Background: Burnout syndrome is very prevalent among healthcare residents. Initiatives addressing workload conditions have had limited impact on burnout. The present study aims to explore the contribution of two emotion regulation strategies, namely emotion suppression and cognitive reevaluation, to residents’ burnout, while accounting for workload factors. Methods: Participants were 105 residents (68.6% women; mean age = 27.5, SD = 3.0). They completed measures of workload, burnout, and emotion regulation. The study was cross-sectional. Results: Emotional suppression was associated with higher burnout (depersonalization scale; β = 0.20, p < 0.05, CI 0.15–2.48) and cognitive revaluation was linked to lower burnout (higher personal accomplishment; β = 0.35, p < 0.01, CI 0.16–2.56), even after controlling for demographic and workload factors. We found interaction effects between workload variables (supervisor support and number of patient hours) and emotion regulation (p < 0.05). Conclusions: The relationship between workload, emotion regulation, and burnout seems to be complex. That is, similar work conditions might generate different levels of burnout depending on the resident’s emotional regulation strategies. This might partly explain why existing initiatives based on workload changes have had a modest impact on burnout. Results also support including emotion regulation training in prevention and treatment programs targeting burnout during residency.

中文翻译：

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医疗保健居民的情绪调节策略，工作量条件和倦怠

背景：倦怠综合征在医疗保健居民中非常普遍。解决工作量条件的举措对倦怠的影响有限。本研究旨在探讨两种情绪调节策略，即情绪抑制和认知重估，对居民的工作倦怠的影响，同时考虑了工作量因素。方法：参与者为105位居民（68.6％的女性；平均年龄= 27.5，SD = 3.0）。他们完成了工作量，倦怠和情绪调节的措施。该研究是横断面的。结果：情绪抑制与更高的倦怠相关（去个性化程度；β = 0.20，p <0.05，CI 0.15–2.48），认知重估与更低的倦怠相关（个人成就感较高；β = 0.35，p <0.01，CI 0.16-2.56），即使在控制了人口和工作量因素之后。我们发现工作量变量（主管的支持和病人的工作时数）与情绪调节之间的交互作用（p <0.05）。结论：工作量，情绪调节和倦怠之间的关系似乎很复杂。也就是说，类似的工作条件可能会产生不同程度的倦怠，这取决于居民的情绪调节策略。这可能部分解释了为什么基于工作负载更改的现有计划对倦怠产生的影响不大。结果还支持包括针对居留期间倦怠的预防和治疗计划中的情绪调节训练。