ГоловнаArchive of numbers2023Volume 31, issue 2 (115)Comparative characteristics of psychosocial functioning as a component of emotional burnout and professional disappointment among psychiatrists during the war
Title of the article Comparative characteristics of psychosocial functioning as a component of emotional burnout and professional disappointment among psychiatrists during the war
Authors Levin Taras
In the section DIAGNOSTICS AND THERAPY OF MENTAL AND BEHAVIORAL DISORDERS
Year 2023 Issue Volume 31, issue 2 (115) Pages 37-46
Type of article Scientific article Index UDK 616.89-008:613.6+613.8:616-05:615.8 Index BBK -
Abstract

 The purpose of this work was to carry out a comparative assessment of indicators of psycho social functioning among psychiatrists in terms of the presence and severity of professional maladjustment (PM) and emotional burnout (EB) in them, in order to further determine therapeutic tactics —reha- bilitation work with this contingent. The study sample were 120 psychiatrists who worked in Kyiv between February 24, 2022 and the end of the year. Examined were divided into three groups: the first group — 30.8 % (37 people) — doctors without signs of PM, and with a low level of EB; the second group — 47.5 % (57 people) — persons with signs of PM and a mode rate level of EB; the third group — 21.7 % (26 people) — respondents with clinically defined andpronounced PM and a high level of EB. The psychosocial component of PM and EB was evaluated according to the parameters of social-psychological adaptation/maladaptation and quality of life. Psychiatrists without signs of PM with a low level of EB have indicators of social and psycho- logical adaptation within the normal range, doctors with individual signs of PM with a moderate level of EB are mostly on the borderline of norm/maladaptation, and psychiatrists with a formal PM and high level of EB are characterized by low adaptation and pronounced socio-psychological maladaptation. A significant inverse correlation was established between the levels of PM and social-psycho- logical adaptation, and, accordingly, a direct correlation between the increase in the level of PM and the increase in the manifestations of social-psychological maladjustment among psychiatrists, and the correlation was determined at the level of moderate and strong. Psychiatrists with signs of PM are characterized by a significant deterioration of quality of life in all key areas, and the greatest decrease in quality of life is observed in doctors with clinically defined PM and pronounced socio-psychological maladjustment. Indicators of quality of life re- vealed significant inverse correlations with the expressiveness of psychopathological symptoms, the closest in the field of subjective well-being / satisfactions, less close — in the sphere of fulfil- ling social roles, and the least dense — in the sphere of external living conditions. The identified regularities should be considered in developing treatment and rehabilitation measures for psychiatrists with manifestations of PM and EB.
Key words emotional burnout, professional maladjustment, psychosocial function, quality of life, psychiatrists, war
Access to full text version of the article pdf download
Bibliography
1. Cao X., Chen L., Tian L., Diao Y. The effect of perceived organisational support on burnout among community health nurses in China: The mediating role of professional self-concept. J Nurs Manag. 2016. 24(1). E77–E86. doi: 10.1111/jonm.12292.
 2. Sun JW, Bai HY, Li JH, Lin PZ, Zhang HH, Cao FL. Predictors of occupational burnout among nurses: a dominance analysis of job stressors. J Clin Nurs. 2017 Dec;26(23-24):4286-4292. doi: 10.1111/jocn.13754. Epub 2017 Mar 27. PMID: 28177546.
 3. Burn-out an “occupational phenomenon”: International Classification of Diseases. WHO. 28 May 2019. URI: https://www. who.int/news/item/28-05-2019-burn-out-an-occupational- phenomenon-international-classification-of-diseases.
 4. Maruta N. O., Chaban O. S. Osoblyvosti emotsiinoho vyhoriannia u pratsivnykiv sfery okhorony nevrolohichno- ho ta psykhichnoho zdorov’ia. Ukrainskyi visnyk psykhonev- rolohii. 2021. T. 29, vyp. 2 (107) S. 14—20. DOI: https://doi. org/10.36927/2079-0325-V29-is2-2021-2. (In Ukrainian).
 5. Prib H., Beheza L., Markova M., Raievska Y., Lapinska T., Markov A. Psycho-Emotional Burnout of the Personality in the Conditions of War. Journal of Intellectual Disability — Diagnosis and Treatment. 2023 Jan; Vol. 11, 1 (23): 36—46. DOI: https://doi.org/10.6000/2292-2598.2023.11.01.5
6. Lastovkova A, Carder M, Rasmussen HM, Sjoberg L, Groene GJ, Sauni R, Vevoda J, Vevodova S, Lasfargues G, Svartengren M, Varga M, Colosio C, Pelclova D. Burnout syndrome as an occu- pational disease in the European Union: an exploratory study. Ind Health. 2018 Apr 7;56(2):160-165. doi: 10.2486/ind- health.2017-0132. Epub 2017 Nov 3. PMID: 29109358; PMCID: PMC5889935.
7. Aumayr-Pintar, Christine; Cerf, Catherine; Parent-Thirion, Agnès. Eurofound (2018). Burnout in the workplace: A review of data and policy responses in the EU. Publications Office of the European Union, Luxembourg. URI: https://hdl.handle.net/1813/87391.
8. International classification of diseases — Mortality and Morbidity Statistics. Chapter 24: Factors influencing health status or contact with health services. URL: https://www.certifico.com/ component/attachments/download/13559.
9. Tawfik DS, Scheid A, Profit J, Shanafelt T, Trockel M, Adair KC, Sexton JB, Ioannidis JPA. Evidence Relating Health Care Provider Burnout and Quality of Care: A Systematic Review and Meta-analysis. Ann Intern Med. 2019 Oct 15;171(8):555-567. doi: 10.7326/M19-1152. Epub 2019 Oct 8. PMID: 31590181; PMCID: PMC7138707.