BURNOUT AND PSYCHOLOGICAL REACTIVITY TO STRESS OF MEDICAL STAFF IN THE CONTEXT OF THE COVID-19 PANDEMIC
Abstract
The new pandemic context increases the mental reactivity to stress of health representatives by summing up the conditions of overwork, measures to prevent the spread of COVID-19 and excessive media coverage. Aim: To monitor the frequency of manifestation of mental symptoms of stress in medical staff, during the COVID-19 pandemic. Material and methods: The prospective study, from which we present preliminary data, was conducted on a group of 147 subjects, medical staff and support staff from COVID and non-COVID hospitals, who gave their free consent to answer questions referring to the development of reactive symptoms caused by the COVID-19 pandemic. The questionnaire used was adapted, with the author's consent, from the original published in 1993 in “In the Tiger’s Mouth: An Empowerment Guide for Social Action”, specifically intended to investigate the burnout syndrome. Results: The most frequently to answer were nurses (42.2%) and the resident doctors (29.3%). Moderate psychological impairment was the most frequent symptom (57.1%) and was more frequently mentioned by subjects from non-COVID hospitals (> 50%, p = 0.046). Severe impairment of mental function was more frequently mentioned by subjects from hospitals with COVID profile (40.7%). Conclusions: The results of this study confirm the prognostic value of psychological stress symptoms in the onset of the burnout syndrome. The current pandemic context favors a different reaction to stress, especially on medical staff exposed to multiple consumptive factors.
References
2. Shanafelt TD, Hasan O, Dyrbye LN, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clin Proc 2015; 90(12): 1600-1613.
3. Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020; 323(13): 1239-1242.
4. Talaee N, Varahram M, Jamaati H, et al. Stress and burnout in health care workers during COVID-19 pandemic: validation of a questionnaire. Z Gesundh Wiss 2020; 6: 1-6 / doi: 10.1007/s10389-020-01313-z.
5. Al-Rabiaah A, Temsah MH, Al-Eyadhy AA, et al. Middle East Respiratory Syndrome-Corona Virus (MERS-CoV) associated stress among medical students at a university teaching hospital in Saudi Arabia. J Infect Public Health 2020; 13(5): 687-691.
6. Pappa S, Athanasiou N, Sakkas N, et al. From Recession to Depression? Prevalence and Correlates of Depression, Anxiety, Traumatic Stress and Burnout in Healthcare Workers during the COVID-19 Pandemic in Greece: A Multi-Center, Cross-Sectional Study. Int J Environ Res Public Health 2021; 18(5): 2390 / doi: 10.3390/ijerph18052390.
7. Thatrimontrichai A, Weber DJ, Apisarnthanarak A. Mental health among healthcare personnel during COVID-19 in Asia: A systematic review. J Formos Med Assoc 2021; 120(6): 1296-1304.
8. Sharifi M, Asadi-Pooya AA, Mousavi-Roknabadi RS. Burnout among Healthcare Providers of COVID-19; a Systematic Review of Epidemiology and Recommendations. Arch Acad Emerg Med 2020; 9(1): e7 / doi: 10.22037/aaem.v9i1.1004.
9. Zhang XJ, Song Y, Jiang T, Ding N, Shi TY. Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine (Baltimore) 2020; 99(26): e20992.
10. Serrano-Ripoll MJ, Meneses-Echavez JF, Ricci-Cabello I, et al. Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. J Affect Disord 2020; 277: 347-357.
11. Matsumoto Y, Fujino J, Shiwaku H, et al. Factors affecting mental illness and social stress in hospital workers treating COVID-19: Paradoxical distress during pandemic era. J Psychiatr Res 2021; 137: 298-302.
12. Dimitriu MC, Pantea-Stoian A, Smaranda A, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Medical Hypotheses 2020; 144: 109972 / doi: 10.1016/j.mehy.2020.109972.
13. Lee RT, Seo B, Hladkyj S, Lovell BL, Schwartzmann L. Correlates of physician burnout across regions and specialties: a meta-analysis. Hum Resour Health 2013; 11: 48 / doi: 10.1186/1478-4491-11-48.
14. Arora M, Asha S, Chinnappa J, Diwan AD. Review article: burnout in emergency medicine physi-cians. Emerg Med Australas 2013; 25(6): 491-495.
15. Dong M, Zhou FC, Xu SW, et al. Prevalence of suicide-related behaviors among physicians: A systematic review and meta-analysis. Suicide Life Threat Behav 2020; 50(6): 1264-1275.
16. Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors Related to Physician Burnout and Its Consequences: A Review. Behav Sci (Basel) 2018; 8(11): 98 / doi: 10.3390/bs8110098.
17. Chewa N, Leeb G, Ta BYQ. A multinational, multicenter study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID- 19 outbreak. Brain, Behavior, and Immunity 2020; 8: 559-565.
18. Hu Z, Wang H, Xie J, et al. Burnout in ICU doctors and nurses in mainland China-A national cross-sectional study. J Crit Care 2021; 62: 265-270.
19. Shi L, Li G, Hao J, et al. Psychological depletion in physicians and nurses exposed to workplace violence: A cross-sectional study using propensity score analysis. Int J Nurs Stud 2020; 103: 103493 / doi: 10.1016/j.ijnurstu.2019.10349.
20. Kader N, Elhusein B, Elhassan NM, Alabdulla M, Hammoudeh S, Hussein NR. Burnout and job satisfaction among psychiatrists in the Mental Health Service, Hamad Medical Corporation, Qatar. Asian J Psychiatr 2021; 58: 102619 / doi: 10.1016/j.ajp.2021.102619.
21. Zhou Q, Lai X, Wan Z, Zhang X, Tan L. Impact of burnout, secondary traumatic stress and compassion satisfaction on hand hygiene of healthcare workers during the COVID-19 pandemic. Nurs Open 2021; 8(5): 2551-2557.
22. Kansoun Z, Boyer L, Hodgkinson M, Villes V, Lançon C, Fond G. Burnout in French physicians: A systematic review and meta-analysis. J Affect Disord 2019; 246: 132-147.
23. Rothenberger DA. Physician Burnout and Well-Being: A Systematic Review and Framework for Action. Dis Colon Rectum 2017; 60(6): 567-576.
24. Romero CS, Delgado C, Catalá J, Ferrer C, Errando C, Iftimi A, Benito A, de Andrés J, Otero M; PSIMCOV group*. COVID-19 psychological impact in 3109 healthcare workers in Spain: The PSIMCOV group. Psychol Med 2020; 1-7 / doi: 10.1017/S0033291720001671.
25. Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci Biobehav Rev 2021; 126: 252-264.
26. Busch IM, Moretti F, Mazzi M, Wu AW, Rimondini M. What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers. Psychother Psychosom 2021; 90(3): 178-190.

COPYRIGHT
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.
COPYRIGHT TRANSFER FORM FOR
REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /
THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI
We, the undersigned authors of the manuscript entitled
_____________________________________________________________________________________
_____________________________________________________________________________________
warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.
- we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
- the manuscript does not break the intellectual property rights of any other person.
- we have read the submitted version of the manuscript and we are fully responsible for the content.
Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):
- ______________________________/_________________________
- ______________________________/_________________________
- ______________________________/_________________________
N.B. All the authors must sign this form