Factores asociados con el agotamiento psicológico en odontólogos especialistas colombianos / Factors Associated With Burnout Syndrome in Colombian Dental Specialists

RESUMEN Objetivo: Determinar los factores asociados con el agotamiento psicológico (AP) en odontólogos especialistas que laboraban en la ciudad de Bucaramanga y su área metropolitana. Métodos: Se realizó un estudio observacional analítico de corte transversal en el que se aplicó la versión validada del cuestionario Maslach Burnout Inventory-Human Services Survey (MBI-HSS) a 117 especialistas del área de odontología. Se analizaron los puntajes obtenidos en las 3 dimensiones del instrumento, las características sociodemográficas, los aspectos del entorno laboral y profesional y los hábitos. En el análisis bivariado, se utilizó el coeficiente de correlación de Spearman, la prueba de la U de Mann Whitney o Kruskal-Wallis y en el ánalisis multivariado, se realizó una regresión logística. Un valor de p<0,05 se consideró estadísticamente significativo. Cada participante aceptó su inclusión en el estudio tras el proceso de consentimiento informado. Resultados: El promedio de edad fue 44,0 ± 7,8 años y el 57,3% eran mujeres. El 3,4, el 4,3 y el 4,3% de los participantes tenían altos grados de agotamiento emocional, despersonaliza ción y falta de realización personal respectivamente. El consumo de cigarrillo presentó una asociación directa con las dimensiones despersonalización (p = 0,031) y falta de realización personal (p = 0,025). De otra parte, tener 10 años o más de egresado del posgrado evidenció una asociación inversa en estas 2 dimensiones (p = 0,049 y p = 0,045 respectivamente). Conclusiones: Los resultados indican que el AP no es un problema frecuente en los odontó logos especialistas que laboran en Bucaramanga y su área metropolitana; sin embargo, es importante tener en cuenta que se observó relación del AP con el hábito de fumar y los años de egresado de la especialidad.

ABSTRACT Objective: To establish the factors associated with burnout syndrome in dental specialists working in the city of Bucaramanga and its metropolitan area. Methods: A cross-sectional study was conducted in which the validated version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire was applied to 117 dental specialists. The variables analysed were the scores obtained in the three dimensions of the instrument - sociodemographic and job-related characteristics, professional environment, and habits. Spearman's correlation coefficient and the Mann Whitney or Kruskal-Wallis U test were used in the bivariate analysis, and a logistic regression was perfor med in the multivariate analysis. A value of p < 0.05 was considered statistically significant. Each participant accepted their inclusion in the study after the Informed Consent process was done. Results: The average age was 44.0 ± 7.8 years, and 57.3% were women. It was observed that 3.4%, 4.3% and 4.3% of respondents scored highly in emotional exhaustion, depersonalisation and lack of personal achievement, respectively. Cigarette smoking presented a direct association with the dimensions of depersonalisation (p = 0.031) and lack of personal achie vement (p = 0.025). On the other hand, having completed the postgraduate degree 10 years or more ago showed a negative association in these two dimensions (p = 0.049 and p = 0.045, respectively). Conclusions: The results suggest that burnout syndrome is not a frequent problem in dental specialists who work in Bucaramanga and its metropolitan area. However, it is important to keep in mind that a relationship was observed between the syndrome and smoking, and the years after graduating in the specialty.

Factors associated with burnout syndrome in Colombian dental specialists.

OBJECTIVE: To establish the factors associated with burnout syndrome in dental specialists working in the city of Bucaramanga and its metropolitan area. METHODS: A cross-sectional study was conducted in which the validated version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire was applied to 117 dental specialists. The variables analysed were the scores obtained in the three dimensions of the instrument - sociodemographic and job-related characteristics, professional environment, and habits. Spearman's correlation coefficient and the Mann Whitney or Kruskal-Wallis U test were used in the bivariate analysis, and a logistic regression was performed in the multivariate analysis. A value of p < 0.05 was considered statistically significant. Each participant accepted their inclusion in the study after the Informed Consent process was done. RESULTS: The average age was 44.0 ± 7.8 years, and 57.3% were women. It was observed that 3.4%, 4.3% and 4.3% of respondents scored highly in emotional exhaustion, depersonalisation and lack of personal achievement, respectively. Cigarette smoking presented a direct association with the dimensions of depersonalisation (p = 0.031) and lack of personal achievement (p = 0.025). On the other hand, having completed the postgraduate degree 10 years or more ago showed a negative association in these two dimensions (p = 0.049 and p = 0.045, respectively). CONCLUSIONS: The results suggest that burnout syndrome is not a frequent problem in dental specialists who work in Bucaramanga and its metropolitan area. However, it is important to keep in mind that a relationship was observed between the syndrome and smoking, and the years after graduating in the specialty.

Factors Associated With Burnout Syndrome in Colombian Dental Specialists. / Factores asociados con el agotamiento psicológico en odontólogos especialistas colombianos.

OBJECTIVE: To establish the factors associated with burnout syndrome in dental specialists working in the city of Bucaramanga and its metropolitan area. METHODS: A cross-sectional study was conducted in which the validated version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) questionnaire was applied to 117 dental specialists. The variables analysed were the scores obtained in the three dimensions of the instrument - sociodemographic and job-related characteristics, professional environment, and habits. Spearman's correlation coefficient and the Mann Whitney or Kruskal-Wallis U test were used in the bivariate analysis, and a logistic regression was performed in the multivariate analysis. A value of p<0.05 was considered statistically significant. Each participant accepted their inclusion in the study after the Informed Consent process was done. RESULTS: The average age was 44.0±7.8 years, and 57.3% were women. It was observed that 3.4%, 4.3% and 4.3% of respondents scored highly in emotional exhaustion, depersonalisation and lack of personal achievement, respectively. Cigarette smoking presented a direct association with the dimensions of depersonalisation (p=0.031) and lack of personal achievement (p=0.025). On the other hand, having completed the postgraduate degree 10 years or more ago showed a negative association in these two dimensions (p=0.049 and p=0.045, respectively). CONCLUSIONS: The results suggest that burnout syndrome is not a frequent problem in dental specialists who work in Bucaramanga and its metropolitan area. However, it is important to keep in mind that a relationship was observed between the syndrome and smoking, and the years after graduating in the specialty.

Resistencia a la poliquimioterapia en pacientes con enfermedad de Hansen / Resistance to polychemotherapy in patients with Hansen's disease

RESUMEN Se describe un reporte de caso de un paciente del Sanatorio Agua de Dios Cundinamarca con diagnóstico de lepra lepromatosa histioide con sospecha de resistencia a la poliquimioterapia (PQT), evidenciando la importancia de los criterios clínicos para inicio de terapia alterna ante las limitaciones en los medios paraclínicos. La resistencia debe sospecharse y diagnosticarse tempranamente para evitar la progresión de la enfermedad; los criterios clínicos y paraclínicos ayudan a su confirmación diagnóstica, en los estudios bacteriológicos la escala semicuantitativa Colombiana debe reemplazarse por escala logarítmica de Ridley y Jopling, los estudios histopatológicos se practican en todo paciente con enfermedad de Hansen, los estudios de resistencia se están implementando en el país pero su acceso limita oportunidad para apoyo en el inicio terapéutico.(AU)

ABSTRACT This paper describes a case report of a patient from the Sanatorio Agua de Dios-Cundinamarca diagnosed with histioid lepromatous leprosy with suspected resistance to polychemotherapy (PQT), making evident the importance of clinical criteria for initiating an alternative therapy given the limitations of paraclinical examinations. Resistance should be suspected and diagnosed early to prevent the progression of the disease; clinical and paraclinical criteria help to confirm diagnosis. In bacteriological studies, the Colombian semiquantitative scale should be replaced by the Ridley-Jopling logarithmic scale. Histopathological studies are conducted on all patients with Hansen's disease. Research on resistance is being implemented in the country, but its access limits the opportunity for support in therapy initiation.(AU)

[Resistance to polychemotherapy in patients with Hansen's disease]. / Resistencia a la poliquimioterapia en pacientes con enfermedad de Hansen.

This paper describes a case report of a patient from the Sanatorio Agua de Dios-Cundinamarca diagnosed with histioid lepromatous leprosy with suspected resistance to polychemotherapy (PQT), making evident the importance of clinical criteria for initiating an alternative therapy given the limitations of paraclinical examinations. Resistance should be suspected and diagnosed early to prevent the progression of the disease; clinical and paraclinical criteria help to confirm diagnosis. In bacteriological studies, the Colombian semiquantitative scale should be replaced by the Ridley-Jopling logarithmic scale. Histopathological studies are conducted on all patients with Hansen's disease. Research on resistance is being implemented in the country, but its access limits the opportunity for support in therapy initiation.

Se describe un reporte de caso de un paciente del Sanatorio Agua de Dios Cundinamarca con diagnóstico de lepra lepromatosa histioide con sospecha de resistencia a la poliquimioterapia (PQT), evidenciando la importancia de los criterios clínicos para inicio de terapia alterna ante las limitaciones en los medios paraclínicos. La resistencia debe sospecharse y diagnosticarse tempranamente para evitar la progresión de la enfermedad; los criterios clínicos y paraclínicos ayudan a su confirmación diagnóstica, en los estudios bacteriológicos la escala semicuantitativa Colombiana debe reemplazarse por escala logarítmica de Ridley y Jopling, los estudios histopatológicos se practican en todo paciente con enfermedad de Hansen, los estudios de resistencia se están implementando en el país pero su acceso limita oportunidad para apoyo en el inicio terapéutico.

Efecto de un programa integrado de mindfulness e inteligencia emocional sobre las estrategias cognitivas de regulación emocional / Effects of an integrated programme of Mindfulness and Emotional Intelligence on cognitive strategies of emotional regulation

Un grupo de estudiantes (n=27) formaron parte de un entrenamiento en Inteligencia Emocional (IE) de ocho semanas de duración, basado en el modelo propuesto por Mayer y Salovey (1997), que integraba la práctica de Conciencia Plena (Mindfulness) siguiendo las pautas recomendadas en el programa de reducción del estrés de Kabat-Zinn (1990). El propósito de este estudio era comprobar la eficacia de este programa integrado. En comparación mostró un decremento en los niveles de ansiedad y experimentaron cambios significativos en el uso de estrategias cognitivas de regulación emocional usando el Cuestionario de Regulación Emocional Cognitiva (CERQ; Garnefski, Kraaji & Spinhove, 2001). Los participantes de este programa mostraron una menor tendencia a culparse a sí msimos y a otros de sus dificultades y una mayor planificación frente a los problemas cotidianos así como una mayor capacidad de apreciar lo positivo. Por otra parte, estos individuos evidenciaron un menor número de intrusiones relacionadas con sus dificultades cotidianas. Incluir mindfulness en los programas de Inteligencia Emocional conlleva beneficios emocionales a corto plazo (AU)

Abstract: A group (n=27) of students took part in an eight week Emotional Intelligence (EI) training course, on the basis of Mayer y Salovey (1997) model of EI, which included Mindfulness training that conformed to the recommendations proposed by Kabat-Zinns´(1990) Stress Reduction Programme. The purpose of this study was to test the effectiveness of an integrated programme. In contrast with the control group (n=22), the experimental group showed decreased levels of anxiety and significant changes in their use of cognitive strategies of emotional regulation using the Cognitive Emotion Regulation (CERQ; Garmefski, Kraaij & Spinhoven, 2001). Un particular, participants demonstrated a decreased tendency to blame themselves and others for life´s difficulties, and an increase in the use of planning strategies and a increase in their capacity to appreciate positive aspects of their life. In addition, participants showed a reduced number of intrusive thoughts concerning personal problems. The inclusion of Mindfulness training within Emotional Intelligence programmes leads to significant improvements over a short period of time (AU)