Burnout is associated with work-family conflict and gratification crisis among German resident physicians

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Burnout is associated with work-family conflict and gratification crisis among German resident physicians. / Kocalevent, Rüya; Pinnschmidt, Hans; Selch, Susan; Nehls, Sarah; Meyer, Juliane; Boczor, Sigrid; Scherer, Martin; van den Bussche, Hendrik.

In: BMC MED EDUC, Vol. 20, No. 1, 08.05.2020, p. 145.

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@article{f096eb5ae72a40768770a8dc955ce534,
title = "Burnout is associated with work-family conflict and gratification crisis among German resident physicians",
abstract = "BACKGROUND: Studies investigating the longitudinal predictive value of burnout on both effort-reward imbalance (within the working place) and work-family conflict (between work and private life) in residents are lacking. Former cross-sectional studies showed an association of effort-reward imbalance and work family conflict with an elevated burnout risk in physicians.METHODS: Data acquisition was carried out within the multi-centric, longitudinal, and prospective {"}KarMed{"} study in Germany from 2009 until 2016. Yearly surveys including validated scales: the Maslach Burnout Inventory with its three subscales (emotional exhaustion, personal accomplishment, depersonalisation), the Work-Family Conflict Scale, and the Effort-Reward Imbalance Inventory. Further independent variables were gender and parental status.The analyses were based on general linear models and general linear mixed models with repeated measures designs.RESULTS: Significant time-fixed effects were found for all three subscales of the Maslach Burnout Inventory, with gender effects on the subscales emotional exhaustion and depersonalisation. The parental status had no significant effect on burnout. All estimated means for burnout during 6 years of post-graduate training were higher when work-family conflict and gratification crisis were taken into account. Personal accomplishment increased continuously over time as well showing neither gender differences nor influences by the parental status.CONCLUSIONS: Personal accomplishments might act as a buffer compensating to some extent for the physicians' stress experience. Given that burnout may be associated with poor patient care, there is a need to reduce burnout rates and their associated factors in resident physicians.",
author = "R{\"u}ya Kocalevent and Hans Pinnschmidt and Susan Selch and Sarah Nehls and Juliane Meyer and Sigrid Boczor and Martin Scherer and {van den Bussche}, Hendrik",
year = "2020",
month = may,
day = "8",
doi = "10.1186/s12909-020-02061-0",
language = "English",
volume = "20",
pages = "145",
journal = "BMC MED EDUC",
issn = "1472-6920",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Burnout is associated with work-family conflict and gratification crisis among German resident physicians

AU - Kocalevent, Rüya

AU - Pinnschmidt, Hans

AU - Selch, Susan

AU - Nehls, Sarah

AU - Meyer, Juliane

AU - Boczor, Sigrid

AU - Scherer, Martin

AU - van den Bussche, Hendrik

PY - 2020/5/8

Y1 - 2020/5/8

N2 - BACKGROUND: Studies investigating the longitudinal predictive value of burnout on both effort-reward imbalance (within the working place) and work-family conflict (between work and private life) in residents are lacking. Former cross-sectional studies showed an association of effort-reward imbalance and work family conflict with an elevated burnout risk in physicians.METHODS: Data acquisition was carried out within the multi-centric, longitudinal, and prospective "KarMed" study in Germany from 2009 until 2016. Yearly surveys including validated scales: the Maslach Burnout Inventory with its three subscales (emotional exhaustion, personal accomplishment, depersonalisation), the Work-Family Conflict Scale, and the Effort-Reward Imbalance Inventory. Further independent variables were gender and parental status.The analyses were based on general linear models and general linear mixed models with repeated measures designs.RESULTS: Significant time-fixed effects were found for all three subscales of the Maslach Burnout Inventory, with gender effects on the subscales emotional exhaustion and depersonalisation. The parental status had no significant effect on burnout. All estimated means for burnout during 6 years of post-graduate training were higher when work-family conflict and gratification crisis were taken into account. Personal accomplishment increased continuously over time as well showing neither gender differences nor influences by the parental status.CONCLUSIONS: Personal accomplishments might act as a buffer compensating to some extent for the physicians' stress experience. Given that burnout may be associated with poor patient care, there is a need to reduce burnout rates and their associated factors in resident physicians.

AB - BACKGROUND: Studies investigating the longitudinal predictive value of burnout on both effort-reward imbalance (within the working place) and work-family conflict (between work and private life) in residents are lacking. Former cross-sectional studies showed an association of effort-reward imbalance and work family conflict with an elevated burnout risk in physicians.METHODS: Data acquisition was carried out within the multi-centric, longitudinal, and prospective "KarMed" study in Germany from 2009 until 2016. Yearly surveys including validated scales: the Maslach Burnout Inventory with its three subscales (emotional exhaustion, personal accomplishment, depersonalisation), the Work-Family Conflict Scale, and the Effort-Reward Imbalance Inventory. Further independent variables were gender and parental status.The analyses were based on general linear models and general linear mixed models with repeated measures designs.RESULTS: Significant time-fixed effects were found for all three subscales of the Maslach Burnout Inventory, with gender effects on the subscales emotional exhaustion and depersonalisation. The parental status had no significant effect on burnout. All estimated means for burnout during 6 years of post-graduate training were higher when work-family conflict and gratification crisis were taken into account. Personal accomplishment increased continuously over time as well showing neither gender differences nor influences by the parental status.CONCLUSIONS: Personal accomplishments might act as a buffer compensating to some extent for the physicians' stress experience. Given that burnout may be associated with poor patient care, there is a need to reduce burnout rates and their associated factors in resident physicians.

U2 - 10.1186/s12909-020-02061-0

DO - 10.1186/s12909-020-02061-0

M3 - SCORING: Journal article

C2 - 32384889

VL - 20

SP - 145

JO - BMC MED EDUC

JF - BMC MED EDUC

SN - 1472-6920

IS - 1

ER -