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Article

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

by
Ramón Martín-Brufau
1,
Alejandro Martin-Gorgojo
2,
Carlos Suso-Ribera
3,*,
Eduardo Estrada
4,
María-Eugenia Capriles-Ovalles
5 and
Santiago Romero-Brufau
6,7
1
Psychiatry Department, Mental Health Center of Lorca, 30800 Lorca, Spain
2
STI/Dermatology Department, Madrid City Council, 28006 Madrid, Spain
3
Department of Personality, Assessment and Clinical Psychology, Jaume I University, 12071 Castellón de la Plana, Spain
4
Department of Social Psychology and Methodology, Universidad Autónoma de Madrid, 28049 Madrid, Spain
5
Emergency Department, Clinical University Hospital of Valencia, 46010 Valencia, Spain
6
Department of Medicine, Mayo Clinic, Rochester, Rochester, MN 55905, USA
7
Department of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 7816; https://doi.org/10.3390/ijerph17217816
Submission received: 18 September 2020 / Revised: 1 October 2020 / Accepted: 22 October 2020 / Published: 26 October 2020
(This article belongs to the Special Issue Burnout as a Public Health Problem and Its Approach from Prevention)

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.
Keywords: emotion regulation; emotional suppression; cognitive reevaluation; burnout; residency emotion regulation; emotional suppression; cognitive reevaluation; burnout; residency

Share and Cite

MDPI and ACS Style

Martín-Brufau, R.; Martin-Gorgojo, A.; Suso-Ribera, C.; Estrada, E.; Capriles-Ovalles, M.-E.; Romero-Brufau, S. Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents. Int. J. Environ. Res. Public Health 2020, 17, 7816. https://doi.org/10.3390/ijerph17217816

AMA Style

Martín-Brufau R, Martin-Gorgojo A, Suso-Ribera C, Estrada E, Capriles-Ovalles M-E, Romero-Brufau S. Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents. International Journal of Environmental Research and Public Health. 2020; 17(21):7816. https://doi.org/10.3390/ijerph17217816

Chicago/Turabian Style

Martín-Brufau, Ramón, Alejandro Martin-Gorgojo, Carlos Suso-Ribera, Eduardo Estrada, María-Eugenia Capriles-Ovalles, and Santiago Romero-Brufau. 2020. "Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents" International Journal of Environmental Research and Public Health 17, no. 21: 7816. https://doi.org/10.3390/ijerph17217816

APA Style

Martín-Brufau, R., Martin-Gorgojo, A., Suso-Ribera, C., Estrada, E., Capriles-Ovalles, M.-E., & Romero-Brufau, S. (2020). Emotion Regulation Strategies, Workload Conditions, and Burnout in Healthcare Residents. International Journal of Environmental Research and Public Health, 17(21), 7816. https://doi.org/10.3390/ijerph17217816

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