• A. HOLMAN “Alexandru Ioan Cuza” University of Iasi
  • Ioana-Maria GAVRILESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Iulia-Diana MURARU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • F.D. PETRARIU “Grigore T. Popa” University of Medicine and Pharmacy Iasi


ALEXITHYMIA AND THE BIG FIVE PERSONALITY TRAITS AS PREDICTORS OF BURNOUT AMONG MEDICAL STUDENTS (Abstract): Professional exhaustion or burnout in health professionals has become a serious problem, as previous studies documented its effects on personal and professional life, such as a lower quality of care, reduced level of patient satisfaction, and problems with patient safety. Aim: Our study aimed to assess the influence of several psychological, demographic and academic characteristics on Romanian medical students’ levels of burnout. Material and methods: Participants (315 students in general medicine) were administered three psychological instruments: Maslach Burnout Inventory, measuring the general level of burnout and its three dimensions: emotional exhaustion, depersonalization and personal accomplishment; Big Five Inventory, evaluating the Big Five Factors (dimensions) of personality: Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness; and Toronto Alexithymia Scale, assessing one’s difficulties with emotional processing and emotional awareness on three dimensions: difficulty of describing feelings, difficulty of identifying feelings, and externally-oriented thinking. Results show that students with higher levels of Neuroticism also report higher levels of Emotional Exhaustion. Also, more extravert, conscientious, open, and less neurotic students experience a greater sense of Personal Accomplishment, while students low on Agreeableness score high on Depersonalization. Associations between the three facets of burnout and demographic and academic variables were also found. Conclusions: such psychological profiles of burnout vulnerability among medical students could inform future academic guidance programs designed to prevent burnout at younger stages of medical training.

Author Biographies

A. HOLMAN, “Alexandru Ioan Cuza” University of Iasi

Faculty of Psychology and Educational Sciences

Ioana-Maria GAVRILESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Preventive Medicine and Interdisciplinarity

Iulia-Diana MURARU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Preventive Medicine and Interdisciplinarity

F.D. PETRARIU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Preventive Medicine and Interdisciplinarity


1. Haik J, Brown S, Liran A, Visentin D, Sokolov A, Zilinsky I, Kornhaber R. Burnout and compassion fatigue: prevalence and associations among Israeli burn clinicians. Neuropsychiatric disease and treatment 2017; 13: 1533.
2. Sinsky C, Shanafelt T, Murphy ML, de Vries P, Bohman B, Olson K, Linzer M. Creating the Organi-zational Foundation for Joy in Medicine™, 2017.
3. Shanafelt T, Goh J, Sinsky C. The Business Case for Investing in Physician Well-being. JAMA Internal Medicine 2017; 177(12): 1826-1832.
4. Iorga M, Dascălu N, Soponaru C, et al. Burnout Syndrome among Public Ambulance Staff. Rev Med Chir Soc Med Nat Iasi 2015; 119(4): 1128-1132.
5. Iorga M, Soponaru C, Ioan B. The burnout syndrome of forensic pathologists. The influences of personality traits, job satisfaction and environmental factors. Rom J Leg Med 2016; 24(4): 325-332.
6. Iorga M, Dondaș C, Ioan BG, et al. The contribution of alexithymia to burnout in forensic physi-cians. Rev Med Chir Soc Med Nat Iasi 2016; 120(4): 900-908.
7. Iorga M, Socolov V, Muraru D, et al. Factors Influencing Burnout Syndrome in Obstetrics and Gyne-cology Physicians. BioMed Research International, 2017, DOI: 10.11.55-2017-9318534.
8. Iorga M, Dondaș C, Sztankovsky LZ, et al. Burnout Syndrome among Hospital Pharmacists in Ro-mania. Farmacia 2018; 66(1): 81-86.
9. Zugun-Eloae C, Iorga M, Gavrilescu IM, et al. Motivation, stress and satisfaction among medical students. Rev Med Chir Soc Med Nat Iasi 2016; 120(3): 688-693.
10. Iorga M, Muraru D, Soponaru C, Petrariu FD. Factors Influencing the Level of Depression among Freshman Nursing Students. Rev Med Chir Soc Med Nat Iasi 2017; 121(4): 779-786.
11. Maslach C, Jackson SE, Leiter MP, Schaufeli WB, Schwab RL. Maslach burnout inventory. Palo Alto, CA: Consulting Psychologists Press, 1986.
12. John OP, Donahue EM, Kentle RL. The big five inventory-Versions 4a and 54. Berkeley. CA: Uni-versity of California, Berkeley, Institute of Personality and Social Research, 1991, 54.
13. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research 1994; 38(1): 23-32.
14. Chang E, Eddins-Folensbee F, Coverdale J. Survey of the prevalence of burnout, stress, depression, and the use of supports by medical students at one school. Acad Psychiatry 2012; 36(3): 177-182.
15. Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, Shanafelt TD. Personal life events and medical student burnout: a multicenter study. Acad Med 2006; 81(4): 374-384.
16. Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, Shanafelt TD. Burnout among U.S. medical students, residents, and early career physicians relative to the general US population. Acad Med 2014; 89(3): 443-451.
17. Erschens R, Keifenheim KE, Herrmann-Werner A, Loda T, Schwille-Kiuntke J, Bugaj TJ, Nikendei C, Huhn D, Zipfel S, Junne F. Professional burnout among medical students: Systematic literature re-view and meta-analysis. Med Teach 2018; 14: 1-12.
18. Willcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates.Med J Aust. 2004; 181(7): 357-360.
19. Takemura K, Hasegawa M, Tamura S, Takishita Y, Matsuoka T, Iwawaki Y, Yamanaka R. The association between burnout syndrome and personality in Japanese nursing students. International Journal of Recent Scientific Research 2015; 6(7): 5545-5549.
20. McManus IC, Keeling A, Paice E. Stress, burnout and doctors' attitudes to work are determined by personality and learning style: a twelve-year longitudinal study of UK medical graduates. BMC Med 2004; 2: 29.
21. Magnano P, Paolillo A, Barrano C. Relationships between Personality and Burn-Out: An Empirical Study with Helping Professions’ Workers. International Journal of Humanities and Social Science Research 2015; 1: 10-19.
22. Cañadas-De la Fuente GA, Vargas C, San Luis C, García I, Cañadas GR, De la Fuente EI. Risk factors and prevalence of burnout syndrome in the nursing profession. Int J Nurs Stud. 2015; 52(1): 240-249.
23. Bakker AB, Van der Zee KI, Lewig KA, Dollard MF. The relationship between the Big Five person-ality factors and burnout: a study among volunteer counselors. J Soc Psychol 2006; 146(1): 31-50.
24. Zellars KL, Perrewé PL, Hochwarter WA. Burnout in health care: The role of the five factors of personality. J Applied Soc Psych 2000; 30(8): 1570-1598.
25. Ang SY, Dhaliwal SS, Ayre TC, Uthaman T, Fong KY, Tien CE, Zhou H, Della P. Demographics and Personality Factors Associated with Burnout among Nurses in a Singapore Tertiary Hospital. Bio Med Res Internat 2016, ID 6960184.
26. Bratis D, Tselebis A, Sikaras C, Moulou A, Giotakis K, Zoumakis E, Ilias I. Alexithymia and its association with burnout, depression and family support among Greek nursing staff. Human Resources for Health 2009; 7: 72.
27. Katsifaraki M, Tucker P. Alexithymia and burnout in nursing students. J Nurs Educ 2013; 52(11): 627-633.
28. Popa-Velea O, Diaconescu L, Mihăilescu A, Jidveian Popescu M, Macarie G. Burnout and Its Rela-tionships with Alexithymia, Stress, and Social Support among Romanian Medical Students: A Cross-Sectional Study. Int J Environ Res Public Health 2017; 14(6): 560.
29. Iorga M, Dondas C, Zugun-Eloae C. Depressed as Freshmen, Stressed as Seniors: The Relationship between Depression, Perceived Stress and Academic Results among Medical Students. Behav Sci 2018; 8: 70.