Article(id=1311349853318374027, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349802038821144, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202602010, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1769875200000, receivedDateStr=2026-02-01, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1790579768732, onlineDateStr=2026-09-28, pubDate=1783612800000, pubDateStr=2026-07-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1790579768732, onlineIssueDateStr=2026-09-28, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1790579768732, creator=13701087609, updateTime=1790579768732, updator=13701087609, issue=Issue{id=1311349802038821144, tenantId=1146029695717560320, journalId=1227665162245664772, year='2026', volume='53', issue='13', pageStart='2305', pageEnd='2496', issueExtLink='null', onlineDate='null', pubDate='1783612800000', pubDateStr='2026-07-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1790579756507, creator='13701087609', updateTime=1790588376143, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1311385955492258162, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349802038821144, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1311385955496452467, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1311349802038821144, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=2354, endPage=2359, ext={EN=ArticleExt(id=1311349853540672140, articleId=1311349853318374027, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Current status and influencing factors of job burnout among mental disorder prevention and treatment practitioners in Tibet Autonomous Region, columnId=1228016570660745413, journalTitle=Modern Preventive Medicine, columnName=Environmental and Occupational Health, runingTitle=null, highlight=null, articleAbstract=
Objective To understand the current status of job burnout among mental disorder prevention and treatment workers in Tibet Autonomous Region and analyze its influencing factors.
Methods A total of 200 participants attending the training course on assistance for mental disorder prevention and treatment in Tibet Autonomous Region, organized by Peking University Sixth Hospital in 2025, were surveyed using a self-designed general information questionnaire and the Maslach Burnout Inventory-General Survey (MBI-GS). Burnout levels were assessed, and univariate analysis was performed using the Mann-Whitney U test and χ2 test. Factors associated with burnout were identified using binary logistic regression.
Results A total of 185 valid questionnaires were collected. The detection rate of burnout among the respondents was 87.6% (162/185), with emotional exhaustion being the most prominent dimension, as 73.5% of respondents had moderate or higher levels. Multivariable analysis revealed that having a bachelor’s degree or higher was a protective factor against emotional exhaustion(OR=0.265, 95% CI: 0.121-0.582) and depersonalization (OR=0.354, 95% CI: 0.161-0.778). For each additional year of work experience in mental disorder prevention and treatment, the risk of overall burnout (OR=0.822, 95% CI: 0.693-0.976) and emotional exhaustion (OR=0.825, 95% CI: 0.703-0.967) decreased.
Conclusion Job burnout is prevalent among mental disorder prevention and treatment practitioners in Tibet Autonomous Region. Higher education and longer work experience are important protective factors. It is recommended to implement interventions such as establishing a systematic and standardized on-the-job training system, conducting regular group psychological counseling and stress management training, and creating professional incentive and support mechanisms.
, authors=Xia-min WU, Ning MA, authorsList=Xia-min WU, Ning MA, authorCompany=null, correspAuthors=Ning MA, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1311349855935619727, articleId=1311349853318374027, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=西藏自治区精神障碍防治从业人员职业倦怠现状及影响因素研究, columnId=1228016571273113811, journalTitle=现代预防医学, columnName=环境与职业卫生, runingTitle=null, highlight=null, articleAbstract=
目的 了解西藏自治区精神障碍防治从业人员的职业倦怠现状，并分析其影响因素。
方法 采用自编一般情况调查表和Maslach职业倦怠调查普适量表，对参加2025年由北京大学第六医院组织的援助西藏自治区精神障碍防治工作培训班的200名学员进行调查，评估其职业倦怠水平，采用曼-惠特尼U检验和χ2检验进行单因素分析，运用二元logistic回归分析职业倦怠的影响因素。
结果 共收回有效问卷185份。调查对象职业倦怠检出率为87.6%（162/185），其中情感衰竭维度最为突出，中度及以上者占73.5%。本科及以上学历是情感衰竭（OR=0.265，95%CI：0.121～0.582）和去人格化（OR=0.354，95%CI：0.161～0.778）的保护因素；随着从事精神障碍防治工作年限的增加，职业倦怠（OR=0.822，95%CI：0.693～0.976）和情感衰竭（OR=0.825，95%CI：0.703～0.967）风险降低。
结论 西藏自治区精神障碍防治从业人员职业倦怠现象普遍，学历与工作年限是保护因素，建议从构建系统化标准化的在职培训制度、定期开展团体心理辅导与压力管理训练、建立职业激励与保障机制等方面进行干预。
, authors=吴霞民, 马宁, authorsList=吴霞民, 马宁, authorCompany=null, correspAuthors=马宁, authorNote=
吴霞民（1981—），硕士，助理研究员，研究方向：公共精神卫生、精神卫生政策
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Characteristics of the study participants ［n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 人数（构成比） |
|---|
| 性别 | 男 | 67(36.2) |
| 女 | 118(63.8) |
| 年龄（岁） | ≤30 | 95(51.4) |
| >30 | 90(48.6) |
| 学历 | 大专以下 | 39(21.1) |
| 本科以上 | 146(78.9) |
| 从事精神障碍防治 | ≤1 | 111(60.0) |
| 工作年限（年） | >1 | 74(40.0) |
| 单位类型 | 基层医疗卫生机构 | 82(44.3) |
| 精神卫生医疗机构 | 23(12.5) |
| 卫生健康行政部门 | 13(7.0) |
| 疾病预防控制中心 | 67(36.2) |
| 职称 | 初级 | 139(75.1) |
| 中级 | 40(21.6) |
| 高级 | 6(3.2) |
| 职务 | 无 | 156(84.3) |
| 中层干部 | 21(11.4) |
| 单位领导 | 8(4.3) |
), ArticleFig(id=1311349857319740068, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=CN, label=表1, caption=
研究对象基本情况［n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 人数（构成比） |
|---|
| 性别 | 男 | 67(36.2) |
| 女 | 118(63.8) |
| 年龄（岁） | ≤30 | 95(51.4) |
| >30 | 90(48.6) |
| 学历 | 大专以下 | 39(21.1) |
| 本科以上 | 146(78.9) |
| 从事精神障碍防治 | ≤1 | 111(60.0) |
| 工作年限（年） | >1 | 74(40.0) |
| 单位类型 | 基层医疗卫生机构 | 82(44.3) |
| 精神卫生医疗机构 | 23(12.5) |
| 卫生健康行政部门 | 13(7.0) |
| 疾病预防控制中心 | 67(36.2) |
| 职称 | 初级 | 139(75.1) |
| 中级 | 40(21.6) |
| 高级 | 6(3.2) |
| 职务 | 无 | 156(84.3) |
| 中层干部 | 21(11.4) |
| 单位领导 | 8(4.3) |
), ArticleFig(id=1311349857386848933, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=EN, label=Table 2, caption=
Detection status of various dimensions of job burnout［n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 维度 | 职业倦怠程度 | ［M（P25，P75）］ |
|---|
| 轻度 | 中度 | 重度 |
|---|
| 情感衰竭 | 49(26.5) | 129(69.7) | 7(3.8) | 2.4(1.8,3.0) |
| 去人格化 | 90(48.6) | 94(50.8) | 1(0.5) | 2.0(1.3,2.5) |
| 成就感降低 | 71(38.4) | 100(54.1) | 14(7.6) | 2.2(1.5,3.2) |
), ArticleFig(id=1311349857453957798, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=CN, label=表2, caption=
职业倦怠各维度检出情况［n（%）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 维度 | 职业倦怠程度 | ［M（P25，P75）］ |
|---|
| 轻度 | 中度 | 重度 |
|---|
| 情感衰竭 | 49(26.5) | 129(69.7) | 7(3.8) | 2.4(1.8,3.0) |
| 去人格化 | 90(48.6) | 94(50.8) | 1(0.5) | 2.0(1.3,2.5) |
| 成就感降低 | 71(38.4) | 100(54.1) | 14(7.6) | 2.2(1.5,3.2) |
), ArticleFig(id=1311349857537843879, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=EN, label=Table 3, caption=
Comparison of detection rates of various dimensions of job burnout among different characteristics ［n（%）, M （P25， P75）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 职业倦怠 | 情感衰竭 |
| 阴性 | 阳性 | χ2/U值 | P值 | 轻度 | 中度以上 | χ2/U值 | P值 |
| 性别 | 男 | 11(16.4) | 56(83.6) | 1.533 | 0.216 | 18(26.9) | 49(73.1) | 0.008 | 0.930 |
| 女 | 12(10.2) | 106(89.8) | | | 31(26.3) | 87(73.7) | | |
| 年龄（岁） | ≤30 | 13(13.7) | 82(86.3) | 0.281 | 0.596 | 27(28.4) | 68(71.6) | 0.375 | 0.540 |
| >30 | 10(11.1) | 80(88.9) | | | 22(24.4) | 68(75.6) | | |
| 学历 | 大专以下 | 8(20.5) | 31(79.5) | 2.964 | 0.085 | 20(51.3) | 19(48.7) | 15.604 | <0.001 |
| 本科以上 | 15(10.3) | 131(89.7) | | | 29(19.9) | 117(80.1) | | |
| 从事精神障碍防治工作年限（年） | 2.0 (0.5, 4.0) | 0.9 (0.5, 2.0) | 1 445.500 | 0.078 | 2.0 (0.5, 3.0) | 0.5 (0.5, 2.0) | 2 489.000 | 0.008 |
| 单位类型 | 医疗机构 | 14(13.3) | 91(86.7) | 0.181 | 0.670 | 30(28.6) | 75(71.4) | 0.542 | 0.462 |
| 其他机构 | 9(11.3) | 71(88.7) | | | 19(23.8) | 61(76.2) | | |
| 职称 | 初级 | 15(10.8) | 124(89.2) | 1.383 | 0.240 | 40(28.8) | 99(71.2) | 1.506 | 0.220 |
| 中级以上 | 8(17.4) | 38(82.6) | | | 9(19.6) | 37(80.4) | | |
| 职务 | 无 | 19(12.2) | 137(87.8) | 0.058 | 0.809 | 38(24.4) | 118(75.6) | 2.313 | 0.128 |
| 有 | 4(13.8) | 25(86.2) | | | 11(37.9) | 18(62.1) | | |
| 项目 | | 去人格化 | 成就感降低 |
| 轻度 | 中度以上 | χ2/U值 | P值 | 轻度 | 中度以上 | χ2/U值 | P值 |
| 性别 | 男 | 37(55.2) | 30(44.8) | 1.818 | 0.178 | 25(37.3) | 42(62.7) | 0.050 | 0.822 |
| 女 | 53(44.9) | 65(55.1) | | | 46(39.0) | 72(61.0) | | |
| 年龄（岁） | ≤30 | 51(53.7) | 44(46.3) | 1.982 | 0.159 | 39(41.1) | 56(58.9) | 0.591 | 0.442 |
| >30 | 39(43.3) | 51(56.7) | | | 32(35.6) | 58(64.4) | | |
| 学历 | 大专以下 | 27(69.2) | 12(30.8) | 8.380 | 0.004 | 15(38.5) | 24(61.5) | 0.000 | 0.990 |
| 本科以上 | 63(43.2) | 83(56.8) | | | 56(38.4) | 90(61.6) | | |
| 从事精神障碍防治工作年限（年） | 1.0 (0.5, 3.0) | 0.5 (0.5, 2.0) | 3 809.000 | 0.194 | 1.5 (0.5, 3.0) | 0.5 (0.5, 2.0) | 3 288.500 | 0.030 |
| 单位类型 | 医疗机构 | 55(52.4) | 50(47.6) | 1.354 | 0.245 | 42(40.0) | 63(60.0) | 0.270 | 0.603 |
| 其他机构 | 35(43.8) | 45(56.3) | | | 29(36.3) | 51(63.7) | | |
| 职称 | 初级 | 70(50.4) | 69(49.6) | 0.655 | 0.418 | 52(37.4) | 87(62.6) | 0.222 | 0.638 |
| 中级以上 | 20(43.5) | 26(56.5) | | | 19(41.3) | 27(58.7) | | |
| 职务 | 无 | 74(47.4) | 82(52.6) | 0.586 | 0.444 | 60(38.5) | 96(61.5) | 0.003 | 0.957 |
| 有 | 16(55.2) | 13(44.8) | | | 11(37.9) | 18(62.1) | | |
), ArticleFig(id=1311349857617535656, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=CN, label=表3, caption=
不同特征人群的职业倦怠各维度检出率比较［n（%）,M（P25，P75）］
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 职业倦怠 | 情感衰竭 |
| 阴性 | 阳性 | χ2/U值 | P值 | 轻度 | 中度以上 | χ2/U值 | P值 |
| 性别 | 男 | 11(16.4) | 56(83.6) | 1.533 | 0.216 | 18(26.9) | 49(73.1) | 0.008 | 0.930 |
| 女 | 12(10.2) | 106(89.8) | | | 31(26.3) | 87(73.7) | | |
| 年龄（岁） | ≤30 | 13(13.7) | 82(86.3) | 0.281 | 0.596 | 27(28.4) | 68(71.6) | 0.375 | 0.540 |
| >30 | 10(11.1) | 80(88.9) | | | 22(24.4) | 68(75.6) | | |
| 学历 | 大专以下 | 8(20.5) | 31(79.5) | 2.964 | 0.085 | 20(51.3) | 19(48.7) | 15.604 | <0.001 |
| 本科以上 | 15(10.3) | 131(89.7) | | | 29(19.9) | 117(80.1) | | |
| 从事精神障碍防治工作年限（年） | 2.0 (0.5, 4.0) | 0.9 (0.5, 2.0) | 1 445.500 | 0.078 | 2.0 (0.5, 3.0) | 0.5 (0.5, 2.0) | 2 489.000 | 0.008 |
| 单位类型 | 医疗机构 | 14(13.3) | 91(86.7) | 0.181 | 0.670 | 30(28.6) | 75(71.4) | 0.542 | 0.462 |
| 其他机构 | 9(11.3) | 71(88.7) | | | 19(23.8) | 61(76.2) | | |
| 职称 | 初级 | 15(10.8) | 124(89.2) | 1.383 | 0.240 | 40(28.8) | 99(71.2) | 1.506 | 0.220 |
| 中级以上 | 8(17.4) | 38(82.6) | | | 9(19.6) | 37(80.4) | | |
| 职务 | 无 | 19(12.2) | 137(87.8) | 0.058 | 0.809 | 38(24.4) | 118(75.6) | 2.313 | 0.128 |
| 有 | 4(13.8) | 25(86.2) | | | 11(37.9) | 18(62.1) | | |
| 项目 | | 去人格化 | 成就感降低 |
| 轻度 | 中度以上 | χ2/U值 | P值 | 轻度 | 中度以上 | χ2/U值 | P值 |
| 性别 | 男 | 37(55.2) | 30(44.8) | 1.818 | 0.178 | 25(37.3) | 42(62.7) | 0.050 | 0.822 |
| 女 | 53(44.9) | 65(55.1) | | | 46(39.0) | 72(61.0) | | |
| 年龄（岁） | ≤30 | 51(53.7) | 44(46.3) | 1.982 | 0.159 | 39(41.1) | 56(58.9) | 0.591 | 0.442 |
| >30 | 39(43.3) | 51(56.7) | | | 32(35.6) | 58(64.4) | | |
| 学历 | 大专以下 | 27(69.2) | 12(30.8) | 8.380 | 0.004 | 15(38.5) | 24(61.5) | 0.000 | 0.990 |
| 本科以上 | 63(43.2) | 83(56.8) | | | 56(38.4) | 90(61.6) | | |
| 从事精神障碍防治工作年限（年） | 1.0 (0.5, 3.0) | 0.5 (0.5, 2.0) | 3 809.000 | 0.194 | 1.5 (0.5, 3.0) | 0.5 (0.5, 2.0) | 3 288.500 | 0.030 |
| 单位类型 | 医疗机构 | 55(52.4) | 50(47.6) | 1.354 | 0.245 | 42(40.0) | 63(60.0) | 0.270 | 0.603 |
| 其他机构 | 35(43.8) | 45(56.3) | | | 29(36.3) | 51(63.7) | | |
| 职称 | 初级 | 70(50.4) | 69(49.6) | 0.655 | 0.418 | 52(37.4) | 87(62.6) | 0.222 | 0.638 |
| 中级以上 | 20(43.5) | 26(56.5) | | | 19(41.3) | 27(58.7) | | |
| 职务 | 无 | 74(47.4) | 82(52.6) | 0.586 | 0.444 | 60(38.5) | 96(61.5) | 0.003 | 0.957 |
| 有 | 16(55.2) | 13(44.8) | | | 11(37.9) | 18(62.1) | | |
), ArticleFig(id=1311349857714004649, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=EN, label=Table 4, caption=
Analysis of influencing factors on job burnout
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 职业倦怠 | 情感衰竭 | 去人格化 | 成就感降低 |
|---|
| OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 |
|---|
| 性别 | 男 | — | — | — | — | — | — | — | — |
| 女 | 0.563
(0.218～1.455) | 0.236 | 0.994
(0.475～2.080) | 0.987 | 0.690
(0.364～1.308) | 0.256 | 1.165
(0.615～2.209) | 0.639 |
| 年龄（岁） | ≤30 | — | — | — | — | — | — | — | — |
| >30 | 0.583
(0.184～1.848) | 0.360 | 0.898
(0.392～2.058) | 0.799 | 0.685
(0.337～1.393) | 0.296 | 0.656
(0.320～1.345) | 0.250 |
| 学历 | 大专以下 | — | — | — | — | — | — | — | — |
| 本科以上 | 0.369
(0.131～1.040) | 0.059 | 0.265
(0.121～0.582) | 0.001 | 0.354
(0.161～0.778) | 0.010 | 1.025
(0.481～2.185) | 0.949 |
| 从事精神障碍防治工作年限（年） | 0.822
(0.693～0.976) | 0.025 | 0.825
(0.703～0.967) | 0.018 | 0.909
(0.787～1.049) | 0.191 | 0.910
(0.793～1.044) | 0.177 |
| 单位类型 | 医疗机构 | — | — | — | — | — | — | — | — |
| 其他机构 | 0.824
(0.318～2.133) | 0.798 | 0.630
(0.304～1.306) | 0.214 | 0.641
(0.344～1.195) | 0.162 | 0.854
(0.461～1.580) | 0.615 |
| 职称 | 初级 | — | — | — | — | — | — | — | — |
| 中级以上 | 2.312
(0.655～8.159) | 0.193 | 0.490
(0.174～1.377) | 0.490 | 0.886
(0.388～2.024) | 0.774 | 1.254
(0.549～2.867) | 0.592 |
| 职务 | 无 | — | — | — | — | — | — | — | — |
| 有 | 0.967
(0.262～3.574) | 0.960 | 2.095
(0.778～5.647) | 0.093 | 1.552
(0.638～3.775) | 0.333 | 1.049
(0.433～2.543) | 0.916 |
), ArticleFig(id=1311349857781113514, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1311349853318374027, language=CN, label=表4, caption=
倦怠影响因素分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 项目 | | 职业倦怠 | 情感衰竭 | 去人格化 | 成就感降低 |
|---|
| OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 | OR(95%CI) | P值 |
|---|
| 性别 | 男 | — | — | — | — | — | — | — | — |
| 女 | 0.563
(0.218～1.455) | 0.236 | 0.994
(0.475～2.080) | 0.987 | 0.690
(0.364～1.308) | 0.256 | 1.165
(0.615～2.209) | 0.639 |
| 年龄（岁） | ≤30 | — | — | — | — | — | — | — | — |
| >30 | 0.583
(0.184～1.848) | 0.360 | 0.898
(0.392～2.058) | 0.799 | 0.685
(0.337～1.393) | 0.296 | 0.656
(0.320～1.345) | 0.250 |
| 学历 | 大专以下 | — | — | — | — | — | — | — | — |
| 本科以上 | 0.369
(0.131～1.040) | 0.059 | 0.265
(0.121～0.582) | 0.001 | 0.354
(0.161～0.778) | 0.010 | 1.025
(0.481～2.185) | 0.949 |
| 从事精神障碍防治工作年限（年） | 0.822
(0.693～0.976) | 0.025 | 0.825
(0.703～0.967) | 0.018 | 0.909
(0.787～1.049) | 0.191 | 0.910
(0.793～1.044) | 0.177 |
| 单位类型 | 医疗机构 | — | — | — | — | — | — | — | — |
| 其他机构 | 0.824
(0.318～2.133) | 0.798 | 0.630
(0.304～1.306) | 0.214 | 0.641
(0.344～1.195) | 0.162 | 0.854
(0.461～1.580) | 0.615 |
| 职称 | 初级 | — | — | — | — | — | — | — | — |
| 中级以上 | 2.312
(0.655～8.159) | 0.193 | 0.490
(0.174～1.377) | 0.490 | 0.886
(0.388～2.024) | 0.774 | 1.254
(0.549～2.867) | 0.592 |
| 职务 | 无 | — | — | — | — | — | — | — | — |
| 有 | 0.967
(0.262～3.574) | 0.960 | 2.095
(0.778～5.647) | 0.093 | 1.552
(0.638～3.775) | 0.333 | 1.049
(0.433～2.543) | 0.916 |
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