doiSerbia

Professional stress in general practitioners and psychiatrists: The level of psycologic distress and burnout risk

Vićentić Sreten (Opšta bolnica, Odeljenje za psihijatriju, Šabac)
Jovanović Aleksandar (Klinički centar Srbije, Institut za psihijatriju, Beograd)
Dunjić Bojana (Klinički centar Srbije, Institut za psihijatriju, Beograd)
Pavlović Zorana (Klinički centar Srbije, Institut za psihijatriju, Beograd)
Nenadović Milutin (Specijalna psihijatrijska bolnica "Laza Lazarević", Beograd)
Nenadović Nenad (Vojnomedicinska akademija, Klinika za psihijatriju, Beograd)

Background/Aim. So far, studies of stress have shown that physicians are at a high risk of sickness from psychic and somatic disorders related to professional stress, that can lead to important disturbance of personal, familiar and professional functionating. The aim of this study was to investigate the doctors exposition level to professional stress, to compare stress level in general practitioners (GP) group with that in the group of psychiatrists and risk level for the apperance of burnout syndrome. Methods. This cross-section study included subjects recruited by a random sample method. Thirty General Practice doctors and 30 psychiatrists (totally 60 doctors) filled the set of 3 questionnaires: Sociodemographics features, General Health Questionnaire (GHQ; Goldberg D, 1991), and Maslach Burnout Inventory (MBI; Maslach C, 1996). Appropriate statistical procedures (Pearson test, t-test, variance analysis) in interpretation of the results were used. Results. A total level of psychic distress measured with the GHQ test in both groups of physicians was very low implying their good mental health. A difference in Burnout risk based on MBI test between the groups was statistically significant (χ2 = 4,286; p < 0.05) only at subscale Personal Accomplishment (MBI-PA); it was a consequence of a higher number of GPs with medium burnout risk (13.3 : 0.0%). However, even 35 physicians from the sample were affected with a high burnout risk measured with subscales Emotional Ehausation (MBI-EE) and MBI-DP, showing that both groups of physicians had risk for the appearance of burnout syndrome. Conclusion. The obtained results showed a high burnout risk level in both, GPs and psychiatrists, groups. In both groups there was no presence of psychic disorders (anxiety, depression, insomnia), while there was a high level of emotional ehausation and overtension by job, and also a lower total personal accomplishment. Level of exposition to professional stress is higher in GPs than in psychiatrists, but the difference was not statistically significant.

Keywords: burnout, professional, physicians, family, psychiatry, stress, psychological