COVID-19 pandemic mental health risks among anesthesiologists: it is not only burnout

Vittori, Alessandro; Marchetti, Giuliano; Pedone, Roberto; Francia, Elisa; Mascilini, Ilaria; Marinangeli, Franco; Picardo, Sergio

doi:10.1016/j.bjane.2021.01.002

Cited by 3 publications

(3 citation statements)

References 4 publications

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“…The COVID-19 pandemic has stressed health systems and health workers in an unprecedented way, inevitably causing a worsening of working conditions, with possible serious repercussions on the mental health conditions of workers [ 25 , 26 ]. However, the situation before the pandemic was not an optimal situation [ 10 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis on Burnout, Job Conditions, Alexithymia, and Other Psychological Symptoms in a Sample of Italian Anesthesiologists and Intensivists, Assessed Just before the COVID-19 Pandemic: An AAROI-EMAC Study

et al. 2022

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Background. It was previously reported that health care professionals working in the fields of anesthesiology and emergency are at higher risk of burnout. However, the correlations between burnout, alexithymia, and other psychological symptoms are poorly investigated. Furthermore, there is a lack of evidence on which risk factors, specific to the work of anesthetists and intensivists, can increase the risk of burnout, and which are useful for developing remedial health policies. Methods. This cross-sectional study was conducted in 2020 on a sample of 300 professionals recruited from AAROI-EMAC subscribers in Italy. Data collection instruments were a questionnaire on demographic, education, job characteristics and well-being, the Maslach Burnout Inventory Tool, the Toronto Alexithymia Scale, the Symptom Checklist-90-R, and the Rosenberg Self-Esteem Scale administered during refresher courses in anesthesiology. Correlations between burnout and physical and psychological symptoms were searched. Results. With respect to burnout, 29% of individuals scored at high risk on emotional exhaustion, followed by 36% at moderate–high risk. Depersonalization high and moderate–high risk were scored by 18.7% and 34.3% of individuals, respectively. Burnout personal accomplishment was scored by 34.7% of respondents. The highest mean scores of burnout dimensions were related to dissatisfaction with one’s career, conflicting relationships with surgeons, and, finally, difficulty in explaining one’s work to patients. Conclusions. Burnout rates in Italian anesthesiologists and intensivists have been worrying since before the COVID-19 pandemic. Anesthesiologists with higher levels of alexithymia are more at risk for burnout. It is therefore necessary to take urgent health policy measures..

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Section: Discussionmentioning

confidence: 99%

Analysis on Burnout, Job Conditions, Alexithymia, and Other Psychological Symptoms in a Sample of Italian Anesthesiologists and Intensivists, Assessed Just before the COVID-19 Pandemic: An AAROI-EMAC Study

et al. 2022

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“…11,12 Evidence suggests the pandemic may have led to increased burnout prevalence in anesthesiologists as well as other mental health conditions such as posttraumatic stress disorder, anxiety, and depression. 13,14 There was a relative shortage of U.S. attending anesthesiologists before the COVID-19 pandemic, partially due to increased demand from the aging baby boomer generation, 15 which was previously associated with burnout in anesthesiologists. 9 As the COVID-19 pandemic has likely worsened anesthesiologist and anesthesia team member shortages, the impact that insufficient staffing has had on the field remains unclear.…”

Section: Postpandemic Burnoutmentioning

confidence: 99%

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U.S. Attending Anesthesiologist Burnout in the Postpandemic Era

Afonso,

Cadwell,

Staffa

et al. 2023

Anesthesiology

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Background Anesthesiologists are experiencing unprecedented levels of workplace stress and staffing shortages. This analysis aims to assess how U.S. attending anesthesiologist burnout changed since the onset of the COVID-19 pandemic and target well-being efforts. Methods The authors surveyed the American Society of Anesthesiologists’ U.S. attending anesthesiologist members in November 2022. Burnout was assessed using the Maslach Burnout Inventory Human Services Survey with additional questions relating to workplace and demographic factors. Burnout was categorized as high risk for burnout (exhibiting emotional exhaustion and/or depersonalization) or burnout syndrome (demonstrating all three burnout dimensions concurrently). The association of burnout with U.S. attending anesthesiologist retention plans was analyzed, and associated factors were identified. Results Of 24,680 individuals contacted, 2,698 (10.9%) completed the survey, with 67.7% (1,827 of 2,698) at high risk for burnout and 18.9% (510 of 2,698) with burnout syndrome. Most (78.4%, n = 2,115) respondents have experienced recent staffing shortages, and many (36.0%, n = 970) were likely to leave their job within the next 2 yr. Those likely to leave their job in the next 2 yr had higher prevalence of high risk for burnout (78.5% [760 of 970] vs. 55.7% [651 of 1,169], P < 0.001) and burnout syndrome (24.3% [236 of 970] vs. 13.3% [156 of 1,169], P < 0.001) compared to those unlikely to leave. On multivariable analysis, perceived lack of support at work (odds ratio, 9.2; 95% CI, 7.0 to 12.1), and staffing shortages (odds ratio, 1.96; 95% CI, 1.57 to 2.43) were most strongly associated with high risk for burnout. Perceived lack of support at work (odds ratio, 6.3; 95% CI, 3.81 to 10.4) was the factor most strongly associated with burnout syndrome. Conclusions Burnout is more prevalent in anesthesiology since early 2020, with workplace factors of perceived support and staffing being the predominant associated variables. Interventions focused on the drivers of burnout are needed to improve well-being among U.S. attending anesthesiologists. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

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Neurological, Psychological, and Cognitive Manifestations of Long-COVID

Cascella

Blasio

2021

Features and Management of Acute and Chronic Neuro-Covid

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COVID-19 pandemic mental health risks among anesthesiologists: it is not only burnout

Cited by 3 publications

References 4 publications

Analysis on Burnout, Job Conditions, Alexithymia, and Other Psychological Symptoms in a Sample of Italian Anesthesiologists and Intensivists, Assessed Just before the COVID-19 Pandemic: An AAROI-EMAC Study

Analysis on Burnout, Job Conditions, Alexithymia, and Other Psychological Symptoms in a Sample of Italian Anesthesiologists and Intensivists, Assessed Just before the COVID-19 Pandemic: An AAROI-EMAC Study

U.S. Attending Anesthesiologist Burnout in the Postpandemic Era

Neurological, Psychological, and Cognitive Manifestations of Long-COVID

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