TY - JOUR
T1 - Exploring burnout and depression of Thai medical students
T2 - the psychometric properties of the Maslach burnout inventory
AU - Puranitee, Pongtong
AU - Saetang, Siam
AU - Sumrithe, Sutida
AU - Busari, Jamiu O.
AU - van Mook, Walther N. K. A.
AU - Heeneman, Sylvia
PY - 2019/11/29
Y1 - 2019/11/29
N2 - Objectives: To examine the psychometric properties of the Maslach Burnout Inventory-Student Survey (MBI-SS) Thai version and to determine the frequency of burnout and correlation between burnout and associated factors.Methods: A cross-sectional study was conducted among undergraduate medical students using convenience sampling (n=545, 76.1% response rate, female 52.1%). Data were collected by a self-report survey. The MBI-SS was translated in Thai and tested for internal consistency using Cronbach's coefficient alpha. A confirmatory factor analysis was performed using as fit indices of the chi-square and degree of freedom ratio (chi(2)/df), Comparative Fit Index (CFI), the Goodness of Fit Index (GFI), the Non-normed Fit Index (NNFI), Akaike information criterion (AIC) and the Root Mean Square Error of Approximation (RMSEA). Spearman and Kendall's tau-b were used to identify correlations between burnout, depression and other factors.Results: Interrater reliability was acceptable with Kappa of 0.83. Confirmatory factor analysis demonstrated good fit indices (chi(2)/df=197.62/83, CFI=0.97, GFI=0.95, NNFI=0.96, AIC=271.62 and RMSEA=0.06). Burnout had a weak, positive association with the PHQ-9 (r=0.294, df=2, p<0.001). The screening depression score had a significant, modest positive association with emotional exhaustion (r=0.469, df=4, pConclusions: The Thai version of the MBI-SS had adequate psychometric properties among Thai medical students and can be used to assess burnout among undergraduate medical students in Thailand. Burnout was associated with risk for depression. Further studies on other associated factors contributing to depression are suggested.
AB - Objectives: To examine the psychometric properties of the Maslach Burnout Inventory-Student Survey (MBI-SS) Thai version and to determine the frequency of burnout and correlation between burnout and associated factors.Methods: A cross-sectional study was conducted among undergraduate medical students using convenience sampling (n=545, 76.1% response rate, female 52.1%). Data were collected by a self-report survey. The MBI-SS was translated in Thai and tested for internal consistency using Cronbach's coefficient alpha. A confirmatory factor analysis was performed using as fit indices of the chi-square and degree of freedom ratio (chi(2)/df), Comparative Fit Index (CFI), the Goodness of Fit Index (GFI), the Non-normed Fit Index (NNFI), Akaike information criterion (AIC) and the Root Mean Square Error of Approximation (RMSEA). Spearman and Kendall's tau-b were used to identify correlations between burnout, depression and other factors.Results: Interrater reliability was acceptable with Kappa of 0.83. Confirmatory factor analysis demonstrated good fit indices (chi(2)/df=197.62/83, CFI=0.97, GFI=0.95, NNFI=0.96, AIC=271.62 and RMSEA=0.06). Burnout had a weak, positive association with the PHQ-9 (r=0.294, df=2, p<0.001). The screening depression score had a significant, modest positive association with emotional exhaustion (r=0.469, df=4, pConclusions: The Thai version of the MBI-SS had adequate psychometric properties among Thai medical students and can be used to assess burnout among undergraduate medical students in Thailand. Burnout was associated with risk for depression. Further studies on other associated factors contributing to depression are suggested.
KW - Burnout
KW - undergraduate medical student
KW - medical education
KW - medical student wellness
KW - depression
KW - SUICIDAL IDEATION
KW - ENGAGEMENT
KW - UNIVERSITY
KW - PREVALENCE
KW - SYMPTOMS
KW - VALIDITY
KW - STRESS
KW - US
U2 - 10.5116/ijme.5dc6.8228
DO - 10.5116/ijme.5dc6.8228
M3 - Article
C2 - 31786565
SN - 2042-6372
VL - 10
SP - 223
EP - 229
JO - International Journal of Medical Education
JF - International Journal of Medical Education
ER -