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PubMed2006

Significance of working conditions on burnout in anesthetists.

BACKGROUND: The influence of working conditions on the development of burnout syndrome was assessed in anesthetists working at a university hospital. METHODS: Self-reporting questionnaires were used to assess physical health and emotional well-being (Health and Stress Profile), burnout syndrome (Maslach Burnout Inventory) and working conditions (Instrument for Stress-Oriented Task Analysis) in anesthetists. RESULTS: Twenty-three anesthetists (25.8%) appeared to be at risk for burnout, and three anesthetists (3.4%) had already developed full-blown burnout syndrome. Anesthetists at risk for burnout more frequently suffered from limited complexity of work (P=0.001), lacking individual time control (P=0.004), lack of participation possibilities (P=0.012), and had more physical complaints (P=0.017) and greater job dissatisfaction (P=0.002) than did their colleagues with no burnout symptoms. CONCLUSION: Job conditions providing little opportunity to influence work pace and participation contribute to the development of burnout syndrome. Communication and contact with colleagues appear to be an important preventive regulative.

Adult↗
PubMed1985

On two cases of circumscribed hypochondriasis.

Two cases of circumscribed hypochondriasis were reported. Although the syndrome did not seem so rare, these cases were worthy of reporting in the following sense. In spite of the general opinion that the syndrome appeared in the middle age, the onset in our patients was in the young adult age, namely one at 25 and the other at 35, respectively. While the course of the syndrome is said to be chronic, our patients indicated a fairly favorable prognosis. The psychodynamics of the syndrome in our cases was discussed chiefly from the psychoanalytic point of view, and finally the similarity among the related syndromes was considered.

Adult↗
PubMed2005

Amputees by choice: body integrity identity disorder and the ethics of amputation.

Should surgeons be permitted to amputate healthy limbs if patients request such operations? We argue that if such patients are experiencing significant distress as a consequence of the rare psychological disorder named Body Integrity Identity Disorder (BIID), such operations might be permissible. We examine rival accounts of the origins of the desire for healthy limb amputations and argue that none are as plausible as the BIID hypothesis. We then turn to the moral arguments against such operations, and argue that on the evidence available, none is compelling. BIID sufferers meet reasonable standards for rationality and autonomy: so as long as no other effective treatment for their disorder is available, surgeons ought to be allowed to accede to their requests.

Amputation, Surgical↗
PubMed1990

Impact of work stress on female nurse educators.

Factors predictive of work-related stress in 287 female nurse educators were studied in a randomly selected sample of 18 U.S. (NLN) accredited schools of nursing. The Maslach Burnout Inventory-Form Ed, the Hardiness of Personality Inventory, the Blair Exercise Activity Index, a demographic tool and an administrator-completed questionnaire were used. Moderate levels of stress were found to exist, with five individual variables (hardiness, age, education, years in nursing education and exercise) and five organizational variables (student contact hours for part-time faculty, task complexity, economic environment of school, number of full-time faculty and percentage of tenured faculty) combining to best predict the occurrence of work-related stress.

Achievement↗
PubMed1982

Depersonalisation--symptoms, meaning, therapy.

The manifestation of depersonalisation, its relationship with anxiety and depression, as well as its influence on the course of endogenous psychoses were investigated. Forty patients with severe depersonalisation were treated with the benzodiazepine, phenazepam, and 14 with clozapine. The data indicate that depersonalisation results from anxiety; it follows an anxiety attack and is successfully treated with anxiolytic drugs. In the case of endogenous depression, depersonalisation leads to lingering depressive phase, increasing the patients' resistance to antidepressive therapy. The protective and the harmful role of depersonalisation is discussed.

Adult↗
PubMed2005

Dentists' self assessment of burnout: an internet feedback tool.

OBJECTIVES: The Stress Thermometer is an easily accessible Internet-based instrument for feedback on work stress and burnout. The aim of this paper is to describe the development of this instrument and to determine its applicability within the dental practice. METHODS: The Stress Thermometer was made accessible to all members of the Dutch Dental Association, of which 77% of all Dutch dentists are members. Frequency of use was determined, and descriptive data was collected. RESULTS: During an evaluation period of 5 months at least 12% of all possible respondents made use of the Stress Thermometer. Descriptive characteristics of the response group, as well as levels of burnout and work stress, corresponded with those found in the Dutch dentist population. However, some deviations were also present. CONCLUSIONS: Results indicate the applicability of the Stress Thermometer to a representative variety of dentists. Although the deviations found should not be ignored in future use, the Stress Thermometer was successful in reaching a population that is difficult to reach. It effectively calls attention to sensitive personal issues concerning work-related stress and burnout.

Achievement↗
PubMed1975

Use of mental health services by black students at a predominantly white university: A three-year study.

During three academic years, 87 black students were counseled at the mental health clinic of a private western university. Their pattern of clinic use was compared with that of white students, and differences and similarities delineated in presenting problems, symptoms syndromes, and duration and termination of treatment. Knowledge of these problems and patternsmay aid mental health professionals; as well as college counselors and administration in planning adequate support services for minority students.

Achievement↗