Association Between Psychological Harassment and Burnout in Medical Residents in Mexico City


Asociación del acoso psicológico con el desgaste profesional en médicos residentes de la Ciudad de México
Silvia A. Tafoyaa,†*, Aurora L. Jaimes-Medranoa,‡, José Antonio Carrasco-Rojasb,§, Maria Luisa Mújicac,þ, Ana C. Rodríguez-Machaina,₸, Silvia Ortiz-Leóna,¶.

a Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México,Cd. Mx., México.
b Unidad de Cirugía, Comité de Ética, Hospital Ángeles del Pedregal, Cd. Mx., México.
c Coordinación de Formación Pedagógica, División de Estudios de Posgrado, Facultad de Medicina, UNAM, Cd. Mx, México.
ORCID ID:
https://orcid.org/0000-0001-6947-6822
https://orcid.org/0000-0002-0337-4468
§ https://orcid.org/0000-0002-9295-2310
þ https://orcid.org/0000-0001-7690-6587
https://orcid.org/0000-0003-4591-1003
https://orcid.org/0000-0001-5210-5291

Recibido: 11-julio-2019. Aceptado: 13-septiembre-2019.

* Autor para correspondencia: Silvia Ortiz-León; Departamento de Psiquiatría y Salud Mental. Circuito Exterior, Edificio “F”, Facultad de Medicina-UNAM. Cd. Mx., México. C.P. 04510. Fax: 56162475 E-mail: dra_silviaortiz@yahoo.com.mx .


DOI: https://doi.org/10.22201/facmed.20075057e.2020.35.20204

La revisión por pares es responsabilidad de la Universidad Nacional Autónoma de México.2007-5057/© 2020 Universidad Nacional Autónoma de México, Facultad de Medicina. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Palabras Clave

Acoso psicológico; desgaste profesional; residentes; especialidades médicas.

Keywords

Psychological harassment; burnout; residents; medical specialties.


Abstract

Introduction: Psychological harassment in the medical setting seems to be an inherent part of their training and its repercussions among residents have been dismissed.

Objective: Evaluate the association between workplace harassment and burnout in medical residents in Mexico City.

Method: Cross-sectional study with 251 participants, 44% of who are men and 56% women, with an average age of 27.2 (SD±3.5) years. The evaluation was conducted seven months after the start of the academic year using the Inventario de Burnout de Psicólogos (IBP), Leymann Inventory of Psychological-Terror (LIPT-60), and a questionnaire on sociodemographic data.

Results: The burnout total was 23% explained by the specialty undertaken, year of residency, and Frequency of Psychological Harassment Experiences (FPHE); it was controlled by gender, Average Intensity of Psychological Harassment (AIPH), and the Global Index of Psychological Harassment (GIPH) (p < .0001).

Conclusions: The presence of harassment has consequences for health status (Emotional Exhaustion) and performance (Lack of Personal Accomplishment) for those who receive it, as well as implications for the patient-doctor relationship (Depersonalization). It was observed that the frequency of harassment experienced is the principal element associated with an increase in burnout symptoms.

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