Burn OutPsychiatric impacts and psycho-social outcomes 课件.ppt

Burn OutPsychiatric impacts and psycho-social outcomes 课件.ppt

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Burn Out Psychiatric impacts and psycho-social outcomes Professor Philippe Corten Dewell P., From L., Friedrich A., Tiv Ph, Van Driette Y., Pelc I. Clinique du Stress - 2005 Burn Out: Background Burn Out was described first by Maslach Freudenberger As a specific job stress syndrome Burn Out is characterized by Emotional exhaustion (? physical tiredness) Cynicism Demotivation Burn Out is Insidious Progressive (10 years) Burn Out result of the repetition of adaptative behaviors toward job stress Adaptative behaviors Increase the emotional resistance To care for without self involvement To chose realistic targets Repetition = Burn Out Process To proof oneself against emotions Objectalization of the human intercourse Restriction of the ambitions Burn Out: Background Burn Out appears particularly at work and in jobs with Vocation Contact with the public Work in teams Where relational abilities are important But The Maslach Burn Out Inventory (the most used test) can be applied only On workers who work with other people Tautology? Burn Out: Aim and hypothesis Is Burn Out a severe disease? Has Burn Out severe outcomes? What are the Burn Out Characteristics? Is Burn Out a form of depression (smiling depression)? Is Burn out specific for some types of jobs? Burn Out: Methodology Design: retrospective study Sample: Source: outpatients of the “clinique du stress” CHU-Brugmann, Brussels since September 2002 to august 2005. Inclusive criteria: Step 1: all patients who met the definition of a pathological chronic stress were assessed (N= 395) Definition of a chronic pathological stress: A persistent state of tension negatively perceived Where someone is or feels unable to answer adequately to the task Where this inability may have significant consequences With psychological, physical and/or functional impact Burn Out: Methodology Inclusive criteria Step 2: Only patients who attribute the main source of stress to the job were maintained in the sample (N= 341) Step

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