Evaluation of Burnout Syndrome Prevalence in Medical Students

Abstract: Introduction: Burnout Syndrome (BS) is related to chronic occupational stress, present in the life of medical students. This syndrome comprises three basic dimensions: I- emotional exhaustion; II- increased mental distancing from the work itself or feelings of negativism and cynicism related to the work itself; and III - reduced professional effectiveness. This study aims to assess the prevalence, risk factors for the development and symptoms associated with Burnout Syndrome in medical students from a district college, in addition to establishing a profile of students with a higher risk of having a BS diagnosis. Method: This is a cross-sectional observational study. The Maslach Burnout Inventory (MBI) - Student Survey questionnaire, specific version for students, which is a questionnaire of sociodemographic factors, one of predictive factors and another of possible somatic symptoms associated with BS were applied. The sample was obtained by convenience and its representativeness was calculated in relation to the total number of students. A student was considered to be at moderate or high risk of developing BS when they had one or two altered BS dimensions, respectively. Results: 67.11% of the total students regularly enrolled from the 1st to the 6th year of the medical course answered the questionnaires. Of the total sample, 80.63% of male students and 81.06% of female students were identified as having a high or moderate risk for BS. The sociodemographic factors associated with the risk of developing BS were: age, who the student lives with, having children and doing paid work. The most statistically significant predictor was the self-management of tasks proposed by the Medical School. Conclusion: The prevalence of high risk and diagnosis of BS found among medical students was 26.44% and 3.95%, respectively. Differences were identified between the high-risk profiles for female and male students.

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Avaliação da Prevalência da Síndrome de Burnout em Estudantes de Medicina

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v44.4-20200032 ◽

2020 ◽

Vol 44 (4) ◽

Author(s):

Camila Serra Rodrigues ◽

Márcia Luísa Albuquerque de Deus ◽

Flávia Teixeira de Andrade ◽

Giovanna Breda Rezende ◽

Lucas de Ávila Mariano ◽

...

Keyword(s):

Medical Students ◽

High Risk ◽

Maslach Burnout Inventory ◽

Total Sample ◽

Sociodemographic Factors ◽

Burnout Syndrome ◽

Male Students ◽

Student Survey ◽

Cross Sectional ◽

Diagnosis Method

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High risk of burnout in medical students in Serbia, by gender: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0256446 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0256446

Author(s):

Irena Ilic ◽

Ivana Zivanovic Macuzic ◽

Sanja Kocic ◽

Milena Ilic

Keyword(s):

Gender Differences ◽

Medical Students ◽

High Risk ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Burnout Syndrome ◽

Student Survey ◽

Sectional Study ◽

Significant Independent Predictor ◽

Cross Sectional

Introduction Burnout syndrome is common among medical students, but findings about the gender differences in burnout are not consistent. The aim of this study was to assess high risk of burnout syndrome among medical students at one University in Serbia, by gender. Method A cross-sectional study was conducted at the Faculty of Medical Sciences, University of Kragujevac in 2014. The Maslach Burnout Inventory—Student Survey was used for assessment of burnout level. A questionnaire on basic socio-demographic characteristics (age, gender, marital status, habits, etc.) and academic performance (year of study, cumulative total average grade, length of study, housing, study financing, etc.) was used. The study included a total of 760 medical students (760/836 medical students; participation rate: 90.9%). Logistic regression analysis was used to determine odds ratios (OR) with 95% confidence intervals (95% CI). Results Significant gender differences were detected in prevalence of high risk of burnout syndrome (male students– 19.0% vs. female students– 12.8%, p = 0.024). A significant independent predictor of high risk for burnout syndrome in male medical students was study year (p for trend = 0.011), while in female medical students–study year (p for trend = 0.002) and use of sedatives (adjusted OR = 5.74, 95% CI = 1.96–16.77, p = 0.001). Conclusion Our results indicate the need to assess the risk of burnout syndrome at the very beginning of medical studies, in order to more effectively control the modifiable risk factors.

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Burnout Prevalence and Associated Factors Among Brazilian Medical Students

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901814010188 ◽

2018 ◽

Vol 14 (1) ◽

pp. 188-195 ◽

Cited By ~ 1

Author(s):

Mariana Linhares Barbosa ◽

Bárbara Lopes Rodrigues Ferreira ◽

Thaís Nunes Vargas ◽

George Martins Ney da Silva ◽

Antonio Egidio Nardi ◽

...

Keyword(s):

Medical Students ◽

Emotional Exhaustion ◽

Associated Factors ◽

Maslach Burnout Inventory ◽

Female Gender ◽

Cross Sectional Study ◽

Three Dimensions ◽

Burnout Syndrome ◽

Student Survey ◽

Cross Sectional

Objectives: This study aims to identify the prevalence of burnout and associated factors in Brazilian medical students. Methods: In the largest medical school from Central Brazil, the Maslach Burnout Inventory-Student Survey and a socio-demographic questionnaire were adopted in this cross-sectional study. Correlations among the three dimensions of burnout were verified. Results: The evaluation of 399 students revealed a frequency of 12.0% of burnout. Women had a higher rate of burnout (8.0%) than men (4.0%). The fifth period had the higher frequency of burnout (27.1%), while the seventh grade had the lower frequency (2.1%). The students showed high scores only in emotional exhaustion (63.2%). Between the dimensions “emotional exhaustion” and “disbelief” found a significant correlation. Conclusion: The fifth period of the Medicine course and the female gender are the most affected by burnout syndrome and therefore, the preventive actions to reduce stress among medical students should be directed mainly at these higher risk categories. The low burnout rate found in our study can attest that the PBL methodology and medical schools strategically located to meet regional demand may represent strategies for the prevention of burnout among medical students.

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Burnout among medical students of the University of Kerbala and its correlates

Middle East Current Psychiatry ◽

10.1186/s43045-021-00152-2 ◽

2021 ◽

Vol 28 (1) ◽

Author(s):

Marwa Saad Yahya ◽

Ali Abdulridha Abutiheen ◽

Amer Fadhil Al- Haidary

Keyword(s):

Medical Students ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Female Gender ◽

Burnout Syndrome ◽

Student Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Professional Efficacy ◽

The University

Abstract Background Burnout is prevalent among medical students. Throughout their training, medical students face many psychosocial stresses that, if not managed, might cause burnout syndrome. Burnout could negatively impact students’ life and their academic performance. This study aims to estimate the prevalence of burnout among medical students at the College of Medicine, University of Kerbala, and assess factors associated with it. An analytic cross-sectional study. A sample of 424 students from all academic years from the College of Medicine, University of Kerbala, was approached. Data collection was conducted from June 11 to July 3, 2020, through a self-administered online questionnaire based on the Maslach Burnout Inventory Student Survey (MBI-SS). The MBI-SS included 15 questions with a 7-point rating ranging from 0 (never) to 6 (always). The tool measures three subscales: emotional exhaustion (5 questions), Cynicism (4 questions), and professional efficacy (6 questions). Statistical Package for the Social Sciences (SPSS) program version 24 was used for data analysis. Binary logistic regression was used to assess the association between burnout and students̓ variables, P value of a level < 0.05 considered statistically significant. Results The prevalence of burnout syndrome among medical students was 38.2%. About 85.6% of students had high emotional exhaustion, 77.8% had high cynicism, and 32.5% exhibited low professional efficacy. Female gender, regular use of legal substances, and family history of mental diseases were associated with significantly high rates of burnout. Conclusions Burnout is prevalent among medical students of the University of Kerbala with quite high levels of emotional exhaustion and cynicism and lower professional efficacy levels. Faculties of medicine need to consider burnout among their students and works to reduce unnecessary stresses by modifying and upgrading the educational and clinical environments.

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A Risk Profile of Sociodemographic Factors in the Onset of Academic Burnout Syndrome in a Sample of University Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16050707 ◽

2019 ◽

Vol 16 (5) ◽

pp. 707 ◽

Cited By ~ 5

Author(s):

Raimundo Aguayo ◽

Gustavo Cañadas ◽

Latifa Assbaa-Kaddouri ◽

Guillermo Cañadas-De la Fuente ◽

Lucía Ramírez-Baena ◽

...

Keyword(s):

Maslach Burnout Inventory ◽

Sociodemographic Factors ◽

Risk Profile ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Student Survey ◽

Cross Sectional ◽

Academic Burnout ◽

Ex Post ◽

Ex Post Facto

Studying for a university degree can be very demanding, as students must cope with a variety of academic, social and personal challenges. If these demands persist, and if there are insufficient resources with which to address them, they will eventually provoke stress. When stress is present for long periods of time, it can lead to academic burnout syndrome, the signs of which are emotional exhaustion, depersonalisation and inadequate personal accomplishment. This paper considers certain sociodemographic factors (age, sex, children, marital status, employment status, degree subject, faculty, academic year) in the identification of a risk profile of developing burnout syndrome. This study is cross-sectional, associative and ex post facto. The Maslach Burnout Inventory-Student Survey was administered to 445 students in the University of Granada. According to the risk profile obtained, first-year male students in Primary Education and Social Education courses are at risk of developing burnout syndrome.

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Burnout Syndrome in Medical Students in the Kingdom of Bahrain

Global Journal of Health Science ◽

10.5539/gjhs.v10n11p86 ◽

2018 ◽

Vol 10 (11) ◽

pp. 86

Author(s):

Basem Abbas Al Ubaidi ◽

Ghufran Jassim ◽

Abdelhalim Salem

Keyword(s):

Medical Students ◽

Emotional Exhaustion ◽

Maslach Burnout Inventory ◽

Well Being ◽

Total Sample ◽

Cross Sectional Study ◽

Burnout Syndrome ◽

P Value ◽

Cross Sectional ◽

Medical Colleges

OBJECTIVES: To assess stress and burnout, and identify common stressors, among medical students in the Kingdom of Bahrain. STUDY DESIGN: A cross-sectional study with students being evaluated from March to September 2017 at two medical colleges in the Kingdom of Bahrain. METHODOLOGY: Survey conducted on a total sample of 533 clerkship-training students with a total of 347 respondents. The instruments used were Cohen’s Perceived Stress Scale; the Maslach Burnout Inventory; and a common stressors questionnaire. RESULTS: 65% (347/533) of the students from the two medical colleges responded to the questionnaire. It was found that the mean (SD) of Cohen stress score in this study was 21.76 (5.60), with a stress and burnout prevalence of 47% and 43.43% respectively. A high percentage of respondent students (68%) also exhibited high emotional exhaustion scores > 14. More than half of the respondents (53.3%) exhibited high cynicism score > 6. Statistically significant differences were observed across gender categories with Cohen mean score, emotional exhaustion and cynicism. Multiple linear regressions revealed gender to be the only statistically significant predictor of the Cohen score (p. value 0.042). CONCLUSION: Clerkship medical students displayed high levels of both stress and burnout prevalence. Medical educators must be aware of the early signs, causes and consequences of student stress. They should also be able to encourage students to improve their mental and physical health, promote mental well-being and teach stress management.

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Negative and positive predictive relationships between coping strategies and the three burnout dimensions among Hungarian medical students

Orvosi Hetilap ◽

10.1556/oh.2014.29949 ◽

2014 ◽

Vol 155 (32) ◽

pp. 1273-1280 ◽

Cited By ~ 1

Author(s):

Szilvia Ádám ◽

Anikó Nistor ◽

Katalin Nistor ◽

Anikó Hazag

Keyword(s):

Medical Students ◽

Protective Factors ◽

Coping Strategies ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Effective Management ◽

Student Survey ◽

Cross Sectional ◽

Health Maintenance

Introduction: Effective management and prevention of widespread burnout among medical students in Hungary require thorough understanding of its relations to coping strategies, which lacks sufficient data. Aim: To explore the prevalence of burnout and its relations to coping strategies among medical students. Method: Cross-sectional study with 292 participants. Burnout was assessed by the Maslach Burnout Inventory-Student Survey. Coping strategies were evaluated by the Folkman–Lazarus Ways of Coping Questionnaire and questions about health-maintenance behaviours. Associations between burnout and coping strategies were explored with linear regression analyses. Results: The prevalence of high-level burnout was 25–56%. Both problem-focused coping and support-seeking were protective factors of exhaustion and cynicism, however, they predicted reduced personal accomplishment. Emotion-focused coping predicted exhaustion and cynicism and correlated negatively with reduced personal accomplishment. Health-maintenance behaviours were protective factors for exhaustion and predicted reduced personal accomplishment. Conclusions: Deployment of coping strategies that target the most prevalent burnout dimension may improve effective management of burnout.

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Learning burnout: evaluating the role of social support in medical students

10.21203/rs.3.rs-53416/v2 ◽

2020 ◽

Author(s):

Jiayu Zhang ◽

Tao Shu ◽

Ming Xiang ◽

Zhanchun Feng

Keyword(s):

Social Support ◽

Medical Students ◽

Online Survey ◽

Family Income ◽

Rating Scale ◽

Maslach Burnout Inventory ◽

Protective Role ◽

Burnout Syndrome ◽

Cross Sectional ◽

The Social

Abstract Background:Burnout is a stress-induced syndrome that is considered closely related to work. Although social support could reduce burnout syndrome, the effect of it on learning burnout in medical students remains unclear. The objectives of the study are to evaluate the association between learning burnout and social support in a cohort of Chinese medical students.Methods:A cross-sectional online survey was distributed to students who participated in online learning in a medical college in Wuhan during the COVID-19 epidemic. We used the Lian version of the Maslach Burnout Inventory (MBI) to assess learning burnout and the Social Support Rating Scale (SSRS) to assess social support.Results:A total of 684 students completed the survey (response rate of 30.9%), of which 315 (46.12%) met standard criteria for learning burnout. We found grade, family income, learning time, and the number of interactions with teachers or classmates had an effect on students’ learning burnout. After adjusting for the grade and residence, there was a significant and relevant association between the social support and learning burnout. (adjusted odds ratio, 0.93 for 1-point decrease in total SSRS score; 95% CI, 0.90 – 0.96; p < 0.001).Conclusions:Learning burnout was highly prevalent in medical students of our college. The social support especially subjective support and utilization of support played a protective role in reducing the risk of learning burnout.

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Assessment of burnout in medical students using the Maslach Burnout Inventory-Student Survey: A cross-sectional data analysis

10.21203/rs.3.rs-30445/v2 ◽

2020 ◽

Author(s):

Michael Obregon ◽

Jessica Luo ◽

Jarod Shelton ◽

Terri Blevins ◽

Martin MacDowell

Keyword(s):

Regression Analysis ◽

Medical Student ◽

Medical Students ◽

Medical School ◽

Three Dimensional ◽

Maslach Burnout Inventory ◽

Student Survey ◽

Cross Sectional ◽

Student Burnout ◽

Wellness Initiatives

Abstract Background: Medical student burnout can cause emotional and physical exhaustion and detachment. The objectives of this study were to evaluate burnout using the Maslach Burnout Inventory-Student Survey (MBI-SS), identify factors that may predict burnout, and assess wellness initiatives effectiveness at reducing burnout. Methods: The MBI-SS was administered to all medical students (Classes 2019 to 2022) at the University of Illinois College of Medicine (UICOM) from February to May 2019. Factor analysis and internal consistency of the MBI-SS were assessed. Mean MSBI-SS subscale scores for burnout were calculated for cynicism (CY), emotional exhaustion (EE), and academic efficacy (AE). Multiple regression analysis was used to identify student factors that may predict burnout.Results: A total of 273 (21.6%) UICOM students completed the survey and 110 (40.3%) respondents reported self-perceived burnout. MBI-SS subscale scores were significantly higher for CY and EE, and significantly lower for AE in students who reported suffering from burnout versus students who did not report burnout. Mean ± SD subscale scores for CY, EE, and AE in burnout students were 14.44 ± 5.59, 23.23 ± 4.74, and 24.81 ± 5.35, respectively. In comparison, mean ± SD subscale scores for CY, EE, and AE in non-burnout students were 7.59 ± 5.16, 14.96 ± 5.71, and 28.74 ± 3.21, respectively. Regression analysis denoted significant associations between burnout and being out-of-phase in the curriculum, the effectiveness of wellness initiatives, and strength of motivation for medical school (SMMS) in both the two- and three-dimensional MBI-SS models. Gender was significantly associated with burnout in only the two-dimensional model.Conclusions: Self-reported burnout in medical students at UICOM was validated using the MBI-SS. Being out-of-phase in the curriculum, being female, rating wellness initiatives as less effective, and demonstrating lower motivation for continued medical school education may be used as predictors of medical student burnout. This investigation may act as a guide for measuring burnout in medical student populations and how the implementation of wellness initiatives may ameliorate burnout.

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