BMC Psychiatry,
Journal Year:
2021,
Volume and Issue:
21(1)
Published: Feb. 10, 2021
Prior
to
the
COVID-19
pandemic,
physicians
experienced
unprecedented
levels
of
burnout.
The
uncertainty
ongoing
pandemic
along
with
increased
workload
and
difficult
medical
triage
decisions
may
lead
a
further
decline
in
physician
psychological
health.We
searched
Medline,
EMBASE,
PsycINFO
for
primary
research
from
database
inception
(Medline
[1946],
EMBASE
[1974],
[1806])
November
17,
2020.
Titles
abstracts
were
screened
by
one
three
reviewers
full-text
article
screening
data
abstraction
conducted
independently,
duplicate,
reviewers.From
6223
unique
citations,
480
articles
reviewed
full-text,
193
studies
(of
90,499
physicians)
included
final
review.
Studies
reported
on
symptoms
management
during
seven
infectious
disease
outbreaks
(severe
acute
respiratory
syndrome
[SARS],
strains
Influenza
A
virus
[H1N1,
H5N1,
H7N9],
Ebola,
Middle
East
[MERS],
COVID-19)
57
countries.
Psychological
anxiety
(14.3-92.3%),
stress
(11.9-93.7%),
depression
(17-80.5%),
post-traumatic
disorder
(13.2-75.2%)
burnout
(14.7-76%)
commonly
among
physicians,
regardless
outbreak
or
country.
Younger,
female
(vs.
male),
single
married),
early
career
those
providing
direct
care
infected
patients
associated
worse
symptoms.Physicians
should
be
aware
that
anxiety,
depression,
fear
distress
are
common,
manifest
differently
self-management
strategies
improve
well-being
exist.
Health
systems
implement
short
long-term
supports
caring
COVID-19.
International Journal of Environmental Research and Public Health,
Journal Year:
2022,
Volume and Issue:
19(3), P. 1780 - 1780
Published: Feb. 4, 2022
A
growing
body
of
empirical
evidence
shows
that
occupational
health
is
now
more
relevant
than
ever
due
to
the
COVID-19
pandemic.
This
review
focuses
on
burnout,
an
phenomenon
results
from
chronic
stress
in
workplace.
After
analyzing
how
burnout
occurs
and
its
different
dimensions,
following
aspects
are
discussed:
(1)
Description
factors
can
trigger
individual
have
been
proposed
modulate
it,
(2)
identification
effects
generates
at
both
organizational
levels,
(3)
presentation
main
actions
be
used
prevent
and/or
reduce
(4)
recapitulation
tools
developed
so
far
measure
a
generic
perspective
or
applied
specific
occupations.
Furthermore,
this
summarizes
contributions
papers
comprise
Special
Issue
"Occupational
Stress
Health:
Psychological
Burden
Burnout",
which
represent
advance
theoretical
practical
understanding
burnout.
Healthcare,
Journal Year:
2022,
Volume and Issue:
10(2), P. 364 - 364
Published: Feb. 13, 2022
This
literature
review
aimed
to
determine
the
level
of
burnout,
compassion
fatigue,
and
satisfaction,
as
well
their
associated
risks
protective
factors,
in
healthcare
professionals
during
first
year
COVID-19
pandemic.
We
reviewed
2858
records
obtained
from
CINAHL,
Cochrane
Library,
Embase,
PsycINFO,
PubMed,
Web
Science
databases,
finally
included
76
this
review.
The
main
results
we
found
showed
an
increase
rate
dimensions
emotional
exhaustion,
depersonalization,
fatigue;
a
reduction
personal
accomplishment;
levels
satisfaction
similar
those
before
risk
factors
with
burnout
were
anxiety,
depression,
insomnia,
along
some
sociodemographic
variables
such
being
woman
or
nurse
working
directly
patients.
Comparable
for
but
information
regarding
was
lacking.
resilience
social
support.
Frontiers in Psychiatry,
Journal Year:
2021,
Volume and Issue:
12
Published: Nov. 10, 2021
Burnout
among
healthcare
personnel
has
been
exacerbated
by
the
COVID-19
pandemic's
unique
features.
During
pandemic,
this
systematic
review
and
meta-analysis
aims
to
provide
a
complete
assessment
of
prevalence
burnout
across
various
personnel.
Until
January
2021,
searches
for
English
language
papers
were
conducted
using
PubMed,
Scopus,
EMBASE,
Web
Science,
Cochrane
Library,
ProQuest.
Thirty
observational
studies
found
after
conducting
searches.
The
pooled
overall
was
52%
[95%
confidence
interval
(CI)
40-63%].
Pooled
emotional
exhaustion
(EE),
depersonalization
(DP),
lack
personal
accomplishment
(PA)
51%
(95%
CI
42-61%),
39-65%),
28%
25-31%),
respectively.
This
study
demonstrated
that
nearly
half
workers
experienced
during
pandemic.
In
included,
non-frontline
exposed
also
burnout.
From
high
lower
middle-income
countries,
there
gradient
in
total
burnout,
EE,
PA.
Further
on
low
lower-middle-income
countries
are
suggested.
A
uniform
diagnostic
tool
is
warranted.
Frontiers in Psychology,
Journal Year:
2021,
Volume and Issue:
12
Published: July 8, 2021
Objective:
The
COVID-19
epidemic
has
generated
great
stress
throughout
healthcare
workers
(HCWs).
situation
of
HCWs
should
be
fully
and
timely
understood.
aim
this
meta-analysis
is
to
determine
the
psychological
impact
pandemic
on
health
care
workers.
Method:
We
searched
original
literatures
published
from
1
Nov
2019
20
Sep
2020
in
electronic
databases
PUBMED,
EMBASE
WEB
OF
SCIENCE.
Forty-seven
studies
were
included
with
a
combined
total
81,277
participants.
Results:
pooled
prevalence
anxiety
37%
(95%
CI
0.31–0.42,
I
2
=
99.9%)
44
studies.
Depression
estimated
39
studies,
depression
36%
0.31–0.41,
99.6%).
There
are
10
reported
insomnia,
overall
insomnia
32%
0.23–0.42,
99.5%).
subgroup
analysis
showed
higher
incidence
among
women
frontline
compared
men
non-frontline
respectively.
Conclusions:
caused
heavy
professionals
especially
Timely
counseling
intervention
ought
implemented
for
order
alleviate
their
improve
general
mental
health.
Psychotherapy and Psychosomatics,
Journal Year:
2021,
Volume and Issue:
90(3), P. 178 - 190
Published: Jan. 1, 2021
In
light
of
the
current
coronavirus
disease
2019
(COVID-19)
pandemic
and
potential
future
infectious
outbreaks,
a
comprehensive
understanding
negative
effects
epidemics
pandemics
on
healthcare
workers’
mental
health
could
inform
appropriate
support
interventions.
Thus,
we
aimed
to
synthesize
quantify
psychological
psychosomatic
symptoms
among
frontline
medical
staff.
We
searched
four
databases
up
March
19,
2020
additional
literature,
with
daily
search
alerts
set
until
October
26,
2020.
Studies
reporting
and/or
workers
caring
for
patients
severe
acute
respiratory
syndrome,
H1N1,
Ebola,
Middle
East
or
COVID-19
were
eligible
inclusion.
Two
reviewers
independently
conducted
search,
study
selection,
quality
appraisal,
data
extraction,
synthesis
involved
third
reviewer
in
case
disagreement.
used
random
modeling
estimate
overall
prevalence
rates
psychological/psychosomatic
I2
statistic.
included
86
studies,
from
75,991
participants.
Frontline
staff
showed
wide
range
symptoms,
including
concern
about
transmitting
virus
family
(60.39%,
95%
CI
42.53–76.96),
perceived
stress
(56.77%,
34.21–77.95),
concerns
own
(45.97%,
31.08–61.23),
sleeping
difficulties
(39.88%,
27.70–52.72),
burnout
(31.81%,
13.32–53.89),
depression
(25.72%,
18.34–33.86),
anxiety
(25.36%,
17.90–33.64),
posttraumatic
disorder
(24.51%,
18.16–31.46),
issues
(23.11%,
15.98–31.10),
somatization
(14.68%,
10.67–19.18).
found
consistent
evidence
pervasive
profound
impact
large-scale
outbreaks
workers.
As
COVID-19
crisis
continues
unfold,
guaranteeing
easy
access
structures
entire
workforce
is
vitally
important.
Frontiers in Psychiatry,
Journal Year:
2021,
Volume and Issue:
11
Published: Jan. 28, 2021
Objective:
Health-care
workers
(HCW)
are
at
risk
for
psychological
distress
during
an
infectious
disease
outbreak,
such
as
the
coronavirus
pandemic,
due
to
demands
of
dealing
with
a
public
health
emergency.
This
rapid
systematic
review
examined
factors
associated
among
HCW
outbreak.
Method:
We
systematically
reviewed
literature
on
(demographic
characteristics,
occupational,
social,
psychological,
and
infection-related
factors)
in
outbreak
(COVID-19,
SARS,
MERS,
H1N1,
H7N9,
Ebola).
Four
electronic
databases
were
searched
(2000
15
November
2020)
relevant
peer-reviewed
research
according
pre-registered
protocol.
A
narrative
synthesis
was
conducted
identify
fixed,
modifiable,
linked
psychiatric
morbidity.
Results:
From
4,621
records
identified,
138
data
from
143,246
139
studies
included.
All
but
two
cross-sectional.
The
majority
COVID-19
(k
=
107,
N
34,334)
SARS
21,
18,096).
Consistent
evidence
indicated
that
being
female,
nurse,
experiencing
stigma,
maladaptive
coping,
having
contact
or
infected
patients,
quarantine,
HCW.
Personal
organizational
social
support,
perceiving
control,
positive
work
attitudes,
sufficient
information
about
proper
protection,
training,
resources,
less
distress.
Conclusions:
highlights
key
who
most
modifying
reduce
improve
resilience.
Recommendations
increased
receive
early
interventions
ongoing
monitoring
because
there
is
can
persist
up
3
years
after
Further
needs
track
associations
resilience
over
time
extent
which
certain
inter-related
contribute
sustained
transient
Critical Care Medicine,
Journal Year:
2021,
Volume and Issue:
49(3), P. 419 - 427
Published: Jan. 28, 2021
OBJECTIVES:
ICU
professionals
are
at
risk
of
developing
burnout
due
to
coronavirus
disease
2019.
This
study
assesses
the
prevalence
and
incidence
symptoms
moral
distress
in
before
during
2019
crisis.
DESIGN:
is
a
longitudinal
open
cohort
study.
SETTING:
Five
ICUs
based
single
university
medical
center
plus
another
adult
on
separate
teaching
hospital
Netherlands.
SUBJECTS:
All
were
sent
baseline
survey
October–December
(252
respondents,
response
rate:
53%),
follow-up
was
May–June
2020
(233
50%).
INTERVENTIONS:
None.
MEASUREMENTS
AND
MAIN
RESULTS:
Burnout
measured
with
Maslach
Inventory
Moral
Distress
Scale,
respectively.
The
23.0%
36.1%
postpeak
time,
higher
rates
nurses
(38.0%)
than
physicians
(28.6%).
Reversely,
rate
new
cases
among
(26.7%)
(21.9%).
Higher
observed
period
(odds
ratio,
1.83;
95%
CI,
1.32–2.53),
for
1.77;
1.03–3.04),
working
overtime
ratio
2.11;
1.48–3.02),
directly
engaged
care
patients
1.87;
1.35–2.60).
Physicians
more
likely
develop
3.56;
1.06–12.21).
CONCLUSIONS:
shows
that
overburdening
an
extended
time
leads
burnout.
Working
long
hours
under
conditions
scarcity
staff,
resources
comes
price
professionals’
mental
health.
BMC Psychiatry,
Journal Year:
2022,
Volume and Issue:
22(1)
Published: Jan. 6, 2022
Global
health
crises,
such
as
the
COVID-19
pandemic,
confront
healthcare
workers
(HCW)
with
increased
exposure
to
potentially
morally
distressing
events.
The
pandemic
has
provided
an
opportunity
explore
links
between
moral
distress,
resilience,
and
emergence
of
mental
symptoms
in
HCWs.A
total
962
Canadian
(88.4%
female,
44.6
+
12.8
years
old)
completed
online
survey
during
first
wave
Canada
(between
April
3rd
September
3rd,
2020).
Respondents
a
series
validated
scales
assessing
perceived
stress,
anxiety,
depression
symptoms,
resilience.
were
grouped
based
on
patients
who
tested
positive
for
COVID-19.
In
addition
descriptive
statistics
analyses
covariance,
multiple
linear
regression
was
used
evaluate
if
resilience
moderates
association
events
distress.
Factors
associated
also
assessed.Respondents
working
showed
significantly
more
severe
(F
>
5.5,
p
<
.020),
higher
proportion
screened
disorders
(Chi-squared
9.1,
=
.002),
compared
not.
Moral
moderated
relationship
distress
(p
.001);
those
subgroup
lowest
had
steeper
cross-sectional
worsening
frequency
increased.
correlated
lower
(r
.27,
.001).
independently
stronger
included:
being
male,
older
age,
no
disorder
diagnosis,
sleeping
more,
support
from
employers
colleagues
(B
[0.02,
|-0.26|].Elevated
facing
global
crisis
call
development
interventions
promoting
protective
measure
against
adversities.
Journal of Palliative Medicine,
Journal Year:
2021,
Volume and Issue:
25(5), P. 712 - 719
Published: Oct. 22, 2021
Background:
The
2019
coronavirus
(COVID-19)
pandemic
placed
unprecedented
strains
on
the
U.S.
health
care
system,
putting
workers
(HCWs)
at
increased
risk
for
experiencing
moral
injury
(MI).
Moral
resilience
(MR),
ability
to
preserve
or
restore
integrity,
has
been
proposed
as
a
resource
mitigate
detrimental
effects
of
MI
among
HCWs.
Objectives:
objectives
this
study
were
investigate
prevalence
HCWs,
identify
relationship
factors
that
predict
MI,
and
determine
whether
MR
can
act
buffer
against
it.
Design:
Web-based
exploratory
survey.
Setting/Subjects:
HCWs
from
research
network
in
mid-Atlantic
region.
Measurements:
Survey
items
included:
our
outcome,
Injury
Symptoms
Scale-Health
Professional
(MISS-HP),
predictors
including
demographics,
derived
Rushton
Resilience
Scale
(RMRS),
ethical
concerns
index
(ECI).
Results:
Sixty-five
percent
595
respondents
provided
COVID-19
care.
overall
clinically
significant
was
32.4%;
nurses
reporting
highest
occurrence.
Higher
scores
each
ECI
significantly
positively
associated
with
higher
symptoms
(p
<
0.05).
related
following:
score,
religious
affiliation,
having
≥20
years
their
profession.
moderator
effect
experience
MI.
Conclusions:
are
during
pandemic.
offers
promising
individual
impact
Further
is
needed
understand
how
cultivate
MR,
reduce
ECI,
other
systems
level
prevent