Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic.

Barello, Serena; Palamenghi, Lorenzo; Graffigna, Guendalina

doi:10.1016/j.psychres.2020.113129

Cited by 525 publications

(576 citation statements)

References 9 publications

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“…This rate found to be low compared to our research. These results of the BAI and MBI scores in our study are compatible with low levels of anxiety and burnout in HCWs, and lower than some studies in the literature (7,(19)(20)(21)(22) and, are similar to some studies (14,17,18). In our study, working in ES was found to be a factor increasing MBI-EE and DP scores, while decreasing MBI-PA scores.…”

Section: Discussionsupporting

confidence: 90%

A Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers

Şahin

Aslaner

Eker

et al. 2020

ijmsci

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Objectives During the COVID19 pandemic, an increase in anxiety and burnout levels may occur unwittingly due to the increased workload and intense stress experienced by emergency healthcare workers (HCWs) dealing with potential or suspected COVID-19 and other emergency patients. In our study, it is aimed to investigate whether there is an increase of anxiety and burnout levels of the HCWs working in ES and pandemic fields fighting against the outbreak of COVID-19 in Turkey. Methods The study was carried out between April 1 to May 15, 2020, with the online questionnaire method with the participation of 920 HCWs that are working actively in pandemic areas across the country. In the questionnaire, the sociodemographic characteristics of the participants were questioned, and Beck anxiety scale (BAI) and Maslach Burnout Inventory (MBI) were applied. Results The pandemic area and the intensive care workers' BAI score are similar to those in the emergency service and ambulance (p = 0.05). The MBI-desensitization score of those working in the field of ED, ICUs and pandemics was higher than other places (p <0.05). The MBI-emotional score of the emergency and ambulance workers was higher (p = 0.001), and the MBI-personal accomplishment score was lower than radiology, laboratory and office personnel (p=0.049). Conclusions The COVID-19 outbreak may create stress in HCWs, leading to various psychiatric disorders such as anxiety, depression, and burnout syndrome. Early recognition, prevention and coping methods of burnout and anxiety in HCWs play a key role in during the pandemic period. Keywords: COVID-19, Emergency Service, Healthcare Worker, Beck Anxiety Inventory, Maslach Burnout Inventory

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Section: Discussionsupporting

confidence: 90%

A Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers

Şahin

Aslaner

Eker

et al. 2020

ijmsci

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“…Similar to our findings, investigators in China, Italy, and Turkey have reported higher levels of anxiety and depression in female health care providers during the COVID-19 pandemic. 3,[10][11][12][13][14] While investigators in Turkey found that having a child was associated with lower anxiety and depression levels, we did not find a similar protective effect of parenthood or differences in any of the other factors that we examined.…”

Section: Discussioncontrasting

confidence: 87%

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

Rodriguez

Medak

Baumann

et al. 2020

Academic Emergency Medicine

130

150

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Objective The objective was to assess anxiety and burnout levels, home life changes, and measures to relieve stress of U.S. academic emergency medicine (EM) physicians during the COVID‐19 pandemic acceleration phase. Methods We sent a cross‐sectional e‐mail survey to all EM physicians at seven academic emergency departments. The survey incorporated items from validated stress scales and assessed perceptions and key elements in the following domains: numbers of suspected COVID‐19 patients, availability of diagnostic testing, levels of home and workplace anxiety, severity of work burnout, identification of stressors, changes in home behaviors, and measures to decrease provider anxiety. Results A total of 426 (56.7%) EM physicians responded. On a scale of 1 to 7 (1 = not at all, 4 = somewhat, and 7 = extremely), the median (interquartile range) reported effect of the pandemic on both work and home stress levels was 5 (4–6). Reported levels of emotional exhaustion/burnout increased from a prepandemic median (IQR) of 3 (2–4) to since the pandemic started a median of 4 (3–6), with a difference in medians of 1.8 (95% confidence interval = 1.7 to 1.9). Most physicians (90.8%) reported changing their behavior toward family and friends, especially by decreasing signs of affection (76.8%). The most commonly cited measures cited to alleviate stress/anxiety were increasing personal protective equipment (PPE) availability, offering rapid COVID‐19 testing at physician discretion, providing clearer communication about COVID‐19 protocol changes, and assuring that physicians can take leave for care of family and self. Conclusions During the acceleration phase, the COVID‐19 pandemic has induced substantial workplace and home anxiety in academic EM physicians, and their exposure during work has had a major impact on their home lives. Measures cited to decrease stress include enhanced availability of PPE, rapid turnaround testing at provider discretion, and clear communication about COVID‐19 protocol changes.

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“…Recent studies examined the prevalence of burnout during the COVID-19 emergency in health professionals working in Northern Italy ( Giusti et al, 2020 ), showing high levels of burnout especially in Emotional Exhaustion and reduced Personal Accomplishment. These burnout findings were significantly higher than those detected in other Italian samples before the COVID-19 outbreak, especially for Emotional Exhaustion ( Barello et al, 2020 ).…”

Section: Introductioncontrasting

confidence: 59%

From Resilience to Burnout: Psychological Features of Italian General Practitioners During COVID-19 Emergency

et al. 2020

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During the COronaVIrus Disease 2019 (COVID-19) pandemic in Italy, general practitioners (GPs) are ensuring continued access to primary care for citizens while also absorbing more of the impact of the crisis than most professional groups. The aim of this study is to explore the relationships between dimensions of burnout and various psychological features among Italian GPs during the COVID-19 emergency. A group of 102 GPs completed self-administered questionnaires available online through Google Forms, including Maslach Burnout Inventory (MBI), Resilience Scale, Intolerance of Uncertainty Scale Short Form (IU), and Coping Inventory for Stressful Situations (CISS). Cluster analysis highlighted four distinct burnout risk profiles: Low Burnout, Medium Risk, High Risk, and High Burnout. The High Burnout group showed both lower Resilience and lower CISS Task-oriented coping strategy than the Medium Risk group and higher IU Prospective than the Low Burnout group. Results of a linear regression analysis confirmed that CISS Emotion-oriented style positively predicted MBI Emotional Exhaustion, CISS Task-oriented and Emotion-oriented emerged as significant predictors (negatively and positively, respectively) of MBI Depersonalization, and Resilience positively predicted MBI Personal Accomplishment. In conclusion, the results showed that the COVID-19 emergency had a significant impact on GPs’ work management. Implementing task-oriented problem management, rather than emotional strategies, appears to protect against burnout in these circumstances. It is possible that the emotions related to the pandemic are too intense to be regulated and used productively to manage the professional issues that the COVID-19 pandemic presents.

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Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic.

Cited by 525 publications

References 9 publications

A Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers

A Questionnaire Study Effect of COVID-19 Pandemic on Anxiety and Burnout Levels in Emergency Healthcare Workers

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors, and Potential Stress Mitigation Measures During the Acceleration Phase of the COVID‐19 Pandemic

From Resilience to Burnout: Psychological Features of Italian General Practitioners During COVID-19 Emergency

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