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Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice

Published online by Cambridge University Press:  23 March 2020

N. Jovanović ,
A. Podlesek ,
U. Volpe ,
E. Barrett ,
S. Ferrari ,
M. Rojnic Kuzman ,
P. Wuyts ,
S. Papp ,
A. Nawka  and
A. Vaida
...Show all authors
N. Jovanović*
Affiliation:
Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, LondonE13 8SP, UK
A. Podlesek
Affiliation:
Department of Psychology, University of Ljubljana, Aškerčeva 2Ljubljana, 1000, Slovenia
U. Volpe
Affiliation:
Department of Psychiatry, University of Naples SUN, Largo Madonna delle GrazieNaples, 80138, Italy
E. Barrett
Affiliation:
Department of Liaison Child and Adolescent Psychiatry, Our Lady's Hospital Crumlin, Dublin, Ireland
S. Ferrari
Affiliation:
Department of Diagnostic-Clinical Medicine and Public Health University of Modena & Reggio Emilia, Modena, Italy
M. Rojnic Kuzman
Affiliation:
Department of Psychiatry, Zagreb University Hospital Centre, Kispaticeva 12Zagreb, 10 000, Croatia
P. Wuyts
Affiliation:
Private psychiatric practice140, avenue Victor-Hugo Paris, 75116, France UPC KU Leuven, Leuven, Belgium
S. Papp
Affiliation:
Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
A. Nawka
Affiliation:
Department of Psychiatry, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic Institute of Neuropsychiatric Care (INEP), Prague, Czech Republic
A. Vaida
Affiliation:
Clinical Hospital of Psychiatry 2, Tirgu Mures, Romania Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK
A. Moscoso
Affiliation:
Department of Child and Adolescent Psychiatry, Hospital de D. Estefânia, Lisbon, Portugal
O. Andlauer
Affiliation:
Laboratoire de Neurosciences de Besançon, Université de France-ComtéBesançon, 25000, France Newham centre for mental health, East London NHS Foundation Trust, London, UK
M. Tateno
Affiliation:
Department of Neuropsychiatry, Sapporo Medical University, Sapporo, Japan
G. Lydall
Affiliation:
HSSD Guernsey, UK UCL, London, UK
V. Wong
Affiliation:
Private psychiatric practice, 122A, New Henry House10, Ice House Street Central, Hong Kong
J. Rujevic
Affiliation:
Department of child psychiatry, University Children's Hospital, Bohoričeva 20Ljubljana, 1525, Slovenia
N. Platz Clausen
Affiliation:
Department for Affective Disorders, Aarhus University HospitalAarhus, DK-8000, Denmark
R. Psaras
Affiliation:
Private Psychiatric Practice, Athens, Greece
A. Delic
Affiliation:
Department for Psychiatry, University Clinical Center Tuzla, Bosnia and Herzegovina
M.A. Losevich
Affiliation:
University of Latvia19 Raina Blvd.RigaLV 1586, Latvia
S. Flegar
Affiliation:
Private psychiatric practice, Cape Town, South Africa
P. Crépin
Affiliation:
Union Sanitaire et Sociale Aude Pyrénées, Clinique Via Domitia, Narbonne, 11100, France Psychiatry Clinic of University of Tartu50417, Estonia
E. Shmunk
Affiliation:
Siberian State Medical UniversityMoskovsky tract 2Tomsk634050, Russia
I. Kuvshinov
Affiliation:
Republican Research and Practice Centre of Mental Health, Minsk, Belarus
E. Loibl-Weiß
Affiliation:
Landesklinikum Baden-Mödling, Standort Baden, Austria
J. Beezhold
Affiliation:
Norfolk and Suffolk NHS Foundation Trust, Norwich, UK University of East Anglia, Norwich, UK
*
*Corresponding author at: Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E13 8SP, UK. E-mail address: n.jovanovic@qmul.ac.uk (N. Jovanović).
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Abstract

Background

Postgraduate medical trainees experience high rates of burnout, but evidence regarding psychiatric trainees is missing. We aim to determine burnout rates among psychiatric trainees, and identify individual, educational and work-related factors associated with severe burnout.

Methods

In an online survey psychiatric trainees from 22 countries were asked to complete the Maslach Burnout Inventory (MBI-GS) and provide information on individual, educational and work-related parameters. Linear mixed models were used to predict the MBI-GS scores, and a generalized linear mixed model to predict severe burnout.

Results

This is the largest study on burnout and training conditions among psychiatric trainees to date. Complete data were obtained from 1980 out of 7625 approached trainees (26%; range 17.8–65.6%). Participants were 31.9 (SD 5.3) years old with 2.8 (SD 1.9) years of training. Severe burnout was found in 726 (36.7%) trainees. The risk was higher for trainees who were younger (P < 0.001), without children (P = 0.010), and had not opted for psychiatry as a first career choice (P = 0.043). After adjustment for socio-demographic characteristics, years in training and country differences in burnout, severe burnout remained associated with long working hours (P < 0.001), lack of supervision (P < 0.001), and not having regular time to rest (P = 0.001). Main findings were replicated in a sensitivity analysis with countries with response rate above 50%.

Conclusions

Besides previously described risk factors such as working hours and younger age, this is the first evidence of negative influence of lack of supervision and not opting for psychiatry as a first career choice on trainees’ burnout.

Keywords

BurnoutPsychiatryTrainingRisk factorsSupervision
Type
Original article
Information
European Psychiatry , Volume 32 , February 2016 , pp. 34 - 41
Copyright
Copyright © European Psychiatric Association 2016

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