PONE-D-19-31990

Thai psychiatrists and burnout: a national survey

PLOS ONE

Dear Dr. Pariwatcharakul,

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Your paper has been assessed by one acknowledged expert in the field, who remarked the potential of the study, but asks for some improvements related to, e.g., additional analyses on the information used for contrasting the results, the scale selection and other further rationales that are required from you. Moreover, other comments -most of them relatively minor- should be also addressed and responded in the rebuttal letter.

Please see below. the full set of comments provided by the reviewer.

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Academic Editor

PLOS ONE

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2. Please include additional information regarding the survey or questionnaire used in the study and ensure that you have provided sufficient details that others could replicate the analyses. For instance, if you developed a questionnaire as part of this study and it is not under a copyright more restrictive than CC-BY, please include a copy, in both the original language and English, as Supporting Information. In particular, the 20 issues included in the fourth section of the questionnaire “Strategies which Thai psychiatrists believed could ameliorate their burnout” should be specified.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: This is a second national burnout survey of Thai psychiatrists. The first national survey published in a Thai journal in 2011 by Lerthattasilp et al received a similarly low response rate of 27.8% (181/650), compared with the present study that has 27.15% (227/836). Despite the low response rate, the findings are still useful but characteristics of the responders should be compared with that of the non-responders if possible. Alternatively, the characteristics of all Thai psychiatrists is avaiable in the national registry and should be presented alongside with the characteristics of the responders to this survey.

While the first national survey used only the Maslach Burnout Inventory (MBI), the present survey added the Proactive Coping Inventory (PCI) in order to investigate the relationship between coping style and burnout in Thai psychiatrists. The authors need to provide a rationale how these 4 of the 7 PCI scales were selected: proactive coping, strategic planning, emotional support seeking, and avoidance coping.

The correlation between MBI and PCI subscales were assessed by using Pearson's correlation coefficients. As the MBI contains 22 items in 3 subscales whereas the PCI contains 55 items in 7 subscales (but 26 items in 4 subscales were selected in this study, normality of both variables had to be checked.

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Reviewer #1: Yes: Assist. Prof. Dr. Krit Pongpirul, MD, MPH, PhD.

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Thai psychiatrists and burnout: a national survey

PONE-D-19-31990R1

Dear Dr. Pariwatcharakul,

We are pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it complies with all outstanding technical requirements.

Within one week, you will receive an e-mail containing information on the amendments required prior to publication. When all required modifications have been addressed, you will receive a formal acceptance letter and your manuscript will proceed to our production department and be scheduled for publication.

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With kind regards,

Sergio A. Useche, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: All of my comments were addressed. Nonetheless, I believe this manuscript should also be reviewed by a psychiatrist.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Krit Pongpirul