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The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study.

التفاصيل البيبلوغرافية
العنوان: The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study.
المؤلفون: Castellini G; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy., Tarchi L; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy., Cassioli E; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy., Ricca V; Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy., Abbate Daga G; Department of Neurosciences, University of Turin, Turin, Italy., Aguglia A; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, Psychiatry Section, University of Genoa, IRCCS San Martino, Genoa, Italy., Albert U; Department of Medicine, Surgery and Health Sciences, University of Trieste and Department of Mental Health, Trieste, Italy., Atti A; Section of Psychiatry, Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy., Barlati S; Department of Clinical and Experimental Sciences, University of Brescia and Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia, Brescia, Italy., Blasi G; Department of Translational Biomedicine and Neuroscience, University of Bari Aldo Moro, Bari, Italy., Carmassi C; Department of Clinical and Experimental Medicine, Psychiatric Clinic, Azienda Ospedaliero-Universitaria Pisana, University of Pisa, Pisa, Italy., Carrà G; Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy., De Fazio P; Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy., De Panfilis C; Unit of Neuroscience, Department of Medicine and Surgery, University of Parma, Parma, Italy., Di Lorenzo G; Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy., Ferrari S; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy., Goracci A; Department of Molecular and Developmental medicine, University of Siena, Siena, Italy., Gramaglia C; Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy., Luciano M; Department of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy., Martinotti G; Department of Neurosciences, Imaging and Clinical Sciences, 'G. D'Annunzio' University, Chieti, Italy., Menchetti M; Section of Psychiatry, Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy., Menculini G; Department of Psychiatry, University of Perugia, Perugia, Italy., Nanni MG; Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy., Nivoli A; Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy., Pinna F; Section of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy., Pompili M; Department of Neurosciences, Mental Health, and Sensory Organs, Faculty of Medicine and Psychology, Suicide Prevention Centre, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy., Rosso G; Department of Neurosciences, University of Turin, Turin, Italy., Sambataro F; Department of Neuroscience (DNS), University of Padova, Padua, Italy., Sampogna G; Department of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy., Sani G; Department of Neuroscience, Section of Psychiatry, Università Cattolica del Sacro Cuore, Rome, Italy., Serafini G; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, Psychiatry Section, University of Genoa, IRCCS San Martino, Genoa, Italy., Signorelli MS; Psychiatry Unit, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy., Tosato S; Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy., Ventriglio A; Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy., Viganò C; Department of Biomedical and Clinical Sciences, Luigi Sacco and Aldo Ravelli Center for Neurotechnology and Brain Therapeutic, University of Milan, Milano, Italy., Volpe U; Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, School of Medicine and Surgery, Polytechnic University of Marche, Ancona, Italy., Fiorillo A; Department of Psychiatry, University of Campania 'L. Vanvitelli', Naples, Italy.
المصدر: Acta psychiatrica Scandinavica [Acta Psychiatr Scand] 2024 Mar; Vol. 149 (3), pp. 177-194. Date of Electronic Publication: 2024 Jan 03.
نوع المنشور: Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 0370364 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1600-0447 (Electronic) Linking ISSN: 0001690X NLM ISO Abbreviation: Acta Psychiatr Scand Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Wiley-Blackwell
Original Publication: Copenhagen : Munksgaard International Publishers
مواضيع طبية MeSH: Internship and Residency* , Mentalization* , Burnout, Professional*/epidemiology , Burnout, Professional*/psychology , Psychiatry*, Humans ; Surveys and Questionnaires ; Neuroticism
مستخلص: Background: A better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.
Methods: An adequate coverage of medical residents at the national level was reached (41.86% of the total reference population, 29 out of 36 training centers-80.55%). Controls were recruited among residents in other medical specialties. All participants were assessed by questionnaires to evaluate early life experiences, attachment style, personality traits, coping strategies, emotional competencies. A Structural Equation Model (SEM) framework was employed to investigate the interplay between individual factors.
Results: A total sample of 936 people was recruited (87.9% response-rate; 645 residents in psychiatry, 291 other medical residents). Psychiatry trainees reported a higher prevalence of adverse childhood experiences (emotional abuse, emotional neglect, physical neglect), greater attachment insecurity (anxious or avoidant) in comparison to other medical trainees. Psychiatry residents also reported higher social support-seeking as a coping strategy, lower problem-orientation, and lower transcendence. Lower neuroticism, higher openness to experience, and higher emotional awareness were also observed in psychiatry trainees. Psychiatry training was associated with a redefinition of conflict management skills as a function of seniority. The SEM model provided support for an interplay between early traumatic experiences, mentalization skills (coping strategies, emotion regulation), interpersonal competencies and occupational distress.
Conclusions: The findings of the present study supported a theoretical model based on mentalization theory for the interactions between personal and relational competencies in psychiatry training, thus providing potential target of remodulation and redefinition of this specific process of education.
(© 2024 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: adverse childhood experiences; burnout; coping; emotion regulation; medical education; occupational psychology
تواريخ الأحداث: Date Created: 20240103 Date Completed: 20240208 Latest Revision: 20240624
رمز التحديث: 20240624
DOI: 10.1111/acps.13649
PMID: 38167781
قاعدة البيانات: MEDLINE
الوصف
تدمد:1600-0447
DOI:10.1111/acps.13649