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Moderated Mediation Analysis Between Burnout and Suicidal Ideation Among Physicians in Türkiye: The Role of Meaning of Life and Satisfaction with Life

Yıl 2024, Cilt: 13 Sayı: 3, 1157 - 1172, 30.09.2024
https://doi.org/10.15869/itobiad.1483412

Öz

In recent years, there has been a belief that there has been an increase in the rate of physician suicides in Türkiye due to the agenda of physician suicides in traditional and social media. While the profession of physician is considered one of the risky professions in terms of suicide ideation, some researchers state that there is no such effect among physicians, those who say that the profession is a risk factor for suicide usually explain that burnout is the cause. However, it is insufficient to explain physician suicides as a cause of burnout alone. In this study, a moderated mediation model was examined to explain how the indirect effect of burnout on physicians' suicidal ideation, through presence of meaning of life (PML), is managed by life with satisfaction (SWL). The sample consisted of 214 physicians working in Türkiye. Data were collected from the participants using Demographic Data, the Burnout Scale-Short Form, Life Satisfaction Scale, Meaning of Life Scale and Suicide Probability Scale. The analysis was tested through PROCESS Macro programme. In order to verify the significance of indirect effects, 5000 bootsrap random samples were used. The findings indicate that meaning of life acts as a mediator between burnout and suicidal ideation and that this mediation is influenced by life satisfaction in conclusion, this study examined the effect of burnout on suicide and the results suggest that the meaning of life and life satisfaction may play a protective role in relation to suicidal ideation.

Kaynakça

  • Abdulrahman, M., Farooq, M. M., Al Kharmiri, A., Al Marzooqi, F., & Carrick, F. R. (2018). Burnout and depression among medical residents in the United Arab Emirates: a multicenter study. Journal of Family Medicine and Primary Care, 7(2), 435-441. https://doi.org/10.4103/jfmpc.jfmpc_199_17
  • Akram, B., Bibi, B., Ashfaq Ahmed, M., & Kausar, N. (2022). Work-family conflict and suicidal ideation among physicians of Pakistan: the moderating role of perceived life satisfaction. OMEGA-journal of Death and Dying, 85(2), 465-482. https://doi.org/10.1177/0030222820947246
  • Andela, M. (2021). Work-related stressors and suicidal ideation: The mediating role of burnout. Journal of Workplace Behavioral Health, 36(2), 125-145. https://doi.org/10.1080/15555240.2021.1897605
  • Arısoy, A., & Taş, M. A. (2021). Sosyal çalışmacılarda meslek aşkı ve prososyal hizmet davranışları ilişkisi: yaşamın anlamının aracılık etkisi. Sosyal Politika Çalışmaları Dergisi, 21(53), 827-854. https://doi.org/10.21560/spcd.vi.787575
  • Atlı, Z., Eskin, M., & Dereboy, Ç. (2009). İntihar Olasılığı Ölçeğinin (İOÖ) klinik örneklemde geçerlik ve güvenirliği. Klinik Psikiyatri Dergisi, 12(3), 111-124.
  • Bailey, E., Robinson, J., & McGorry, P. (2018). Depression and suicide among medical practitioners in Australia. Internal Medicine Journal, 48(3), 254-258. https://doi.org/10.1111/imj.13717
  • Bhugra, D., Bhui, K. S., & Gupta, K. R. (2008). Burnout and stress among doctors and dentists in North India. International Journal of Culture and Mental Health, 1(1), 24-29. https://doi.org/10.1080/17542860802102166
  • Bonebright, C. A., Clay, D. L., & Ankenmann, R. D. (2000). The relationship of workaholism with work–life conflict, life satisfaction, and purpose in life. Journal of Counseling Psychology, 47(4), 469. https://doi.org/10.1037/0022-0167.47.4.469
  • Charlton, J. (1995). Trends and patterns in suicide in England and Wales. International Journal of Epidemiology, 24(Supplement_1), S45-S52. https://doi.org/10.1093/ije/24.Supplement_1.S45
  • Costanza, A., Prelati, M., & Pompili, M. (2019). The meaning in life in suicidal patients: The presence and the search for constructs. A systematic review. Medicina, 55(8), 465. https://doi.org/10.3390/medicina55080465
  • Cull, J. G., & Gill, W. S. (1988). Suicide probability scale. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/t01198-000
  • Çapri, B. (2013). Tükenmişlik ölçeği-kısa formu ile eş tükenmişlik ölçeği-kısa formu’nun Türkçe uyarlaması ve psikoanalitik-varoluşçu bakış açısından mesleki ve eş tükenmişlik ilişkisi. Kuram ve Uygulamada Eğitim Bilimleri, 13(3), 1393-1418. https://doi.org/10.12738/estp.2013.3.1576
  • Dağlı, A. ve Baysal, N. (2016). Yaşam doyumu ölçeğinin Türkçeye uyarlanması: geçerlik ve güvenirlik çalişmasi. Elektronik Sosyal Bilimler Dergisi, 15(59). https://doi.org/10.17755/esosder.75955
  • Deeb, G. R., Braun, S., Carrico, C., Kinser, P., Laskin, D., & Golob Deeb, J. (2018). Burnout, depression and suicidal ideation in dental and dental hygiene students. European Journal of Dental Education, 22(1), e70-e74. https://doi.org/10.1111/eje.12259
  • Demirdag, S. ve Kalafat, S. (2015). Yaşamın Anlamı Ölçeği (YAÖ): Türkçe'ye uyarlama, geçerlik ve güvenirlik çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 16(2), 83-95. https://doi.org/10.17679/iuefd.16250801
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Türkiye'deki Doktorlarda Tükenmişlik ve İntihar Düşüncesi Arasında Moderatörlü Aracılık Analizi: Yaşam Anlamı ve Yaşam Doyumunun Rolü

Yıl 2024, Cilt: 13 Sayı: 3, 1157 - 1172, 30.09.2024
https://doi.org/10.15869/itobiad.1483412

Öz

Son yıllarda Türkiye’de geleneksel ve sosyal medyada doktor intiharlarının gündem olması nedeniyle doktor intiharları oranında bir artış olduğu kanısı olmuştur. Doktorluk mesleği intihar konusunda riskli mesleklerden biri sayılırken bazı araştırmacılar böyle bir etkinin olmadığını ifade etmektedirler. Doktorlarda mesleğin intihar için riski faktörü olduğunu söyleyenler genellikle bu duruma tükenmişliğin neden olduğunu düşünmektedirler. Ancak doktor intiharlarına tek başına tükenmişliğin bir neden olarak gerekçe gösterilmesi yetersizdir. Bu çalışmada, tükenmişliğin doktorların intihar etme düşüncesi üzerindeki dolaylı etkisinin, yaşamın anlamının varlığı (PML) aracılığıyla, yaşam doyumu (SWL) tarafından nasıl yönetildiğini açıklamak için bir moderatör aracılık modeli incelenmiştir. Örneklem Türkiye'de çalışan 214 doktordan oluşmaktadır. Katılımcılardan Demografik Bilgiler, Tükenmişlik Ölçeği-Kısa Formu, Yaşam Doyumu Ölçeği, Yaşamın Anlamı Ölçeği ve İntihar Olasılığı Ölçeği kullanılarak veri toplanmıştır. Analiz PROCESS Macro programı aracılığıyla test edilmiştir. Dolaylı etkilerin anlamlılığını doğrulamak amacıyla 5000 bootsrap rastgele örneklem kullanılmıştır. Bulgular, yaşamın anlamının tükenmişlik ve intihar düşüncesi arasında bir aracı görevi gördüğünü ve bu aracılığın yaşam doyumundan etkilendiğini göstermektedir. Sonuç olarak, bu çalışma tükenmişliğin intihar düşüncesi üzerindeki etkisini incelemiş ve bulgular yaşamın anlamı ve yaşam doyumunun intihar düşüncesi ile ilişkili olarak koruyucu bir rol oynayabileceğini düşüncesini ön plana getirmektedir.

Kaynakça

  • Abdulrahman, M., Farooq, M. M., Al Kharmiri, A., Al Marzooqi, F., & Carrick, F. R. (2018). Burnout and depression among medical residents in the United Arab Emirates: a multicenter study. Journal of Family Medicine and Primary Care, 7(2), 435-441. https://doi.org/10.4103/jfmpc.jfmpc_199_17
  • Akram, B., Bibi, B., Ashfaq Ahmed, M., & Kausar, N. (2022). Work-family conflict and suicidal ideation among physicians of Pakistan: the moderating role of perceived life satisfaction. OMEGA-journal of Death and Dying, 85(2), 465-482. https://doi.org/10.1177/0030222820947246
  • Andela, M. (2021). Work-related stressors and suicidal ideation: The mediating role of burnout. Journal of Workplace Behavioral Health, 36(2), 125-145. https://doi.org/10.1080/15555240.2021.1897605
  • Arısoy, A., & Taş, M. A. (2021). Sosyal çalışmacılarda meslek aşkı ve prososyal hizmet davranışları ilişkisi: yaşamın anlamının aracılık etkisi. Sosyal Politika Çalışmaları Dergisi, 21(53), 827-854. https://doi.org/10.21560/spcd.vi.787575
  • Atlı, Z., Eskin, M., & Dereboy, Ç. (2009). İntihar Olasılığı Ölçeğinin (İOÖ) klinik örneklemde geçerlik ve güvenirliği. Klinik Psikiyatri Dergisi, 12(3), 111-124.
  • Bailey, E., Robinson, J., & McGorry, P. (2018). Depression and suicide among medical practitioners in Australia. Internal Medicine Journal, 48(3), 254-258. https://doi.org/10.1111/imj.13717
  • Bhugra, D., Bhui, K. S., & Gupta, K. R. (2008). Burnout and stress among doctors and dentists in North India. International Journal of Culture and Mental Health, 1(1), 24-29. https://doi.org/10.1080/17542860802102166
  • Bonebright, C. A., Clay, D. L., & Ankenmann, R. D. (2000). The relationship of workaholism with work–life conflict, life satisfaction, and purpose in life. Journal of Counseling Psychology, 47(4), 469. https://doi.org/10.1037/0022-0167.47.4.469
  • Charlton, J. (1995). Trends and patterns in suicide in England and Wales. International Journal of Epidemiology, 24(Supplement_1), S45-S52. https://doi.org/10.1093/ije/24.Supplement_1.S45
  • Costanza, A., Prelati, M., & Pompili, M. (2019). The meaning in life in suicidal patients: The presence and the search for constructs. A systematic review. Medicina, 55(8), 465. https://doi.org/10.3390/medicina55080465
  • Cull, J. G., & Gill, W. S. (1988). Suicide probability scale. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/t01198-000
  • Çapri, B. (2013). Tükenmişlik ölçeği-kısa formu ile eş tükenmişlik ölçeği-kısa formu’nun Türkçe uyarlaması ve psikoanalitik-varoluşçu bakış açısından mesleki ve eş tükenmişlik ilişkisi. Kuram ve Uygulamada Eğitim Bilimleri, 13(3), 1393-1418. https://doi.org/10.12738/estp.2013.3.1576
  • Dağlı, A. ve Baysal, N. (2016). Yaşam doyumu ölçeğinin Türkçeye uyarlanması: geçerlik ve güvenirlik çalişmasi. Elektronik Sosyal Bilimler Dergisi, 15(59). https://doi.org/10.17755/esosder.75955
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  • Demirdag, S. ve Kalafat, S. (2015). Yaşamın Anlamı Ölçeği (YAÖ): Türkçe'ye uyarlama, geçerlik ve güvenirlik çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi, 16(2), 83-95. https://doi.org/10.17679/iuefd.16250801
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  • Kim, J. S., Choi, S. H., Lee, S. E., Lee, C. W., Kim, W. H., Bae, J. N., Lee, J.S., Maeng, S. & Kim, H. (2021). Significant domains of life satisfaction that affect suicidal behavior in adolescents. Journal of the Korean Academy of Child and Adolescent Psychiatry, 32(3), 104. https://doi.org/10.5765/jkacap.210004
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  • Meltzer, H., Griffiths, C., Brock, A., Rooney, C., & Jenkins, R. (2008). Patterns of suicide by occupation in England and Wales: 2001–2005. The British Journal of Psychiatry, 193(1), 73-76. https://doi.org/10.1192/bjp.bp.107.040550
  • Menon, N. K., Shanafelt, T. D., Sinsky, C. A., Linzer, M., Carlasare, L., Brady, K. J., Stillman, M. J. & Trockel, M. T. (2020). Association of physician burnout with suicidal ideation and medical errors. JAMA Network Open, 3(12), e2028780-e2028780. https://doi.org/10.1001/jamanetworkopen.2020.28780
  • Park, N., Park, M., & Peterson, C. (2010). When is the search for meaning related to life satisfaction?. Applied Psychology: Health and Well‐Being, 2(1), 1-13. https://doi.org/10.1111/j.1758-0854.2009.01024.x
  • Malach-Pines, A. (2005). The burnout measure, short version. International Journal of Stress Management, 12(1), 78. https://doi.org/10.1037/1072-5245.12.1.78
  • Pompili, M., Innamorati, M., Narciso, V., Kotzalidis, G. D., Dominici, G., Talamo, A., Girardi, P., Lester, D. & Tatarelli, R. (2010). Burnout, hopelessness and suicide risk in medical doctors. Clinica Terapeutica, 161(6), 511.
  • Schernhammer, E. S., & Colditz, G. A. (2004). Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). American Journal of Psychiatry, 161(12), 2295-2302. https://doi.org/10.1176/appi.ajp.161.12.2295
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  • Yu, J., Goldstein, R. B., Haynie, D. L., Luk, J. W., Fairman, B. J., Patel, R. A., ... & Gilman, S. E. (2021). Resilience factors in the association between depressive symptoms and suicidality. Journal of Adolescent Health, 69(2), 280-287. https://doi.org/10.1016/j.jadohealth.2020.12.004
  • Yu, Z., Liu, H., Ye, B., Tang, C., Huang, D., & Liu, L. (2022). Life satisfaction and suicidal ideation among Chinese college students during the recurrent outbreak of COVID-19: a moderated mediation model. Frontiers in Psychiatry, 13, 937511. https://doi.org/10.3389/fpsyt.2022.937511
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Toplam 67 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Din Psikolojisi
Bölüm Makaleler
Yazarlar

Metin Erdem 0000-0002-9192-6102

Hıdır Apak 0000-0002-2330-3093

Yayımlanma Tarihi 30 Eylül 2024
Gönderilme Tarihi 13 Mayıs 2024
Kabul Tarihi 15 Temmuz 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 13 Sayı: 3

Kaynak Göster

APA Erdem, M., & Apak, H. (2024). Moderated Mediation Analysis Between Burnout and Suicidal Ideation Among Physicians in Türkiye: The Role of Meaning of Life and Satisfaction with Life. İnsan Ve Toplum Bilimleri Araştırmaları Dergisi, 13(3), 1157-1172. https://doi.org/10.15869/itobiad.1483412
İnsan ve Toplum Bilimleri Araştırmaları Dergisi  Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.