ABSTRACT
Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the "Burnout Clinical Subtypes Questionnaire" (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, "Maslach Burnout Inventory-General Survey", "Utrecht Work Engagement Scale", "Hospital Anxiety/Depression Scale", "Positive-Negative Affect Schedule", and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data using the BCSQ-36, which allowed a general factor for each subtype. The three-correlated factors model fit better to the BCSQ-12. Internal consistence was appropriate, and the convergence between the long-short versions was high. The pattern of relationships between the burnout subtypes and the psychological outcomes suggested a progressive deterioration from the frenetic to the under-challenged and worn-out. In sum, the Brazilian BCSQ-36/BCSQ-12 showed appropriate psychometrics to be used in primary healthcare personnel.
Subject(s)
Burnout, Professional/diagnosis , Burnout, Professional/psychology , Health Personnel/psychology , Primary Health Care , Psychological Tests , Adult , Brazil , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , PsychometricsABSTRACT
La depresión es un problema de salud importante y en crecimiento. Las dos piedras angulares de su tratamiento son la psicofarmacología y la psicoterapia, pero sus resultados están lejos de ser satisfactorios en algunos casos. Este artículo ofrece una visión general de cuatro estrategias complementarias para el tratamiento de la depresión. Se ha sugerido que los factores relacionados con el estilo de vida pueden contribuir a la aparición y el mantenimiento de la depresión. Además, hay una creciente cantidad de información acerca de que las recomendaciones sobre aspectos del estilo de vida como la dieta, el ejercicio físico, la exposición a la luz solar, así como técnicas conductuales para regular el ciclo vigilia sueño pueden ser útiles en el tratamiento. Sin embargo, hay poca investigación acerca de la utilidad de combinar estas sencillas medidas higiénico-dietarias y asociarlas con el tratamiento antidepresivo...