Perfectionism leads to burnout and depression among orthopaedic surgeons and residents.

IF 2.1 3区医学 Q2 ORTHOPEDICS

Archives of Orthopaedic and Trauma Surgery Pub Date : 2025-07-30 DOI:10.1007/s00402-025-06013-5

Mahant Malempati, Bonnie Y Chien, Justin K Greisberg, Nicholas C Danford

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引用次数: 0

Abstract

Introduction: Perfection can be a goal within orthopaedic surgery, but it can be associated with depression and/or burnout. The purpose of this study was to determine if there was an association between being a perfectionist and depression and/or burnout among orthopaedic surgeons.

Methods: We performed a multi-institutional survey study of orthopaedic surgery residents and faculty. The survey collected demographic data and levels of perfectionism as measured by the validated Positive and Negative Perfectionism Scale (PANPS). The PANPS divides perfection into two types: positive, associated with feelings of pride in one's work, a sense of accomplishment, respect from peers, and a desire to explore the limits of knowledge; and negative, associated with unattainably high expectations, excessive and unnecessary criticism of self and others, and self-doubt. Depression and burnout levels were measured using the validated Patient Health Questionnaire-9 (PHQ-9) and Burnout Assessment Tool (BAT).

Results: There were 76 respondents (11 residents and 65 attending physicians) of whom 64 (84.2%) were male and 12 (15.8%) were female. Of these respondents, 18 (23.7%) met the threshold for clinical burnout, and 25 (32.9%) met the threshold for mild depression. Having children was protective against negative aspects of perfectionism (OR 0.30; 95% CI 0.09-1.0; p = 0.049) and was associated with decreased levels of burnout (OR 0.27; 95% CI 0.08-0.91; p = 0.034). Being a perfectionist was associated with higher clinical burnout levels (OR 5.0; 95% CI 1.5-16.9; p = 0.011) and depression (OR 4.0; 95% CI 1.4-11.3; p = 0.009).

Conclusions: Negative perfectionist tendencies such as unrealistic self-expectations, excessive self-criticism, and irrational fear of failure are associated with burnout and depression among orthopaedic surgeons. Having children is a protective factor against perfectionism and burnout. These results highlight the importance of understanding perfection within orthopaedic surgery.

Level of evidence: Level IV.

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完美主义导致骨科医生和住院医师的倦怠和抑郁。

完美是骨科手术的一个目标，但它可能与抑郁和/或倦怠有关。本研究的目的是确定在整形外科医生中，完美主义者与抑郁和/或倦怠之间是否存在关联。方法：我们对骨科住院医师和教师进行了多机构调查研究。该调查收集了人口统计数据和完美主义水平，并通过有效的积极和消极完美主义量表（PANPS）进行测量。PANPS将完美分为两种类型：积极的，与对工作的自豪感，成就感，同龄人的尊重以及探索知识极限的愿望有关；消极的，与无法实现的高期望，对自己和他人的过度和不必要的批评以及自我怀疑有关。采用经验证的患者健康问卷-9 （PHQ-9）和倦怠评估工具（BAT）测量抑郁和倦怠水平。结果：调查对象76人（住院医师11人，主治医师65人），其中男性64人（84.2%），女性12人（15.8%）。其中达到临床倦怠阈值的18人（23.7%），达到轻度抑郁阈值的25人（32.9%）。有孩子可以防止完美主义的消极方面(OR 0.30；95% ci 0.09-1.0；p = 0.049)，并与职业倦怠水平降低相关(OR 0.27；95% ci 0.08-0.91；p = 0.034)。完美主义者与更高的临床倦怠水平相关(OR 5.0；95% ci 1.5-16.9；p = 0.011)和抑郁(OR 4.0；95% ci 1.4-11.3；p = 0.009)。结论：消极的完美主义倾向，如不切实际的自我期望、过度的自我批评和对失败的非理性恐惧与骨科医生的倦怠和抑郁有关。有孩子是防止完美主义和倦怠的保护因素。这些结果强调了在骨科手术中理解完美的重要性。证据等级：四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Orthopaedic and Trauma Surgery 医学-外科

CiteScore

4.30

自引率

13.00%

发文量

424

审稿时长

2 months

期刊介绍： "Archives of Orthopaedic and Trauma Surgery" is a rich source of instruction and information for physicians in clinical practice and research in the extensive field of orthopaedics and traumatology. The journal publishes papers that deal with diseases and injuries of the musculoskeletal system from all fields and aspects of medicine. The journal is particularly interested in papers that satisfy the information needs of orthopaedic clinicians and practitioners. The journal places special emphasis on clinical relevance. "Archives of Orthopaedic and Trauma Surgery" is the official journal of the German Speaking Arthroscopy Association (AGA).