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Ehsan Bastami, Kourosh Sayehmiri, Tahereh Bastami, Behzad Cheraghizadegan,
Volume 10, Issue 3 (8-2020)
Abstract

Introduction: Burnout dimensions include the emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA).
Materials and Methods: The information was obtained from searching standard Persian and English keywords in accessible databases including: Scopus, Magiran, SID, Science Direct  and  PubMed from database commencement to April 2017. Data  Analysis was performed using Stata version 11.1., and p value was considered less than 0.05.
Results: In the systematic review 43 studies met the inclusion criteria, and 9456 people were evaluated. The prevalence of burnout was calculated in any of the three dimensions of burnout. The prevalence of the Emotional Exhaustion (EE) dimension of burnout was%36 (%95CI: 29-42), the Depersonalization (DP) dimension was%23 (%95CI: 18-29) and the Personal Accomplishment (PA) dimension was%46 (%95CI: 39-53). Based on the type of the job, the maximum prevalence of the EE, DP and PA dimensions was in librarians 67% (%95CI:40-93), university staff 51% (14-88) and dentists 72%(%95CI:65-79), respectively. Meta regression results showed that there was no significant relationship between the year of publication and the prevalence of burnout.
Conclusion: According to the prevalence of burnout in Iran and the high prevalence of the PA dimension, it is recommended to consider mediating strategies for reducing and controlling stressful occupational events and burnout in organizational schedule.
Zeinab Rostami, Mohammad Reza Abedi, Parisa Nilforooshan,
Volume 13, Issue 4 (12-2023)
Abstract

Introduction: Due to the lack of an instrument for measuring the career issues of those with bipolar disorder, the present study was conducted to develop and examine the psychometric characteristics of the Career Issues Inventory for Persons with Bipolar Disorder (CII-BD).
Material and Methods: To check the diagnostic validity, via purposive sampling and interviews by a psychiatrist, 108 people were selected from two sample groups (53 normal people and 55 participants with bipolar disorder). The items were extracted from three sources including scientific articles related to the career issues of bipolar people, interviews with individuals with bipolar disorder, and interviews with experts using the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) systematic qualitative method. Finally, the items of the CII-BD were reduced to 81 questions. Content, construct, and convergent validity plus factor analysis of CII-BD were also examined. The reliability of CII-BD was evaluated by internal consistency and test-retest method with seven weeks intervals after the initial implementation of the CII-BD.
Results: The convergent validity of the sum score of CII-BD with the sum score of the symptom inventory of people with bipolar disorder among the sample of normal people and the sample of persons with bipolar disorder was (r=0.79, P<0.01, N=53) and (r=0.78, P<0.0001, N=53) respectively. In construct validity examination, nine subscales were extracted using the factor analysis method with varimax rotation, which included communication problems, poor work performance, insecurity, grandiosity, unreliability, change-seeking, vulnerability, lack of boundaries, and lack of self-control towards the opposite sex. In the reliability analysis, Cronbach’s alpha coefficient was 0.96 (N=55, participants with bipolar disorder) and 0.86 (N=53, normal people), respectively, P<0.05, showing the high internal consistency of CII-BD. The test-retest correlation coefficient of the sum scores of the CII-BD was r = 0.91, P < 0.01, which indicated the credible stability of the CII-BD.
Conclusion: The CII-BD is a valid and reliable instrument to measure the specific career issues of bipolar persons and their early vocational rehabilitation. It is suggested that future research should focus on choosing a job and job placement for bipolar disorder persons.

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