PERSONALITY TRAITS IN THE DEVELOPMENT OF OCCUPATIONAL BURNOUT SYNDROME IN MILITARY DOCTORS

Relevance. Physical and psychological stressors of professional activity of military doctors can negatively affect both their personal well-being and professional reliability.

Intention. To analyze the frequency of psychological signs of professional burnout and related deformations of professionally important personality traits in medical officers engaged in clinical and managerial activities.

Methodology. The study was conducted in 2018-2019 at the research center of the Kirov Military Medical Academy (St. Petersburg). The object were the medical service officers (n = 203) engaged in clinical and managerial activitiesy, who arrived from the troops to apply for residency. The complex of psychodiagnostic methods included 50-point IPIP-version of “Markers of the big five” questionnaire by L. Goldberg; psychodiagnostic questionnaire “Deviance”, developed by the staff of the S. M. Kirov Military Medical Academy; “Professional burnout” questionnaire by M.A. Dmitrieva and V.M. Snetkov; “Individual typological questionnaire” by L.N. Sobchik. To identify professionally important person qualities and their subsequent assessment, the officers underwent a survey. It was found out what personal qualities of managers, subordinates and colleagues are valuable (important), or, conversely, interfere with the professional activity. The results were systematized using content analysis.

Results and Discussion. The conducted psychodiagnostic examination of medical officers showed that both managerial and clinical activities in the troops can contribute to emotional fatigue, increasing indifference, deformation of contacts with the military, a negative assessment of oneself and one’s professional capabilities. Professional burnout signs were found in 9.4 and 9.3 % of clinical specialists and medical platoon commanders (chiefs of unit medical service), respectively. Statistically significant interrelations are established between professional burnout indicators and such relatively steady traits as excessive propensity to risk, search of thrills, autoand hetero-aggression, inadequate self-assessment, isolation, internal conflicts. The higher need for external control and motivation in officers with more pronounced signs of professional burnout were established.

Conclusion. The relevance of professional burnout screening of military doctors and medical units commanders is substantiated. Timely detection of adverse personality deformities caused by professional burnout and the development of measures to eliminate the negative states can play a positive role in maintaining the health and professional longevity of medical professionals.

1. Evdokimov V.I., Gubin A.I. Otsenka formirovaniya sindroma professional’nogo vygoraniya u vrachei i ego profilaktika [Assessment of professional burnout syndrome formation in physicians, and its prevention]. Vestnik psikhoterapii [Assessment of professional burnout syndrome formation in physicians, and its prevention]. 2009. N 30. Pp. 106–119. (In Russ.)

2. Ovchinnikov Yu.V., Palchenkova M.V., Kalachev O.V. Cindrom emotsional’nogo vygoraniya: diagnostika, printsipy lecheniya, profilaktika [Burnout syndrome: diagnosis, principles of treatment, prophylaxis]. Voenno-meditsinskii zhurnal [Military medical journal]. 2015. Vol. 336, N 7. Pp. 17–24. (In Russ.)

3. Orlova M.M. Ustoichivost’ k sindromu emotsional’nogo vygoraniya u voennykh vrachei [Resilience to emotional burnout syndrome in military physicians]. Doklady akademii voennykh nauk [Papers of Military Siences Academy]. 2004. N 10. Pp. 64–66. (In Russ.)

4. Perfil’eva M.V., Filatova Yu.I. Osobennosti rasprostraneniya sindroma emotsional’nogo vygoraniya sredi vrachei razlichnykh spetsial’nostei [Features of the prevalence of emotional burnout syndrome among doctors of various specialties]. Lichnost’, sem’ya i obshchestvo: voprosy pedagogiki i psikhologii [Personality, family and society: questions of pedagogy and psychology] : Scientific. Conf. Proceedings. Novosibirsk. 2014. N 4, Pt. II. Pp. 83–88. (In Russ.)

5. Porozhnikov P.A. Psikhofiziologicheskie osobennosti voennosluzhashchikh po kontraktu pri zabolevaniyakh vnutrennikh organov [Psychophysiological features of contract servicemen with internal diseases] : Abstract dissertation PhD Med. Sci.. Sankt-Peterburg. 2018. 24 p. (In Russ.)

6. Praktikum po psikhologii menedzhmenta i professional’noi deyatel’nosti [Workshop on psychology of management and professional activity]. Eds.: G.S. Nikiforov, M.A. Dmitrieva, V.M. Snetkov. SanktPeterburg. 2001. 276 p. (In Russ.)

7. Shamrei V.K., Evdokimov V.I., Grigor’ev S.G. [et al.]. Obobshchennye pokazateli psikhicheskikh rasstroistv u lichnogo sostava Vooruzhennykh sil Rossii (2003–2016 gg.) [Generic indicators for mental disorders in the military personnel of the Armed Forces of Russia (2003–2016)]. Mediko-biologicheskie i sotsial’nopsikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [MedicalBiological and Socio-Psychological Problems of Safety in Emergency Situations]. 2017. N 2. Pp. 50–65. DOI 10.25016/2541-7487-2017-0-2-50-65.

8. Adams S., Camarillo C., Lewis S., McNish N. Resiliency training for medical professionals. US Army. Med. Dep. J. 2010. N 2. Pp. 48–55.

9. Brand S., Holsboer-Trachsler E. The burnout syndrome-an overview. Ther Umsch. 2010. Vol. 67, N 11. Pp. 561–565.

10. Kim Y.A., Park J.S. Development and Application of an Overcoming Compassion Fatigue Program for Emergency Nurses. J. Korean. Acad. Nurs. 2016. Vol. 46, N 2. Pp. 260–270. DOI 10.4040/jkan.2016.46.2.260.

11. Walters T.A., Matthews E.P., Dailey J.I. Burnout in Army healthcare providers. Mil. Med. 2014. Vol. 179, N 9. Pp. 1006– 1012.

12. Weeks S.R., McAuliffe C.L., Durussel D., Pasquina P.F. Physiological and psychological fatigue in extreme conditions: the military example. PMR. 2010. Vol. 2, N 5. Pp. 438–441. DOI 10.1016/j.pmrj.2010.03.023.