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Burnout chez les résidents en médecine tunisiens : à propos de 149 cas
Abstract
Background Burnout is a professional psychological chronic stress-induced syndrome defined by three dimensions: emotional exhaustion, depersonalization, and low personal accomplishment. This syndrome concerns all professions but especially healthcare staff. Numerous studies have attempted to document the impact of work activities on the doctor's mental health. According to the literature, junior doctors are more vulnerable to develop this syndrome. Aims Are to determine the prevalence of severe burnout among residents of different specialties: anesthesiology, general surgery, emergency medicine, psychiatry, basic sciences. The secondary end points are to analyze risk factors, causes and consequences associated with burnout. Methods A cross-sectional study conducted among medical residents working in hospitals located in the governorates of Tunis. Three instruments were used: an anonymous self-administered questionnaire, Maslach Burnout Inventory (MBI) to assess burnout, and Abstract Beck Depression Inventory to evaluate the intensity of depression. Severe burnout was defined as a severely high level of both emotional exhaustion and depersonalization associated with a severely low level of personal accomplishment. Results A total of 149 participants (response rate=76.8%) participated in the survey. Among participants, 17.14% (n=26) had a severe burnout. The emergency medicine residents had the highest rate of emotional exhaustion and depersonalization and severe depression. Overall, resident respondents, 31% (n=46), had moderate to severe depression. Among stress factors, those significantly correlated to burnout were: lack of hobbies (P<0.001), bad job conditions (P=0.031), poor conditions of the workplace (P=0.046), relationship problems in workplace (P=0.01), work-family conflicts (P<0.001). The consequences of occupational stress associated with burnout were: Antecedents of specialty change (P=0.017) and desire for a specialty change (P<0.001). A significant correlation between depression and severe burnout was not found. Conclusion Medical residents in all specialties are at risk of burnout. Nevertheless, this study revealed that some specialties are more exhausting, which is consistent with the results reported in the literature. Moreover, it is shown that several stress factors as well as many consequences are related to severe burnout, which is in agreement with numerous studies. However, results between different studies are disparate.
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“Zid et al. [34] found that 17.14% of residents had severe burnout.”
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Henchiri, H., Tannoubi, A., Harrathi, C., Boussayala, G., Quansah, F., Hagan, J. E., Mechergui, H., Chaabeni, A., Chebbi, T., Lakhal, T. B., et al. (2025) · Healthcare · doi:10.3390/healthcare13020173 · Cited by 9
Metadata
- Authors
- Ben Zid, A., Homri, W., Ben Romdhane, I., Bram, N., & Labbane, R.
- Affiliations
- Hôpital Razi de La Manouba (TN)
- Venue
- L'Encéphale
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 44
- Issue
- 4
- Pages
- 337-342
- ISSN
- 0013-7006 (ISSN-L)
- OpenAlex
- W2752712112
- Cited by
- 19
- References
- 0
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 1
- FWCI
- 2.66
- Type
- journal article
- Language
- fr
- Open access
- closed
- Locations
- L Encéphale (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- burnout, medical residents, emotional exhaustion, depersonalization, personal accomplishment, depression, occupational stress, risk factors, prevalence, Maslach Burnout Inventory, Beck Depression Inventory, physician mental health, hospital-university center, anesthesiology, emergency medicine, general surgery, work-life balance
- MeSH terms
- Burnout, Psychological, Adult, Burnout, Professional, Cross-Sectional Studies, Depersonalization, Female, Humans, Internship and Residency, Male, Physicians, Stress, Psychological, Students, Medical, Tunisia, Prevalence
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