STRESS AND BURNOUT SYNDROME AMONG MOROCCAN MEDICAL STUDENTS: A CROSS-SECTIONAL STUDY

Background:Christina Maslach and colleagues define burnout as a psychological syndrome in response to chronic interpersonal stressors on the job which is further characterized by its three dimensions of exhaustion, depersonalization, and a decreased sense of accomplishment. Burnout and stress are symptomatically similar, with burnout attributed specifically to occupational or academic stressors. Both can cause seriousconsequences on studenthealth, professionalism, and patient care. There are few studies evaluating the level of stress and burnoutsyndrome among medical students in Morocco.The aim of this study was to assess the prevalence and levels of burnout syndrome to identify associated factors as well as the level of stress among a group of medical students in Morocco. Method: Our study was descriptive andcross-sectional. It focused on 5th grade level medical students and was carried out during the month of November 2014. Data was collected through a self-administered questionnaire based on volunteering. Results:The study was conducted in a total of 178 fifth-year medical students. The response rate was 97.2% (n = 173). The mean age was 22.2 years (SD = 0.87 years) with a female predominance (74%). The average daily working hours were 8.33 hours (SD= 2.74) and the average daily hours of sleep was 7 hours (SD= 1.1). The majority of students (96.5%) were single.The prevalence of burnout, based on Maslach Burnout Inventory, was 49% (n = 87) of students.The prevalence of high emotional exhaustion was 44%, high depersonalization was 33.3% and high burnout score for personal accomplishment accounted for 64 %.We found a positive correlation between the number of working hours and the burnout score (r = 0.341, p <0.001) as well as the stress score (r=0.3, p=0.009). We also found a negative correlation between the number of hours of sleep and the Burnout score (r = -0.215, p = 0.019).Clearly, this study provides an idea for necessity to plan specific interventions to reduce student stress and avoid burnout.

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Burnout among clinicians in tertiary care setting

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180776 ◽

2018 ◽

Vol 5 (3) ◽

pp. 1157 ◽

Cited By ~ 2

Author(s):

Rajya Lakshmi Chepuru ◽

Siva Kumar Lotheti ◽

Devi Madhavi Bhimarasetty

Keyword(s):

Emotional Exhaustion ◽

Work Experience ◽

Care Setting ◽

Tertiary Care ◽

Working Hours ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Cross Sectional

Background: “Burnout” is defined as a state of physical, emotional and mental exhaustion, or a coping mechanism to working conditions that are stressful, demanding and lack of recognition. Effects of burnout are many and can eventually threaten one’s job satisfaction, relationship and also health. High patient load, long working hours, poor logistics and infrastructure support and unreasonable demands from patients make clinicians vulnerable for stress and burnout. Objective was to study the prevalence of burn out in clinicians and factors associated with burnout.Methods: The study was an observational descriptive cross-sectional study conducted among Doctors in clinical departments of a Tertiary Medical care setting in October-November 2015. Sample size was 97. Study was conducted using Maslach Burnout Inventory with additional questions on demographic factors, work experience, hours of work and speciality. The inventory comprised 22 items on a seven-point Likert scale. Frequency of symptoms (ranging from ‘0=never’ to ‘6=every day’). Burnout was measured in three dimensions - emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). The data was collected after taking Institutional ethics committee approval and verbal consent from participants. Data was analyzed using MS Excel 2007.Results: About 15% 0f clinicians showed high emotional exhaustion, 9% high depersonalization, and 18% low Personal accomplishment. More Females showed burnout than males and more clinicians from surgical branches showed burnout when compared to medical branches.Conclusions: Burnout exists among healthcare professionals and measures should be taken to identify causes and take remedial actions.

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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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Prevalence of burnout among forest workers in Mazandaran, Iran

Journal of Forest Science ◽

10.17221/111/2015-jfs ◽

2017 ◽

Vol 63 (No. 2) ◽

pp. 70-74

Author(s):

Lotfalian Majid ◽

Sheikhmoonesi Fatemeh ◽

Sabzi Mahbobeh ◽

Abaspour Mahbobeh ◽

Peyrov Saba

Keyword(s):

Emotional Exhaustion ◽

Significant Proportion ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Three Dimensions ◽

Mazandaran Province ◽

Cross Sectional ◽

Staff Burnout ◽

Lower Education Level

Burnout imposes consequences and costs on the organization and employees, such as frequent job and workplace replacement, frequent absenteeism and permissions, and reduced work quantity and quality. So it seems necessary to perform institutional interventions to reduce the staff burnout. The aim of the present study was to determine prevalence of burnout among forest workers in Mazandaran. This descriptive cross-sectional study was conducted on a sample of workers in the forests of Mazandaran province. Result showed that a significant proportion of workers had burnout in terms of the three dimensions of Maslach Burnout Inventory. 46.90% of respondents suffered from high emotional exhaustion, 43.36% had high depersonalization and 49.56% of respondents suffered from low personal accomplishment. In this study it was shown that people with bachelor or higher degree (compared to people with a lower education level) were in better conditions in terms of all three dimensions of burnout; they had higher personal accomplishment and higher emotional exhaustion and lower depersonalization. It was shown that burnout is highly prevalent among chainsaw operators and skidder drivers.

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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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Burnout Syndrome prevalence of on-call surgeons in a trauma reference hospital and its correlation with weekly workload: cross-sectional study

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912016005003 ◽

2016 ◽

Vol 43 (5) ◽

pp. 314-319 ◽

Cited By ~ 3

Author(s):

RODRIGO NOBRE DE NOVAIS ◽

LOUISE MATOS ROCHA ◽

RAISSA JARDELINO ELOI ◽

LUCIANO MENEZES DOS SANTOS ◽

MARINA VIEGAS MOURA REZENDE RIBEIRO ◽

...

Keyword(s):

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Referral Hospital ◽

Three Dimensions ◽

Burnout Syndrome ◽

Sectional Study ◽

Cross Sectional ◽

Reference Hospital ◽

The Mean

ABSTRACT Objective: to determine the prevalence of Burnout Syndrome (BS) for surgeons working in referral hospital for trauma in Maceio and to evaluate the possible correlation between BS and weekly workload. Methods: cross-sectional study with 43 on-call surgeons at Professor Osvaldo Brandão Vilela General State Hospital, Maceió, between July and December, 2015. A self-administered form was used to evaluate BS through the Maslach Burnout Inventory (MBI) and socio-demographic characteristics among participants. Spearman's S test was used to compare BS and weekly workload. Significant level was 5%. Results: among the surgeons studied, 95.35% were male and the mean age was 43.9 ± 8.95 years. The mean weekly workload on call in trauma was 33.90 ± 16.82 hours. The frequency of high scores in at least one of the three dimensions of MBI was 46.5%. Professional achievement was correlated with weekly workload (P = 0.020). Conclusion: the prevalence of Burnout Syndrome among on-call surgeons in referral hospital for trauma was 46.5%. In this sample there was correlation between weekly workload and the Burnout Syndrome.

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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 syndrome among Thai intensivists and nurses in pre-COVID19 era

Clinical Critical Care ◽

10.54205/ccc.v29i.254181 ◽

2021 ◽

Author(s):

Chatchai Laopakorn ◽

Pimsai Kunakorn ◽

Petch Wacharasint

Keyword(s):

Risk Factors ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Full Time ◽

Cross Sectional ◽

Related Data ◽

The Past ◽

Icu Physicians

Background: Burnout syndrome (BOS), a work-related constellation of symptoms and signs, causes individuals emotional stress and is associated with increasing job-related disillusionment. ICU-BOS among Thai intensivists and ICU nurses has never been clarified. Methods & materials: We performed a multicenter, prospective cross-sectional study in 17 hospitals in Thailand. BOS-related data were collected from full time ICU physicians and ICU nurses using electronic questionnaires. ICU-BOS was defined when participants exhibited at least 1 of 3 aspects (depersonalization, emotion exhaustion and personal accomplishment) regarding the Maslach Burnout Inventory. Primary outcome was prevalence of ICU-BOS among intensivists and ICU nurses, and secondary outcomes were risk factors for ICU-BOS. Results: After a total of 193 electronic surveys were sent, 171 responders (ICU physicians n=66, ICU nurses n=105) were included in this analysis (88.6%). Overall prevalence of ICU-BOS was 62.6%. Using multivariate analysis, the risk factors for ICU-BOS among intensivists were 1) income <20,000 THB, 2) feeling of quitting caring for patients in an ICU within the past year, 3) need >2 holidays/wk and 4) patient’s ICU-LOS >5 days (adjusted odd ratio (OR) of 31.5, 15.9, 7.4, 14.9; p =0.04, 0.007, 0.035, 0.004 respectively). Risk factors for ICU-BOS among ICU nurses were 1) age >40 years, 2) ICU experience >5 years, 3) patient’s ICU-LOS >5 days, 4) nurse to patient ratio lower than 1:1 5) feeling assignments in the ICU were too numerous and 6) feeling of quitting caring for patients in an ICU within the past year (adjusted OR of 15.7, 4.6, 10.0, 68.7, 4.3, 5.3; p =0.009, 0.04, 0.004, 0.004, 0.04, 0.007 respectively). Conclusion: In this study, we found a high prevalence of ICU-BOS among Thai intensivists and ICU nurses. Co-independent risk factors for BOS were patient’s ICU-LOS >5 days and feeling of quitting caring for patients in an ICU within the past year.

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Burnout syndrome and its association with anxiety and fear of medical errors among intensive care unit physicians: A cross-sectional study

Anaesthesia and Intensive Care ◽

10.1177/0310057x20902780 ◽

2020 ◽

Vol 48 (2) ◽

pp. 134-142

Author(s):

Polychronis Voultsos ◽

Maria Koungali ◽

Konstantinos Psaroulis ◽

Afroditi K Boutou

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Trait Anxiety ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Related Factors ◽

Cross Sectional ◽

Specific Syndrome

Burnout is a work-specific syndrome with high incidence among intensive care unit personnel. Although several risk factors have been proposed, data regarding the association of anxiety and burnout among intensive care unit physicians are scarce. The aim of this study is to investigate the incidence of burnout and its association with state and trait anxiety and other sociodemographic, behavioural and occupational-related parameters, among intensivists. A population of intensive care physicians was evaluated using the self-completed Maslach Burnout Inventory and the State-Trait Anxiety Inventory Form Y, and data regarding sociodemographic and occupational-related variables were also recorded. From the 98 intensive care physicians addressed, 80 returned fully completed questionnaires; 26.9% of them presented with high emotional exhaustion, 37.5% with high depersonalisation and 41.5% with low personal accomplishment scores. Trait anxiety, fear of having committed a medical error and self-reporting difficulty when having to act accurately were independently associated with high burnout. In conclusion, burnout is common among intensivists and is associated with specific behavioural characteristics and personality traits, but not with work-related factors.

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The prevalence of burnout syndrome among resident physicians in Syria

Journal of Occupational Medicine and Toxicology ◽

10.1186/s12995-019-0250-0 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 2

Author(s):

Bahaa Aldin Alhaffar ◽

Ghadir Abbas ◽

Alaa Aldin Alhaffar

Keyword(s):

Health Sector ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

Personal Accomplishment ◽

Burnout Syndrome ◽

Significant Relation ◽

Cross Sectional ◽

Work Related ◽

Syrian Crisis ◽

High Level

Abstract Introduction Burnout syndrome is a work-related chronic stress that is described as emotional exhaustion, a decreased sense of personal accomplishment, and depersonalization. it has been considered an important problem especially among workers in the health sector. Objectives The aim of this research was to study the prevalence of burnout among Syrian residents during the Syrian crisis, which started 9 years ago, and to assess the factors related to burnout syndrome. Methods A cross-sectional study was conducted to assess the levels of burnout syndrome; data were collected from residents doing their residency in 12 different hospitals spread over 8 governorates in Syria. A web-based Arabic version of Maslach Burnout Inventory questionnaire was used. The final sample size was 3350 residents from different specialties. SPSS V.22 was used to analyses the data using descriptive and inferential statistics. Results (93.75%) had a high level in at least one of the three domains of the burnout index, and (19.3%) of the residents had a high level of burnout in all three domains. Significant relation was found between gender, age group and affiliated authority variables and the levels of burnout. However no significant relation was found between burnout and the specialties or geographic variables. Males, residents in Ministry of Defense, and emergency medicine residents had the highest levels of burnout. Conclusion High levels of burnout was found among residents during the Syrian crisis in comparison with other studies, which highlights the role of the current situation in raising workload on the Syrian residents.

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Burnout Among Health Care Providers During COVID-19 Outbreak

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i2.5577 ◽

2021 ◽

Author(s):

Benyamin Mousavi-Asl ◽

Mohammadreza Firouzifar ◽

Leyla Noury ◽

Parnian Khamushian ◽

Dina Mousavi-Asl ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Maslach Burnout Inventory ◽

Cross Sectional Study ◽

General Information ◽

Job Burnout ◽

Personal Accomplishment ◽

Three Dimensions ◽

Care Providers ◽

Cross Sectional

COVID-19, which quickly became a global problem, in addition to its effects on public health, is very important in terms of the effect on mental health and anxiety in health care providers. Job burnout should be considered during such health crises. The study design is a cross-sectional study. A total of 87 health care providers (nurses and physicians) were included in the study. Their general information such as age, gender, years of experience, and hours working in COVID-19 was asked. They all filled Maslach burnout inventory, a questionnaire measuring job burnout with three dimensions: Emotional exhaustion (EE), Depersonalization (DP), and personal accomplishment (PA). We found that in physicians, EE (r:0.54, P<0.001) and DP were correlated with hours working in the COVID-19 ward, but no such correlation was found in nurses. Physicians had a higher DP score (mean 12.66 vs. 8.28, P<0.001) and lower PA score (mean 22.71 vs. 25.62, P:0.004) both of them represent higher burnout levels in physicians. Comparing our results with previous studies show that during the COVID-19 breakout higher level of job burnout could be found in health care workers, especially in physicians. Hours working in COVID-19 special wards can increase the level of burnout.

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