European International Journal of Multidisciplinary Research
and Management Studies
88
https://eipublication.com/index.php/eijmrms
TYPE
Original Research
PAGE NO.
88-91
DOI
OPEN ACCESS
SUBMITED
20 February 2025
ACCEPTED
19 March 2025
PUBLISHED
21 April 2025
VOLUME
Vol.05 Issue04 2025
COPYRIGHT
© 2025 Original content from this work may be used under the terms
of the creative commons attributes 4.0 License.
The Issue of Emotional
Exhaustion Among
Physicians
Ruziyeva Kamola Akhtamovna
Samarkand State Medical University, Uzbekistan
Abstract:
This examination examines the issue of
emotional exhaustion in physicians, including its
symptoms and the underlying causes. The article's
foundation was the research that revealed the
emotional exhaustion syndrome in students and
physicians of various specialities. Burnout, its
symptoms, and its causes in the context of physicians.
The article was derived from a study that examined the
identification of the syndrome of emotional exhaustion
among students and physicians of a variety of
specialities.
Keywords:
Emotional burnout, medicine, physicians,
syndrome.
Introduction:
Doctors are subjected to continuous
psycho-emotional stress, which results in professional
personal deformations, including emotional exhaustion
syndrome. H.J. Freidenberg, an American psychiatrist,
coined the term "emotional burnout" in 1974 to
characterise the psychological state of healthy
individuals who were involved in communication with
clients and patients in an emotionally charged
environment. Initially, the term "emotional burnout"
was employed as a synonym for terms such as
"exhaustion,"
"exhaustion,"
and
"feeling
of
uselessness." Emotional fatigue is currently recognised
as a condition characterised by physical, emotional, and
mental exhaustion that is observed in occupations that
are part of the social sphere. Emotional burnout
syndrome, like any disease, is defined by specific
symptoms, including emotional breakdowns, feelings
of hopelessness and futility, mood decline, and the
disappearance of emotions and experiences. Burnout
occurs as both mental illness and physical discomfort.
An individual who is affected by this syndrome is
European International Journal of Multidisciplinary Research
and Management Studies
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European International Journal of Multidisciplinary Research and Management Studies
unaware of their symptoms and is unable to
comprehend the circumstances surrounding them. The
syndrome progresses gradually via three consecutive
stages: Stage I ("tension") is characterised by the
taming of emotions, the disappearance of acuteness of
feelings,
anxiety,
and
melancholy.
Stage
II
("resistance") is characterised by irritability, dislike, and
bitterness towards colleagues, as well as a reduction in
professional responsibilities. Stage III (“exhaustion”)
-
deterioration of professional ideals, emotional
alienation,
psychological
disorders,
and
psychovegetative disturbances. However, in addition to
emotional manifestations, a "burnout" specialist
exhibits physical characteristics such as a perpetual
sense of fatigue, a loss of energy, a decrease in
strength, and a decrease in efficiency. It is crucial to be
aware of the symptoms that accompany emotional
fatigue, which is a state of exhaustion. At present, five
categories of symptoms are identified: depression;
physical manifestations (fatigue, weight fluctuation,
insomnia);
emotional
manifestations
(apathy,
irritability); behavioural manifestations (disinterest in
food, accidents, injuries); cognitive state (diminished
interest in life, yearning); social manifestations
(disinterest in recreation, feelings of isolation, lack of
empathy towards others). The condition is more
prevalent in individuals who are prone to emotional
instability, intense experience, and perception. People
of varying ages and levels of work experience may be
impacted by emotional fatigue syndrome. This
condition is frequently encountered by senior students
who are practicing at clinical bases. This illness is
cumulative; so, while discussing professional burnout
among physicians, it is essential to consider their
emotional status beginning in their student years. The
research was developed using the findings of a survey
conducted among 60 sixth-year paediatric students at
Saratov State Medical University. The survey results
identified two distinct groupings of students. At 45
individuals, the I group represented one-quarter of the
total number of surveyed students. This group is
significantly
impacted
by
circumstances
that
detrimentally affect their overall health and capacity to
participate in investigations. On a scale of 1 to 5, we
requested that they evaluate their stress tolerance; the
higher the score, the less capable they are of
withstanding stress. The majority of this set of students
ranked their stress tolerance at 5, indicating that they
are tired, depressed, and apathetic. Group II consisted
of 15 students, representing one-fourth of the
respondents, the lesser portion. The students in this
cohort demonstrated a stress tolerance rating of 2
points, indicating that they were adequately prepared
for stressful situations. The survey results indicate that
stress issues and diminished self-control stem from the
university academic process. Essentially, emotional
depletion manifests itself at the age of 30-40, when
individuals begin to negatively evaluate their own
accomplishments and successes and partially lose
interest in their work. A study was conducted by I.A.
Berdyaeva and L.N. Voyt to determine the extent to
which emotional exhaustion syndrome is prevalent
among physicians of various specialities. The survey
comprised 500 physicians, with women constituting
77.4% and men 22.6% of the sample. For the
investigation, the questionnaire "Emotional burnout"
by V.V. Boyko, which consisted of 84 questions, was
employed.
Boyko
comprises
84
questions.
Interpretation of the results is based on three phases
("tension," "resistance," and "exhaustion") and four
symptoms. Following are the findings of the
comprehensive examination of emotional burnout:
35.4% of respondents exhibit ERS, with 8.6%
demonstrating fully developed ERS throughout all
phases. In the resistance phase, the majority of
physicians (58.2 ±2.5% of women and 55.9 ±4.7% of
men) have developed. A tension phase was observed in
18.4±1.9% of women and 18±3.6% of men. The
exhaustion phase occurred in 19.4±2.0% of women and
18±3.6% of males. In addition, gender disparities were
identified in the total indicators of emotional burnout.
Women exhibit a significantly higher resistance phase
index (70%), whereas males are only in the formation
phase of the resistance phase.
CONCLUSION
Therefore, physician burnout should be viewed from
two perspectives: as a medical and social issue that
undermines the personality of specialists and as a
factor contributing to the decline in the quality of
medical care, which is a consequence of the doctor's
lack of interest in patient care and the violation of the
doctor-patient relationship. These characteristics are
the consequence of the higher standards.
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