Предиктори, дескриптори та складові емоційного вигорання у лікарів-психіатрів під час війни: взаємозв’язки, комплексна і математична моделі розвитку та прогнозу

Abstract

The aim of the work was to identify predictors, descriptors and components of emotional burnout (EB) in psychiatrists during the war, to understand the interrelationships between them as a basis for building therapeutic approaches to the prevention and elimination of EB manifestations in this contingent. Contingent and research methods. The study sample, which was formed in compliance with the principles of biomedical ethics and based on informed consent, consisted of 120 psychiatrists who worked in the city of Kyiv in the period from February 24, 2022, during 2022. The criterion for stratification of the examined into groups was the presence and severity manifestations of professional maladjustment (PM) in psychiatrists, which reflected the level of their EB. According to the obtained results, the examinees were divided into three groups: the first group, OG1 – 30.8% (37 people) – doctors without signs of PM, and a low level of EB; the second group, OG2 – 47.5% (57 people) – persons with signs of PM, and a moderate level of EB; the third group, OG3 – 21.7% (26 people) – respondents with clinically defined and pronounced PM, and a high level of EB. Clinical-psychopathological, psychometric and psychodiagnostic research methods were used to assess the state of the parameters that make up the components of EB. Statistical analysis of the obtained results was performed using the non-parametric Mann-Whitney test (determination of differences) and the method of Spearman's rank correlations (estimation of correlations). The results. In the genesis of the development and progression of EB in psychiatrists during the war, the personal, psychopathological, psychosocial, professional and emotional-interpersonal indicators of their life activities are involved.