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Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents

Author

Listed:
  • Ramón Martín-Brufau

    (Psychiatry Department, Mental Health Center of Lorca, 30800 Lorca, Spain)

  • Alejandro Martin-Gorgojo

    (STI/Dermatology Department, Madrid City Council, 28006 Madrid, Spain)

  • Carlos Suso-Ribera

    (Department of Personality, Assessment and Clinical Psychology, Jaume I University, 12071 Castellón de la Plana, Spain)

  • Eduardo Estrada

    (Department of Social Psychology and Methodology, Universidad Autónoma de Madrid, 28049 Madrid, Spain)

  • María-Eugenia Capriles-Ovalles

    (Emergency Department, Clinical University Hospital of Valencia, 46010 Valencia, Spain)

  • Santiago Romero-Brufau

    (Department of Medicine, Mayo Clinic, Rochester, Rochester, MN 55905, USA
    Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA)

Abstract

Background: Burnout syndrome is very prevalent among healthcare residents. Initiatives addressing workload conditions have had limited impact on burnout. The present study aims to explore the contribution of two emotion regulation strategies, namely emotion suppression and cognitive reevaluation, to residents’ burnout, while accounting for workload factors. Methods: Participants were 105 residents (68.6% women; mean age = 27.5, SD = 3.0). They completed measures of workload, burnout, and emotion regulation. The study was cross-sectional. Results: Emotional suppression was associated with higher burnout (depersonalization scale; β = 0.20, p < 0.05, CI 0.15–2.48) and cognitive revaluation was linked to lower burnout (higher personal accomplishment; β = 0.35, p < 0.01, CI 0.16–2.56), even after controlling for demographic and workload factors. We found interaction effects between workload variables (supervisor support and number of patient hours) and emotion regulation ( p < 0.05). Conclusions: The relationship between workload, emotion regulation, and burnout seems to be complex. That is, similar work conditions might generate different levels of burnout depending on the resident’s emotional regulation strategies. This might partly explain why existing initiatives based on workload changes have had a modest impact on burnout. Results also support including emotion regulation training in prevention and treatment programs targeting burnout during residency.

Suggested Citation

  • Ramón Martín-Brufau & Alejandro Martin-Gorgojo & Carlos Suso-Ribera & Eduardo Estrada & María-Eugenia Capriles-Ovalles & Santiago Romero-Brufau, 2020. "Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7816-:d:434648
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    References listed on IDEAS

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    1. Hugo Rodrigues & Ricardo Cobucci & Antônio Oliveira & João Victor Cabral & Leany Medeiros & Karen Gurgel & Tházio Souza & Ana Katherine Gonçalves, 2018. "Burnout syndrome among medical residents: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-17, November.
    2. Böckerman, Petri & Bryson, Alex & Ilmakunnas, Pekka, 2012. "Does high involvement management improve worker wellbeing?," Journal of Economic Behavior & Organization, Elsevier, vol. 84(2), pages 660-680.
    3. Petri Böckerman & Alex Bryson & Pekka Ilmakunnas, 2013. "Does high involvement management lead to higher pay?," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 176(4), pages 861-885, October.
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    Cited by:

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    2. Anne Armant & Florian Ollierou & Jules Gauvin & Christine Jeoffrion & Baptiste Cougot & Mathias Waelli & Leila Moret & Kristina Beauvivre & Ghozlane Fleury-Bahi & Gilles Berrut & Dominique Tripodi, 2021. "Psychosocial and Organizational Processes and Determinants of Health Care Workers’ (HCW) Health at Work in French Public EHPAD (Assisted Living Residences): A Qualitative Approach Using Grounded Theor," IJERPH, MDPI, vol. 18(14), pages 1-23, July.

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