scholarly journals Feeling the burn in the era of COVID-19: Cross-cultural adaptation and validation of the Arabic version of the Copenhagen Burnout inventory among community pharmacists

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Linda Abou-Abbas ◽  
Janet Youssef
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Health Outcomes ◽  
Internal Consistency ◽  
Healthcare Workers ◽  
Community Pharmacists ◽  
Arabic Version ◽  
Depression And Anxiety ◽  
Factorial Structure ◽  
Work Related

Abstract Background Community pharmacists (CPs) are one of the frontline healthcare workers (HCWs) working diligently to provide much-needed services during the COVID-19 pandemic. They are suffering from the detrimental impact of this pandemic which affected negatively their mental health and fueled their burnout. Objectives This study aimed to validate the Arabic version of Copenhagen Burnout Inventory (CBI-A) for use in the assessment of burnout among Lebanese CPs. Methods Using a snowball sampling technique, a web-based cross-sectional study was conducted among Lebanese CPs over February 2021. Data were collected using an anonymous Arabic self-administered questionnaire that includes information on socio-demographic characteristics, work-related variables, in addition to the measurements: the CBI which includes personal, work-related, and patient-related dimensions of burnout, and the hospital anxiety and depression scale. Data were analyzed using SPSS and Amos software. Exploratory factor analysis and confirmatory factor analysis were performed to explore the factorial structure and to measure model fit. Cronbach’s alpha was used to assess internal consistency. The criterion validity of the CBI was assessed. Multivariable linear regression analyses were used to explore the association between different aspects of burnout and mental health outcomes such as depression and anxiety. Results The CBI-A showed high internal consistency with Cronbach’s alphas varied from 0.774 to 0.902 and a low flooring and ceiling effect (1– 9%). As for the CBI-A’ construct validity, the exploratory factor analysis showed three factors with good factor loadings and explained 72.17% of the variance. The confirmatory analysis supported the three-factorial structure of the CBI that presented a good overall fit revealed by the goodness of fit indices. Based on the modification indices, the three-factor model was adapted by allowing one covariate error between one pair of items within the personal burnout domain. All of the 19 items were kept in the construct since they showed a good factorial weight. The CBI-A is associated with burnout-related factors in expected directions, including extensive working hours, sleeping hours, and job satisfaction, indicating criterion validity. CBI subscales were found also positively associated with mental health outcomes such as depression and anxiety indicating a predictive validity. Conclusion This study provides evidence for the validity and reliability of the Arabic version of CBI as an adequate tool for assessing burnout among CPs. Such an instrument could be useful for assessing such syndrome among other healthcare workers.

scholarly journals Mental Health Outcomes in Healthcare Workers in COVID-19 and Non-COVID-19 Care Units: A Cross-Sectional Survey in Belgium

2021 ◽  
Vol 11 ◽  
Author(s):  
Julien Tiete ◽  
Magda Guatteri ◽  
Audrey Lachaux ◽  
Araxie Matossian ◽  
Jean-Michel Hougardy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Mental Health Outcomes ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Hospitals ◽  
High Prevalence ◽  
Professional Fulfillment

BackgroundThe literature shows the negative psychological impact of the coronavirus disease 2019 (COVID-19) outbreak on frontline healthcare workers. However, few are known about the mental health of physicians and nurses working in general hospitals during the outbreak, caring for patients with COVID-19 or not.ObjectivesThis survey assessed differences in mental health in physicians and nurses working in COVID-19 or non-COVID-19 medical care units.DesignA cross-sectional mixed-mode survey was used to assess burnout, insomnia, depression, anxiety, and stress.SettingA total of 1,244 physicians and nurses from five general hospitals in Belgium, working in COVID-19 care units (CCU), non-COVID-19 care units (NCCU), or both (CCU + NCCU) were informed of the study.ParticipantsSix hundred forty-seven healthcare workers participated in the survey (response rate = 52%).MeasurementsValidated instruments were used to assess the outcomes: the PFI (burnout/professional fulfillment), the ISI (insomnia), and the DASS-21 (depression, anxiety, and stress).ResultsResults showed high prevalence of burnout, insomnia, depression, and anxiety among participants. After adjusting for confounders, multivariate analysis of variance showed no differences between CCU, NCCU, and CCU + NCCU workers. Univariate general linear models showed higher level of burnout, insomnia, and anxiety among nurses in comparison to physicians. Being a nurse, young, isolated, with an increased workload were risk factors for worse mental health outcomes.LimitationsThe mental health of the tested sample, before the outbreak, is unknown. Moreover, this cross-sectional design provides no information on the evolution of the mental health outcomes over time.ConclusionDirectly caring for patients with COVID-19 is not associated with worse mental health outcomes among healthcare workers in general hospitals. High prevalence of burnout, insomnia, depression, and anxiety among physicians and nurses requires special attention, and specific interventions need to be implemented.Protocol RegistrationClinicalTrials.gov, identifier NCT04344145.

scholarly journals The psychiatric impact of COVID-19 on healthcare workers

2020 ◽  
Vol 49 (12) ◽  
pp. 791-795
Author(s):  
Sonja Cabarkapa ◽  
Joel A King ◽  
Chee H Ng
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Sleep Disturbances ◽  
Depression And Anxiety ◽  
Health Issues ◽  
Work Related ◽  
Mental Health Issues ◽  
Assessment And Treatment ◽  
Related Stress ◽  
Trauma Stress

Background Healthcare workers (HCWs) are a vulnerable population who have been exposed to high work-related stress during the COVID-19 pandemic because of the high risk of infection and excessive workloads. HCWs are at greater risk of mental illness, particularly sleep disturbances, post-trauma stress syndromes, depression and anxiety. Objective The aim of this article is to highlight the psychiatric impact of the COVID-19 pandemic on frontline HCWs, the need for screening and early diagnosis by general practitioners (GPs), and the appropriate psychosocial strategies and treatments to address this. Discussion Opportunistic screening for mental health issues among HCWs is especially important during the current pandemic. Various tools and strategies can be used for efficient assessment and treatment of the common mental health issues HCWs are likely to face.

scholarly journals The development of a contextually appropriate measure of psychological distress in Sierra Leone

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rebecca Horn ◽  
Kanykey Jailobaeva ◽  
Stella Arakelyan ◽  
Alastair Ager
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Psychological Distress ◽  
Sierra Leone ◽  
Exploratory Factor Analysis ◽  
Internal Consistency ◽  
Phase 1 ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Distress Scale

Abstract Background Studies of psychological distress in Sierra Leone have typically used measures which were developed for use in other contexts, and which often have not been adapted or validated for use in Sierra Leone. This has resulted in a lack of reliable information about the patterns of psychological distress within the population, which is a barrier to the development of effective and appropriate mental health services. The aim of the study was to develop a locally-appropriate measure of psychological distress for Sierra Leone. Methods The new measure consists of two instruments: the Sierra Leone Psychological Distress Scale (SLPDS) and a gendered measure of ability to carry out daily tasks—a Function scale—as an indication of the severity of distress. A three-phase mixed methods exploratory sequential study was conducted. Phase 1 was item generation and testing, leading to the development of a set of potential items for both instruments. Phase 2 was a small pilot study (N = 202) leading to the selection of the final set of items for both measures. Phase 3 was a validation phase where the SLPDS and the Function scale were administered with a larger sample of 904 respondents. Item analysis was used to assess the internal consistency of the scales, and Exploratory Factor Analysis to explore the properties of the SLPDS. Results Exploratory factor analysis using the principal axis factoring with an oblique rotation identified a three-factor structure for the 18-item SLPDS. Internal consistency for the SLPDS (Cronbach’s alpha = 0.89) and three subscales was good (Cronbach’s alpha > 0.73). The internal reliability of the male and female versions of the Function scale was also found to be acceptable (Cronbach’s alpha = 0.90 for the female scale and 0.79 for the male scale). Conclusions Together the SLPD and Function scales provide a locally-validated tool which will enable government bodies and local and international non-governmental organisations in Sierra Leone to assess mental health and psychosocial needs. This will support both effective service provision and the evaluation of initiatives designed to improve mental health and psychosocial wellbeing.

scholarly journals The Japanese version of the questionnaire about the process of recovery: development and validity and reliability testing

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Akiko Kanehara ◽  
Risa Kotake ◽  
Yuki Miyamoto ◽  
Yousuke Kumakura ◽  
Kentaro Morita ◽  
...  
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Mental Health Services ◽  
Health Services ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Short Form ◽  
Japanese Version ◽  
Internal Consistency Reliability ◽  
Validity And Reliability

Abstract Background Personal recovery is increasingly recognised as an important outcome measure in mental health services. This study aimed to develop a Japanese version of the Questionnaire about the Process of Recovery (QPR-J) and test its validity and reliability. Methods The study comprised two stages that employed the cross-sectional and prospective cohort designs, respectively. We translated the questionnaire using a standard translation/back-translation method. Convergent validity was examined by calculating Pearson’s correlation coefficients with scores on the Recovery Assessment Scale (RAS) and the Short-Form-8 Health Survey (SF-8). An exploratory factor analysis (EFA) was conducted to examine factorial validity. We used intraclass correlation and Cronbach’s alpha to examine the test-retest and internal consistency reliability of the QPR-J’s 22-item full scale, 17-item intrapersonal and 5-item interpersonal subscales. We conducted an EFA along with a confirmatory factor analysis (CFA). Results Data were obtained from 197 users of mental health services (mean age: 42.0 years; 61.9% female; 49.2% diagnosed with schizophrenia). The QPR-J showed adequate convergent validity, exhibiting significant, positive correlations with the RAS and SF-8 scores. The QPR-J’s full version, subscales, showed excellent test-retest and internal consistency reliability, with the exception of acceptable but relatively low internal consistency reliability for the interpersonal subscale. Based on the results of the CFA and EFA, we adopted the factor structure extracted from the original 2-factor model based on the present CFA. Conclusion The QPR-J is an adequately valid and reliable measure of the process of recovery among Japanese users with mental health services.

Intimate Partner Violence Exposure and Adolescent Mental Health Outcomes: The Mediating Role of Housing Insecurity

2021 ◽  
pp. 088626052110435
Author(s):  
Katherine E. Marçal
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Partner Violence ◽  
Adolescent Depression ◽  
Well Being ◽  
Intimate Partner ◽  
Mental Health Outcomes ◽  
Equation Modeling ◽  
Depression And Anxiety

The present study investigated pathways from childhood exposure to mothers’ intimate partner violence (IPV) to adolescent depression and anxiety. Further, the study examined whether housing insecurity mediated the link from IPV exposure to mental health outcomes. Data came from the Years 5, 9 and 15 interviews of the Fragile Families and Child Well-being Study; the analytic sample was limited to mothers with at least partial custody of children ( N = 2,425). Structural equation modeling with latent variables investigated research questions. Confirmatory factor analysis (CFA) identified observed indicators for latent constructs, and a path analysis tested direct and indirect pathways from IPV exposure to adolescent depression and anxiety. IPV exposure at age five was associated with increased housing insecurity at age nine, which was associated with increased adolescent depression and anxiety at age 15. Although IPV exposure was not directly associated with either mental health outcome, housing insecurity mediated the link from IPV exposure to adolescent depression. Findings point to the long-term consequences of exposure to intimate partner violence in childhood, highlighting pathways to mental disorder in adolescence. The present study emphasizes the need for policies that protect survivors of IPV from eviction and homelessness, empower them to leave abusers without fear of losing their housing, and promote healthy child development in the wake of family violence.

On the front lines: A qualitative study understanding mental health outcomes for healthcare workers and first responders during the COVID-19 pandemic (Preprint)

2021 ◽  
Author(s):  
Adjunct Professor ◽  
Frances Furio
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
First Responders ◽  
Mental Health Outcomes ◽  
Personal Experiences ◽  
The World ◽  
New Challenges

BACKGROUND The COVID-19 pandemic has had a significant impact on various sectors and industries around the world. Globally, healthcare workers and first responders have found themselves faced with unprecedented challenges, both within and outside of the workplace. OBJECTIVE The purpose of this research was to identify and explore the complex mental health outcomes resulting from the various new challenges experienced by healthcare workers and first responders during the COVID-19 pandemic. METHODS A phenomenological qualitative study was conducted in an effort to understand the mental health outcomes resulting from the various challenges and barriers faced while working during the pandemic. A total of 31 healthcare workers and first responders were interviewed. RESULTS The mental health outcomes described were not isolated to increased stress and anxiety; participants also described complex experiences, perspectives, and feelings related to guilt, stoicism, helplessness, fear, and anger. This paper adds to the current body of literature by further exploring the personal experiences and perspectives of healthcare workers and first responders related to these complex mental health outcomes. CONCLUSIONS Continued exploration, understanding, and awareness is needed in order to continue working towards addressing these outcomes and offering potential solutions.

scholarly journals 42 Training Forgiveness – A Novel Approach to Reducing Physician Burnout

CNS Spectrums ◽  
2019 ◽  
Vol 24 (1) ◽  
pp. 198-199 ◽  
Author(s):  
Lidia Firulescu ◽  
Ross W. May ◽  
Frank D. Fincham ◽  
Emelina A. Arocha ◽  
Marcos A. Sanchez-Gonzalez
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Well Being ◽  
Anxiety And Depression ◽  
P Value ◽  
Depression And Anxiety ◽  
Physician Burnout ◽  
Study Objective ◽  
Work Related ◽  
Mental And Physical Health

AbstractStudy ObjectivePsychological risk factors that lead to impaired work performance, negatively impacting mental and physical health, have emerged as a concern across clinical settings. Although depression and anxiety are linked to poor physician mental health, physician burnout characterized by work related stress due to chronic exhaustion from clinical work, cynicism toward meaning of the medical profession, and feelings of inadequacy toward work related accomplishments, may be an even stronger indicator of well-being. Literature suggests that work satisfaction among physicians is rapidly deteriorating owing to high rates of burn out and poor mental health. Although the relationship between work burnout (WB) and negative affectivity has been well documented, the association with positive affect, such as trait forgiveness (TF) has been overlooked. On that note, research shows that lifetime stress severity and lower levels of forgiveness predict worse mental and physical health. Since TF has been linked strongly with healthy workplace relationships, positive occupational outcomes and general well-being, its association with WB remains to be investigated. Therefore, the aim of the present study was to explore the link between TF and WB among physicians. We hypothesized that TF would be associated with reduced levels of burnout.MethodA total of 62 (F=23) medical residents at a Teaching Hospital consented for the study. Residents were administered surveys on WB (Maslach BurnoutInventory), workplace bullying, personal bullying (PB), interpersonal rejection sensitivity (IRS), perceived stress scale (PSS), TF, anxiety, and depression, all of which were anonymously submitted via electronically. Hierarchical multiple regression (HMR) models were used to determine the associations between WB, work environment social factors and TF. A p-value of <0.05 was considered significant.ResultsThe mean age 33.1±SD 4.2 years. HMR analysis using WB as main outcome contained 6 predictors: Model 1 contained depression and anxiety, Model 2 added PB, Model 3 added IRS and PSS, Model 4 added TF. Anxiety and TF were the only significant predictors (p= >0.05) accounting for 10.4% and 17.5% of the variance in WB scores, respectively.ConclusionsThe novel finding of the present study is that TF was associated with low levels of burnout. Additionally, WB was found to be linked to anxiety and depression which is in line with previous research. These data suggest that TF could be a potential resolution to the deleterious influence of burnout. Further exploration is needed in order to understand the psychology of forgiveness as a potential adjuvant and/or therapeutic intervention for physicians’ burnout. These results suggest that strategies including forgiveness training aimed at decreasing WB while increasing job satisfaction among physicians warrant further exploration.Funding Acknowledgements: no funding

scholarly journals Addressing Adolescent Mental Health after Disasters: The Critical Role of Chronic Stressors

2019 ◽  
Vol 34 (s1) ◽  
pp. s4-s4
Author(s):  
Elizabeth Newnham ◽  
Xue Gao ◽  
Elizabeth Nathan ◽  
Mark Boyes ◽  
Feng Jiao ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Southern China ◽  
Critical Role ◽  
Trauma Exposure ◽  
Significant Risk ◽  
Mental Health Outcomes ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Chronic Stressors

Introduction:Prolonged conditions of chronic stress have the potential to cause mental health difficulties and disrupt developmental processes for children and adolescents. Natural disasters disproportionately affect low-resource areas, yet little is known about the interaction between trauma exposure, chronic stressors, and mental health.Aim:To determine the rates of post-traumatic stress disorder (PTSD), depression and anxiety among adolescents affected by earthquakes in China and Nepal, and examine the specific roles of trauma exposure and chronic stressors across the three mental health outcomes.Methods:A school-based, cross-sectional study of 4,215 adolescents (53% female, ages 15-19 years) was conducted in disaster-affected areas of southern China and Nepal. Participants completed a series of translated and culturally adapted standardized assessments. Mixed effects logistic regression analyses were conducted for each mental health outcome.Results:The overall rate of PTSD was 22.7% and was higher among Nepalese participants (China: 19.4% vs. Nepal: 26.8%, p<0.001), but did not differ between genders (China: p=0.087 and Nepal: p=0.758). In both countries, the level of trauma exposure was a significant risk factor for PTSD, depression, and anxiety (China: OR’s 1.09-1.18 and Nepal: OR’s 1.08-1.13). Chronic stressors significantly improved the model and further contributed to mental health outcomes (China: OR’s 1.23-1.26 and Nepal: OR’s 1.10-1.23). Multilevel risk and protective factors across all mental health outcomes will be presented.Discussion:While there are limited opportunities to protect adolescents from disaster exposure, there is significant potential to address the effects of ongoing economic insecurity, domestic violence, and school cessation that are likely to worsen mental health outcomes. Programs that identify chronic stressors for adolescents in disaster-affected settings, and work to address poverty and violence, will have cascading effects for mental health, development, and security.

scholarly journals Psychometric properties of the Attitudes Scale facing Alcohol and Alcoholism in nursing students

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Divane de Vargas ◽  
Fernanda Mota Rocha
Keyword(s):  
Factor Analysis ◽  
Nursing Students ◽  
Alcohol Use ◽  
Confirmatory Factor Analysis ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Factorial Structure ◽  
Convenience Sample ◽  
Confirmatory Factor ◽  
Reliable Instrument

ABSTRACT Objective: to verify the psychometric properties of the Attitudes Scale facing Alcohol and Alcoholism (EAFAA) and people with disorders related to the use of alcohol in nursing students. Method: a convenience sample (n=420) completed the EAFAA, the data were submitted to Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Results: the EFA resulted in an instrument composed of 48 items divided into four factors. The CFA has established the validity of the factorial structure. The internal consistency of the scale was considered adequate (α=0.85) presenting a sensitivity of 70% and specificity of 75%. Conclusion: the EAFAA constitutes a reliable instrument to identify the attitudes of nursing students towards alcohol, alcoholism and persons with disorders related to alcohol use.

Sign in / Sign up

Export Citation Format

Share Document