<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2018000200051</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Burnout y su relación con el estrés percibido y la satisfacción laboral en profesionales sanitarios de Atención Primaria de una Comunidad Autónoma]]></article-title>
<article-title xml:lang="en"><![CDATA[Burnout and its connection with perceived stress and job satisfaction in primary healthcare professionals in an Autonomous Community]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Párraga Martínez]]></surname>
<given-names><![CDATA[Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Hidalgo]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez García]]></surname>
<given-names><![CDATA[Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villarín Castro]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Martín]]></surname>
<given-names><![CDATA[Antonio Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha (SESCAM) Gerencia de Atención Integrada (G.A.I.) de Albacete Centro de Salud de La Roda (Albacete)]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Castilla-La Mancha Facultad de Medicina de Albacete ]]></institution>
<addr-line><![CDATA[Albacete ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha (SESCAM) G.A.I de Manzanares Centro de Salud de La Solana (Ciudad Real)]]></institution>
<addr-line><![CDATA[Ciudad Real ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha (SESCAM) Gerencia de Atención Primaria de Toledo Unidad Docente Multiprofesional de Atención Familiar y Comunitaria de Toledo]]></institution>
<addr-line><![CDATA[Toledo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Servicio de Salud de Castilla-La Mancha (SESCAM) G.A.I. de Ciudad Real ]]></institution>
<addr-line><![CDATA[Ciudad Real ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>51</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2018000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2018000200051&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2018000200051&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Evaluar la prevalencia de burnout y sus componentes en profesionales sanitarios de Atención Primaria de Castilla-La Mancha, así como su relación con el estrés percibido y la satisfacción laboral.  Diseño: Estudio descriptivo observacional transversal.  Emplazamiento: Estudio multicéntrico realizado en equipos de Atención Primaria de seis Áreas Sanitarias de Castilla-La Mancha.  Participantes: Todos los profesionales de medicina y enfermería de Atención Primaria de las Áreas Sanitarias participantes.  Mediciones Principales: Incluidas las siguientes variables: características de participantes (sociodemográficas/laborales), características lugar de trabajo, estrés percibido (Perceived Stress Scale), burnout (Maslach Burnout Inventory) y satisfacción laboral (cuestionario Font-Roja).  Resultados: La prevalencia de burnout fue del 20,7 % (IC 95 %: 16,6-24,7). Un 53,3 % presentó alterada al menos una subescala. El 38,9 % mostró alto grado de despersonalización, 28,2 % agotamiento emocional y 8,0 % baja realización personal. La puntuación de estrés percibido fue significativamente superior al aumentar el grado de burnout en las tres subescalas (p&lt;0,001). Mediante regresión logística, las variables asociadas a burnout fueron: mayor puntuación escala estrés percibido (OR: 1,20; IC95 %: 1,12-1,28), menor puntuación en escala satisfacción (OR: 8,42; IC 95 %: 1,96-36,10), contar con mayor número de pacientes en cupo (OR: 1,01; IC 95 %: 1,00-1,02) y no ser tutor de residentes (OR: 2,88; IC 95 %: 1,06-8,25).  Conclusiones: El burnout afecta a uno de cada cinco profesionales de Atención Primaria de nuestra Comunidad Autónoma, siendo la despersonalización la subescala más alterada. Los profesionales con burnout presentan puntuaciones superiores de estrés percibido e inferiores de satisfacción laboral. Otras variables relacionadas con el puesto de trabajo también se asocian con la presencia de burnout.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To evaluate the prevalence of burnout and its components in health care providers in primary care of Castilla-La Mancha, as well as its relation with perceived stress and job satisfaction.  Design: Descriptive, observational cross-sectional study.  Location: Multicenter study carried out by Primary Care Teams of six health areas of Castilla-La Mancha.  Participants: Every health care professional (doctors and nurses) of the six health areas of Castilla-La Mancha.  Main measurements: The variables included were: features of the participants (sociodemographic/occupational), work place features, perceived stress (Perceived-Stress-Scale), burnout (Maslach-Burnout-Inventory) and job satisfaction (Font-Roja test).  Results: Prevalence of burnout: 20.7 % (CI 95 %: 16.6 - 24.7). About 53.3 % had at least one altered subscale. 38.9 % showed high level of depersonalization, 28.2 % emotional exhaustion and 8.0 % low personal fulfillment. Perceived stress score was significantly higher as the level of burnout increased in all three subscales (p&lt;0.001). By using logistic regression, burnout associated variables were: Higher score in perceived stress scale (OR: 1.20; CI 95 %: 1.12-1.28), lower score in satisfaction scale (OR: 8.42; CI 95 %: 1.96-36.10), having more patients in their quota (OR: 1.01; CI 95 %:1.00-1.02) and no resident supervision (OR: 2.88; CI 95 %: 1.06-8.25).  Conclusion: Burnout affects one in five primary care providers in our Autonomous Community, being depersonalization the most altered subscale. Professionals with burnout present higher perceived stress and lower job satisfaction. Other job-related variables are also associated with the presence of burnout.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estrés laboral]]></kwd>
<kwd lng="es"><![CDATA[Satisfacción en el Trabajo]]></kwd>
<kwd lng="es"><![CDATA[Atención Primaria de Salud]]></kwd>
<kwd lng="en"><![CDATA[Burnout, Professional]]></kwd>
<kwd lng="en"><![CDATA[Quality of Life]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guerrero]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis pormenorizado de los grados de Burnout y técnicas de afrontamiento del estrés docente en profesorado universitario]]></article-title>
<source><![CDATA[Anales de Psicología]]></source>
<year>2003</year>
<volume>19</volume>
<page-range>145-58</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Contreras]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estrés psicosocial: Algunos aspectos clínicos y experimentales]]></article-title>
<source><![CDATA[Anales de Psicología]]></source>
<year>2008</year>
<volume>24</volume>
<page-range>353-60</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montero-Marin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Prado-Abril]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Piva Demarzo]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Gascon]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[García-Campayo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Coping with stress and types of burnout: Explanatory power of different copingstrategies]]></article-title>
<source><![CDATA[PLoS One]]></source>
<year>2014</year>
<volume>9</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crawford]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[LePine]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Rich]]></surname>
<given-names><![CDATA[BL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Linking job demands and resources to employee engagement and burnout: A theoretical extension and meta-analytic test]]></article-title>
<source><![CDATA[Journal of Applied Psychology]]></source>
<year>2010</year>
<volume>95</volume>
<page-range>834-48</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peltzer]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Mashego]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Mabeba]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short communication: occupational stress and burnout among south African medical practitioners]]></article-title>
<source><![CDATA[Stress and Health]]></source>
<year>2003</year>
<volume>19</volume>
<page-range>275-80</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Escribá-Agüir]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Artazcoz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Hoyos]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efecto del ambiente psicosocial y de la satisfacción laboral en el síndrome de burnout en médicos especialistas]]></article-title>
<source><![CDATA[Gac Sanit]]></source>
<year>2008</year>
<volume>22</volume>
<page-range>300-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sibbald]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Bojke]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gravelle]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[National survey of job satisfaction and retirement intentions among general practitioners in England]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>2003</year>
<volume>326</volume>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matia Cubillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cordero Guevara]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mediavilla Bravo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pereda Riguera]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del burnout y variables relacionadas en médicos de atención primaria en Burgos]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2006</year>
<volume>38</volume>
<page-range>58-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tsigilis]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Koustelios]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Togia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Multivariate relationship and discriminant validity between job satisfaction and burnout]]></article-title>
<source><![CDATA[Journal of Managerial Psychology]]></source>
<year>2004</year>
<volume>19</volume>
<page-range>666-75</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Hwang]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Daly]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictors of life satisfaction of Korean nurses]]></article-title>
<source><![CDATA[Journal of Advanced Nursing]]></source>
<year>2004</year>
<volume>48</volume>
<page-range>632-41</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sobreques]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Cebrià]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Juncosa]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La satisfacción laboral y el desgaste profesional de los médicos de atención primaria]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2002</year>
<volume>31</volume>
<page-range>227-33</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-López]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Siegrist]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rödel]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández-Mejía]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El estrés laboral: un nuevo factor de riesgo. ¿Qué sabemos y qué podemos hacer?]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2003</year>
<volume>31</volume>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bethge]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Radoschewski]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Phisical and psychosocial work stressors, health-related control beliefs and work ability: Crosssectional findings from the German Sociomedical Panel of Employees]]></article-title>
<source><![CDATA[Int Arch Occup Environ Health]]></source>
<year>2010</year>
<volume>83</volume>
<page-range>241-50</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kamarck]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Mermelstein]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A global measure of perceived stress]]></article-title>
<source><![CDATA[J Health Soc Behav]]></source>
<year>1983</year>
<volume>24</volume>
<page-range>385-96</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Remor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Carrobles]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Versión Española de la escala de estrés percibido (PSS-14): Estudio psicométrico en una muestra VIH+]]></article-title>
<source><![CDATA[Ansiedad y Estrés]]></source>
<year>2001</year>
<volume>7</volume>
<page-range>195-201</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Remor]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Psychometric Properties of a European Spanish Version of the Perceived Stress Scale (PSS)]]></article-title>
<source><![CDATA[Spanish J Psychol]]></source>
<year>2006</year>
<volume>9</volume>
<page-range>86-93</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maslach]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Maslach Burnout Inventory]]></source>
<year>1986</year>
<publisher-loc><![CDATA[Palo Alto ]]></publisher-loc>
<publisher-name><![CDATA[Consulting Psychologist Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Seisdedos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[MBI. Inventario "burnout" de Maslach. Síndrome del "quemado" por estrés laboral asistencial]]></source>
<year>1997</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[TEA ediciones, S.A.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aranaz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cuestionario Font Roja. Un instrumento de medida de la satisfacción en el medio hospitalario]]></article-title>
<source><![CDATA[Todo Hospital]]></source>
<year>1988</year>
<volume>62</volume>
<page-range>63-6</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aranaz]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Mira]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Benavides]]></surname>
<given-names><![CDATA[FG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Los profesionales y la calidad asistencial hospitalaria]]></article-title>
<source><![CDATA[Todo Hospital]]></source>
<year>1994</year>
<volume>112</volume>
<page-range>35-40</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilà Falgueras]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cruzate Muñoz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Orfila Pernas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Creixell Sureda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[González López]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Davins Miralles]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout y trabajo en equipo en los profesionales de Atención Primaria]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2015</year>
<volume>47</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>25-31</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The well-being of physicians]]></article-title>
<source><![CDATA[Am J Med]]></source>
<year>2003</year>
<volume>114</volume>
<page-range>513-9</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Molina Siguero]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[García Pérez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso González]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Cecilia Cermeño]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de desgaste profesional y psicomorbilidad en médicos de atención primaria de un área sanitaria de Madrid]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2003</year>
<volume>31</volume>
<page-range>564-74</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Hasan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Sinsky]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Satele]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014]]></article-title>
<source><![CDATA[Mayo Clin Proc]]></source>
<year>2015</year>
<volume>90</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1600-13</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lazarus]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Folkman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transactional theory and research on emotions and coping]]></article-title>
<source><![CDATA[European Journal of Personality]]></source>
<year>1987</year>
<volume>1</volume>
<page-range>147-69</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ponce]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Bulnes]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Aliaga]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Atalaya]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Huertas]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El síndrome del quemado por estrés laboral asistencial en grupos de docentes universitarios]]></article-title>
<source><![CDATA[Revista de Investigación en Psicología]]></source>
<year>2005</year>
<volume>8</volume>
<page-range>87-112</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cebriá]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Corbella]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Comas]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rasgos de personalidad y burnout en médicos de familia]]></article-title>
<source><![CDATA[Atención Primaria]]></source>
<year>2001</year>
<volume>27</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>39-52</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Balch]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Bechamps]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Burnout and medical errors among American surgeons]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>2010</year>
<volume>251</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>995-1000</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[CP]]></given-names>
</name>
<name>
<surname><![CDATA[Tan]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Habermann]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Sloan]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of resident fatigue and distress with perceived medical errors]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2009</year>
<volume>302</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1294-300</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[LN]]></given-names>
</name>
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Physician burnout: a potential threat to successful health care reform]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2011</year>
<volume>305</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>2009-10</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mañas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Salvadro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Boada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Agulló]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La satisfacción y el bienestar psicológico como antecedentes del compromiso organizacional]]></article-title>
<source><![CDATA[Psicothema]]></source>
<year>2007</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>395-400</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandín]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El estrés: Un análisis basado en el papel de los factores sociales]]></article-title>
<source><![CDATA[International Journal of Clinical and Health Psychology]]></source>
<year>2003</year>
<volume>3</volume>
<page-range>141-57</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cockerman]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
</person-group>
<source><![CDATA[Handbook medical sociology]]></source>
<year>2001</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Prentice-Hall]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[Colin P]]></given-names>
</name>
<name>
<surname><![CDATA[Dyrbye]]></surname>
<given-names><![CDATA[Liselotte N]]></given-names>
</name>
<name>
<surname><![CDATA[Erwin]]></surname>
<given-names><![CDATA[Patricia J]]></given-names>
</name>
<name>
<surname><![CDATA[Shanafelt]]></surname>
<given-names><![CDATA[Tait D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2016</year>
<volume>388</volume>
<page-range>2272-91</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maslach]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The measurement of experienced burnout]]></article-title>
<source><![CDATA[Journal of Occupational Behavior]]></source>
<year>1981</year>
<volume>2</volume>
<page-range>99-113</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
