Exploring the role of Synthesis repertory in the homoeopathic management of Burnout syndrome in working professionals aged 25 to 45 years a prospective case series study.

Burnout is a syndrome resulting from exhaustion due to chronic job stress not managed successfully refers specially to phenomena in the occupational context. It is characterized by physical and emotional fatigue and sometimes physical illness. Frustration from perceived inability to end the stresses and problem associated with powerlessness in ones job

contribute to loss of concern for patient or client or good job performance. Under three dimensions it is characterized as feelings of energy depletion or exhaustion or increased mental distance from one job or feeling of negativity or cynicism related to their job a sense of ineffectiveness and lack of accomplishment. It may lead to job dissatisfaction and increase absenteeism in the workplace it also exacerbates drug and alcohol abuse and suicidal ideation and dependency.

It has been recognized by the World Health Organization .Studies indicate that burnout is widespread among

professionals across various sectors. For instance a systemic review revealed that more than one third of public health workers suffered from burnout which affects their mental and physical health. In healthcare

sector burnout rates among healthcare professionals in India are associated with increased risk .Younger age female gender unmarried status difficult working conditions were associated with increased risk of burnout. According to a systemic review and meta analysis found that close to one fourth of Indian healthcare professionals suffer from burnout. Burnout in health care workers particularly doctors has been shown to cause increase medical error and leading to dissatisfaction among patients deterioration in interpersonal relationship

Furthermore a study where IT professionals reported that 95 percent are experiencing burnout with higher prevalence among women.Homoeopathy with its fundamental

principle of Individualization emphasize that each patient requires a holistic treatment considering a person in disease and not disease of the person for prescribing homoeopathic medicine as it takes in account miasmatic background temperament and susceptibility to disease. By utilizing the Synthesis repertory from RADAR 10 software for remedy selection and the Copenhagen Burnout Inventory Scale for assessment the research seeks to provide evidence on the potential role of homoeopathy in reducing burnout symptoms and also contribute to diversification of options

available for burnout management.

Aim of study is to exploring the role of synthesis repertory in the homoeopathic management of burnout syndrome in working professionals aged 25 to 45 years .

Primary objective is to evaluate effectiveness of homoeopathic medicine in reducing symptoms of burnout in working professionals aged 25 to 45 years

using Synthesis repertory. Secondary Objective is to identify the most frequently indicated homoeopathic remedies for burnout using the Synthesis Repertory.

Study Design is a Prospective case series study.

Study Setting is Cases collected from OPD and IPD of institute of homoeopathic medical colleges. Camps conducted by the institute. Peripheral OPDs.

Patients from any working professionals like corporate employees healthcare workers and IT professionals and lawyers and teachers etc included in study.

Patients between age group 25 to 45 years.

Patients diagnosed based on CBI Scale scoring as moderate to

severe burnout levels.

Duration of Study is 18 months.

Sample Size

Minimum 30 cases.

Sampling Technique is Purposive Sampling selecting individual based on predefined burnout criteria.

Data for this study will be collected using prospective approach. Using purposive sampling working professionals aged 25 to 45 years experiencing burnout symptoms will be selected. Participants will be screened using Copenhagen Burnout Inventory scale.Participant fulfilling inclusion criteria will be eligible for participation in study. A detailed case of each patient will be taken as per case record format. Confidentiality of participants will be maintained following ethical committee guidelines.The patient will be given well selected homeopathic remedy based on repertorisation done by Synthesis repertory using RADAR 10 software.The same measurement tool CBI scale will be used to track changes in symptoms and overall improvements post intervention with homoeopathic medicine.

Study instruments or Data collection tools will be Copenhagen Burnout Inventory scale and Case Record Format and RADAR 10 software Synthesis repertory. Homoeopathic Medicines .The cases will be evaluated systematically using the Copenhagen Burnout Inventory Scale. The evaluation process will be done at pre intervention and after follow ups post homoeopathic intervention scale scores will be used to assess changes in burnout levels.CBI Scale consists of three subscales . Personal burnout Work related

burnout Client or patient related burnout. Each item in scale is rated on 5 point Likert scale 0 means Never 25 means Rarely 50 mean Sometimes 75 means Often 100 means Always. The average score of each scale is computed.

Mild burnout is score less than 50 Moderate burnout means score 50 to 74 Severe burnout means score more than and equal to 75.

Changes in scores post homoeopathic intervention will be remarked improved and not improved. Improved means Relief of complaints and general well being of patient. Not improved means No significant relief of complaints after a sufficient period of treatment.

Data management and analysis procedure is after filling the case record format symptoms of the case will be

repertorized using Synthesis repertory from RADAR 10 software anddigitally stored for analysis. The pre and post homoeopathic intervention CBI scale score will be recorded and maintained using excel sheets. The analysis of the collected data will be done as per appropriate statistical tests to assess the effectiveness of homoeopathic intervention.

Plan for statistical analysis is analytical presentation of all the cases will be prepared.

Statistical technique will be appropriate charts and diagrams and tables will be used for data representation.