• MeSH
• depersonalizace psychologie   MeSH
• lidé MeSH
• rozpomínání MeSH
• schizofrenie (psychologie) * MeSH
• zraková percepce MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• depersonalizace diagnóza   psychologie   MeSH
• lidé MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH

In the general concept of self-disturbances in schizophrenia and schizophrenia spectrum disorders, somatopsychic depersonalization (SPD) occupies a special place as it constitutes a syndrome that comprises feelings of detachment from one's own body and mental processes. However, apart from clinical descriptions, to date the pathophysiology of SPD is not fully understood due to the rareness of the syndrome and a lack of experimental studies. In a case study of one patient with schizotypal disorder, we applied a multimodal approach to understanding the SPD phenomena. The patient's clinical profile was identified as disruption of implicit bodily function, accompanied by depressive symptoms. On a neuropsychological level, the patient exhibited impairment in executive functioning, intact tactile perception and kinesthetic praxis. Behavioral tests revealed an altered sense of time but unimpaired self-agency. Furthermore, the patient exhibited a lack of empathy and he had autistic traits, although with a sufficient ability to verbalize his feelings. On the neurobiological level using an active and passive touch paradigm during functional magnetic resonance imaging (fMRI), we found a hyperconnectivity of the default-mode network and salience network and a hypoconnectivity of the central executive brain networks in the performance of the touch task as well as intact perceptual touch processing emerging from the direct comparisons of the touch conditions. Our data provide evidence for the important role of altered large-brain network functioning in SPD that corresponds to the specific behavioral and neurocognitive phenomena.

• Klíčová slova
• disembodiment, fMRI, neurocognition, schizotypal disorder, self, somatopsychic depersonalization, time perception, touch,
• MeSH
• depersonalizace komplikace   MeSH
• dospělí MeSH
• lidé MeSH
• magnetická rezonanční tomografie MeSH
• mozek patofyziologie   MeSH
• neuropsychologické testy MeSH
• psychomotorický výkon fyziologie   MeSH
• schizotypální porucha osobnosti komplikace   patofyziologie   MeSH
• somatoformní poruchy komplikace   MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• práce podpořená grantem MeSH

BACKGROUND: Given the critical role of general practitioners (GPs), their insufficient medical density and the adverse effects of burnout on both practitioners and the quality of care provided, the prevalence estimates of GP burnout reported in the literature are highly concerning. This nationwide study builds on a 2023 survey that revealed a significant burden of burnout among Czech GPs. The primary objectives were to analyse the prevalence and determinants of burnout and to examine potential trends over time. METHODS: In April 2024, 2,500 randomly selected GPs were emailed the Maslach Burnout Inventory - Human Services Survey for Medical Personnel, supplemented with sociodemographic and job-related questions. The statistical analysis included a comparison with an identical study conducted a year earlier. RESULTS: Of the 765 completed responses (542 females, 223 males; mean age 55.5 years), 19.7% of the GPs experienced burnout in all three dimensions, 23% in two, 28.5% in one, and 28.8% in no dimension. Similar to 2023, the most common burnout dimension was a lack of personal accomplishment (PA, 52.2%), followed by emotional exhaustion (EE, 45.9%) and depersonalization (DP, 35.7%). Male and employed GPs experienced greater degrees of DP, while practice owners were more susceptible to EE. A positive dependence of burnout on the number of listed patients was identified. The proportion of GPs experiencing burnout across all dimensions decreased by 2.1% from 2023 to 2024 (p = 0.232), primarily in DP. Additionally, a 6.7% increase in GPs showing no signs of burnout in all dimensions (p = 0.002) further supported this positive trend. CONCLUSIONS: Between 2023 and 2024, the prevalence of burnout among GPs exhibited a modest decline. Nonetheless, it persists at almost 20%. Ensuring a sufficiently dense network of GPs, providing adequate resource allocation, and raising awareness of their importance are essential measures.

• Klíčová slova
• Burnout, Depersonalization, Emotional exhaustion, General practitioner, Personal accomplishment,
• MeSH
• depersonalizace epidemiologie   psychologie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• pracovní uspokojení MeSH
• praktičtí lékaři * psychologie   MeSH
• prevalence MeSH
• profesionální vyhoření * epidemiologie   psychologie   MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

The paper deals with the possibilities of investigating the susceptibility to burnout syndrome in pharmacists and pharmaceutical assistants working in pharmacies. By using the Maslach Burnout Inventory, between November 2015 and January 2016, 53 healthcare professionals were contacted in 11 pharmacies (Brno, Vyškov). The results of the research show that with an increasing length of practice the average EE factor (emotional exhaustion) increases. The DP (depersonalization) factor does not increase significantly with the increase in the length of practice. Respondents with the longest experience are at high risk of burnout syndrome presented by the factor PA (personal satisfaction from work). It has also been shown that with an increasing age the factor EE slightly increases, the DP factor is in the low range, and the PA factor is significantly reduced in the "oldest" age category, it is high in the band.Key words: stress burnout syndrome pharmacists research.

• MeSH
• depersonalizace MeSH
• farmaceuti psychologie   MeSH
• lidé MeSH
• profesionální vyhoření * MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

Burnout syndrome is officially classified in the International Classification of Diseases as an occupational phenomenon resulting from chronic workplace stress. Each year it is having an increasingly negative impact on the mental and physical health of employees, as well as on health costs and business performance. With this study, we aim at verifying whether there is a greater propensity for burnout depending on an individual's time perspective, based on the framework of Christina Maslach's burnout syndrome theory (consisting of three burnout dimensions), and Phillip Zimbardo's Time Perspective (consisting of five distinct temporal profiles). Within the time perspective construct, we focused on an indicator of temporal adaptation, referred to as a Balanced Time Perspective (BTP). We used the Maslach Burnout Inventory and the Zimbardo Time Perspective Inventory on a sample of 129 Polish corporate employees. We found that two dimensions of burnout (emotional exhaustion and feelings of personal achievement) were significantly correlated to a balanced time perspective, while the third (depersonalization) did not pose a significant correlation. This underlines the interrelationships between personality and burnout, which gives way to one possible solution towards the danger of burnout syndrome-balancing an individuals' time perspective through measures such as Time Perspective Therapy. We believe that the awareness of one's temporal profile gives way to supplement gaps in one time perspective, while deterring the excessive effects of another, resulting in a more balanced time perspective, greater mental health and protection from burnout syndrome.

• Klíčová slova
• balanced time perspective, biopsychosocial model, burnout syndrome, occupational health, time perspective,
• MeSH
• depersonalizace psychologie   MeSH
• duševní vyhoření epidemiologie   MeSH
• lidé MeSH
• pracovní stres * epidemiologie   MeSH
• profesionální vyhoření * epidemiologie   psychologie   MeSH
• průzkumy a dotazníky MeSH
• úspěšnost MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVE: A wide range in prevalence rates of burnout among general practitioners (GPs) has been reported in various regions, with an increasing trend. This nationwide cross-sectional study aimed to estimate the prevalence and associated determinants of burnout in Czech GPs. METHODS: 1000 randomly selected physicians from the Czech Society of General Practitioners (through a pseudorandom number generator) were emailed an online survey based on the Maslach Burnout Inventory - Human Services Survey. Data collection was performed between January and February 2023. RESULTS: 331 questionnaires were obtained (227 females and 104 males, mean age - 49.9 years, the mean number of registered patients - 1951). 21.8 % of GPs scored a high level of burnout in all three of its dimensions and 23.9 % in no dimension at all. The most prevalent dimension was reduced personal accomplishment (PA, 56.2 %) followed by emotional exhaustion (EE, 50.2 %) and depersonalization (DP, 40.5 %). Reaching burnout in all three dimensions was significantly more frequent in males and in GPs registering a number of patients above the median. Increasing age and years of practice were protective factors for DP but risk factors for reduced PA. Employed GPs had lower EE scores than GP practice owners. The respondents' basic characteristics reflected their presence among Czech GPs, which testifies against selection bias. CONCLUSIONS: The high rate of burnout (∼22 %) should be addressed by promoting personal resources along with the perception of the importance of GPs in society. A sufficiently dense network of GPs should allow them to register a lower number of patients.

• Klíčová slova
• Burnout, Depersonalization, Emotional exhaustion, General practitioner, Job demands-resources model, Personal accomplishment, Prevalence,
• Publikační typ
• časopisecké články MeSH

• MeSH
• depersonalizace MeSH
• deprese farmakoterapie   MeSH
• dospělí MeSH
• dvojitá slepá metoda MeSH
• hydroxybutyráty terapeutické užití   MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• neurastenie farmakoterapie   MeSH
• neurotické poruchy farmakoterapie   MeSH
• oxazepam terapeutické užití   MeSH
• oxybát sodný terapeutické užití   MeSH
• placebo MeSH
• senioři MeSH
• syndrom MeSH
• úzkost farmakoterapie   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• klinické zkoušky kontrolované MeSH
• klinické zkoušky MeSH
• srovnávací studie MeSH
• Názvy látek
• hydroxybutyráty MeSH
• oxazepam MeSH
• oxybát sodný MeSH
• placebo MeSH

COVID-19 has led to an unprecedented strain on healthcare workers (HCWs). This study aimed to determine the prevalence of burnout in hospital employees during a prolonged pandemic-induced burden on healthcare systems. An online survey among employees of a Czech and Slovak university hospital was conducted between November 2021 and January 2022, approximately when the incidence rates peaked in both countries. The Maslach Burnout Inventory-Human Services Survey was applied. We obtained 807 completed questionnaires (75.1% from Czech employees, 91.2% from HCWs, 76.2% from women; mean age of 42.1 ± 11 years). Burnout in emotional exhaustion (EE) was found in 53.2%, depersonalization (DP) in 33%, and personal accomplishment (PA) in 47.8% of respondents. In total, 148 (18.3%) participants showed burnout in all dimensions, 184 (22.8%) in two, and 269 (33.3%) in at least one dimension. Burnout in EE and DP (65% and 43.7%) prevailed in physicians compared to other HCWs (48.6% and 28.8%). Respondents from COVID-19-dedicated units achieved burnout in the EE and DP dimensions with higher rates than non-frontline HCWs (58.1% and 40.9% vs. 49.9% and 27.7%). Almost two years of the previous overloading of healthcare services, caused by the COVID-19 pandemic, resulted in the relatively high prevalence of burnout in HCWs, especially in physicians and frontline HCWs.

• Klíčová slova
• COVID-19, burnout, depersonalization, emotional exhaustion, healthcare worker, pandemic, personal accomplishment,
• MeSH
• centra terciární péče MeSH
• COVID-19 * epidemiologie   MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• pandemie MeSH
• personál nemocniční MeSH
• prevalence MeSH
• profesionální vyhoření * epidemiologie   MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

OBJECTIVES: The aim of the study was to assess the factors determining the work of nurses in internal medicine departments. METHODS: The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland. RESULTS: The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006). CONCLUSIONS: Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.

• Klíčová slova
• burnout, nurses, staffing, work environment,
• MeSH
• emoční vyčerpání MeSH
• lidé MeSH
• personál sesterský nemocniční * psychologie   MeSH
• pracoviště psychologie   MeSH
• pracovní uspokojení MeSH
• profesionální vyhoření * epidemiologie   MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• zdravotní sestry * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH