Cardiovascular health and burnout syndrome in argentine medical internists
DOI:
https://doi.org/10.54789/rs.v3i2.38Keywords:
Burnout, heart disease risk factors, health workforceAbstract
Objectives: To identify cardiovascular risk factors (CVRF), presence of cardiovascular disease (CVD) and determine its predictors. To quantify and relate self-assessment answers about self-perception of burnout syndrome and its predictors.
Materials and methods: A prospective, observational, cross-sectional, analytical study was carried out among general practice and internal medicine specialists living in Argentina.
Results: There were 830 responses, mostly between 31-50 years (64,3%). The prevalent factors were overweight/obesity (84,9%), family history (61,1%) and sedentary lifestyle (44,0%). In the logistic regression, dyslipidemia and arterial hypertension were predictors of CD. As regards, perception of suffering from burnout syndrome, 72,4% answered affirmatively and the predictors were: female gender, younger age, greater number of CVRFs and CD. While 21,0% did not present high burnout in any dimension, 21,2% experienced it in all three. According to the linear regression, female gender, younger age, greater number of CVRFs, and CD were identified as predictors of emotional exhaustion. Younger age and greater number of CVRF manifested as depersonalization predictors. There were no predictors of professional accomplishment.
Conclusions: General practitioners or internists typically have more than 2 CVRFs, with dyslipidemia and hypertension being predictors of CD. There is high burnout in emotional exhaustion and moderate in depersonalization and professional fulfillment. While 72,4% perceive themselves as suffering from the syndrome, 79,0% present high burnout in 1 to 3 dimensions. CVRF predicts emotional exhaustion and depersonalization, and CD predicts depersonalization.
References
- Freudenberger H. Staff Burnout. J Soc Issues. 1974; 30:159-165.
- Torres Y. OMS oficializa el síndrome de burnout como una enfermedad de trabajo [Internet]. Enero 07, 2022 [consultado julio 2022]. Disponible en: https://medicinaysaludpublica.com/noticias/salud-publica/oms-oficializa-el-sindrome-del-burnout-como-una-enfermedad-de-trabajo/12348
- Tovalin Ahumada H, Gil-Monte P, Marroquin-Segura R, et al. Riesgo cardiovascular y síndrome de burnout en trabajadores mexicanos. Revista Mexicana de Salud en el Trabajo. 2012;4(10):12-13.
- Rodríguez M, Pereyra MG, Gil E, Jofré M, De Bortoli M, Labiano LM. Propiedades psicométricas de la escala de resiliencia versión argentina. Evaluar [Internet]. 2009;9(1):72-82. Disponible en: http://dx.doi.org/10.35670/1667-4545.v9.n1.465
- Zwack J, Schweitzer J. If every fifth physician is affected by burnout, what about the other four? Resilience strategies of experienced physicians. Acad Med. 2013; 88(3):382-389. Disponible en: https://doi.org/10.1097/acm.0b013e318281696b
- Bacon A, Corr P. Coronavirus (COVID-19) in the United Kingdom: A personality-based perspective on concerns and intention to self-isolate. Br J Health Psychol. 2020; 25(4):839-848. Disponible en: https://doi.org/10.1111/bjhp.12423
- Jeong H, Yim H, Song Y, Ki M, Min J, Cho J,Chae J. Mental health status of people isolated due to Middle East respiratory syndrome. Epidemiol Health. 2016;38:1-7. Disponible en: https://doi.org/10.4178%2Fepih.e2016048
- Perrone M. Burnout, pandemia COVID-19 y abordaje asistido con equinos, modelo IPAE. Rev. psicol. 2021; 21(1),228–241. Disponible en: https://doi.org/10.24215/2422572Xe103
- Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020; 288:112936. Disponible en: https://doi.org/10.1016/j.psychres.2020.112936
- Milione H. ¿El burnout enferma? Rev Argent Med. 2019; 7(1):3-6. Disponible en: https://revistasam.com.ar/index.php/RAM/article/view/277
- Maslach C, Jackson S. The Maslach Burnout Inventory (Research Edn.), Palo Alto, CA: Consulting Psychologists Press, 1981.
- Maslach C, Jackson S. Maslach Burnout Inventory Manual. 2nd Edn. Palo Alto, CA: Consulting Psychologists Press, 1986.
- Salomón SE, Valdez PR. Síndrome de burnout en el siglo XXI: ¿Lograremos vencerlo algún día? Rev Argent Med. 2019;7(1):8-22. Disponible en: https://www.revistasam.com.ar/index.php/RAM/article/view/279
- Maslach C, Jackson S. The measurement of experienced burnout. J Occup Behav. 1981;2:99-113. Disponible en: http://dx.doi.org/10.1002/job.4030020205
- Alameri F, Aldaheri N, Almesmari S, Basaloum M, Albeshr NA, Simsekler MCE, et al. Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic Front Psychiatry. 2022;13:867233. Disponible en: https://doi.org/10.3389%2Ffpsyt.2022.867233
- Sacker A, Bartley MJ, Frith D, Fitzpatrick RM, Marmot MG. The relationship between job strain and coronary heart disease: evidence from an english sample of the working male population. Psychol Med. 2001;31(2):279-90. Disponible en: https://doi.org/10.1017/S0033291701003270
- Karasek R, Theorell T. Healthy Work: Stress, Productivity, and the Reconstruction Of Working Life. New York. Basic Books, 1990.
- Belkić K, Nedić O. Night work, total occupational burden and cancer/cardiovascular risk factors in physicians. Med Pregl. 2012; 65(11-12):461–9. Disponible en: https://doi.org/10.2298/MPNS1212461B
- Juárez-Pérez CA, Aguilar-Madrid G, Haro-García LC, Gopar-Nieto R, Cabello-López A, Jiménez-Ramírez C et al. Increased Cardiovascular Risk Using Atherogenic Index Measurement Among Healthcare Workers. Arch Med Res. 2015; 46(3):233-9. Disponible en: https://doi.org/10.1016/j.arcmed.2015.03.002
- Campos LA, Bueno C, Barcelos IP, Halpern B, Brito LC, Amaral FG, et al. Melatonin therapy improves cardiac autonomic modulation in pinealectomized patients. Front Endocrinol. 2020;11:239. Disponible en: https://doi.org/10.3389/fendo.2020.00239
- da Silva ELP, Pereira R, Reis LN, Pereira VL, Campos LA, Wessel N, Baltatu OC. Heart rate detrended fluctuation indexes as estimate of obstructive sleep apnea severity. Medicine. 2015; 94(4):e516. Disponible en: https://doi.org/10.1097%2FMD.0000000000000516
- Wekenborg MK, Hill LK, Thayer JF, Penz M, Wittling RA, Kirschbaum C. The longitudinal association of reduced vagal tone with burnout. Psychosom Med. 2019; 81(9):791–8. Disponible en: https://doi.org/10.1097/psy.0000000000000750
- Wekenborg MK, Künzel RG, Rothe N, Penz M, Walther A, Kirschbaum C, et al. Exhaustion and cardiovascular risk factors: the role of vagally-mediated heart rate variability. Ann Epidemiol. 2023; 87:93-99. Disponible en: https://doi.org/10.1016/j.annepidem.2023.09.008
- Toker S, Shirom A, Shapira I, Berliner S, Melamed S. The association between burnout, depression, anxiety, and inflammation biomarkers: C-reactive protein and fibrinogen in men and women. J Occup Health Psychol. 2005;10(4):344–362. Disponible en: https://doi.org/10.1037/1076-8998.10.4.344
- Jonsdottir IH, Dahlman AS. MECHANISMS IN ENDOCRINOLOGY. Endocrine and immunological aspects of burnout: A narrative review. Eur. J. Endocrinol. 2019; 180(3): R147–R158. Disponible en: https://doi.org/10.1530%2FEJE-18-0741
- Melamed S, Shirom A, Toker S, Berliner S, Shapira I. Burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research directions. Psychol Bull. 2006; 132(3):327–353. Disponible en: https://doi.org/10.1037/0033-2909.132.3.327
- Peterson U, Demerouti E, Bergström G, Samuelsson M, Asberg M, Nygren A. Burnout and physical and mental health among Swedish healthcare workers. J Adv Nurs. 2008; 62(1):84–95. Disponible en: https://doi.org/10.1111/j.1365-2648.2007.04580.x
- Naczenski LM, de Vries JD, van Hooff ML, Kompier MA. Systematic review of the association between physical activity and burnout. J Occup Health. 2017; 59(6):477–494. Disponible en: https://doi.org/10.1539/joh.17-0050-ra
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 ReDSal
This work is licensed under a Creative Commons Attribution 4.0 International License.