BURNOUT AND PSYCHOLOGICAL REACTIVITY TO STRESS OF MEDICAL STAFF IN THE CONTEXT OF THE COVID-19 PANDEMIC
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.
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.
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