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

被引：3

作者：

Castellini, Giovanni ^{[1
]}

Tarchi, Livio ^{[1
]}

Cassioli, Emanuele ^{[1
]}

Ricca, Valdo ^{[1
]}

Daga, Giovanni Abbate ^{[2
]}

Aguglia, Andrea ^{[3
]}

Albert, Umberto ^{[4
,5
]}

Atti, Annarita ^{[6
]}

Barlati, Stefano ^{[7
,8
]}

Blasi, Giuseppe ^{[9
]}

Carmassi, Claudia ^{[10
]}

Carra, Giuseppe ^{[11
]}

De Fazio, Pasquale ^{[12
]}

De Panfilis, Chiara ^{[13
]}

Di Lorenzo, Giorgio ^{[14
]}

Ferrari, Silvia ^{[15
]}

Goracci, Arianna ^{[16
]}

Gramaglia, Carla ^{[17
]}

Luciano, Mario ^{[18
]}

Nanni, Maria Giulia ^{[19
]}

Martinotti, Giovanni ^{[20
]}

Menchetti, Marco ^{[6
]}

Menculini, Giulia ^{[21
]}

Nivoli, Alessandra ^{[22
]}

Pinna, Federica ^{[23
]}

Pompili, Maurizio ^{[24
]}

Rosso, Gianluca ^{[2
]}

Signorelli, Maria Salvina ^{[25
]}

Sambataro, Fabio ^{[26
]}

Sampogna, Gaia ^{[18
]}

Sani, Gabriele ^{[27
]}

Serafini, Gianluca ^{[3
]}

Tosato, Sarah ^{[28
]}

Ventriglio, Antonio ^{[29
]}

Vigano, Caterina ^{[30
]}

Volpe, Umberto ^{[31
]}

Fiorillo, Andrea ^{[18
]}

机构：

[1] Dept Hlth Sci, Univ Florence, Psychiat Unit, Florence, Italy

[2] Univ Turin, Dept Neurosci, Turin, Italy

[3] Univ Genoa, Psychiat Sect, IRCCS, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, Genoa, Italy

[4] Univ Trieste, Dept Med Surg & Hlth Sci, Trieste, Italy

[5] Dept Mental Hlth, Trieste, Italy

[6] Univ Bologna, Dept Med & Surg Sci, Sect Psychiat, Alma Mater Studiorum, Bologna, Italy

[7] Univ Brescia, Dept Clin & Expt Sci, Brescia, Italy

[8] ASST Spedali Civili Brescia, Dept Mental Hlth & Addict Serv, Brescia, Italy

[9] Univ Bari Aldo Moro, Dept Translat Biomed & Neurosci, Bari, Italy

[10] Univ Pisa, Dept Clin & Expt Med, Psychiat Clin, Azienda Osped Univ Pisana, Pisa, Italy

[11] Univ Milano Bicocca, Dept Med & Surg, Monza, Italy

[12] Magna Graecia Univ Catanzaro, Dept Hlth Sci, Catanzaro, Italy

[13] Univ Parma, Dept Med & Surg, Unit Neurosci, Parma, Italy

[14] Univ Roma Tor Vergata, Dept Syst Med, Rome, Italy

[15] Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Modena, Italy

[16] Univ Siena, Dept Mol & Dev Med, Siena, Italy

[17] Univ Piemonte Orientale, Dept Translat Med, Novara, Italy

[18] Univ Campania L Vanvitelli, Dept Psychiat, Naples, Italy

[19] Univ Ferrara, Inst Psychiat, Dept Neurosci & Rehabil, Ferrara, Italy

[20] Univ G dAnnunzio, Dept Neurosci Imaging & Clin Sci, Chieti, Italy

[21] Univ Perugia, Dept Psychiat, Perugia, Italy

[22] Univ Sassari, Dept Med Surg & Expt Sci, Sassari, Italy

[23] Univ Cagliari, Dept Med Sci & Publ Hlth, Sect Psychiat, Cagliari, Italy

[24] Sapienza Univ Rome, St Andrea Hosp, Suicide Prevent Ctr, Suicide Prevent Ctr,Fac Med & Psychol, Rome, Italy

[25] Univ Catania, Dept Clin & Expt Med, Psychiat Unit, Catania, Italy

[26] Univ Padua, Dept Neurosci DNS, Padua, Italy

[27] Univ Cattolica Sacro Cuore, Dept Neurosci, Sect Psychiat, Rome, Italy

[28] Univ Verona, Sect Psychiat, Dept Neurosci Biomed & Movement, Verona, Italy

[29] Univ Foggia, Dept Clin & Expt Med, Foggia, Italy

[30] Univ Milan, Luigi Sacco & Aldo Ravelli Ctr Neurotechnol & Brai, Dept Biomed & Clin Sci, Milan, Italy

[31] Polytech Univ Marche, Sch Med & Surg, Dept Neurosci DIMSC, Unit Clin Psychiat, Ancona, Italy

来源：

ACTA PSYCHIATRICA SCANDINAVICA | 2024年 / 149卷 / 03期

关键词：

adverse childhood experiences; burnout; coping; emotion regulation; medical education; occupational psychology; ADULT ATTACHMENT; EMOTION REGULATION; MEDICAL-STUDENTS; FAMILY MEDICINE; RESIDENTS; CAREER; QUESTIONNAIRE; RELIABILITY; TRAINEES; VALIDITY;

D O I：

10.1111/acps.13649

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

BackgroundA better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.MethodsAn 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.ResultsA 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.ConclusionsThe 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.

引用

页码：177 / 194

页数：18

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