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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
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2020, Number 5

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Salud Mental 2020; 43 (5)

Self-perceived health in psychiatrists and psychiatry trainees. The role of perfectionism and distress

Guízar-Sánchez M, Yoldi-Negrete R, Robles-García CA, Tovilla-Zarate L, Manjarrez-Gutiérrez CK, Lugowski-Rivero G, Heinze-Martin AF
Full text How to cite this article

Language: English
References: 41
Page: 201-208
PDF size: 187.78 Kb.


Key words:

Self-perceived health, psychiatry, well-being, perfectionism.

ABSTRACT

Introduction. Self-perceived health (SPH) is related to disease and well-being. Psychiatrists report burnout and mental disorders more frequently than other physicians, while personality traits related to perfectionism may influence the perception of well-being and health in these professionals. Objective. To compare and determine the association between demographic variables, health conditions, perceived distress, perfectionism, and SPH. Method. A cross-sectional, retrospective, comparative study was performed through an online survey. Psychiatrists and psychiatry trainees who were willing and able to participate were included. Demographic variables and self-reports of mental and physical conditions were examined. SPH was rated on a 10-point visual analogue scale and perfectionism through the Multidimensional Perfectionism Scale. Comparative analyses and multiple linear regression models were performed. Results. Three hundred and thirty psychiatry trainees and 355 psychiatrists were recruited. Psychiatrists reported more physical conditions (32.4% vs. 15%, p ‹ .001), distress (p ‹ .001), and perfectionism (p ‹ .001). Major depression and anxiety were present over 50% of all participants. A higher SPH was associated with being partnered and having higher distress levels in psychiatry trainees and with the absence of a physical health condition, less concern over errors, and higher personal standards in psychiatrists. Discussion and conclusion. Self-oriented perfectionism may have a significant motivational component, accentuated by competitiveness and individualism. Being married and having higher levels of distress in psychiatry trainees appears to create a sense of satisfaction with achievements. The implementation of strategies to prioritize and meet goals is necessary to have an adequate work-life balance without affecting personal satisfaction or the sense of achievement.


REFERENCES

  1. Adler, A. (1956). The neurotic disposition. In The individual psychology of Alfred Adler (pp. 239-262). New York, NY: Basic Books.

  2. Amoafo, E., Hanbali, N., Patel, A., & Singh, P. (2015). What are the significant factors associated with burnout in doctors? Occupational Medicine, 65(2), 117- 121. doi: 10.1093/occmed/kqu144

  3. Assari, S., & Bazargan, M. (2019). Marital Status and Physical Health: Racial Differences. International Journal of Epidemiologic Research, 6(3), 108-113. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/31572801

  4. Besser, A., Flett, G. L., Hewitt, P. L., & Guez, J. (2008). Perfectionism, and cognitions, affect, self-esteem, and physiological reactions in a performance situation. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 26(3), 206-228. doi: 10.1007/s10942-007-0067-0

  5. Cloninger, C. R. (2006). The science of well being: An integrated approach to mental health and its disorders. World Psychiatry, 5(2), 71-76.

  6. Cloninger, C. R., & Zohar, A. H. (2011). Personality and the perception of health and happiness. Journal of Affective Disorders, 128(1-2), 24-32. doi: 10.1016/j. jad.2010.06.012

  7. Curran, T., & Hill, A. P. (2019). Perfectionism is increasing over time: A metaanalysis of birth cohort differences from 1989 to 2016. Psychological Bulletin, 145(4), 410-429. doi: 10.1037/bul0000138

  8. Daily, J. A. (2019). Divorce Among Physicians and Medical Trainees. Journal of the American College of Cardiology, 73(4). doi: 10.1016/j.jacc.2018.12.016

  9. Denman, M., Oyebode, F., & Greening, J. (2016). Reasons for choosing to specialise in psychiatry: differences between core psychiatry trainees and consultant psychiatrists. BJPsych Bulletin, 40(1), 19-23. doi: 10.1192/pb.bp.114.048678

  10. Flett, G. L., Baricza, C., Gupta, A., Hewitt, P. L., & Endler, N. S. (2011). Perfectionism, psychosocial impact and coping with irritable bowel disease: A study of patients with Crohn’s disease and ulcerative colitis. Journal of Health Psychology, 16(4), 561-571. doi: 10.1177/1359105310383601

  11. Fothergill, A., Edwards, D., & Burnard, P. (2004). Stress, burnout, coping and stress management in psychiatrists: Findings from a systematic review. International Journal of Social Psychiatry, 50(1), 54-65. doi: 10.1177/0020764004040953

  12. Franco Paredes, K., Mancilla-Díaz, J. M., Álvarez Rayón, G., Vázquez Arévalo, R., & López Aguilar, X. (2010). Estructura factorial y consistencia interna de la Escala Multidimensional de Perfeccionismo. Revista Mexicana de Psicología, 27(2), 143-149. Retrieved from http://www.redalyc.org/articulo.oa?id=243016324003

  13. Frost, R. O., Heimberg, R. G., Holt, C. S., Mattia, J. I., & Neubauer, A. L. (1993). A comparison of two measures of perfectionism. Personality and Individual Differences, 14(1), 119-126. doi: 10.1016/0191-8869(93)90181-2

  14. Fry, P. S., & Debats, D. L. (2009). Perfectionism and the five-factor personality traits as predictors of mortality in older adults. Journal of Health Psychology, 14(4), 513-524. doi: 10.1177/1359105309103571

  15. Hadjistavropoulos, H., Dash, H., Hadjistavropoulos, T., & Sullivan, T. L. (2007). Recurrent pain among university students: Contributions of self-efficacy and perfectionism to the pain experience. Personality and Individual Differences, 42(6), 1081-1091. doi: 10.1016/j.paid.2006.09.013

  16. Heinze, G., Bernard-Fuentes, N., Carmona-Huerta, J., Chapa, G. C., & Guízar-Sánchez, D. P. (2019). Physicians specializing in psychiatry of Mexico: An update 2018. Salud Mental, 42(1), 13-23. doi: 10.17711/SM.0185-3325.2019.003

  17. Hewitt, P. L., & Flett, G. L. (1991). Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology. Journal of Personality and Social Psychology, 60(3), 456-470. doi: 10.1037/0022- 3514.60.3.456

  18. Jovanović, N., Podlesek, A., Volpe, U., Barrett, E., Ferrari, S., Rojnic Kuzman, M., … Beezhold, J. (2016). Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. European Psychiatry, 32, 34-41. doi: 10.1016/j.eurpsy.2015.10.007

  19. Koreki, A., Nakagawa, A., Abe, A., Ikeuchi, H., Okubo, J., Oguri, A., … Mimura, M. (2015). Mental health of Japanese psychiatrists: the relationship among level of occupational stress, satisfaction and depressive symptoms. BMC Research Notes, 8(1), 1-9. doi: 10.1186/s13104-015-1054-7

  20. Korkeila, J. A., Töyry, S., Kumpulainen, K., Toivola, J., Räsänen, K., & Kalimo, R. (2003). Burnout and self-perceived health among Finnish psychiatrists and child psychiatrists: a national survey. Scandinavian Journal of Public Health, 31(2), 85-91. doi: 10.1080/14034940210133880

  21. Kuhn, C. M., & Flanagan, E. M. (2017). Self-care as a professional imperative: physician burnout, depression, and suicide. Canadian Journal of Anesthesia, 64(2), 158-168. doi: 10.1007/s12630-016-0781-0

  22. Kumar, S. (2007). Burnout in psychiatrists. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 6(3), 186-189.

  23. Kumar, S., Hatcher, S., & Huggard, P. (2005). Burnout in psychiatrists: An etiological model. International Journal of Psychiatry in Medicine, 35(4), 405-416. doi: 10.2190/8XWB-AJF4-KPRR-LWMF

  24. Lindström, M. (2009). Marital status, social capital, material conditions and selfrated health: A population-based study. Health Policy, 93(2-3), 172-179. doi: 10.1016/j.healthpol.2009.05.010

  25. McCann, C. M., Beddoe, E., McCormick, K., Huggard, P., Kedge, S., Adamson, C., & Huggard, J. (2013). Resilience in the Health Professions: A review of recent literature. International Journal of Wellbeing, 3(1), 60-81. doi: 10.5502/ijw. v3i1.4

  26. McFarland, D. C., Hlubocky, F., & Riba, M. (2019). Update on Addressing Mental Health and Burnout in Physicians: What Is the Role for Psychiatry? Current Psychiatry Reports, 21(11), 108. doi: 10.1007/s11920-019-1100-6

  27. Molnar, D. S., Sadava, S. W., Flett, G. L., & Colautti, J. (2012). Perfectionism and health: A mediational analysis of the roles of stress, social support and health-related behaviours. Psychology & Health, 27(7), 846-864. doi: 10.1080/08870446.2011.630466

  28. Moriarty, D. G., Zack, M. M., & Kobau, R. (2003). The Centers for Disease Control and Prevention's Healthy Days Measures – Population tracking of perceived physical and mental health over time. Health Qual Life Outcomes, 1(1), 37. doi: 10.1186/1477-7525-1-37

  29. Mundia, L. (2019). Satisfaction with work-related achievements in Brunei public and private sector employees. Cogent Business & Management, 6(1), 1664191. doi: 10.1080/23311975.2019.1664191

  30. O’Connor, K., Neff, D. M., & Pitman, S. (2018). Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry, 53, 74-99. doi: 10.1016/j.eurpsy.2018.06.003

  31. Pisinger, C., Toft, U., Aadahl, M., Glümer, C., & Jørgensen, T. (2009). The relationship between lifestyle and self-reported health in a general population. The Inter99 study. Preventive Medicine, 49(5), 418-423. doi: 10.1016/j.ypmed.2009.08.011

  32. Pritchard, M. E., Wilson, G. S., & Yamnitz, B. (2007). What predicts adjustment among college students? A longitudinal panel study. Journal of American College Health, 56(1), 15-22. doi: 10.3200/JACH.56.1.15-22

  33. Rathod, S., Roy, L., Ramsay, M., Das, M., Birtwistle, J., & Kingdon, D. (2000). A survey of stress in psychiatrists working in the Wessex Region. Psychiatric Bulletin, 24(4), 133-136. doi: 10.1192/pb.24.4.133

  34. Rotenstein, L. S., Torre, M., Ramos, M. A., Rosales, R. C., Guille, C., Sen, S., & Mata, D. A. (2018). Prevalence of burnout among physicians: A systematic review. JAMA, 320(11), 1131-1150. doi: 10.1001/jama.2018.12777

  35. Rotstein, S., Hudaib, A. R., Facey, A., & Kulkarni, J. (2019). Psychiatrist burnout: a meta-analysis of Maslach Burnout Inventory means. Australasian Psychiatry, 27(3), 249-254. doi: 10.1177/1039856219833800

  36. Saboonchi, F., & Lundh, L. G. (2003). Perfectionism, anger, somatic health, and positive affect. Personality and Individual Differences, 35(7), 1585-1599. doi: 10.1016/S0191-8869(02)00382-3

  37. Siegrist, J., & Li, J. (2016). Associations of extrinsic and intrinsic components of work stress with health: A systematic review of evidence on the effort-reward imbalance model. International Journal of Environmental Research and Public Health, 13(4), 432. doi: 10.3390/ijerph13040432

  38. Tyssen, R. (2019). Work and mental health in doctors: A short review of Norwegian studies. Porto Biomedical Journal, 4(5), e50. doi: 10.1097/j. pbj.0000000000000050

  39. Umene-Nakano, W., Kato, T. A., Kikuchi, S., Tateno, M., Fujisawa, D., Hoshuyama, T., & Nakamura, J. (2013). Nationwide Survey of Work Environment, Work- Life Balance and Burnout among Psychiatrists in Japan. PLoS ONE, 8(2), e55189. doi: 10.1371/journal.pone.0055189

  40. Weerdesteijn, K. H. N., Schaafsma, F. G., Louwerse, I., Huysmans, M. A., Van der Beek, A. J., & Anema, J. R. (2019). Does self-perceived health correlate with physician-assessed functional limitations in medical work disability assessments? Journal of Psychosom Research, 125, 109792. doi: 10.1016/j. jpsychores.2019.109792

  41. Yester, M. (2019). Work-Life Balance, Burnout, and Physician Wellness. Health Care Manager, 38(3), 239-246. doi: 10.1097/HCM.0000000000000277




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Salud Mental. 2020;43