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Journal of Trauma & Dissociation : the... 2020Borderline personality disorder (BPD) is a serious psychiatric illness, and it is often associated with dissociative symptoms. The purpose of this study was to assess...
Borderline personality disorder (BPD) is a serious psychiatric illness, and it is often associated with dissociative symptoms. The purpose of this study was to assess the course of depersonalization and derealization symptoms in recovered and non-recovered borderline patients over 20 years of prospective follow-up. The Dysphoric Affect Scale (DAS) - a 50-item self-report measure was administered to 290 borderline inpatients at baseline, and the remaining participants (85%) at 10 follow-up interviews conducted over 20 years. The level of depersonalization and derealization experienced by borderline patients was assessed using three items (feeling unreal, feeling completely numb, and feeling like people and things aren't real) from the DAS. The patients who recovered from BPD reported significantly lower scores in all three inner states (62 - 63%) at baseline compared to those patients who did not recover. Furthermore, scores of recovered and non-recovered groups decreased significantly in all three inner states studied over 20 years of prospective follow-up. Overall, these results suggest that the severity of depersonalization and derealization symptoms decreased significantly over 20 years of prospective follow-up and had a strong association with BPD recovery status.
Topics: Adolescent; Adult; Borderline Personality Disorder; Depersonalization; Female; Follow-Up Studies; Humans; Longitudinal Studies; Male; Prospective Studies; Psychiatric Status Rating Scales; Severity of Illness Index
PubMed: 32000616
DOI: 10.1080/15299732.2020.1719259 -
Journal of the American Board of Family... 2019Physician burnout is an ongoing problem that affects both physician wellbeing and patient care. Burnout is characterized by emotional exhaustion and depersonalization....
BACKGROUND
Physician burnout is an ongoing problem that affects both physician wellbeing and patient care. Burnout is characterized by emotional exhaustion and depersonalization. Studies have explored ways to prevent and alleviate burnout. Receiving training in acupuncture may reduce physician burnout.
OBJECTIVE
The purpose of this study is to determine if acupuncture training is associated with less patient depersonalization and less emotional exhaustion among physicians.
METHODS
These self-reported data were collected from a cross-sectional survey of family physicians at the Uniformed Services Academy of Family Physicians 2017 conference. Physicians answered questions regarding their level of acupuncture training as well as questions about burnout (depersonalization and emotional exhaustion).
RESULTS
The overall response rate was 66% (325/492). Of these, 233 cases provided complete datasets. In a model controlling for years' practice and clinical pace, acupuncture training was significantly associated with decreased depersonalization, (1, 194) = 5.82, < .05.
CONCLUSION
Study data show an association between decreased physician depersonalization and acupuncture training, suggesting acupuncture training may be a helpful strategy to reduce family physicians' depersonalization of patients.
Topics: Acupuncture; Adult; Burnout, Professional; Case-Control Studies; Cross-Sectional Studies; Depersonalization; Family Practice; Female; Humans; Male; Physician-Patient Relations; Physicians, Family; Self Report
PubMed: 30850462
DOI: 10.3122/jabfm.2019.02.180204 -
Skeletal Radiology Apr 2017Burnout is a job-related psychological syndrome with three aspects: emotional exhaustion, depersonalization, and perceived lack of personal accomplishment. Burnout is...
OBJECTIVE
Burnout is a job-related psychological syndrome with three aspects: emotional exhaustion, depersonalization, and perceived lack of personal accomplishment. Burnout is associated with deleterious effects on both workers and their work. When burnout affects physicians, their well-being, longevity, and care of patients are at risk. Recent studies concerning physician burnout treat specialists such as radiologists as one group. We studied burnout in musculoskeletal (MSK) subspecialist radiologists.
MATERIALS AND METHODS
An institutional review board exemption was obtained. Society of Skeletal Radiology members received invitations to an anonymous survey that included questions from the Maslach Burnout Inventory ™ (MBI) measuring all three aspects of burnout. The response rate was 36.4% (433/1190).
RESULTS
The prevalence of emotional exhaustion was 61.7% (255/413), of depersonalization 53.3% (219/411), and of perceived lack of personal accomplishment 39.6% (161/407). Only 19.5% (79/405) of MSK radiologists reported no burnout, while 80.5% (326/405) reported burnout along one or more dimensions. For all three dimensions, the prevalence was higher and the mean severity was worse for private practice compared with academic practice. The prevalence of burnout was affected more by practice setting than by gender. Burnout prevalence and severity also varied systematically with years since completion of training.
CONCLUSION
Among MSK radiologists, we found a much higher prevalence and greater severity of burnout than has been previously reported for radiologists and other physicians. There were differences in prevalence and severity of burnout among practice settings, genders, and longevity cohorts.
Topics: Academic Medical Centers; Achievement; Burnout, Professional; Depersonalization; Emotions; Female; Health Surveys; Humans; Male; Musculoskeletal System; Prevalence; Private Practice; Radiologists; Severity of Illness Index; Sex Distribution; Time Factors; Workload
PubMed: 28154900
DOI: 10.1007/s00256-017-2578-9 -
The Journal of Nervous and Mental... Jun 2023The present study aimed to examine the cross-sectional association between attachment style and self-reported disturbed self-awareness (disturbed sense of mineness of...
Attachment Style and Self-Experience: The Association Between Attachment Style and Self-Reported Altered Self-Experience in Patients With Psychotic Disorders, Unaffected Siblings, and Healthy Controls.
The present study aimed to examine the cross-sectional association between attachment style and self-reported disturbed self-awareness (disturbed sense of mineness of experiences) and depersonalization (disturbed sense of first-person perspective) in patients with psychotic disorders, unaffected siblings, and healthy controls. Data pertain to a subsample of the GROUP (Genetic Risk and Outcome of Psychosis) study. We found positive associations between anxious attachment and disturbed self-awareness and depersonalization across participants with different psychosis vulnerability. We also found a positive association between avoidant attachment and depersonalization, although on a trend level. Findings indicate that attachment style is associated with self-reported disturbed self-awareness and depersonalization over and above the influence of psychotic or depressive experiences in people across the vulnerability spectrum of psychosis. This supports the importance of attachment style, self-awareness, and depersonalization as potential targets in prevention and treatment interventions in patients with psychotic disorders or those with increased vulnerability.
Topics: Humans; Self Report; Siblings; Cross-Sectional Studies; Object Attachment; Psychotic Disorders
PubMed: 36971431
DOI: 10.1097/NMD.0000000000001634 -
Frontiers in Psychology 2022Burnout is an impactful occupational health phenomenon to which doctors and nurses have been more exposed during the COVID-19 pandemic. The objectives of this study were...
Burnout is an impactful occupational health phenomenon to which doctors and nurses have been more exposed during the COVID-19 pandemic. The objectives of this study were to measure the dimensions of burnout-emotional exhaustion, depersonalization and personal accomplishment-in a hospital healthcare population after the second COVID-19 wave and to study their association with sociodemographic variables and previous COVID-19 infection. We invited 112 healthcare professionals (doctors and nurses) who attended the occupational health department of a tertiary hospital in March-July 2021. Emotional exhaustion, depersonalization and personal accomplishment were measured by the Maslach Burnout Inventory. Linear-regression analyses were conducted to explore relationships between burnout dimensions and sociodemographic variables. Differences between groups according to previous COVID-19 infection were verified using the t-test and when appropriate the Mann-Whitney test (for continuous variables), the chi-square test and when appropriate the Fisher exact test (for categorical variables). We surveyed 106 subjects (95% response rate). High emotional exhaustion and depersonalization were reported by 33.0 and 18.4% of participants, respectively; 21.4% reported low personal accomplishment. Job tenure was associated with depersonalization and personal accomplishment. For each 1-year increase in job tenure, depersonalization decreases 0.14 (95% CI [-0.23, -0.04]) and personal accomplishment increases 0.16 (95% CI [0.06, 0.25]). Gender was associated with emotional exhaustion (being male increases emotional exhaustion 5.62-fold [95% CI: 1.33; 9.92]). The prevalence of high emotional exhaustion, high depersonalization and low personal accomplishment after the second COVID-19 wave was relevant and should not be overlooked. Our findings suggest that job tenure may play a protective role in healthcare workers' burnout.
PubMed: 36003097
DOI: 10.3389/fpsyg.2022.942727 -
Current Psychiatry Reports Jan 2017Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization,... (Review)
Review
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia). While the precise neurobiological underpinnings of dissociation remain elusive, neuroimaging studies in disorders, characterized by high dissociation (e.g., depersonalization/derealization disorder (DDD), dissociative identity disorder (DID), dissociative subtype of posttraumatic stress disorder (D-PTSD)), have provided valuable insight into brain alterations possibly underlying dissociation. Neuroimaging studies in borderline personality disorder (BPD), investigating links between altered brain function/structure and dissociation, are still relatively rare. In this article, we provide an overview of neurobiological models of dissociation, primarily based on research in DDD, DID, and D-PTSD. Based on this background, we review recent neuroimaging studies on associations between dissociation and altered brain function and structure in BPD. These studies are discussed in the context of earlier findings regarding methodological differences and limitations and concerning possible implications for future research and the clinical setting.
Topics: Borderline Personality Disorder; Brain; Brain Mapping; Cerebral Cortex; Depersonalization; Dissociative Disorders; Humans; Limbic System; Neuroimaging; Stress Disorders, Post-Traumatic
PubMed: 28138924
DOI: 10.1007/s11920-017-0757-y -
Psychiatria Polska Oct 2019The aim of this work is to present the results of research on occupational burnout in a group of psychiatrists. The electronic databases and empirical publications from... (Review)
Review
The aim of this work is to present the results of research on occupational burnout in a group of psychiatrists. The electronic databases and empirical publications from 2000-2017 were searched. In order to identify reports that met the selection criteria, the papers was critically assessed. In the presented studies it was shown that the burnout syndrome is most often presented in accordance with the theoretical model proposed by Christina Maslach (including the dimension of depersonalization, emotional exhaustion and the feeling of lack of personal achievements). Risk factors include, among others: too long working hours, low earnings, negative self-image, specificity of treated patients, conflicts with colleagues, satisfaction with the work performed, insufficient supervision of work.
Topics: Achievement; Adaptation, Psychological; Adult; Burnout, Professional; Burnout, Psychological; Depersonalization; Female; Humans; Job Satisfaction; Male; Severity of Illness Index; Stress, Psychological; Workplace
PubMed: 31955191
DOI: 10.12740/PP/OnlineFirst/91686 -
Advances in Pediatrics Aug 2018
Review
Topics: Burnout, Professional; Cognitive Behavioral Therapy; Depersonalization; Efficiency; Exercise; Fatigue; Humans; Interpersonal Relations; Job Satisfaction; Meditation; Mindfulness; Motivation; Organizational Policy; Physician-Patient Relations; Physicians; Quality of Health Care; Resilience, Psychological; Self Care; Social Support; Surveys and Questionnaires
PubMed: 30053918
DOI: 10.1016/j.yapd.2018.03.001 -
Work (Reading, Mass.) 2021Although job demands, supervisory support, and burnout have been identified as significant predictors of turnover intention, little attention has been paid to the...
BACKGROUND
Although job demands, supervisory support, and burnout have been identified as significant predictors of turnover intention, little attention has been paid to the mechanisms among these determinants.
OBJECTIVE
Based on the job demand and resource (JD-R) model, this study examined the mediating roles of emotional exhaustion and depersonalization.
METHODS
Data were collected from private sector social workers in three metropolitan areas of South Korea (N = 316). Two serial multiple mediation analyses were conducted to examine the mediating effects of emotional exhaustion and depersonalization in the relationships between job demands and turnover intention and between job resources and turnover intention, respectively.
RESULTS
Job demands and resources were associated with turnover intention both directly and indirectly, through emotional exhaustion and depersonalization. Whereas job demands were positively associated with emotional exhaustion only, job resources were negatively associated with both emotional exhaustion and depersonalization. The sequential link from emotional exhaustion to depersonalization was present in both job demands and in the resources models.
CONCLUSIONS
The findings underscore the importance of addressing potential burnout to effectively reduce turnover intention among social workers in South Korea. Implications and strategies for developing interventions and policies to reduce turnover by improving work environments are suggested.
Topics: Burnout, Professional; Cross-Sectional Studies; Depersonalization; Emotions; Humans; Intention; Job Satisfaction; Personnel Turnover; Salaries and Fringe Benefits; Surveys and Questionnaires
PubMed: 34511473
DOI: 10.3233/WOR-213574 -
Work (Reading, Mass.) 2020The work of nurses and correctional officers alike has long been pointed at as among the most stressful in the world. (Comparative Study)
Comparative Study
BACKGROUND
The work of nurses and correctional officers alike has long been pointed at as among the most stressful in the world.
OBJECTIVE
The primary aim was to evaluate the prevalence and level of occupational burnout among 214 hospital nurses and 201 correctional officers from Bulgaria. One of the focuses was to examine whether gender roles or occupational roles were more related to burnout.
METHODS
The current work used a descriptive cross-sectional inter-occupational comparative survey design. The participation was voluntary, individually and anonymously without any financial compensation. The only qualification in the sample selection was that the employee had direct contact with patients and inmates respectively. A translated MBI-Bulgarian version was used to measure burnout. Data were entered into SPSS17.0 to carry out data analysis.
RESULTS
The level of emotional exhaustion and personal accomplishment of nurses were significantly higher than that of correctional officers. Mean depersonalization score of correctional officers was significantly higher than that of nurses. Correctional officers demonstrated a higher prevalence of burnout syndrome compared with nurses. To examine whether gender is associated with burnout, Mann-Whitney U test was utilized to assess gender differences of correctional officers. Our results suggest that being male or female is not a critical determinant of burnout.
CONCLUSION
Correctional officers were found to have a higher prevalence of burnout syndrome compared with nurses.
Topics: Adult; Bulgaria; Burnout, Professional; Cross-Sectional Studies; Depersonalization; Emotions; Female; Humans; Male; Middle Aged; Nursing Staff, Hospital; Occupational Stress; Prevalence; Prisons; Sex Factors; Surveys and Questionnaires
PubMed: 31868713
DOI: 10.3233/WOR-193059