临床倦怠中的认知功能：系统综述和荟萃分析

IF 5.6 2区心理学 Q1 PSYCHOLOGY, APPLIED

Work and Stress Pub Date : 2021-05-20 DOI:10.1080/02678373.2021.2002972

H. M. Gavelin, M. Domellöf, Elisabeth Åström, A. Nelson, Nathalie H. Launder, A. Stigsdotter-Neely, A. Lampit

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引用次数: 11

摘要

临床倦怠与认知功能受损有关;然而，关于认知缺陷的模式和程度的研究结果并不一致。本系统综述和多变量荟萃分析的目的是评估临床倦怠患者的认知功能，并与健康对照组进行比较，确定认知功能障碍的模式和严重程度。我们确定了17项研究，包括730名临床倦怠患者和649名健康对照。临床倦怠与情节记忆(g = - 0.36, 95% CI为- 0.57至- 0.15)、短期记忆和工作记忆(g = - 0.36, 95% CI为- 0.52至- 0.20)、执行功能(g = - 0.39, 95% CI为- 0.55至- 0.23)、注意力和处理速度(g = - 0.43, 95% CI为- 0.57至- 0.29)和流畅性(g = - 0.53, 95% CI为- 1.04至- 0.03)的表现受损有关。在结晶(k = 6项研究)和视觉空间能力(k = 4项研究)方面，患者与对照组之间没有差异。我们的研究结果表明，临床倦怠与多个认知领域的认知障碍有关。认知功能障碍需要考虑到临床和职业健康管理的倦怠，以优化康复和支持重返工作岗位。

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Cognitive function in clinical burnout: A systematic review and meta-analysis

ABSTRACT Clinical burnout has been associated with impaired cognitive functioning; however, inconsistent findings have been reported regarding the pattern and magnitude of cognitive deficits. The aim of this systematic review and multivariate meta-analysis was to assess cognitive function in clinical burnout as compared to healthy controls and identify the pattern and severity of cognitive dysfunction across cognitive domains. We identified 17 studies encompassing 730 patients with clinical burnout and 649 healthy controls. Clinical burnout was associated with impaired performance in episodic memory (g = −0.36, 95% CI −0.57 to −0.15), short-term and working memory (g = −0.36, 95% CI −0.52 to −0.20), executive function (g = −0.39, 95% CI −0.55 to −0.23), attention and processing speed (g = −0.43, 95% CI −0.57 to −0.29) and fluency (g = −0.53, 95% CI −1.04 to −0.03). There were no differences between patients and controls in crystallized (k = 6 studies) and visuospatial abilities (k = 4). Our findings suggest that clinical burnout is associated with cognitive impairment across multiple cognitive domains. Cognitive dysfunction needs to be considered in the clinical and occupational health management of burnout to optimise rehabilitation and support return-to-work.

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来源期刊

Work and Stress PSYCHOLOGY, APPLIED-

CiteScore

11.70

自引率

3.30%

发文量

期刊介绍： Work & Stress is an international, multidisciplinary quarterly presenting high-quality papers concerned with the psychological, social and organizational aspects of occupational health and well-being, and stress and safety management. It is published in association with the European Academy of Occupational Health Psychology. The journal publishes empirical reports, scholarly reviews and theoretical papers. It is directed at occupational health psychologists, work and organizational psychologists, those involved with organizational development, and all concerned with the interplay of work, health and organisations. Research published in Work & Stress relates psychologically salient features of the work environment to their psychological, behavioural and health consequences, focusing on the underlying psychological processes. The journal has become a natural home for research on the work-family interface, social relations at work (including topics such as bullying and conflict at work, leadership and organizational support), workplace interventions and reorganizations, and dimensions and outcomes of worker stress and well-being. Such dimensions and outcomes, both positive and negative, include stress, burnout, sickness absence, work motivation, work engagement and work performance. Of course, submissions addressing other topics in occupational health psychology are also welcomed.