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. J Intern Med. 2018;283(6):516-529. doi:10.1111/joim.12752
48.
Review
For citations:
Chumakov E.M., Gvozdetsky A.N., Vasilchenko K.F., Golygina S.E., Marachev M.P., Osadashiy Yu.Yu., Potanin S.S., Fedotov I.A., Shishkina I.O., Petrova N.N. Characteristics and determinants of professional burnout among early career psychiatrists in Russia — results of a cross-sectional study. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2022;56(1):63-78. (In Russ.) https://doi.org/10.31363/2313-7053-2022-56-1-63-78