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Erschienen in: International Archives of Occupational and Environmental Health 4/2011

01.04.2011 | Original Article

Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey

verfasst von: Fernando Galán, Arturo Sanmartín, Juan Polo, Lucas Giner

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 4/2011

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Abstract

Purpose

It is questionable whether the Maslach Burnout is suitable for studying burnout prevalence in preclinical medical students because many questions are patient-centered and the students have little or no contact with patients. Among factors associated with burnout in medical students, the gender shows conflicting results. The first aim of this study was to investigate the prevalence of the risk of burnout in medical students in preclinical and clinical years of training, using the Maslach Burnout Inventory-Student Survey, specifically designed and validated to assess the burnout in university students, and secondly, to investigate the association between gender and burnout subscales.

Methods

A cross-sectional study was carried out in a sample of 270 Spanish medical students—176 (65%) in the third year and 94 (35%) in the sixth year of training—using the Maslach Burnout Inventory-Student Survey questionnaire.

Results

Internal consistencies (Cronbach’s alpha) for the three subscales on the whole sample were as follows: for exhaustion 0.78, cynicism 0.78, and efficacy 0.71. Moreover, the prevalence of burnout risk was significantly higher in sixth-year students 35 (37.5%) compared with students in third year of training 26 (14.8%) (χ2 test, p < 0.0001). No significant association was found between gender and burnout subscales.

Conclusions

The Maslach Burnout Inventory-Student Survey overcame difficulties encountered when students have little or no contact with patients. Our findings show that the risk of burnout prevalence doubled from the third year to sixth year of training and that gender was not significantly associated with any of the subscales of burnout.
Literatur
Zurück zum Zitat Brenninkmeijer V, Van Yperen N (2003) How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med 60:16–20CrossRef Brenninkmeijer V, Van Yperen N (2003) How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup Environ Med 60:16–20CrossRef
Zurück zum Zitat Bresó E, Salanova M, Schaufeli WB, Nogareda C (2007) Síndrome de estar quemado por el trabajo “Burnout” (III): instrumento de medición. Nota Técnica de Prevención, 732, 21ª Serie. Instituto Nacional de Seguridad e Higiene en el trabajo Bresó E, Salanova M, Schaufeli WB, Nogareda C (2007) Síndrome de estar quemado por el trabajo “Burnout” (III): instrumento de medición. Nota Técnica de Prevención, 732, 21ª Serie. Instituto Nacional de Seguridad e Higiene en el trabajo
Zurück zum Zitat Dahlin ME, Runeson B (2007) Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ 7:6–14CrossRef Dahlin ME, Runeson B (2007) Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Med Educ 7:6–14CrossRef
Zurück zum Zitat Dahlin M, Joneborg N, Runeson B (2007) Performance-based selfesteem and burnout in a cross-sectional study of medical students. Med Teach 29:43–48CrossRef Dahlin M, Joneborg N, Runeson B (2007) Performance-based selfesteem and burnout in a cross-sectional study of medical students. Med Teach 29:43–48CrossRef
Zurück zum Zitat Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD (2006) Personal life events and medical student burnout: a multicenter study. Acad Med 81:374–384CrossRef Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD (2006) Personal life events and medical student burnout: a multicenter study. Acad Med 81:374–384CrossRef
Zurück zum Zitat Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD (2008) Burnout and suicidal ideation among US medical students. Ann Intern Med 149:334–341 Dyrbye LN, Thomas MR, Massie FS, Power DV, Eacker A, Harper W, Durning S, Moutier C, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD (2008) Burnout and suicidal ideation among US medical students. Ann Intern Med 149:334–341
Zurück zum Zitat Dyrbye LN, Thomas MR, Harper W, Massie FS Jr, Power DV, Eacker A, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD (2009) The learning environment and medical student burnout: a multicentre study. Med Educ 43:274–282CrossRef Dyrbye LN, Thomas MR, Harper W, Massie FS Jr, Power DV, Eacker A, Szydlo DW, Novotny PJ, Sloan JA, Shanafelt TD (2009) The learning environment and medical student burnout: a multicentre study. Med Educ 43:274–282CrossRef
Zurück zum Zitat Dyrbye LN, Thomas MR, Power DV, Durning S, Moutier C, Massie FS Jr, Harper W, Eacker A, Szydlo DW, Sloan JA, Shanafelt TD (2010a) Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med 85:94–102CrossRef Dyrbye LN, Thomas MR, Power DV, Durning S, Moutier C, Massie FS Jr, Harper W, Eacker A, Szydlo DW, Sloan JA, Shanafelt TD (2010a) Burnout and serious thoughts of dropping out of medical school: a multi-institutional study. Acad Med 85:94–102CrossRef
Zurück zum Zitat Dyrbye LN, Massie FS Jr, Eacker A, Harper W, Power D, Durning SJ, Thomas MR, Moutier C, Satele D, Sloan J, Shanafelt TD (2010b) Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 304:1173–1180CrossRef Dyrbye LN, Massie FS Jr, Eacker A, Harper W, Power D, Durning SJ, Thomas MR, Moutier C, Satele D, Sloan J, Shanafelt TD (2010b) Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 304:1173–1180CrossRef
Zurück zum Zitat Escriba-Agüir V, Martin-Baena D, Perez-Hoyos S (2006) Psychosocial work environment and burnout among emergency medical and nursing staff. Int Arch Occup Environ Health 80:127–133CrossRef Escriba-Agüir V, Martin-Baena D, Perez-Hoyos S (2006) Psychosocial work environment and burnout among emergency medical and nursing staff. Int Arch Occup Environ Health 80:127–133CrossRef
Zurück zum Zitat Guthrie E, Black D, Shaw C, Hamilton J, Creed F, Tomenson B (1997) Psychological stress in medical students: a comparison of two very different courses. Stress Med 13:179–184CrossRef Guthrie E, Black D, Shaw C, Hamilton J, Creed F, Tomenson B (1997) Psychological stress in medical students: a comparison of two very different courses. Stress Med 13:179–184CrossRef
Zurück zum Zitat Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F (1998) Psychological stress and burnout in medical students: a five year prospective longitudinal study. J R Soc Med 91:237–243 Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F (1998) Psychological stress and burnout in medical students: a five year prospective longitudinal study. J R Soc Med 91:237–243
Zurück zum Zitat Halbesleben JRB, Demerouti E (2005) The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work Stress 19:208–220CrossRef Halbesleben JRB, Demerouti E (2005) The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work Stress 19:208–220CrossRef
Zurück zum Zitat IsHak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, Ogunyemi D, Bernstein CA (2009) Burnout during residency training: a literature review. JGME 1:236–242 IsHak WW, Lederer S, Mandili C, Nikravesh R, Seligman L, Vasa M, Ogunyemi D, Bernstein CA (2009) Burnout during residency training: a literature review. JGME 1:236–242
Zurück zum Zitat Martini S, Arfken C, Churchill A, Balon R (2004) Burnout comparison among residents in different medical specialties. Acad Psychiatr 28:240–242CrossRef Martini S, Arfken C, Churchill A, Balon R (2004) Burnout comparison among residents in different medical specialties. Acad Psychiatr 28:240–242CrossRef
Zurück zum Zitat Maslach C (1993) Burnout: a multidimensional perspective. In: Schaufeli WB, Maslach C, Marek T (eds) Professional burnout: recent developments in theory and research. Taylor and Francis, New York, pp 20–21 Maslach C (1993) Burnout: a multidimensional perspective. In: Schaufeli WB, Maslach C, Marek T (eds) Professional burnout: recent developments in theory and research. Taylor and Francis, New York, pp 20–21
Zurück zum Zitat Maslach C, Jackson SE, Leiter MP (1996) Maslach burnout inventory, 3rd edn. Consulting Psychologists Press, Palo Alto Maslach C, Jackson SE, Leiter MP (1996) Maslach burnout inventory, 3rd edn. Consulting Psychologists Press, Palo Alto
Zurück zum Zitat Nunnaly JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York Nunnaly JC, Bernstein IH (1994) Psychometric theory, 3rd edn. McGraw-Hill, New York
Zurück zum Zitat Prins JT, Gazendam-Donofrio SM, Tubben BJ, Van der Heijden FM, Van de Wiel HB, Hoekstra-Weebers JE (2007) Burnout in medical residents: a review. Med Educ 41:788–800CrossRef Prins JT, Gazendam-Donofrio SM, Tubben BJ, Van der Heijden FM, Van de Wiel HB, Hoekstra-Weebers JE (2007) Burnout in medical residents: a review. Med Educ 41:788–800CrossRef
Zurück zum Zitat Santen SA, Holt DB, Kemp JD, Hemphill RR (2010) Burnout in medical students: examining the prevalence and associated factors. South Med J 103:758–763 Santen SA, Holt DB, Kemp JD, Hemphill RR (2010) Burnout in medical students: examining the prevalence and associated factors. South Med J 103:758–763
Zurück zum Zitat Schaufeli WB (2003) Past performance and future perspectives of burnout research. SAJIP 29:1–15 Schaufeli WB (2003) Past performance and future perspectives of burnout research. SAJIP 29:1–15
Zurück zum Zitat Schaufeli WB, Salanova M (2007) Efficacy or inefficacy, that’s the question: burnout and work engagement, and their relationships with efficacy beliefs. Anxiety Stress Coping 20:177–196CrossRef Schaufeli WB, Salanova M (2007) Efficacy or inefficacy, that’s the question: burnout and work engagement, and their relationships with efficacy beliefs. Anxiety Stress Coping 20:177–196CrossRef
Zurück zum Zitat Schaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) The Maslach Burnout Inventory: General Survey (MBI-GS). In: Maslach C, Jackson SE, Leiter MP (eds) The Maslach burnout inventory—test manual, 3rd edn. Consulting Psychologists Press, Palo Alto, pp 19–26 Schaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) The Maslach Burnout Inventory: General Survey (MBI-GS). In: Maslach C, Jackson SE, Leiter MP (eds) The Maslach burnout inventory—test manual, 3rd edn. Consulting Psychologists Press, Palo Alto, pp 19–26
Zurück zum Zitat Schaufeli WB, Martínez I, Marqués-Pinto A, Salanova M, Bakker A (2002a) Burnout and engagement in university students: a cross-national study. J Cross Cult Psychol 33:464–481CrossRef Schaufeli WB, Martínez I, Marqués-Pinto A, Salanova M, Bakker A (2002a) Burnout and engagement in university students: a cross-national study. J Cross Cult Psychol 33:464–481CrossRef
Zurück zum Zitat Schaufeli WB, Salanova M, González-Romá V, Bakker A (2002b) The measurement of burnout and engagement: a two sample confirmatory factor analytic approach. J Happiness Stud 3:71–92CrossRef Schaufeli WB, Salanova M, González-Romá V, Bakker A (2002b) The measurement of burnout and engagement: a two sample confirmatory factor analytic approach. J Happiness Stud 3:71–92CrossRef
Zurück zum Zitat Schutte N, Toppinen S, Kalimo R, Schaufeli WB (2000) The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 73:53–66CrossRef Schutte N, Toppinen S, Kalimo R, Schaufeli WB (2000) The factorial validity of the Maslach Burnout Inventory-General Survey (MBI-GS) across occupational groups and nations. J Occup Organ Psychol 73:53–66CrossRef
Zurück zum Zitat Shanafelt TD, Balch CM, Bechamps GJ et al (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250:463–471 Shanafelt TD, Balch CM, Bechamps GJ et al (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250:463–471
Zurück zum Zitat Soler JK, Yaman H, Esteva M et al. (European General Practice Research Network Burnout Study Group) (2008) Burnout in European family doctors: the EGPRN study. Fam Pract 25: 245–265 Soler JK, Yaman H, Esteva M et al. (European General Practice Research Network Burnout Study Group) (2008) Burnout in European family doctors: the EGPRN study. Fam Pract 25: 245–265
Zurück zum Zitat Willcock SM, Daly MD, Tennant CC, Allard BJ (2004) Burnout and psychiatric morbidity in new medical graduates. MJA 181:357–360 Willcock SM, Daly MD, Tennant CC, Allard BJ (2004) Burnout and psychiatric morbidity in new medical graduates. MJA 181:357–360
Metadaten
Titel
Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey
verfasst von
Fernando Galán
Arturo Sanmartín
Juan Polo
Lucas Giner
Publikationsdatum
01.04.2011
Verlag
Springer-Verlag
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 4/2011
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-011-0623-x

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