Giovanni Castellini, Livio Tarchi, Emanuele Cassioli, Valdo Ricca, Giovanni Abbate Daga, Andrea Aguglia, Umberto Albert, Annarita Atti, Stefano Barlati, Giuseppe Blasi, Claudia Carmassi, Giuseppe Carrà, Pasquale De Fazio, Chiara De Panfilis, Giorgio Di Lorenzo, Silvia Ferrari, Arianna Goracci, Carla Gramaglia, Mario Luciano, Giovanni Martinotti, Marco Menchetti, Giulia Menculini, Maria Giulia Nanni, Alessandra Nivoli, Federica Pinna, Maurizio Pompili, Gianluca Rosso, Fabio Sambataro, Gaia Sampogna, Gabriele Sani, Gianluca Serafini, Maria Salvina Signorelli, Sarah Tosato, Antonio Ventriglio, Caterina Viganò, Umberto Volpe, Andrea Fiorillo
{"title":"精神病学培训中精神化、人格特质和职业倦怠之间的相互作用：一项大型多中心对照研究的结果。","authors":"Giovanni Castellini, Livio Tarchi, Emanuele Cassioli, Valdo Ricca, Giovanni Abbate Daga, Andrea Aguglia, Umberto Albert, Annarita Atti, Stefano Barlati, Giuseppe Blasi, Claudia Carmassi, Giuseppe Carrà, Pasquale De Fazio, Chiara De Panfilis, Giorgio Di Lorenzo, Silvia Ferrari, Arianna Goracci, Carla Gramaglia, Mario Luciano, Giovanni Martinotti, Marco Menchetti, Giulia Menculini, Maria Giulia Nanni, Alessandra Nivoli, Federica Pinna, Maurizio Pompili, Gianluca Rosso, Fabio Sambataro, Gaia Sampogna, Gabriele Sani, Gianluca Serafini, Maria Salvina Signorelli, Sarah Tosato, Antonio Ventriglio, Caterina Viganò, Umberto Volpe, Andrea Fiorillo","doi":"10.1111/acps.13649","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>A better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>An 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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A 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.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The 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.</p>\n </section>\n </div>","PeriodicalId":108,"journal":{"name":"Acta Psychiatrica Scandinavica","volume":null,"pages":null},"PeriodicalIF":5.3000,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/acps.13649","citationCount":"0","resultStr":"{\"title\":\"The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study\",\"authors\":\"Giovanni Castellini, Livio Tarchi, Emanuele Cassioli, Valdo Ricca, Giovanni Abbate Daga, Andrea Aguglia, Umberto Albert, Annarita Atti, Stefano Barlati, Giuseppe Blasi, Claudia Carmassi, Giuseppe Carrà, Pasquale De Fazio, Chiara De Panfilis, Giorgio Di Lorenzo, Silvia Ferrari, Arianna Goracci, Carla Gramaglia, Mario Luciano, Giovanni Martinotti, Marco Menchetti, Giulia Menculini, Maria Giulia Nanni, Alessandra Nivoli, Federica Pinna, Maurizio Pompili, Gianluca Rosso, Fabio Sambataro, Gaia Sampogna, Gabriele Sani, Gianluca Serafini, Maria Salvina Signorelli, Sarah Tosato, Antonio Ventriglio, Caterina Viganò, Umberto Volpe, Andrea Fiorillo\",\"doi\":\"10.1111/acps.13649\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>A better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>An 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%). 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The interplay between mentalization, personality traits and burnout in psychiatry training: Results from a large multicenter controlled study
Background
A better characterization of educational processes during psychiatry training is needed, both to foster personal resilience and occupational proficiency.
Methods
An 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.
Results
A 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.
Conclusions
The 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.
期刊介绍：
Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers.
Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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