Existential Deficits, Secondary Traumatic Stress, and Compassion Fatigue as Predictors of Burnout Syndrome Formation in Palliative Care Physicians
Keywords:
palliative care, professional burnout, emotional burnout syndrome, fundamental motivations, existential defi cits, secondary traumatic stress, compassion fatigue, predictors of emotional burnout
Abstract
Th e article presents an up-to-date analysis of the concept of emotional burnout, provides data on the prevalence of burnout syndrome of oncologists and examines predictors of emotional burnout in palliative care physicians, including the role of existential defi cits, secondary traumatic stress, and compassion fatigue in the development of burnout syndrome. It also suggests steps that physicians can take to improve personal well-being and professional satisfaction.
References
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26. Jager A. J., Tutty M. A., Kao A. C. Association between physician burnout and identifi cation with medicine as a calling. Mayo Clin Proc 2017; 92(3):415–422; doi:10.1016/j.mayocp.2016.11.012. Epub 2017 Feb 8 PMID: 28189341.
27. Shanafelt T. D., Noseworthy J. H. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017; 92(1):129–146. doi:10.1016/j. mayocp.2016.10.004. Epub 2016 Nov 18 PMID: 27871627.
28. Serwint J. R., Stewart M. T. Cultivating the joy of medicine: a focus on intrinsic factors and the meaning of our work. Curr Probl Pediatr Adolesc Health Care 2019; 49(12):100665; doi:10.1016/j.cppeds.2019.100665. Epub 2019 Sep 30 PMID: 31582295.
2. Maslach, Christina (1998). A Multidimensional Theory of Burnout. 10.1093/oso/9780198522799.003.0004.
3. Talbot S. G., Dean W. Physicians are not “burning out”. They are suffering from moral injury. STAT. https://www.statnews.com/2018/07/26/ physicians-not-burning-out-they-are-suffering- moral-injury/. Accessed August 1, 2022.
4. Rotenstein L. S., Torre M., Ramos M. A. et al. Prevalence of burnout among physicians: a systematic review // JAMA. 2018. Vol. 320, № 11. P. 1131–1150.
5. ICD-11 for Mortality and Morbidity Statistics, QD85 Burnout. International Classifi cation of Disease, 11th ed. 2019. Available
at: https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/ entity/129180281 Accessed October 29, 2019.
6. Gonçalves, Florbela and Margarida Gaudêncio. Burnout and quality of life in Portuguese healthcare professionals working in oncology and palliative care-a preliminary study. BMC palliative care vol. 22,1 155. 13 Oct. 2023, doi:10.1186/s12904–023–01273–7.
7. Dijxhoorn, Anne- Floor Q et al. Prevalence of burnout in healthcare professionals providing palliative care and the effect of interventions to reduce symptoms: A systematic literature review. Palliative medicinevol. 35,1 (2021): 6–26. doi:10.1177/0269216320956825.
8. Gonçalves, Florbela et al. Burnout and attachment in oncology and palliative care healthcare professionals. BMJ supportive & palliative care vol. 14, e3 e2843-e2855. 19 Dec. 2024, doi:10.1136/spcare-2023–004694.
9. van Wyk B. E., Pillay- Van Wyk V. Preventive staff- support interventions for health workers. In: The Cochrane Collaboration, editors, Cochrane Database Syst. Rev. Chichester: John Wiley & Sons, Ltd; (2010). 10.1002/14651858.CD003541.pub2.
10. Copur M. S. Burnout in Oncology. Oncology. (Williston Park). (2019) 33:687522.
11. Ramirez A., Graham J., Richards M., Timothy A. Stress at work for the clinical oncologist. Clin Oncol. (1996) 8:137–9. 10.1016/S0936– 6555(96)80036–7.
12. Shanafelt T., Dyrbye L. Oncologist burnout: causes, consequences, and responses. J Clin Oncol. 2012;30:1235–41.
13. Лаврова Л. И. Невротизм как черта личности // Форум молодых ученых. 2023. № 2 (78). URL: https://cyberleninka.ru/article/n/ nevrotizm-kak-cherta- lichnosti (дата обращения: 17.12.2024).
14. Brown P. A., Slater M., Lofters A. Personality and burnout among primary care physicians: an international study. Psychol Res Behav Manag. 2019;18:169–77.
15. Haslam A., Tuia J., Miller S. L., Prasad V. Systematic review and meta-analysis of randomized trials testing interventions to reduce physician burnout. Am J Med. 2023;137:249–257.e1. https://doi. org/10.1016/j.amjmed.2023.10.003.
16. Catapano P., Cipolla S., Sampogna G., Perris F., Luciano M., Catapano F., Fiorillo A. Organizational and individual interventions for managing work-related stress in healthcare professionals: a systematic review. Medicina. 2023;59(10):1866.
17. Weinzimmer L., Hippler S. New insights into physician burnout and turnover intent: a validated measure of physician fortitude. BMC Health Serv Res 24, 748 (2024). https://doi.org/10.1186/s12913–024–11186–7
18. Лэнгле А. Основы экзистенциального анализа.— СПб: Питер, 2023. — 288 с.
19. Лэнгле А. Эмоциональное выгорание с позиций экзистенциального анализа [Текст] / А. Лэнгле // Вопросы психологии. — 2008. — № 2.— С. 3–16.
20. Figley C. R. (1995). Compassion fatigue: Toward a new understanding of the costs of caring. In B. H. Stamm (Ed.), Secondary traumatic stress: Selfcare issues for clinicians, researchers, and educators (pp. 3–28). Lutherville, MD: Sidran Press.
21. Бергис Т. А., Арбузова Т. Н. Феномен вторичного травматического стресса у медицинского персонала родильного отделения // Мир педагогики и психологии: международный научно- практический журнал. 2024. № 02 (91). Режим доступа: https://scipress.ru/ pedagogy/articles/fenomen- vtorichnogo-travmaticheskogo- stressa-umeditsinskogo- personala-rodilnogo- otdeleniya.html (дата обращения: 25.02.2024).
22. Малкина-Пых И. Г. Взаимосвязь профессионального выгорания и вторичного травматического стресса в структуре личности психологов // Акмеология. 2010. № 1. URL: https://cyberleninka. ru/article/n/vzaimosvyaz- professionalnogo-vygoraniya-i-vtorichnogotravmaticheskogo-stressa-v-strukture- lichnosti-psihologov (дата обращения: 18.12.2024).
23. Гольменко А. Д., Хаптанова В. А., Песков В. П., Хаптанов А. Ю. Тенденции управления профессиональным выгоранием медицинских сестер в зарубежных исследованиях (обзор литературы). Acta biomedica scientifi ca. 2021; 6(5): 145–156. doi: 10.29413/ABS.2021–6.5.14. 24. Sinnathamby, Annushkha et al. Towards a Theory of Compassion Fatigue in Palliative Care and Oncology: A Systematic Scoping Review. The American journal of hospice & palliative care, 10499091251315183. 18 Jan. 2025, doi:10.1177/10499091251315183.
25. Суханова Е. И. Профилактика профессионального выгорания // Неонатология: новости, мнения, обучение. 2022. Т. 10, № 3. С. 68–72. 001: https://doi.org/10.33029/2308–2402–2022–10–3–68–72 .
26. Jager A. J., Tutty M. A., Kao A. C. Association between physician burnout and identifi cation with medicine as a calling. Mayo Clin Proc 2017; 92(3):415–422; doi:10.1016/j.mayocp.2016.11.012. Epub 2017 Feb 8 PMID: 28189341.
27. Shanafelt T. D., Noseworthy J. H. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc 2017; 92(1):129–146. doi:10.1016/j. mayocp.2016.10.004. Epub 2016 Nov 18 PMID: 27871627.
28. Serwint J. R., Stewart M. T. Cultivating the joy of medicine: a focus on intrinsic factors and the meaning of our work. Curr Probl Pediatr Adolesc Health Care 2019; 49(12):100665; doi:10.1016/j.cppeds.2019.100665. Epub 2019 Sep 30 PMID: 31582295.
Published
2025-06-26
Section
Psychological and social aspects of palliative care
