Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors.
Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors.
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DOI：
10.1192/pb.bp.116.054247
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发表时间：
2017-08
期刊：
影响因子：
2.6
通讯作者：
Imo UO
中科院分区：
文献类型：
--
作者：
Imo UO
目的和方法系统回顾英国医生职业倦怠和应激相关精神障碍的患病率及其相关因素。在PubMed、EBSCOhost和英国医学杂志上进行了广泛的搜索，寻找在20年间发表的衡量精神疾病患病率(使用一般健康问卷)和倦怠(使用Maslach Burnout Inventory)的研究。结果精神疾病患病率为17%~52%。情绪衰竭得分在31%~54.3%之间，人格解体得分在17.4%~44.5%之间，个人成就感低下得分在6%~39.6%之间。全科医生和咨询师得分最高。与职业倦怠和精神疾病发病率增加显著相关的因素包括工作满意度低、超负荷、工作时间增加和神经质。结果表明，英国医生的职业倦怠和精神疾病发病率高得令人担忧，这可能会对医疗保健服务产生巨大的负面影响。个人和组织层面的因素导致职业倦怠和精神疾病发病率，因此应对这些问题的努力应该针对这两个层面。
Aims and method To systematically review the prevalence and associated factors of burnout and stress-related psychiatric disorders among UK doctors. An extensive search was conducted of PubMed, EBSCOhost and British medical journals for studies published over a 20-year span measuring the prevalence of psychiatric morbidity (using the General Health Questionnaire) and burnout (using the Maslach Burnout Inventory). Results Prevalence of psychiatric morbidity ranged from 17 to 52%. Burnout scores for emotional exhaustion ranged from 31 to 54.3%, depersonalisation 17.4 to 44.5% and low personal accomplishment 6 to 39.6%. General practitioners and consultants had the highest scores. Factors significantly associated with increase in the prevalence of burnout and psychiatric morbidity include low job satisfaction, overload, increased hours worked and neuroticism. Clinical implications The results indicate a worryingly high rate of burnout and psychiatric morbidity among UK doctors, which could have a huge negative impact on healthcare provision in general. Factors at personal and organisational levels contribute to burnout and psychiatric morbidity, and so efforts made to counter these problems should target both levels.