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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Rehabilitation Medicine</journal-id><journal-title-group><journal-title>Bulletin of Rehabilitation Medicine</journal-title></journal-title-group><issn publication-format="print">2078-1962</issn><issn publication-format="electronic">2713-2625</issn><publisher><publisher-name>National Medical Research Center for Rehabilitation and Balneology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">627440</article-id><article-id pub-id-type="doi">10.38025/2078-1962-2023-22-6-67-77</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Coping Strategies and Burnout Among Medical and Social Workers Providing Services to People with Limited Mobility</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Khokhlova</surname><given-names>Olga I.</given-names></name><bio>&lt;p&gt;Dr.Sci. (Med.), Senior Researcher, Department of Medical and Social and Occupational Rehabilitation&lt;/p&gt;</bio><email>hohlovaoliv@rambler.ru</email><uri content-type="orcid">https://orcid.org/0000-0003-3069-5686</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Vasilchenko</surname><given-names>Elena M.</given-names></name><bio>&lt;p&gt;Dr. Sci. (Med.), General Director&lt;/p&gt;</bio><email>root@reabil-nk.ru</email><uri content-type="orcid">https://orcid.org/0000-0001-9025-4060</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Versh</surname><given-names>Vadim A.</given-names></name><bio>&lt;p&gt;Junior Researcher, Department of Medical and Social and Occupational Rehabilitation&lt;/p&gt;</bio><email>root@reabil-nk.ru</email><uri content-type="orcid">https://orcid.org/0009-0002-6851-6997</uri><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Denisova</surname><given-names>Yana A.</given-names></name><bio>&lt;p&gt;Scientific Secretary&lt;/p&gt;</bio><email>root@reabil-nk.ru</email><uri content-type="orcid">https://orcid.org/0009-0005-7670-7701</uri><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Novokuznetsk Scientific and Practical Centre for Medical and Social Expertise and Rehabilitation of Disabled Persons</aff><pub-date date-type="epub" iso-8601-date="2024-02-26" publication-format="electronic"><day>26</day><month>02</month><year>2024</year></pub-date><volume>22</volume><issue>6</issue><fpage>67</fpage><lpage>77</lpage><history><pub-date date-type="received" iso-8601-date="2024-02-25"><day>25</day><month>02</month><year>2024</year></pub-date><pub-date date-type="accepted" iso-8601-date="2024-02-25"><day>25</day><month>02</month><year>2024</year></pub-date></history><permissions><copyright-statement>Copyright © 2024, Khokhlova O.I., Vasilchenko E.M., Versh V.A., Denisova Y.A.</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>&lt;p&gt;&lt;strong&gt;INTRODUCTION&lt;/strong&gt;. The centerpiece of the development of occupational burnout is the individual’s ability to cope with stressful situations.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;AIM. &lt;/strong&gt;To determine ways to cope with stress among employees of healthcare organizations and social service institutions providing services to low-mobility population groups, as well as to assess the correlations between individual coping strategies and burnout symptoms.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;MATERIALS AND METHODS. &lt;/strong&gt;The study involved 81 employees of healthcare organizations (group 1) and 88 employees of a social service institution (group 2).&lt;/p&gt;&#13;
&lt;p&gt;We used COPE (Coping Orientation to Problems Experienced Inventory) questionnaire adapted by T.O. Gordeeva et al. to determine ways of coping with stress; Maslach Burnout Questionnaire adapted by N.E. Vodopyanova to determine symptoms of occupational burnout.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;RESULTS. &lt;/strong&gt;Employees of a social service institution more often than the staff of healthcare organizations had high levels of coping strategies: positive reformulation and personal growth (in 80.7 % and 60.5 % respectively, p = 0.002), active coping (in 76.1 % and 58 %, p = 0.012), planning (in 76.1 % and 53.1 %, p = 0.002). At the same time group 1 representatives 2.1 times more often than group 2 representatives had high values of the integral index of occupational burnout: 50.6 % against 23.9 % (χ&lt;sup&gt;2 &lt;/sup&gt;= 12.997, p  0.001).&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;DISCUSSION. &lt;/strong&gt;Ineffective coping-strategies, correlating with the levels of occupational burnout symptoms, appeared to be concentration on emotions and their active expression, mental disengagement from the problem, behavioural disengagement from the problem, and denial. Among the effective ones are active coping, planning, positive reformulation and personal growth.&lt;/p&gt;&#13;
&lt;p&gt;&lt;strong&gt;CONCLUSION. &lt;/strong&gt;Burnout symptoms were more frequent in the surveyed sample of the healthcare workers than in the workers of social service institutions and were associated with insufficiently active use of effective ways of coping with stress.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>stress</kwd><kwd>coping strategies</kwd><kwd>healthcare workers</kwd><kwd>social workers</kwd><kwd>occupational burnout</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>стресс</kwd><kwd>способы совладания со стрессом</kwd><kwd>медицинские работники</kwd><kwd>социальные работники</kwd><kwd>профессиональное выгорание</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Grover S., Sahoo S. Clinical Practice Guidelines for Assessment and Management of Psychiatric Morbidity in Medical Professionals Indian. Journal Psychiatry. 2023; 65(2): 245–257. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_486_22</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Киенко Т.С. Организационные факторы профессионального выгорания социальных работников муниципальных учреждений социального обслуживания. Вестник Пермского университета. Философия. Психология. Социология. 2016; 3 (27): 153–160. https://doi.org/10.17072/2078-7898/2016-3-153-160 [Kienko T.S. Organizational factors of professional burnout of social workers of municipal social service institutions. Vestnik Permskogo universiteta. Filosofiya. Psikhologiya. Sotsiologiya. 2016; 3(27): 153–160. https://doi.org/10.17072/2078-7898/2016-3-153-160 (In Russ.).]</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Molina-Praena J., Ramirez-Baena L., Gómez-Urquiza J.L. et al. Levels of Burnout and Risk Factors in Medical Area Nurses: A Meta-Analytic Study. International Journal of Environment Research Public Health. 2018; 15(12): 2800. https://doi.org/10.3390/ijerph15122800</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>World Health Organization. Burn-out an “occupational phenomenon”: International Classification of Diseases. Available at: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases (Accessed 05.05.2023)</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>De Hert S. Burnout in Healthcare Workers: Prevalence, Impact and Preventative Strategies. Local and Regional Anesthesia. 2020; 13: 171–183. https://doi.org/10.2147/LRA.S240564</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Dewa C.S., Loong D., Bonato S., Trojanowski L. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open. 2017; 7(6): e015141. https://doi.org/10.1136/bmjopen-2016-015141</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Hall L.H., Johnson J., Watt I., O’Connor D.B. Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey. British Journal of General Practice. 2019; 69(684): e507–514. https://doi.org/10.3399/bjgp19X702713</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Salyers M.P., Bonfils K.A., Luther L. et al. The Relationship Between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. Journal of General Internal Medicine. 2017; 32(4): 475–482. https://doi.org/10.1007/s11606-016-3886-9</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Shalaby R., Oluwasina F., Eboreime E. et al. Burnout among Residents: Prevalence and Predictors of Depersonalization, Emotional Exhaustion and Professional Unfulfillment among Resident Doctors in Canada. International Journal of Environment Research Public Health. 2023; 20(4): 3677. https://doi.org/10.3390/ijerph20043677</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Han S., Shanafelt T.D., Sinsky C.A. et al. Estimating the attributable cost of physician burnout in the United States. Ann Intern Med. 2019; 170(11): 784–790. https://doi.org/10.7326/m18-1422</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Xie X., Zhou Y., Fang J., Ying G. Social Support, Mindfulness, and Job Burnout of Social Workers in China. Frontiers in Psychology. 2022; 13: 775679. https://doi.org/10.3389/fpsyg.2022.775679</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>West C.P., Dyrbye L.N., Shanafelt T.D. Physician burnout: contributors, consequences and solutions. Journal of International Medicine. 2018; 283(6): 516–529. https://doi.org/10.1111/joim.12752</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Portero de la Cruz S., Cebrino J., Herruzo J., Vaquero-Abellán M. A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff. Journal of Clinical Medicine. 2020; 9(4): 1007. https://doi.org/10.3390/jcm9041007</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Ho S.W.L, Kwek E.B.K. Levels of burnout and its association with resilience and coping mechanisms among orthopaedic surgery residents: a single institution experience from Singapore. Singapore Medical Journal. 2022; 63(7): 381–387. https://doi.org/10.11622/smedj.2021010</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Meyerson J., Gelkopf M., Eli I., Uziel N. Stress Coping Strategies, Burnout, Secondary Traumatic Stress, and Compassion Satisfaction Amongst Israeli Dentists: A Cross-sectional Study. Int Dent J. 2022; 72(4): 476–483. DOI: https://doi.org/10.1016/j.identj.2021.09.006</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Maresca G., Corallo F., Catanese G. et al. Coping Strategies of Healthcare Professionals with Burnout Syndrome: A Systematic Review. Medicina (Kaunas). 2022; 58(2): 327. https://doi.org/10.3390/medicina58020327</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Carver C.S., Scheier M.F., Weintraub J.K. Assessing coping strategies: a theoretically based approach. Journal of Personality and Social Psychology. 1989; 56(2): 267–283. https://doi.org/10.1037/0022-3514.56.2.267</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Рассказова Е.И., Гордеева Т.О., Осин Е.Н. Стратегии в структуре деятельности и саморегуляции: Психометрические характеристики и возможности применения методики COPE. Психология. Журнал Высшей школы экономики. 2013; 10(1): 82–118. [Rasskazova E.I., Gordeeva T.O., Osin E.N. Strategies in the structure of activity and self-regulation: Psychometric characteristics and possibilities of using the COPE methodology. Psychology. Journal of the Higher School of Economics. 2013; 10(1): 82–118. (In Russ.).]</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Опросник совладания со стрессом. Энциклопедия психодиагностики. https://psylab.info/Опросник_совладания_со_стрессом (Дата обращения: 05.05.2023) [Questionnaire for coping with stress. Encyclopedia of psychodiagnostics. https://psylab.info/Опросник_совладания_со_стрессом (Accessed on: 05.05.2023) (In Russ.).]</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Водопьянова Н.Е. Психодиагностика стресса. 2009. 336 с. [Vodopyanova N. Psihodiagnostika stressa. Saint Petersburg: Peter, 2009. 336 p. (In Russ.).]</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Хохлова О.И., Васильченко Е.М., Верш В.А. и др. Синдром профессионального выгорания у медицинских и социальных работников. Вестник восстановительной медицины. 2023; 22(1): 87–97. https://doi.org/10.38025/2078-1962-2023-22-1-87-97 [Hohlova O.I., Vasilchenko E.M., Versh V.A. et al. Professional Burnout Syndrome in Health Personnel and Social Workers: a Comparative Questionnaire-Based Survey. Vestnik vosstanovitel’noy meditsiny. 2023; 22(1): 87–97. https://doi.org/10.38025/2078-1962-2023-22-1-87-97 (In Russ.).]</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Рассказова Е.И., Гордеева Т.О. Копинг-стратегии в психологии стресса: подходы, методы и перспективы. Психологические исследования: электрон науч. журн. 2011; 3(17): 12 с. https://doi.org/10.54359/ps.v4i17.850 Available at: https://psystudy.ru/index.php/num/article/view/850/455 (Дата обращения: 05.05.2023) [Rasskazova E.I., Gordeeva T.O. Coping strategies in the psychology of stress: approaches, methods and perspectives. Psikhologicheskie issledovaniya: elektronnyy nauchnyy zhurnal. 2011; 3(17): 12. DOI: 0421100116/0027 Available at: https://psystudy.ru/index.php/num/article/view/850/455 (Accessed: 05.05.2023) (In Russ.).]</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Labrague L.J. Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies. Journal of Nursing Managment. 2021; 29(7): 1893–1905. https://doi.org/10.1111/jonm.13336</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Ercolani G., Varani S., Peghetti B. et al. Burnout in Home Palliative Care: What Is the Role of Coping Strategies? Journal of Palliative Care. 2020; 35(1): 46–52. https://doi.org/10.1177/0825859719827591</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Medisauskaite A., Kamau C. Does occupational distress raise the risk of alcohol use, binge-eating, ill health and sleep problems among medical doctors? A UK cross-sectional study. BMJ Open. 2019; 9(5): e027362. https://doi.org/10.1136/bmjopen-2018-027362</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Harrad R., Sulla F. Factors associated with and impact of burnout in nursing and residential home care workers for the elderly. Acta Bio-medica: Atenei Parmensis. 2018; 89(7-S): 60–69. https://doi.org/10.23750/abm.v89i7-S.7830</mixed-citation></ref></ref-list></back></article>
