Which is the relationship between the burnout syndrome, the meaning and purpose in life, and the labour life project in medical residents? a logotherapeutic view
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Introduction: The Burnout Syndrome (BO) usually affects medical residents because they are exposed to chronic labour stress. From a logothera-
peutic view, the loss of meaning and purpose in life (ML) is the common denominator of all types of emotional distress, and the BO could belong to an altered labour life project (LLP) with overadaptation. The objective of this study was to evaluate the relationship between the BO, the ML, and the LLP, in residency programs at a university hospital.
Population and methods: residents from six programs at Hospital Italiano de Buenos Aires were evaluated. The BO was measured with the Maslach Burnout Inventory (MBI). The ML was measured with the Purpose in Life Test (Pil Test). The LLP was measured with the LLP Scale created by Doctor Isabel Pérez Jáuregui.
Results: one hundred and four residents participated. Out of the evaluated residentes, 28.8% showed BO. The loss of ML was observed in 18.3%, and an altered LLP with overadaptation affected the 30.8% of the sample. Loss of ML and altered LLP with overadaptation were associated in a statistically significant way with BO (p<0.01), and the presence of any of this alterations increased the odds ratio almost 18 times to suffer BO. The adjusted odds ratio of loss of ML (6.28) and altered LLP (9.57) to suffer BO, were also statistically significant. Finally, a negative correlation was observed between exhaustion and despersonalization (MBI) and the Pil Test (r=-0.41 and r=-0.53, respectively) and the LLP Scale (r=-0.45 and r=-0.42, respectively), while a positive significant correlation was observed between the personal accomplishment (MBI) and the Pil Test and LLP Scale (r=0.63 and r=0.61, respectively).
Conclusions: in the residency, we found a statistically significant relationship between BO, loss of ML and altered LLP
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Jennings ML, Slavin SJ. Resi-dent Wellness Matters: Optimizing Resident Education and Wellness Through the Learning Environment. Acad Med 2015; 90:1246-50. DOI: https://doi.org/10.1097/ACM.0000000000000842
Llera J, Durante E. Correlación en-tre el clima educacional y el síndrome de desgaste profesional en los pro-gramas de residencia de un hospital universitario. Archivos Argentinos de Pediatría. 2014; 112(1):e6-e11. DOI: https://doi.org/10.5546/aap.2014.6
Zis P, Anagnostopoulos F, Sy-kioti P. Burnout in Medical Resi-dents: A Study Based on the Job Demands-Resources Model. The Scientific World Journal [Internet]. 2014 [cited 6 May 2017]; 2014: 1-10. Available from: http://dx.doi.org/10.1155/2014/673279 DOI: https://doi.org/10.1155/2014/673279
McCray LW, Cronholm PF, Bog-ner HR, Gallo JJ, Neil RA. Resident Physician Burnout: Is There Hope? Fam Med. 2008; 40 (9):626-32.
Pérez Jáuregui I. Estrés laboral y síndrome de Burn-out: sufrimiento y sinsentido en el trabajo. Estrategias para abordarlos. Buenos Aires: Psi-coteca Editorial; 2005.
Frankl V. El hombre en busca de sentido. 3.ª edición y 5.ª impresión. Barcelona: Herder; 2017
Pérez Jáuregui I. Proyectos de vida y liderazgos auténticos: técnicas de evaluación. 1.ª ed ampliada. Buenos Aires: Psicoteca Editorial; 2015.
Martínez Ortiz E, Trujillo Cano AM, Trujillo CA. Validación del Test de Propósito Vital (PIL TEST – PURPOSE IN LIFE TEST)para Colombia. Revista Argentina de Clínica Psicológica. 2012; 21(1):85-93.
Noblejas de la Flor MA. Logo-terapia. Fundamentos, principios y aplicación. Una experiencia de evaluación del “logro interior de sentido”. Tesis de doctorado. Universidad Complutense de Madrid [Internet]. Facultad de Educación. Departamento de Psicología Evolutiva y de la Educación. 1994 [cited 8 May 2017]. Available from: http://eprints.ucm.es/3776/1/T19896.pdf
Sánchez Gómez JM. Burnout, Resiliencia, y Frustración Existencial en el personal de la administración y servicios de la Universidad de Zaragoza. Tesis de doctorado. Universidad de Salamanca [In-ternet]. Facultad de Psicología. Departamento de Personalidad, evaluación y tratamientos psicológicos. 2015 [cited 5 Jan 2018]. Available from: http://hdl.handle.net/10366/128818
Längle A. El Burnout (desgaste profesional), sentido existencial y posibilidades de prevención. Revista de Psicología. 2006; 2(3):5-27.
Karazmann R. Das Burnout-Syndrom. Phänomenologie, Verlauf, Vergleich. Vortrag an der österrei-chischen van Swieten-Tagung vom. 1994; 27(10).
Martínez Ortiz E. Manual de psicoterapia con enfoque logoterapéutico. Bogotá D.C.: El Manual Moderno (Colombia) Ltda; 2013.
Edelman L, Kordon D. Los grupos de reflexión como espacios intermediarios para la articulación psicosocial. Revista de la Asociación Argentina de Psicología y Psicoterapia de Grupo. 1996; XIX (1):191-217.