Characteristic of indicators of neuroenergic mapping and neuropsychological testing in secondary medical personnel during the formation of emotional burnout

Introduction. The formation of emotional burnout and cognitive impairments due to the stressful effects of the professional environment in medical professionals may be accompanied by a decrease in adaptive abilities and a restructuring of metabolism in the central nervous system.

The study aims to identify the features of cerebral energy metabolism and cognitive functions in secondary medical personnel (SMP), depending on the stage of burnout formation.

Materials and methods. 36 SMP women were examined. Methods of neuroenergic mapping and neuropsychological diagnostics were used.

Results. In individuals with SMP, when compared with the comparison group, the most vulnerable cognitive functions were identified: long-term memory (1.2(0–1,6), points and 0.0(0–1) points at p=0.001, respectively), expressive speech (1.0(0–1,0), points and 0.0(0–1,0), points at p=0.0002, respectively). The disorder of impressive speech (explanation of logical and grammatical constructions) is combined with a violation of cerebral energy metabolism under functional stress, determining the possible importance of the functions of the complex of parietal structures in coordinating adaptation mechanisms. There is a relationship between the formed depletion phase and the level of constant potential (LCP) in the frontal (r_s=–0.34 p=0.038) and left central (r_s=–0.34 p=0.037) brain regions, as well as an inadequate post-stress change in cerebral energy metabolism during hyperventilation, the post-hyperventilation period, and the rapid verbal response test (r_s=–0.34 p=0.038; r_s=–0.34 p=0.037; r_s=–0.39 p=0.018; r_s=–0.37 p=0.025; r_s=–0.36 p=0.03, respectively), characterizing a violation of neurovegetative status reactions in the formed Exhaustion phase.

Limitations. The study is limited to a sample of individuals from the same professional group, and the lack of clinical and psychological characteristics of the surveyed.

Conclusion. The dynamics of LCP characteristics during functional afferent tests is accompanied by a change in the indicator characterizing impressive speech, which determines the vulnerability of the overlap zone of the tertiary fields of the temporal, parietal and occipital cortex of the left hemisphere of the brain in case of impaired adaptation while maintaining internal homeostasis in SMP. The established relationship between the severity of burnout syndrome, the level of permanent potential, adaptive capabilities of brain reactions and neuropsychological indicators in people with primary health care has suggested that impaired adaptation to stress in SMP will play a key role in the formation of possible professionally caused diseases and cognitive dysfunction.

Ethics. The examination of patients was conducted in accordance with the ethical standard of the Helsinki Declaration of the World Medical Association "Ethical principles of conducting scientific medical research with human participation". All the surveyed signed an informed consent to participate in the study. There is a conclusion of the Local Ethics Committee of the East-Siberian Institute of Medical and Ecological Research (Protocol No. 5 dated 03/21/2023).

Contributions:
Shevchenko O.I. — concept and design of research, collection and processing of material and writing of text, editing;
Kuleshova M.V. — concept and design of research, collection and processing of material, writing, editing;
Lakhman O.L. — editing;
Pankov V.A. — editing.
All authors — responsibility for the integrity of all parts of the manuscript and approval of the final version of the manuscript.

Funding. The funding was provided as part of the State Assignment for Basic Scientific Research.

Conflict of interest. The authors declare no conflict of interest.

Received: 26.05.2025 /Accepted: 16.06.2025 / Published: 05.08.2025

1. Bonkalo T.I., Polyakova O.B. Mental health: digest [Electronic resource]. Electron. Text data. M.: GBU "NIIOMMM DZM"; 2023. https://clck.ru/3MvzaJ (in Russian).

2. Zagozemina I.N., Radovinchik O.A. Bodryakova I.I. Yanina L.E, professional stress and his influence on physical and psychological health. Nauchno-prakticheskij elektronnyj zhurnal Alleya Nauki. 2024; 1(88). https://clck.ru/3Mvzcv (in Russian).

3. Rozanov V.A. Stress and mental health (neurobiological approaches). Social and clinical psychiatry. 2013; 23(1): 79–86. https://clck.ru/3MvzuR (in Russian).

4. Fomina E.V., Olenko E.S., Kodochigova A.I., Filippov D.Yu. The effect of stress on the cognitive abilities of a healthy person: neurophysiological aspects. Psihosomaticheskie i integrativnye issledovaniya. 2019; 5: 0402. https://elibrary.ru/ihlwfb (in Russian).

5. Pershina K.V. Neurophysiological mechanisms of stress and depressive states and methods of combating them. European Science. 2019; 1(43): 78–83. https://elibrary.ru/yxebrr (in Russian).

6. Sandi C., Haller J. Stress and the social brain: behavioural effects and neurobiological mechanisms. Nature Reviews Neuroscience. 2015; 16: 290–304. https://doi.org/10.1038/nrn3918

7. Everly G.S., Lating J.M. The Anatomy and Physiology of the Human Stress Response. In: A Clinical Guide to the Treatment of the Human Stress Response. Springer, New York, NY. 2013: 17-51. https://doi.org/10.1007/978-1-4614-5538-7_2

8. Borisova O.N., Tokarev A.R., Troitsky M.S. Professional stress among doctors (a brief overview of domestic literature). Vestnik novyh medicinskih tekhnologij. 2019; 6: 155–160. https://elibrary.ru/rhxkvf (in Russian).

9. Kuleshova M.V., Pankov V.A. The psycho-emotional state of the average medical personnel in the formation of emotional burnout syndrome. Gigiena i sanitariya. 2023; 102 (8): 830-5. https://doi.org/10.47470/0016-9900-2023-102-8-830-835 https://elibrary.ru/jobdrg (in Russian).

10. Fu Y., Huang D., Zhang S., Wang J. Job burnout on subjective wellbeing among clinicians in China: the mediating role of mental health. Frontiers in psychology. 2023; 14: 1227670. https://doi.org/10.3389/fpsyg.2023.1227670

11. Fedotova I.V., Vasilieva T.N., Blinova T.V., Umnyagina I.A., Lyapina Yu.V., Nekrasova M.M. et al. Assessment of indicators of neuro-emotional stress in personnel of medical centers, depending on the characteristics of their professional activity. Med. truda i prom. ekol. 2020; 60(10): 650–7. https://doi.org/10.31089/1026-9428-2020-60-10-650-657 https://elibrary.ru/fctokm (in Russian).

12. Norful A.A., Brewer K.C., Cahir K.M., Dierkes A.M. Individual and organizational factors influencing well-being and burnout amongst healthcare assistants: A systematic review. International journal of nursing studies advances. 2024; 6: 100187. https://doi.org/10.1016/j.ijnsa.2024.100187

13. Kolesnikova L.R., Makarova O.A., Strape L.V., Dolgikh M.I., Korytov L.I. The restructuring of metabolism and physiological functions of the body under the influence of stress. Acta Biomedica Scientifica. 2018; 3(6): 15–22. https://doi.org/10.29413/abs 2018-3.6.2

14. Fokin V.F., Medvedev R.B., Ponomareva N.V., Lagoda O.V., Tanashyan M.M. The asymmetry of the cystic force and the cognitive characteristics of patients with discirculatory encephalopathy. Asimmetriya. 2018; 12(3): 31–38. https://elibrary.ru/xwdqyp https://doi.org/10.18454/ASY.2018.3.16175 (in Russian).

15. Boyko V.V. Syndrome of "emotional burnout" in professional communication. SPb: Piter; 1999 (in Russian).

16. Fokin V.F., Ponomareva N.V. A method for assessing the energy state of the brain. Patient Publication: 27.08.1999. https://elibrary.ru/bvging (in Russian).

17. Sokolova L.P., Knyazeva I.V., Yevtushenko P.P., Avetisova K.N. Features of adaptation of brain metabolism and the formation of diseases of the nervous system. Evrazijskij soyuz uchenyh. 2016; 29(1): 65–8 (in Russian).

18. Sokolova L.P., Fedin A.I., Chernyaev S.A., Borisova Yu.V. Vegetative disorders at COVID-19: the use of psychotropic therapy in order to prevent posture psychosomatic complications. Lechebnoe delo. 2021; (3): 107–12. https://doi.org/10.24412/2071-5315-2021-12365 (in Russian).

19. Shevchenko O.I., Lakhman O.L. Neuropsychological criteria for the diagnosis of cognitive impairment in patients with occupational diseases from the effects of physical factors. Acta Biomedica Scientifica. 2022; 7(5-2): 164–72. https://doi.org/10.29413/abs.2022-7.5-2.17 (in Russian).

20. Shevchenko O.I., Lakhman O.L. The condition of the cerebral energy exchange of medical workers according to neuroenergic charters. Gigiena i sanitariya. 2024; 103(8): 846–50. https://doi.org/10.47470/0016-9900-2024-103-8-846-850 https://elibrary.ru/uxqpaz (in Russian).

21. Dykovich M.P., Kuleshova M.V., Pankov V.A. Emotional burnout of medical workers of an outpatient clinic profile. Gigiena i sanitariya. 2024; 103(10): 1183–90. https://doi.org/10.47470/0016-9900-2024-103-10-1183-1190 (in Russian).

22. Deligkaris P., Panagopoulou E., Montgomery A.J., Masoura E. Job burnout and cognitive functioning: A systematic review, Work & Stress. International Journal of Work, Health & Organisations. 2014; 28(2): 107–23. https://doi.org/10.1080/02678373.2014.909545

23. Chutko L.S., Yakovenko E.A., Surushkina S.Yu., Ram A.V., Anisimova T.I., Ponomarev V.A. et al. Cognitive disorders for emotional burnout syndrome. S.S. Korsakov Journal of Neurology and Psychiatry. 2023; 123(5): 139 44. https://elibrary.ru/zvxqfl https://doi.org/10.17116/jnevro2023123051139 (in Russian).

24. Deputy I.S., Gribanov A.V., Nekhoroshkova A.N., Moroz T.P. Features of the distribution of the level of constant potential of the brain in women of the elderly with postural instability. Uspekhi gerontologii. 2015; 4: 156–61. https://elibrary.ru/vlkhrd (in Russian)/

25. Gribanov A.V., Pankov M.N., Deputat I.S., Kozhevnikova I.S., Bagretsova T.V., Ikonnikova I.V. The study of the constant potential of the brain in the diagnosis of ADHG in children. Nauchnoe obozrenie. Biologicheskie nauki. 2018; 5: 5–9. https://elibrary.ru/yukccd (in Russian)

26. Gribanov A.V., Pankov M.N., Deputat I.S., Nekhoroshkova A.N., Startseva L.F., Kozhevnikova I.S. Neurophysiological approaches to assessing anxiety in children. Sovremennye problemy nauki i obrazovaniya. 2018; 6: 106. https://elibrary.ru/yvmldf (in Russian).

27. Fokin V.F., Ponomareva N.V. Energy physiology of the brain. M.: Antidor; 2002. https://elibrary.ru/wfydnh (in Russian).

28. Yakovenko E.A., Ram A.V., Surushkina S.Yu., Chutko A.S. Electroencephalographic manifestations of emotional burnout syndrome. S.S. Korsakov Journal of Neurology and Psychiatry. 2020; 120(6): 32–5. https://doi.org/10.17116/jnevro202012006132 (in Russian).