Higher burnout scores in paediatric residents are associated with increased brain activity during attentional functional magnetic resonance imaging task

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art_ANDRADE_Higher_burnout_scores_in_paediatric_residents_are_associated_2016.PDF (352.28 KB)
Citações na Scopus
17
Tipo de produção
article
Data de publicação
2016
Editora
WILEY-BLACKWELL
DOI
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Scopus
Web of Science
PubMed
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Autor de Grupo de pesquisa
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Citação
ACTA PAEDIATRICA, v.105, n.6, p.705-713, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Aim: Burnout syndrome is common in healthcare workers. We evaluated its prevalence in paediatric residents and investigated its influence on cerebral function correlations, using functional magnetic resonance imaging (MRI), when they carried out an attentional paradigm. Methods: This cross-sectional descriptive study involved 28 residents from the Department of Paediatrics at the University of SAo Paulo. The functional MRI was carried out while the residents completed the Stroop colour word task paradigm to investigate their attentional task performance. The Maslach Burnout Inventory (MBI) was applied, and stress was assessed using the Lipp Inventory of Stress Symptoms for Adults and by a visual analogue mood scale. Results: The MBI subscales of depersonalisation and emotional exhaustion indicated that 53.1% of the residents had moderate or high burnout syndrome. The whole-brain multivariate analysis showed positive correlations between the blood oxygenation level dependent effect and the MBI depersonalisation and emotional exhaustion indices in the dorsolateral prefrontal cortex, which controls for anxiety. Conclusion: Increased brain activation during an attention task, measured using functional MRI, was associated with higher burnout scores in paediatric residents. This study provides a biological basis for the implementation of measures to reduce burnout syndrome at the start of residency training programmes.
Palavras-chave
Attention, Burnout syndrome, Functional magnetic resonance imaging, Paediatric residents
URI
https://observatorio.fm.usp.br/handle/OPI/14201
Referências
  1. Tironi MOS, 2009, REV ASSOC MED BRAS, V55, P656, DOI 10.1590/S0104-42302009000600009
  2. Kerns JG, 2004, SCIENCE, V303, P1023, DOI 10.1126/science.1089910
  3. Shanafelt TD, 2002, ANN INTERN MED, V136, P358
  4. Prins JT, 2009, PSYCHOL HEALTH MED, V14, P654, DOI 10.1080/13548500903311554
  5. Skodova Z, 2013, NURS EDUC TODAY, V33, P1311, DOI 10.1016/j.nedt.2013.02.023
  6. Martini S, 2004, ACAD PSYCHIATR, V28, P240, DOI 10.1176/appi.ap.28.3.240
  7. Buckner RL, 2000, ACTA PSYCHOL, V105, P127, DOI 10.1016/S0001-6918(00)00057-3
  8. Carter CS, 2007, COGN AFFECT BEHAV NE, V7, P367, DOI 10.3758/CABN.7.4.367
  9. Iacovides A, 2003, J AFFECT DISORDERS, V75, P209, DOI 10.1016/S0165-0327(02)00101-5
  10. LeBlanc VR, 2009, ACAD MED, V84, pS25, DOI 10.1097/ACM.0b013e3181b37b8f
  11. Dyrbye LN, 2011, JAMA-J AM MED ASSOC, V305, P2009, DOI 10.1001/jama.2011.652
  12. Fahrenkopf AM, 2008, BRIT MED J, V336, P488, DOI 10.1136/bmj.39469.763218.BE
  13. NORRIS H, 1971, NEUROPHARMACOLOGY, V10, P181, DOI 10.1016/0028-3908(71)90039-6
  14. Guido LD, 2012, REV LAT-AM ENFERM, V20, P1064, DOI 10.1590/S0104-11692012000600008
  15. Egner T, 2005, NAT NEUROSCI, V8, P1784, DOI 10.1038/nn1594
  16. Kozasa EH, 2012, NEUROIMAGE, V59, P745, DOI 10.1016/j.neuroimage.2011.06.088
  17. Gazzaley A, 2012, TRENDS COGN SCI, V16, P129, DOI 10.1016/j.tics.2011.11.014
  18. Llera J, 2014, ARCH ARGENT PEDIATR, V112, P6, DOI [10.1590/S0325-00752014000100003, 10.5546/aap.2014.eng.6, 10.5546/aap.2014.e6]
  19. Koric L, 2012, HUM BRAIN MAPP, V33, P1973, DOI 10.1002/hbm.21340
  20. Lipp MEN, 2009, SPAN J PSYCHOL, V12, P593
  21. Doehrmann O, 2013, JAMA PSYCHIAT, V70, P87, DOI 10.1001/2013.jamapsychiatry.5
  22. Laird AR, 2005, HUM BRAIN MAPP, V25, P6, DOI 10.1002/hbm.20129
  23. Bragard I, 2012, OCCUP MED-OXFORD, V62, P34, DOI 10.1093/occmed/kqr149
  24. Driver J, 2001, NEUROPSYCHOLOGIA, V39, P1257, DOI 10.1016/S0028-3932(01)00115-4
  25. Maslach C, 2001, ANNU REV PSYCHOL, V52, P397, DOI 10.1146/annurev.psych.52.1.397
  26. Durning Steven J, 2013, Front Psychiatry, V4, P131, DOI 10.3389/fpsyt.2013.00131
  27. Embriaco N, 2007, CURR OPIN CRIT CARE, V13, P462
  28. Lautert L, 1997, Rev Gaucha Enferm, V18, P133
  29. Montero-Marin J, 2013, ATEN PRIM, V45, P376, DOI 10.1016/j.aprim.2013.03.002
  30. Pantaleoni JL, 2014, ACAD PEDIATR, V14, P167, DOI 10.1016/j.acap.2013.12.001

Coleções
Artigos e Materiais de Revistas Científicas - FM/MDR
Artigos e Materiais de Revistas Científicas - HC/ICr
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/44