Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0011551 (depersonalization)
 1,117 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselves and fearful, demanding patients on a daily basis. The purpose of this study was to assess the prevalence of burnout among military dentists practicing at a large installation using a standardized measurement device, the Maslach Burnout Inventory. Results indicate that the military dentists surveyed experience low to moderate levels of burnout. The military dentists sampled, in general, scored lower for burnout when compared to the norms of society and medicine.
Mil Med 1991 Mar
PMID:Prevalence of burnout among military dentists. 190 70

The present study examined the relationship between peritraumatic dissociation, hardiness, and military performance in Norwegian Navy officer cadets (N = 80) after a simulated prisoner of war (POW) exercise. The cadets reported symptoms of peritraumatic amnesia, depersonalization, and derealization in response to a mild stress experience (time point 1) and exhibited a significant increase in such symptoms when subsequently exposed to a highly stressful experience of being placed in a mock POW camp (time point 2). Symptoms of peritraumatic dissociation were significantly and negatively related to performance, and predicted between 16 and 26% of the variance between subjects. A subscale of the personality hardiness measure (i.e., the subdimension of challenge) was negatively associated with peritraumatic dissociation in response to both the mild stress situation and the more stressful POW exercise in study subjects. Hardiness was not significantly associated with military performance scores. The present data indicate that individual differences in attribution style and in a propensity to dissociate significantly affect military performance during exposure to high stress situations.
Mil Med 2006 May
PMID:Dissociation, hardiness, and performance in military cadets participating in survival training. 1676 96

The purpose of this study was to examine the levels of burnout among U.S. Army and civilian nursing personnel assigned to a large military treatment facility. Using a cross-sectional design, a convenience sample of eligible participants (n = 364) completed the Maslach Burnout Inventory. T-test and ordinal logistic regression were used to analyze data. Findings suggest that both groups were experiencing a moderate level of burnout. However, civilian nursing personnel demonstrated statistical lower levels of emotional exhaustion and depersonalization. Findings suggest that nursing personnel who worked the day shift, no more than 8 hours a day and had fewer patient care contacts with military personnel injured in Iraq or Afghanistan reported lower levels of emotional exhaustion and depersonalization. This study provides ideas for policy changes at medical treatment facilities that are experiencing similar challenges.
Mil Med 2010 Jun
PMID:Nursing burnout: cross-sectional study at a large Army hospital. 2057 77

Recent years have seen the emergence and proliferation of "legal highs" or "designer drugs," compounds purposefully designed as legal alternatives to controlled substances of abuse. This article describes methoxetamine, a dissociative drug belonging to the arylcyclohexylamine class including phencyclidine and ketamine. Methoxetamine acts principally on the glutamatergic N-methyl-D-aspartate receptor and the serotonin receptor. It is sold as a white or off-white powder. Marketed as a "bladder friendly" alternative to ketamine, preliminary research suggests renal and cystic toxicity similar to ketamine. Methoxetamine is primarily ingested nasally, though also orally, intramuscularly, intravenously, and rectally. Users report dissociative features and, at higher doses, an "m-hole" experience akin to ketamine's "k-hole" described as extreme depersonalization and derealization. The 13 cases of acute methoxetamine toxicity described in the literature are summarized. The toxidrome consists of dissociation/delirium, sympathetic activation, and cerebellar symptoms. Methoxetamine is not detected in standard urine drug tests and there are no reliable laboratory findings. Management of acute methoxetamine toxicity is supportive, consisting of benzodiazepines, antiemetics, intravenous fluids, and respiratory support as indicated. Should methoxetamine conform to the observed 2-year lag of designer drugs migrating from Europe to the United States usage may increase in early 2014.
Mil Med 2014 Oct
PMID:The ketamine analog methoxetamine: a new designer drug to threaten military readiness. 2526 34