From Resilience to Burnout: Psychological Features of Italian General Practitioners During COVID-19 Emergency.
From Resilience to Burnout: Psychological Features of Italian General Practitioners During COVID-19 Emergency.
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DOI：
10.3389/fpsyg.2020.567201
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发表时间：
2020
影响因子：
3.8
通讯作者：
Di Trani M
中科院分区：
文献类型：
--
作者：
Di Monte C;Monaco S;Mariani R;Di Trani M
在意大利 2019 年冠状病毒病 (COVID-19) 大流行期间，全科医生 (GP) 正在确保公民继续获得初级护理，同时比大多数专业团体更多地吸收危机的影响。本研究的目的是探讨在 COVID-19 紧急情况下意大利全科医生的倦怠维度与各种心理特征之间的关系。 102 名全科医生通过 Google Forms 在线填写了自填问卷，包括 Maslach 倦怠量表 (MBI)、复原力量表、不确定性耐受量表简表 (IU) 和压力情况应对量表 (CISS)。聚类分析强调了四种不同的倦怠风险特征：低倦怠、中风险、高风险和高倦怠。高倦怠组比中风险组表现出较低的弹性和较低的 CISS 任务导向应对策略，并且比低倦怠组表现出更高的 IU 预期。线性回归分析的结果证实，CISS 情感导向风格正向预测 MBI 情绪耗竭，CISS 任务导向和情绪导向成为 MBI 去个性化的显着预测因子（分别为负向和正向），而韧性则正向预测 MBI 个人成就。总之，结果表明，COVID-19 紧急情况对全科医生的工作管理产生了重大影响。在这些情况下，实施以任务为导向的问题管理，而不是情绪策略，似乎可以防止倦怠。与大流行相关的情绪可能过于强烈，无法有效地进行调节和利用来管理 COVID-19 大流行带来的专业问题。
During the COronaVIrus Disease 2019 (COVID-19) pandemic in Italy, general practitioners (GPs) are ensuring continued access to primary care for citizens while also absorbing more of the impact of the crisis than most professional groups. The aim of this study is to explore the relationships between dimensions of burnout and various psychological features among Italian GPs during the COVID-19 emergency. A group of 102 GPs completed self-administered questionnaires available online through Google Forms, including Maslach Burnout Inventory (MBI), Resilience Scale, Intolerance of Uncertainty Scale Short Form (IU), and Coping Inventory for Stressful Situations (CISS). Cluster analysis highlighted four distinct burnout risk profiles: Low Burnout, Medium Risk, High Risk, and High Burnout. The High Burnout group showed both lower Resilience and lower CISS Task-oriented coping strategy than the Medium Risk group and higher IU Prospective than the Low Burnout group. Results of a linear regression analysis confirmed that CISS Emotion-oriented style positively predicted MBI Emotional Exhaustion, CISS Task-oriented and Emotion-oriented emerged as significant predictors (negatively and positively, respectively) of MBI Depersonalization, and Resilience positively predicted MBI Personal Accomplishment. In conclusion, the results showed that the COVID-19 emergency had a significant impact on GPs’ work management. Implementing task-oriented problem management, rather than emotional strategies, appears to protect against burnout in these circumstances. It is possible that the emotions related to the pandemic are too intense to be regulated and used productively to manage the professional issues that the COVID-19 pandemic presents.
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