Clinical Psychiatry News - December 2011 - (Page 37)
D E C E M B E R 2 0 1 1 • W W W. C L I N I C A L P S Y C H I AT R Y N E W S . C O M
fellow psychiatry resident Dr. Nataliya Gulyayeva. The hospital already has many daily recreational and therapy groups, but attendance is not always mandatory. For the group identified in the study, that might change, she said. Staff members also try to learn what agitates patients. They tend to keep violence-prone patients closer to the nurses’ station and ensure that they are not housed with others with the same problem. The violence-prone also are taught impulse control, relaxation techniques, and socially acceptable ways to express themselves. ■
Major Finding: A total of 43% of violent psychiatric inpatients had been sexually or physically abused as children; 3% of nonviolent patients were abused as children. Data Source: Retrospective case-control study involving 60 patients. Disclosures: Dr. Nagorny and Dr. Gulyayeva said they have no disclosures.
2009, and 1.9 restraint episodes. In the nonviolent group, 37% (11) of the patients had a psychotic disorder, 10% (3) an intellectual disability, and none had a diagnosed personality disor-
der; 3% (1) had been sexually or physically abused as a child; 10% (3) had multiple hospitalizations; and 37% (11) longterm hospitalizations. None were secluded or restrained in 2009. The differences were statistically significant; race and past arrests for violent crimes did not predict violence in the hospital. One of the goals with violence-prone patients is to make sure that they stay busy during the day, said coauthor and
More Burnout In Psychiatry Vs. Pediatrics
BY M. ALEXANDER OTTO
FROM THE AMERICAN PSYCHIATRIC ASSOCIATION’S INSTITUTE ON PSYCHIATRIC SERVICES
SAN FRANCISCO – Psychiatrists were
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at greater risk for burnout than pediatricians in a small, single-center survey. Forty-four psychiatrists at a large public hospital – the Los Angeles County + University of Southern California Medical Center (LAC+USC) – scored worse than did 48 pediatricians there on the Maslach Burnout Inventory questionnaire. On the depersonalization score, a component of the Maslach that assesses, among other things, negative attitudes toward patients, psychiatrists had a moderate mean score of 8.5, but 48% (21) had scores considered high on the inventory. Pediatricians had a low mean score of 5.3, with 58% (28) scoring in the “low” category. Seventy percent of psychiatrists (31) reported moderate to high levels of emotional exhaustion, another component on the Maslach; about half of pediatricians (24) reported the same. Meanwhile, the 26 pediatric residents in the survey, compared to the 22 staff pediatricians, reported higher levels of emotional exhaustion, depersonalization, and depression at work, probably because of their long hours, low pay, and high patient volumes. Those distinctions did not seem to make much difference in the psychiatry department. The 17 staff psychiatrists had scores that indicated they were just as burned out as were the 27 residents. Maybe the differences have something to do with the nature of psychiatry, said lead investigator Dr. Torang S. Sepah, the department of psychiatry’s chief resident. She switched to psychiatry from a pediatrics residency, and got the idea for the study after discovering that psychiatry was no less stressful than pediatrics. Dr. Sepah said she has no conflicts. ■
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