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La misurazione del burnout nei contesti sanitari: validità di costrutto e invarianza fattoriale della versione italiana dello Spanish Burnout Inventory (SBI-Ita)
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Sara Viotti, Gloria Guidetti, Pedro Gil-Monte, Daniela Converso 
Anno di pubblicazione:  2017 Fascicolo: Lingua: Italiano 
Numero pagine:  22 P. 123-144 Dimensione file:  299 KB
DOI:  10.3280/PDS2017-001007
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Introduzione. Il burnout rappresenta un rischio psicosociale rilevante nel contesto sanitario. La disponibilità di strumenti di valutazione del burnout di cui sono note le qualità psicometriche specificatamente riferite al contesto sanitario italiano è dunque importante al fine dell’affidabilità della misurazione del fenomeno. Obiettivo. Scopo del presente lavoro è quello di fornire evidenze empiriche circa le caratteristiche psicometriche della versione italiana dello Spanish Burnout Inventory (SBI-Ita) in riferimento al contesto sanitario. Metodo. Il presente lavoro si basa su dataset provenienti da due studi distinti. Lo Studio I ha coinvolto 318 lavoratori del comparto sanitario impiegati in due presidi. Lo Studio II ha coinvolto 695 medici e infermieri di una azienda sanitaria. Risultati. Dall’analisi dei dati provenienti dallo Studio I, in cui sono stati messi in competizione differenti modelli, emerge che il modello quadri-fattoriale ipotizzato da Gil-Monte (Entusiasmo per il lavoro, Esaurimento psicologico, Indolenza, Colpa) è quello che meglio intercetta la struttura soggiacente ai dati. Le analisi sui dati dello Studio II evidenziano che la struttura fattoriale è invariante tra i sottogruppi di medici e infermieri. Discussione e Conclusioni. I risultati indicano che lo SBI-Ita riporta caratteristiche psicometriche soddisfacenti rappresentando uno strumento adeguato per la misurazione del burnout nei contesti sanitari in Italia. Può essere utilizzato proficuamente nell’ambito di rilevazioni volte alla valutazione dei rischi psicosociali in intere popolazioni lavorative (es., valutazione stress-lavoro correlato in adempimento alla L.81/08), e in fase di approfondimento diagnostico nell’ambito di interventi volti al sostegno individuale del lavoratore.


Keywords: Spanish Burnout Inventory (SBI), medici, infermieri, analisi fattoriale confermativa (CFA), invarianza fattoriale

  1. Kroenke K., Spitzer R.L. and Williams J.B. (2001). The PHQ-9: a validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9): 606-613.
  2. Avanzi L., Balducci C. and Fraccaroli F. (2013). Contributo alla validazione italiana del Copenhagen Burnout Inventory (CBI) [Contribution to the validation of the Italian version of Copenhagen Burnout Inventory (CBI)]. Psicologia della Salute, 2(2): 120-135., 10.3280/PDS2013-00200DOI: 10.3280/PDS2013-00200
  3. Baumeister R.F., Stillwell A.M. and Heatherton T.F. (1994). Guilt: An interpersonal approach. Psychological Bulletin, 115: 243-267., 10.1037/0033-2909.115.2.24DOI: 10.1037/0033-2909.115.2.24
  4. Brenninkmeyer V. and Van Yperen N.W. (2003). How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occupational and Environmental Medicine, 60(1): i16-i20.
  5. Byrne B.M. (2013). Structural equation modeling with AMOS: Basic concepts, applications, and programming. New York (NY): Taylor & Francis Group, Routledge.
  6. Cohen T.R., Panter A.T. and Turan N. (2013). Predicting counterproductive work behavior from guilt proneness. Journal of Business Ethics, 114: 45-53.
  7. Del Rio G. (1990). Stress e lavoro nei servizi: sintomi, cause e rimedi del burnout. [Stress and working in the social services: causes and cures of burnout]. Roma: La Nuova Italia Scientifica.
  8. Demerouti E. (1999). Burnout: Eine Folge Konkreter Abeitsbedingungen bei Dienstleistungs und Produktionstdtigkeiten [Burnout: A consequence of specific working conditions among human service and production tasks]. Frankfurt/Main: Lang.
  9. Figueiredo-Ferraz H., Gil-Monte P. and Grau-Alberola E. (2013). Psychometric properties of the “Spanish Burnout Inventory” (SBI): Adaptation and validation in a Portuguese-speaking sample. European Review of Applied Psychology, 63(1): 33-40.
  10. Figueiredo-Ferraz H., Gil-Monte P., Queirós C. and Passos F. (2014). Factorial Validity of the “Spanish Burnout Inventory” among Portuguese Police Officers. Psicologia: Reflexão e Crítica, 27(2): 291-299., 10.1590/1678-7153.20142720DOI: 10.1590/1678-7153.20142720
  11. Ghatavi K., Nicolson R., MacDonald C., Osher O., and Levitt, A. (2002). Defining guilt in depression: A comparison of subjects with major depression, chronic medical illness and healthy controls. Journal of Affective Disorders, 68: 307-315., 10.1016/S0165-0327(01)00335-DOI: 10.1016/S0165-0327(01)00335-
  12. Gil-Monte P. (2005). El síndrome de quemarse por el trabajo (Burnout): una enfermedad laboral en la sociedad del bienestar. Madrid: Ediciones Pirámide., 10.13140/2.1.4614.880DOI: 10.13140/2.1.4614.880
  13. Gil-Monte P., Figueiredo-Ferraz H. and Valdez-Bonilla H. (2013). Factor analysis of the “Spanish Burnout Inventory” among Mexican prison employees. Canadian Journal of Behavioral Science, 45(2): 96-104.
  14. Gil-Monte P. and Figueiredo-Ferraz H. (2013). Psychometric properties of the Spanish Burnout Inventory among employees working with people with intellectual disability. Journal of Intellectual Disability Research, 57: 959-968.
  15. Gil-Monte P. and Manzano-García G. (2015). Psychometric properties of the Spanish Burnout Inventory among staff nurses. Journal of Psychiatric and Mental Health Nursing, 22 (10): 756-763.
  16. Gil-Monte P. and Olivares V. (2011). Psychometric properties of the “Spanish Burnout Inventory” in Chilean professionals working to physical disabled people. The Spanish Journal of Psychology, 14(1): 441-451.
  17. Gil-Monte, P. and Zúniga-Caballero, L.C. (2010). Validez factorial del “Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo” (CESQT) en una muestra de médicos mexicanos [Factorial validity of the “Spanish Burnout Inventory” (SBI) in a sample of Mexican doctors]. Universitas Psychologica, 9: 169-178.
  18. Gil-Monte P. (2012). The Influence of Guilt on the Relationship Between Burnout and Depression. European Psychologist, 17(3): 231-236.
  19. Hamric A B. and Blackhall, L. J. (2007). Nurse-physician perspectives on the care of dying patients in intensive care units: Collaboration, moral distress, and ethical climate. Critical care medicine, 35(2): 422-429., 10.1097/01.CCM.0000254722.50608.2DOI: 10.1097/01.CCM.0000254722.50608.2
  20. Hall P. (2005). Interprofessional teamwork: Professional cultures as barriers. Journal of Interprofessional care, 19(1): 188-196., 10.1080/135618205000817DOI: 10.1080/135618205000817
  21. Hu L. and Bentler F.B. (1999). Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6: 1-55., 10.1080/1070551990954011DOI: 10.1080/1070551990954011
  22. Jones, J.W. (1980). The Staff Burnout Scale for Health Professionals (SBS-HP): Preliminary Test Manual. London House Press.
  23. Kanste O., Miettunen J. and Kyngäs H. (2006). Factor structure of the Maslach Burnout Inventory among Finnish nursing staff. Nursing & Health Sciences, 8(4): 201-207.
  24. Kline R.B. (2005). Principles and practices of structural equation modeling (2nd ed.). New York: Guilford Press.
  25. Kristensen T.S., Borritz M., Villadsen E. and Christensen K.B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work and Stress,19(3): 192-207., 10.1080/0267837050029772DOI: 10.1080/0267837050029772
  26. Loera B., Converso D. and Viotti S. (2014). Evaluating the psychometric properties of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) among Italian nurses: how many factors must a researcher consider? PloS one, 9(12): e114987.
  27. Magnavita N., Fileni A. and Bergamaschi A. (2009). Satisfaction at work among radiologists. La Radiologia Medica, 114: 1330-1344.
  28. Maslach C. (2003). Burnout: The cost of caring. Cambridge (MA): Malor Books.
  29. Maslach C. and Jackson S.E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2(2): 99-113.
  30. Mazzotti E., Fassone G., Picardi A., Sagoni E., Ramieri L., Lega I., Camaioni D., Abeni D. and Pasquini P. (2003). The Patient Health Questionnaire (PHQ) for the screening of psychiatric disorder: a validation study versus the Structured Clinical Interview for DSM-IV Axis I (SCID-I). Italian Journal of Psychopatology, 9: 235-242.
  31. Meade A.W., Johnson E.C. and Braddy P.W. (2008). Power and sensitivity of alternative fit indices in tests of measurement invariance. Journal of Applied Psychology, 93(3): 568-592., 10.1037/0021-9010.93.3.56DOI: 10.1037/0021-9010.93.3.56
  32. Obholzer A. e Zagier Roberts V. (1998). L’inconscio al lavoro: stress individuale e organizzativo nei servizi alla persona. Milano: Etas libri.
  33. Olivares-Faúndez V.E., Gil-Monte P.R. and Figueiredo-Ferraz H. (2014). The mediating role of feelings of guilt in the relationship between burnout and the consumption of tobacco and alcohol. Japanese Psychological Research, 56(4): 340-348.
  34. Pines A. and Aronson E. (1980). Career burnout: Causes and cures. New York: Free Press, 1988.
  35. Pisanti R., Lombardo C., Lucidi F., Violani C. and Lazzari D. (2013). Psychometric properties of the Maslach Burnout Inventory for Human Services among Italian nurses: a test of alternative models. Journal of Advanced Nursing, 69(3): 697-707.
  36. Poghosyan L., Aiken L.H. and Sloane D.M. (2009). Factor structure of the Maslach Burnout Inventory: an analysis of data from large scale cross-sectional surveys of nurses from eight countries. International Journal of Nursing Studies, 46(7): 894-902.
  37. Rabasa B., Figueiredo-Ferraz H., Gil-Monte P.R. and M. Llorca-Pellicer (2016). The Role of Guilt in the Relationship Between Teacher’s Job Burnout Syndrome and the Inclination Toward Absenteeism. Revista de Psicodidactica, 21: 103-119.
  38. Richardsen, A.M. and Martinussen, M. (2004). The Maslach Burnout Inventory: Factorial validity and consistency across occupational groups in Norway. Journal of Occupational and Organizational Psychology, 77: 377-384., 10.1348/096317904175269DOI: 10.1348/096317904175269
  39. Santinello M. (2005). LBQ. Link Burnout Questionnaire, il manuale. Firenze: Organizzazioni Speciali.
  40. Schaufeli W.B. and Enzmann D. (1998). The burnout companion to study and practice: A critical analysis. London: Taylor e Francis.
  41. Seligman M.E. (1975). Helplessness: On depression, development, and death. New York: WH Freeman/Times Books/Henry Holt e Co.
  42. Tucker L.R. and Lewis C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38: 1-10., 10.1007/BF0229117DOI: 10.1007/BF0229117
  43. Viotti S. and Converso, D. (2016). Relationship between job demands and psychological outcomes among nurses: does skill discretion matter. International Journal of Occupational Medicine Environmental Health, 29(3): 439-460.
  44. Viotti S., Gil-Monte P. and Converso D. (2015). Toward validating the Italian version of the “Spanish Burnout Inventory”: a preliminary study on an Italian nursing sample. Revista da Escola de Enfermagem da USP, 49(5): 819-825., 10.1590/S0080-62342015000050001DOI: 10.1590/S0080-62342015000050001
  45. Warr P., Cook J.D. and Wall T.D. (1979). Scales for the measurement of work attitudes and psychological well-being. Journal of Occupational and Organizational Psychology, 58: 129-148.



  1. Gloria Guidetti, Sara Viotti, Pedro R. Gil-Monte, Daniela Converso, Feeling Guilty or Not Guilty. Identifying Burnout Profiles among Italian Teachers in Current Psychology /2018 pp. 769, DOI: 10.1007/s12144-016-9556-6
  2. Ilaria Sottimano, Gloria Guidetti, Daniela Converso, Sara Viotti, Leonidas G Koniaris, We cannot be “forever young,” but our children are: A multilevel intervention to sustain nursery school teachers’ resources and well-being during their long work life cycle in PLOS ONE /2018 pp. e0206627, DOI: 10.1371/journal.pone.0206627
  3. Mara Martini, Sara Viotti, Daniela Converso, Jolanda Battaglia, Barbara Loera, When social support by patrons protects against burnout: A study among Italian public library workers in Journal of Librarianship and Information Science /2019 pp. 1091, DOI: 10.1177/0961000618763716

Sara Viotti, Gloria Guidetti, Pedro Gil-Monte, Daniela Converso, in "PSICOLOGIA DELLA SALUTE" 1/2017, pp. 123-144, DOI:10.3280/PDS2017-001007

   

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