To comment upon the evidence-base regarding psychiatrist and trainee burnout and provide recommendations on management.
Conclusions
Burnout has been conceptualised as a specific stress-related response, primarily related to work. There is a high prevalence of burnout amongst both trainees and psychiatrists internationally, with substantial consequences for personal and family wellbeing, organisational efficiency and patient care. We summarise the evidence on organisational and individual approaches to addressing burnout.
KumarSHatcherSHuggardP. Burnout in psychiatrists: an etiological model. Int J Psychiatry Med2005; 35: 405–416.
9.
BaigentMBaigentR. Burnout in the medical profession: not a rite of passage. Med J Aust2018; 208: 471–472. DOI: 10.5694/mja17.00891.
10.
FothergillAEdwardsDBurnardP. Stress, burnout, coping and stress management in psychiatrists: findings from a systematic review. Int J Soc Psychiatry2004; 50: 54–65. DOI: 10.1177/0020764004040953.
11.
RotsteinSHudaibARFaceyA, et al.Psychiatrist burnout: a meta-analysis of maslach burnout inventory means. Australas Psychiatry2019; 27: 249–254. DOI: 10.1177/1039856219833800.
12.
BykovKVZrazhevskayaIATopkaEO, et al.Prevalence of burnout among psychiatrists: a systematic review and meta-analysis. J Affect Disord2022; 308: 47–64. DOI: 10.1016/j.jad.2022.04.005.
13.
JovanovicNPodlesekAVolpeU, et al.Burnout syndrome among psychiatric trainees in 22 countries: Risk increased by long working hours, lack of supervision, and psychiatry not being first career choice. Eur Psychiatry2016; 32: 34–41. DOI: 10.1016/j.eurpsy.2015.10.007.
14.
AymerichCPedruzoBPerezJL, et al.COVID-19 pandemic effects on health worker's mental health: Systematic review and meta-analysis. Eur Psychiatry2022; 65: e10. DOI: 10.1192/j.eurpsy.2022.1.
15.
WestCPDyrbyeLNErwinPJ, et al.Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet2016; 388: 2272–2281. DOI: 10.1016/S0140-6736(16)31279-X.
16.
LooiJCLMaguireP. Surviving the heart of darkness: reflections on the experience of psychiatrists working in public mental health services in Australia. Australas Psychiatry2019; 27: 634–636. DOI: 10.1177/1039856219866365.
