Family Physicians Leaving Their Clinic--The Balint Group as an Opportunity to Say Good-bye

Shorer, Yuval; Biderman, Aya; Levy, Ayelet; Rabin, Stanley; Karni, Aharon; Maoz, Benjamin; Matalon, André

doi:10.1370/afm.1298

Cited by 8 publications

(5 citation statements)

References 5 publications

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“…They are unique in offering a protective and nonjudgmental ambience for its participants providing them a possibility to discover and increase an insight into doctors’ emotional aspects of attachment and separation from their patients [36]. It appears that such a secure place as Balint group can help its participants to be less emotionally exhausted, which was confirmed by our study.…”

Section: Discussionsupporting

confidence: 76%

Is Balint training associated with the reduced burnout among primary health care doctors?

Stojanović-Tasić¹,

Latas

Milošević³

et al. 2018

Libyan Journal of Medicine

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The aim of our study was to examine whether the participation in Balint group is associated with the reducing burnout syndrome among primary health care doctors. This investigation was conducted on a population of 210 doctors employed in primary health centers in Belgrade. Out of 210 doctors, 70 have completed Balint training for a period of at least 1 year, whereas 140 doctors have never attended this training (the Non-Balint group). The level of burnout among physicians was assessed with the Serbian translation of the original 22-item version of the Maslach Burnout Inventory – Human Services Survey which defines burnout in relation to emotional exhaustion, depersonalization and personal accomplishment. We found that 45.0% of the Non-Balint participants and 7.1% of the Balint-trained participants responded with symptoms of high level of emotional exhaustion, with a statistically significant difference (p < 0.001). In relation to depersonalization, 20% of the Non-Balint subjects were highly depersonalized compared to 4.4% of the Balint-trained subjects, with a statistically significant difference (p < 0.001). Regarding the personal accomplishment, 21.4% of the Non-Balint subjects and 7.1% of the Balint-trained subjects had a perception of low personal accomplishment, with a statistical significance (p < 0.001). In the multiple ordinal logistic model, with emotional exhaustion as a dependent variable, statistically significant predictor was female gender (OR = 2.51; p = 0.021), while Balint training was obtained as a protective factor (OR = 0.12; p < 0.001). Non-specialists were detected as a risk factor for depersonalization (OR = 2.14; p = 0.026) while Balint group was found as a protective factor (OR = 0.10; p < 0.001), according to the multiple ordinal logistic regression analysis.Regarding the reduced personal accomplishment, our results indicated that nonspecialists were at risk for this subdimension (OR = 2.09; p = 0.025), whereas Balint participants were protected (OR = 0.18; p < 0.001). Participation in Balint groups is associated with the reduced burnout syndrome among primary health care doctors

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Section: Discussionsupporting

confidence: 76%

Is Balint training associated with the reduced burnout among primary health care doctors?

Stojanović-Tasić¹,

Latas

Milošević³

et al. 2018

Libyan Journal of Medicine

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“…Residents were able to learn how to better manage relationships and how to recover from related stressors when their peers empathetically engaged in their distressing situations and provided support (80). Furthermore, Balint groups are intended to be a secure setting to explore and gain insight into the emotional aspects of attachment and separation of physicians from their patients (85,86).…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial of Balint Groups to Prevent Burnout Among Residents in China

et al. 2020

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Introduction: Burnout is highly prevalent among residents and is associated with negative outcomes for patients, organizations, and physicians. Balint groups have been shown to be an effective strategy to alleviate physicians' burnout. The purpose of this study was to examine the effectiveness and feasibility of Balint groups in preventing burnout among residents in training programs in China.Methods: 36 resident physicians in their first year of residency at a comprehensive hospital in China were randomly assigned to two groups. Physicians in the intervention group participated in 2 lectures and 10 Balint sessions for 6 months, while participants in the control group were placed on a waitlist for future Balint sessions. All 36 participants completed burnout and job satisfaction measures pre and post-intervention.Results: The mean burnout subscale scores for EE and DP decreased, and the scores for PA and job satisfaction increased after Balint group participation. However, paired t-test results revealed there were no statistically significant differences between pre and posttest scores for EE (t = −1.323, p = 0.203), DP (t = −0.727, p = 0.477), PA (t = 0.716, p = 0.484, and job satisfaction (t = 0.282, p = 0.781) for the intervention group. For the control group, the burnout subscale scores for EE (t = 2.312, p = 0.034) and DP (t = 2.898, p = 0.019) increased, and there were statistically significant differences between pre and posttest. PA (t = −0.717, p = 0.483) and job satisfaction (t = −0.241, p = 0.812) scores decreased although there were no significant differences seen between the pre and posttest. Independent t-test results demonstrated statistically significant differences in scores for EE (t = −2.662, p = 0.013) and DP (t = −2.433, p = 0.020) between intervention and control group. However, there were not statistically significant differences between groups for scores in PA (t = 1.013, p = 0.318) and job satisfaction (t = 0.367, p = 0.716). All 18 participants in the intervention group reported that Balint groups were helpful and that they would be willing to attend future sessions. Overall satisfaction with the Balint group program was over 80%.Conclusion: Balint groups are an efficacious, feasible, standardized method of preventing resident burnout. Residents in China may benefit from Balint group implementation in residency training programs.

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“…Thus, finding an effective and empirically verified way to increase the job satisfaction of medical staff is in great demand in the contemporary social background in which doctor–patient relationship has become increasingly tense. Specifically, the mediation model suggests that it may be helpful to design intervention programs (e.g., Balint group; Shorer et al., ) for Chinese medical staff to promote specific emotional processes (e.g., teaching them to attend to and understand their emotions) and the use of reappraisal (e.g., when a conflict occurs, to see it from different roles and perspectives) to improve their job satisfaction.…”

Section: Discussionmentioning

confidence: 99%

The effect of emotional clarity and attention to emotion on job satisfaction: A mediating role of emotion regulation among Chinese medical staff

Man

Huang

et al. 2019

Asian J of Social Psycho

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The present study examined the relationships among attention to emotion, emotional clarity, emotion regulation, and job satisfaction, and tested whether the plausible associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction can be mediated by emotion regulation in a sample of Chinese medical staff. In total, 1,766 medical staff in Guangdong province completed questionnaires including the demographics, the Minnesota Satisfaction Questionnaire, Emotional Clarity, Attention to Emotion, and the Emotion Regulation Questionnaire. Results showed significant direct effect of emotional clarity, but not attention to emotion on job satisfaction. Cognitive reappraisal significantly mediated the associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction whereas expressive suppression was not a statistically significant mediator. These results suggest that attention to emotion and emotional clarity contribute to job satisfaction by increasing certain emotion regulation strategies such as reappraisal. Intervention or medical education programs targeting enhancing emotional clarity and reappraisal may be beneficial for increasing job satisfaction of medical staff in China.

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Family Physicians Leaving Their Clinic--The Balint Group as an Opportunity to Say Good-bye

Cited by 8 publications

References 5 publications

Is Balint training associated with the reduced burnout among primary health care doctors?

Is Balint training associated with the reduced burnout among primary health care doctors?

A Randomized Controlled Trial of Balint Groups to Prevent Burnout Among Residents in China

The effect of emotional clarity and attention to emotion on job satisfaction: A mediating role of emotion regulation among Chinese medical staff

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