The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study-Reference-Cited by-同舟云学术

The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study

Published:2024-01-03 Issue: Volume: Page:
ISSN:0001-690X
Container-title:Acta Psychiatrica Scandinavica
language:en
Short-container-title:Acta Psychiatr Scand

Author:

Castellini Giovanni¹^ORCID,Tarchi Livio¹^ORCID,Cassioli Emanuele¹^ORCID,Ricca Valdo¹,Abbate Daga Giovanni²,Aguglia Andrea³,Albert Umberto⁴,Atti Annarita⁵^ORCID,Barlati Stefano⁶,Blasi Giuseppe⁷,Carmassi Claudia⁸,Carrà Giuseppe⁹,De Fazio Pasquale¹⁰,De Panfilis Chiara¹¹,Di Lorenzo Giorgio¹²,Ferrari Silvia¹³,Goracci Arianna¹⁴,Gramaglia Carla¹⁵,Luciano Mario¹⁶^ORCID,Martinotti Giovanni¹⁷,Menchetti Marco⁵,Menculini Giulia¹⁸,Nanni Maria Giulia¹⁹,Nivoli Alessandra²⁰,Pinna Federica²¹,Pompili Maurizio²²,Rosso Gianluca²^ORCID,Sambataro Fabio²³,Sampogna Gaia¹⁶,Sani Gabriele²⁴,Serafini Gianluca³^ORCID,Signorelli Maria Salvina²⁵,Tosato Sarah²⁶^ORCID,Ventriglio Antonio²⁷,Viganò Caterina²⁸,Volpe Umberto²⁹,Fiorillo Andrea¹⁶

Affiliation:

1. Psychiatry Unit, Department of Health Sciences University of Florence Florence Italy

2. Department of Neurosciences University of Turin Turin Italy

3. Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, and Maternal and Child Health, Psychiatry Section University of Genoa, IRCCS San Martino Genoa Italy

4. Department of Medicine, Surgery and Health Sciences University of Trieste and Department of Mental Health Trieste Italy

5. Section of Psychiatry, Department of Medical and Surgical Sciences Alma Mater Studiorum, University of Bologna Bologna Italy

6. Department of Clinical and Experimental Sciences University of Brescia and Department of Mental Health and Addiction Services, ASST Spedali Civili of Brescia Brescia Italy

7. Department of Translational Biomedicine and Neuroscience University of Bari Aldo Moro Bari Italy

8. Department of Clinical and Experimental Medicine, Psychiatric Clinic Azienda Ospedaliero‐Universitaria Pisana, University of Pisa Pisa Italy

9. Department of Medicine and Surgery University of Milano‐Bicocca Monza Italy

10. Department of Health Sciences University Magna Graecia of Catanzaro Catanzaro Italy

11. Unit of Neuroscience, Department of Medicine and Surgery University of Parma Parma Italy

12. Department of Systems Medicine University of Rome Tor Vergata Rome Italy

13. Department of Biomedical, Metabolic and Neural Sciences University of Modena and Reggio Emilia Modena Italy

14. Department of Molecular and Developmental medicine University of Siena Siena Italy

15. Department of Translational Medicine Università del Piemonte Orientale Novara Italy

16. Department of Psychiatry University of Campania “L. Vanvitelli” Naples Italy

17. Department of Neurosciences, Imaging and Clinical Sciences ‘G. D'Annunzio’ University Chieti Italy

18. Department of Psychiatry University of Perugia Perugia Italy

19. Department of Neuroscience and Rehabilitation Institute of Psychiatry, University of Ferrara Ferrara Italy

20. Department of Medical, Surgical and Experimental Sciences University of Sassari Sassari Italy

21. Section of Psychiatry, Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy

22. Department of Neurosciences, Mental Health, and Sensory Organs, Faculty of Medicine and Psychology, Suicide Prevention Centre Sant'Andrea Hospital, Sapienza University of Rome Rome Italy

23. Department of Neuroscience (DNS) University of Padova Padua Italy

24. Department of Neuroscience, Section of Psychiatry Università Cattolica del Sacro Cuore Rome Italy

25. Psychiatry Unit, Department of Clinical and Experimental Medicine University of Catania Catania Italy

26. Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement University of Verona Verona Italy

27. Department of Clinical and Experimental Medicine University of Foggia Foggia Italy

28. Department of Biomedical and Clinical Sciences, Luigi Sacco and Aldo Ravelli Center for Neurotechnology and Brain Therapeutic University of Milan Milano Italy

29. Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC School of Medicine and Surgery, Polytechnic University of Marche Ancona Italy

Abstract

AbstractBackgroundA better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.MethodsAn adequate coverage of medical residents at the national level was reached (41.86% of the total reference population, 29 out of 36 training centers—80.55%). Controls were recruited among residents in other medical specialties. All participants were assessed by questionnaires to evaluate early life experiences, attachment style, personality traits, coping strategies, emotional competencies. A Structural Equation Model (SEM) framework was employed to investigate the interplay between individual factors.ResultsA total sample of 936 people was recruited (87.9% response‐rate; 645 residents in psychiatry, 291 other medical residents). Psychiatry trainees reported a higher prevalence of adverse childhood experiences (emotional abuse, emotional neglect, physical neglect), greater attachment insecurity (anxious or avoidant) in comparison to other medical trainees. Psychiatry residents also reported higher social support‐seeking as a coping strategy, lower problem‐orientation, and lower transcendence. Lower neuroticism, higher openness to experience, and higher emotional awareness were also observed in psychiatry trainees. Psychiatry training was associated with a redefinition of conflict management skills as a function of seniority. The SEM model provided support for an interplay between early traumatic experiences, mentalization skills (coping strategies, emotion regulation), interpersonal competencies and occupational distress.ConclusionsThe findings of the present study supported a theoretical model based on mentalization theory for the interactions between personal and relational competencies in psychiatry training, thus providing potential target of remodulation and redefinition of this specific process of education.

Publisher

Wiley

Subject

Psychiatry and Mental health

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/acps.13649

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