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Coping Strategies and Relationship with Burnout among Residents in Thailand
Published online by Cambridge University Press: 19 July 2023
Abstract
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Introduction
Burnout is prevalent in residents and coping is one of the important modifying factors.
Objectives
This study aimed to investigate coping strategies, burnout, and their relationship among residents.
Methods
A cross-sectional descriptive study was conducted among residents from October 2019 to April 2020 in Thailand. The Brief COPE Inventory Thai version and The Maslach Burnout Inventory Thai version were used, and the associations between coping strategies and burnout were examined.
Results
Table 2
Table 3Multivariate analysis of factors associated with personal accomplishment
a
The number of 280 residents replied the questionnaire (response rate 41.5%). The most favored copings were self-distraction and acceptance and the least common were denial and substance use. Most residents had high level of emotional exhaustion (n = 113, 40.4%) and moderate level of reduced personal accomplishment (n = 99, 35.4%). However, low degree of depersonalization was reported predominantly (n = 164, 58.6%). The coping of venting, behavioral disengagement and self-blame independently predicted emotional exhaustion and depersonalization. Behavioral disengagement was the only predictor of burnout in all dimensions, whereas positive reframing is the only strategy that had independent and protective effect against burnout in all dimensions.Table 1
Multivariate analysis of factors associated with emotional exhaustion
| Variablesa associated with emotional exhaustion | β (S.E.) | 95% CI | P value |
|---|---|---|---|
| Venting | .17** (.50) | (.50, 2.46) | < .01 |
| Behavioral disengagement | .29*** (.51) | (1.52, 3.55) | < .001 |
| Self-blame | .15** (.47) | (.30, 2.15) | .01 |
| Planning | .15** (.51) | (.32, 2.33) | .01 |
| Positive reframing | -.26*** (.50) | (-3.08, -1.12) | < .001 |
Multivariate analysis of factors associated with depersonalization
| Variablesa associated with depersonalization | β (S.E.) | 95% CI | P value |
|---|---|---|---|
| Sex | -.12* (.58) | (-2.37, -.07) | .04 |
| Alcohol use | .18** (.75) | (.74, 3.69) | < .01 |
| Venting | .14* (.26) | (.07, 1.11) | .03 |
| Behavioral disengagement | .18** (.25) | (.28, 1.27) | < .01 |
| Self-blame | .21*** (.23) | (.38, 1.28) | < .001 |
| Positive reframing | -.18* (.23) | (-1.17, -.27) | < .01 |
| Use instrumental support | -.14* (.24) | (-1.03, -.10) | .02 |
| Variablesa associated with personal accomplishment | β (S.E.) | 95% CI | P value |
|---|---|---|---|
| Behavioral disengagement | -.13* (.38) | (-1.59, -.09) | .03 |
| Positive reframing | .21** (.41) | (.42, 2.03) | < .01 |
Only statistically significant variables are displayed
Conclusions
A large number of residents had emotional exhaustion. Behavioral disengagement and positive reframing were the most influential coping strategies related to burnout. This study might inform residency training program of some specific approaches for burnout prevention.
Disclosure of Interest
None Declared
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- Information
- European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S321 - S322
- Creative Commons
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.- Copyright
- © The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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