title: Factors influencing the levels of work engagement in physicians from Poland, Serbia and Bulgaria.
abstract: BACKGROUND
  Lowered work engagement and burnout are a growing problem in recent years, especially among physicians. Cynicism, lack of energy and decreased efficacy may lead to the occurrence of severe depression. These phenomena influence almost every aspect of affected person's life, both professional and extraprofessional, and decrease its quality. The aim of our study was to evaluate the influence of family life and other factors on levels of work engagement and risk of depression.
  
  
  METHODS
  Our study was conducted on a group of 417 physicians from Poland, Serbia and Bulgaria using a paper questionnaire. The collected data was subjected to statistical analyses using Statsoft Statistica v. 10.0 software.
  
  
  RESULTS
  There was no significant correlation between work engagement and sex or age. The highest score on work engagement was in Serbia (m=4.41; Mann-Whitney's U test with p<0.05). The highest score of BDI was in Bulgaria (m=14.73; Mann-Whitney's U test with p<0.05). There was no significant correlation exceeding r=0.5 between UWES and SWING scales. WHI+/WHI- ratio correlates significantly with a BDI scale (Spearman's r=-0.49; p<0.05).
  
  
  CONCLUSIONS
  Family life of physicians seem to have minor or even no influence on their work engagement and risk of burnout. The negative influence of work on family life may increase the risk of depression, and that effect is not susceptible to either positive or negative interactions of family life with work. The country with the lowest expenditure on a healthcare have also the lowest levels of work engagement.
authors.affiliation: Students' Scientific Assossiation in Chair of Psychiatry and Psychoterapy, Silesian Medical Univeristy, ul. Ziołowa 45/47, 40-635, Katowice, Poland, wil.k.m91@gmail.com.
authors.forename: Krzysztof Maria
authors.initials: KM
authors.lastname: Wilczyński
authors.forename: Mohammed Abdul
authors.initials: MA
authors.lastname: Swamad
authors.forename: Vanja
authors.initials: V
authors.lastname: Subotic
authors.forename: Dominika
authors.initials: D
authors.lastname: Wizner
authors.forename: Elżbieta
authors.initials: E
authors.lastname: Mazgaj
authors.forename: Weronika
authors.initials: W
authors.lastname: Wajda
mesh_terms: D000328:Adult; D000368:Aged; D002031:Bulgaria; D002055:Burnout, Professional / Q000175:diagnosis / Q000523:psychology*; D003431:Cross-Cultural Comparison; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology; D054541:Family Conflict / Q000523:psychology; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D011044:Poland; D012307:Risk Factors; D055771:Serbia; D011795:Surveys and Questionnaires