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      Síndrome de Burnout em Médicos Docentes de uma Instituição Pública Translated title: The Burnout Syndrome in Teaching Physicians From a Public Service Institution

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          Abstract

          Trata-se de um estudo correlacional e de comparação entre participantes, em que foram considerados dois conjuntos principais de variáveis: critério (síndrome de burnout e fadiga) e antecedentes (estresse no trabalho e indicadores de situação de trabalho). Participaram deste estudo 60 professores/médicos de instituições públicas de ensino superior de Maceió - AL, sendo 36 (60%) homens e 24 (40%) mulheres, com idade variando de 32 até 67 anos (M = 52,31; DP = 8,41). Os participantes foram solicitados a responder a: (a) o Inventário de Burnout de Maslach; (b) a Escala de Avaliação da Fadiga; (c) a Escala de Estresse no Trabalho; além de (d) fornecer suas características sociodemográficas. Evidenciou-se que o estresse no trabalho tem implicações negativas, como a síndrome de burnout e a fadiga. Por fim, chama-se a atenção para necessidade de intervenção e de mais estudos junto a esta população.

          Translated abstract

          This is a correlational and comparative study among participants, in which two main variable groups were considered: criteria (burnout syndrome and fatigue) and antecedents (work stress and work situation indicators). Sixty teaching physicians from higher education public institutions in Maceió, State of Alagoas, Brazil, participated in this study, including 36 (60%) men and 24 (40%) women, with average age between 32 and 67 years old (m= 52,21; SD=8,41). The participants were requested to answer the Maslach's Burnout Inventory, the Fatigue Evaluation Scale, the Work Stress Scale, and to give their socio-demographic characteristics. It was shown that work stress has negative effects such as burnout syndrome and fatigue, and argued that more studies and interventions in this population are needed.

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          Most cited references63

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          Stress, Appraisal, and Coping

          <p><b>The reissue of a classic work, now with a foreword by Daniel Goleman!</b><p>Here is a monumental work that continues in the tradition pioneered by co-author Richard Lazarus in his classic book <i>Psychological Stress and the Coping Process</i>. Dr. Lazarus and his collaborator, Dr. Susan Folkman, present here a detailed theory of psychological stress, building on the concepts of cognitive appraisal and coping which have become major themes of theory and investigation.</p> <p>As an integrative theoretical analysis, this volume pulls together two decades of research and thought on issues in behavioral medicine, emotion, stress management, treatment, and life span development. A selective review of the most pertinent literature is included in each chapter. The total reference listing for the book extends to 60 pages.</p> <p>This work is necessarily multidisciplinary, reflecting the many dimensions of stress-related problems and their situation within a complex social context. While the emphasis is on psychological aspects of stress, the book is oriented towards professionals in various disciplines, as well as advanced students and educated laypersons. The intended audience ranges from psychiatrists, clinical psychologists, nurses, and social workers to sociologists, anthropologists, medical researchers, and physiologists.</p>
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            Depression and cortisol responses to psychological stress: a meta-analysis.

            The purpose of this meta-analysis is to examine the association between depression and cortisol responses to psychological stressors. A total of seven studies comparing plasma or cortisol responses to psychological stressors in clinically depressed (MDD) and non-depressed (ND) individuals (N = 196: 98 MDD, 98 ND; 83 men, 113 women; mean age = 40 years) were included. Sample size-adjusted effect sizes (Cohen's d statistic) were calculated and averaged across baseline (before stressor onset), stress (stressor onset up to 25 min after stressor offset), and recovery (more than 25 min after stressor offset) periods. Overall, MDD and ND individuals exhibited similar baseline and stress cortisol levels, but MDD patients had much higher cortisol levels during the recovery period than their ND counterparts. There was also a significant time of day effect in which afternoon studies were more likely to reveal higher baseline cortisol levels, blunted stress reactivity, and impaired recovery in MDD patients. This blunted reactivity-impaired recovery pattern observed among the afternoon studies was most pronounced in studies with older and more severely depressed patients.
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              Emotions and interpersonal relationships: toward a person-centered conceptualization of emotions and coping.

              R Lazarus (2006)
              This essay describes my theory of emotions. I make a case for studying discrete emotions in the context of four processes that represent the central features of my theoretical system: appraising, coping, flow of actions and reactions, and relational meaning. I explain why coping is a key feature of the emotion process, and I discuss issues related to the measurement of coping and the importance of understanding coping processes in the context of personality and situational demands. I make the argument that emotions are best studied as narratives, and I offer one such narrative in the form of a case study to demonstrate how emotions can best be understood in the context of an interpersonal relationship and by considering individual differences, interpersonal transactions, and relational meaning. I conclude this essay with a caution that field specialization may interfere with our understanding of emotions and other psychological phenomena, and I underscore the virtues of ipsative-normative research designs as a way to move closer to a person-centered personality psychology.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                psipesq
                Psicologia em Pesquisa
                Psicol. pesq.
                Departamento de Psicologia da Universidade Federal de Juiz de Fora (Juiz de Fora )
                1982-1247
                December 2012
                : 6
                : 2
                : 90-100
                Affiliations
                [1 ] Universidade Federal de Alagoas
                Article
                S1982-12472012000200002
                10.5327/Z1982-12472012000200002
                d36ae759-d519-4d2e-81b4-9b71a4d6e3b8

                http://creativecommons.org/licenses/by/4.0/

                History
                Categories
                PSYCHOLOGY, APPLIED

                Clinical Psychology & Psychiatry
                fadiga,Burnout,occupational stress,fatigue,estresse ocupacional
                Clinical Psychology & Psychiatry
                fadiga, Burnout, occupational stress, fatigue, estresse ocupacional

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