Association between burnout and stigma in physicians.

S Favre, N M Bajwa, M Dominicé Dao, M-C Audétat Voirol, M Nendaz, N Junod Perron, T Perneger, H Richard-Lepouriel
Author Information
  1. S Favre: Mood Disorder Unit, Psychiatric Specialties Service, Geneva University Hospital, Geneva, Switzerland. ORCID
  2. N M Bajwa: University of Geneva Faculty of Medicine, Department of Paediatrics, Unit of Development and Research in Medical Education (UDREM), Geneva University Hospital, Geneva, Switzerland.
  3. M Dominicé Dao: Division of Primary Care Medicine, Geneva University Hospital, Geneva, Switzerland.
  4. M-C Audétat Voirol: Faculty of Medicine, Institute of Primary Care (IuMFE) University of Geneva, Unit of Development and Research in Medical Education (UDREM), Geneva, Switzerland. ORCID
  5. M Nendaz: University of Geneva Faculty of Medicine, Division of General Internal Medicine, Unit of Development and Research in Medical Education (UDREM), Geneva University Hospital, Geneva, Switzerland.
  6. N Junod Perron: Institute of Primary Care, Geneva University Hospital, Geneva, Switzerland.
  7. T Perneger: Division of Clinical Epidemiology Division, Geneva University Hospital, Geneva, Switzerland.
  8. H Richard-Lepouriel: Mood Disorder Unit, Psychiatric Specialties Service, Geneva University Hospital, Geneva, Switzerland. ORCID

Abstract

BACKGROUND: Physicians suffering from burnout are more likely to develop depression, substance dependence, and cardiovascular diseases, which can affect their practices. Stigmatization is a barrier to seeking treatment. This study aimed to understand the complex links between burnout among medical doctors and the perceived Stigma.
METHODS AND FINDINGS: Online questionnaires were sent to medical doctors working in five different departments of the Geneva University Hospital. The Maslach burnout Inventory (MBI) was used to assess burnout. The Stigma of Occupational Stress Scale in Doctors (SOSS-D) was used to measure the three Stigma dimensions. Three hundred and eight physicians participated in the survey (response rate: 34%). Physicians with burnout (47%) were more likely to hold stigmatized views. Emotional exhaustion was moderately correlated with perceived structural Stigma (r = 0.37, P < .001) and weakly correlated with perceived Stigma (r = 0.25, P = 0.011). Depersonalization was weakly correlated with personal Stigma (r = 0.23, P = 0.04) and perceived other Stigma (r = 0.25, P = 0.018).
CONCLUSION: These results suggest the need to adjust for existing burnout and Stigma management. Further research needs to be conducted on how high burnout and stigmatization impact collective burnout, stigmatization, and treatment delay.

References

  1. Acad Med. 2015 Jul;90(7):961-9 [PMID: 25650824]
  2. Psychiatr Danub. 2020 Nov;32(Suppl 4):463-470 [PMID: 33212450]
  3. Drug Alcohol Depend. 2019 Jun 1;199:116-121 [PMID: 31035230]
  4. Am Soc Clin Oncol Educ Book. 2014;:e454-9 [PMID: 24857139]
  5. Cureus. 2020 Apr 4;12(4):e7538 [PMID: 32377486]
  6. Work. 2019;64(4):671-683 [PMID: 31815707]
  7. Ann Intern Med. 2002 Mar 5;136(5):358-67 [PMID: 11874308]
  8. Lancet. 2009 Nov 14;374(9702):1714-21 [PMID: 19914516]
  9. PLoS One. 2013 Apr 19;8(4):e61526 [PMID: 23620760]
  10. J Med Educ Curric Dev. 2020 Jan 08;7:2382120519889352 [PMID: 32363235]
  11. Front Sociol. 2019 May 08;4:40 [PMID: 33869363]
  12. Occup Med (Lond). 2016 Jul;66(5):383-9 [PMID: 27030052]
  13. Acad Med. 2021 May 1;96(5):635-640 [PMID: 33885412]
  14. Can J Anaesth. 2017 Feb;64(2):158-168 [PMID: 27910035]
  15. Mayo Clin Proc. 2013 Dec;88(12):1356-7 [PMID: 24290108]
  16. Front Psychol. 2020 Mar 12;11:391 [PMID: 32226404]
  17. Acad Med. 2002 Sep;77(9):918-21 [PMID: 12228091]
  18. BMC Health Serv Res. 2011 Sep 24;11:235 [PMID: 21943042]
  19. Adv Surg. 2010;44:29-47 [PMID: 20919512]
  20. Annu Rev Psychol. 2001;52:397-422 [PMID: 11148311]
  21. Am J Med. 2020 Feb;133(2):160-164 [PMID: 31520624]
  22. PLoS One. 2018 Nov 12;13(11):e0206840 [PMID: 30418984]
  23. Lancet. 2009 Oct 24;374(9699):1414-5 [PMID: 19866520]
  24. Br J Psychiatry. 2017 Apr;210(4):261-268 [PMID: 28153928]
  25. Ann Intern Med. 2006 Jan 17;144(2):107-15 [PMID: 16418410]
  26. BMC Health Serv Res. 2021 Sep 20;21(1):993 [PMID: 34544396]
  27. Mayo Clin Proc. 2013 Dec;88(12):1347-9 [PMID: 24290105]
  28. J Clin Psychol. 2019 Mar;75(3):418-432 [PMID: 30431644]
  29. Int J Qual Health Care. 2017 Oct 01;29(5):679-684 [PMID: 28992145]
  30. Ann Ib Postgrad Med. 2016 Dec;14(2):92-98 [PMID: 28337094]
  31. J Occup Med Toxicol. 2014 Mar 14;9(1):10 [PMID: 24628839]
  32. PLoS One. 2013 Sep 04;8(9):e73381 [PMID: 24023865]
  33. JAMA. 2018 Sep 18;320(11):1131-1150 [PMID: 30326495]
  34. Cureus. 2019 Jun 3;11(6):e4805 [PMID: 31404361]
  35. BMJ Open. 2016 Jun 15;6(6):e011369 [PMID: 27311909]
  36. J Grad Med Educ. 2009 Dec;1(2):236-42 [PMID: 21975985]
  37. Epidemiol Psichiatr Soc. 2001 Jan-Mar;10(1):8-11 [PMID: 11381480]
  38. Psychiatr Clin North Am. 2017 Dec;40(4):751-770 [PMID: 29080598]
  39. BMJ Open. 2019 Sep 5;9(9):e030209 [PMID: 31492785]
  40. Syst Rev. 2017 Jul 17;6(1):144 [PMID: 28716112]
  41. J Ment Health. 2019 Feb;28(1):26-33 [PMID: 28868957]
  42. JAMA. 2011 Sep 7;306(9):952-60 [PMID: 21900135]
  43. Acad Med. 2021 May 1;96(5):629-631 [PMID: 33570856]
  44. Biomed Res Int. 2019 Sep 24;2019:5921703 [PMID: 31662983]
  45. Br J Gen Pract. 2022 Apr 28;72(718):e316-e324 [PMID: 34990391]
  46. Med Educ. 2010 Mar;44(3):236-47 [PMID: 20444054]
  47. J Gen Intern Med. 2020 May;35(5):1579-1581 [PMID: 32096078]
  48. Arch Intern Med. 2012 Oct 8;172(18):1377-85 [PMID: 22911330]
  49. Ann Med Surg (Lond). 2021 Apr 21;65:102337 [PMID: 33996067]
  50. Pediatrics. 2021 Oct;148(4): [PMID: 34561267]
  51. JAMA Surg. 2021 Feb 1;156(2):117-118 [PMID: 33052384]
  52. J Adolesc. 2018 Jul;66:83-90 [PMID: 29800758]
  53. Indian J Psychiatry. 2020 Sep;62(Suppl 3):S467-S469 [PMID: 33227061]

MeSH Term

Humans
Burnout, Professional
Burnout, Psychological
Occupational Stress
Physicians
Emotions
Surveys and Questionnaires

Word Cloud

Created with Highcharts 10.0.0burnoutstigma=0perceivedrPcorrelatedPhysicianslikelytreatmentmedicaldoctorsusedphysiciansweakly25stigmatizationBACKGROUND:sufferingdevelopdepressionsubstancedependencecardiovasculardiseasescanaffectpracticesStigmatizationbarrierseekingstudyaimedunderstandcomplexlinksamongMETHODSANDFINDINGS:OnlinequestionnairessentworkingfivedifferentdepartmentsGenevaUniversityHospitalMaslachBurnoutInventoryMBIassessStigmaOccupationalStressScaleDoctorsSOSS-DmeasurethreedimensionsThreehundredeightparticipatedsurveyresponserate:34%47%holdstigmatizedviewsEmotionalexhaustionmoderatelystructural37<001011Depersonalizationpersonal2304018CONCLUSION:resultssuggestneedadjustexistingmanagementresearchneedsconductedhighimpactcollectivedelayAssociation

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