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Table of Contents
LETTER TO THE EDITOR
Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 69-70

Burnout syndrome in doctors in the context of COVID-19 pandemic


1 Department of General Surgery, Celia Sánchez Manduley Hospital, Manzanillo, Granma, Cuba
2 Department of Oncology, Conrado BenÍtez Hospital, Santiago de Cuba, Cuba

Date of Submission16-Oct-2021
Date of Decision17-Oct-2021
Date of Acceptance19-Oct-2021
Date of Web Publication19-Jan-2022

Correspondence Address:
Dr. Fernando Karel Fonseca Sosa
Esperanza Street #73 Between Guadalupe and San Javier, Manzanillo, Granma, Postal Code 87510
Cuba
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/injms.injms_121_21

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How to cite this article:
Fonseca Sosa FK, Fonseca Sosa K. Burnout syndrome in doctors in the context of COVID-19 pandemic. Indian J Med Spec 2022;13:69-70

How to cite this URL:
Fonseca Sosa FK, Fonseca Sosa K. Burnout syndrome in doctors in the context of COVID-19 pandemic. Indian J Med Spec [serial online] 2022 [cited 2022 Oct 2];13:69-70. Available from: http://www.ijms.in/text.asp?2022/13/1/69/335969



Dear Editor,

Burnout syndrome (BS) was defined by Maslach and Jackson as a three-dimensional syndrome characterized by emotional exhaustion, depersonalization, and a sense of reduced personal accomplishment.[1],[2]

This syndrome is reaching epidemic levels in the medical population, with prevalence reported around or over 50%. Burnout develops in response to chronic interpersonal stressors and is more likely in the absence of appropriate support from health-care organizations and managers.[3]

The coronavirus epidemic broke out in Wuhan, China, in a metropolis of 11 million people in December 2019, becoming soon a pandemic that affected almost all countries. The COVID-19 pandemic has led to numerous cases of depression and anxiety, as well as worsening preexisting mental illnesses.[4]

A descriptive cross-sectional study was carried out between July and August 2021, which included 111 doctors from the hospital in COVID-19 context. The prevalence of burnout as a three-dimensional syndrome was determined through the Maslach Burnout Inventory,[5] and the sociodemographic and occupational characteristics of the affected doctors were described using a questionnaire. Burnout was considered as fulfilling one of the three criteria: an elevated level of emotional exhaustion (≥27), and/or a high score for depersonalization (≥10), and/or a low personal accomplishment score (≤33). SPSS® Statistics (version 24.0; SPSS Inc., Chicago, Illinois, USA) was used in the analyses. The investigation was approved by the Research Ethics Committee of the hospital.

Of the 111 participants in the study, 61 presented burnout with a prevalence of 55%. When analyzing the three dimensions of this syndrome, 100% presented an elevated level of emotional exhaustion, 32.8% high score for depersonalization, and 14.8% low personal accomplishment score. The results of the sociodemographic and occupational characteristics of the participants are presented in [Table 1].
Table 1: Sociodemographic and occupational characteristics of 61 doctors with burnout syndrome

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All physicians with burnout reported insecurity and fear of COVID-19, experience of vulnerability and defenselessness in the face of COVID-19, and experience of current job dissatisfaction. As an argument for these responses, most of the affected physicians reported scarce means of protection provided by the medical institution, as well as failures in the organizational system of the hospital center due to the complexity of its operation and the limitations of its own resources.

On the other hand, the prolonged use of personal protective equipment without air conditioning, the longer time without feeding and hydrating, the time used for the technique of dressing and undressing with the protective equipment, and the modification of work shifts and hours increased fatigue and job stress. In addition, the use of facial protection equipment led to a depersonalization of activity, both in contact with patients and with medical personnel.

In conclusion, there is a high prevalence of BS in doctors in the context of COVID-19 pandemic. Those most affected by Burnout were young residents of internal medicine, of sex male, married and with children.

Financial support and sponsorship

None.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Lastovkova A, Carder M, Rasmussen HM, Sjoberg L, Groene GJ, Sauni R, et al. Burnout syndrome as an occupational disease in the European Union: An exploratory study. Ind Health 2018;56:160-5.  Back to cited text no. 1
    
2.
Galaiya R, Kinross J, Arulampalam T. Factors associated with burnout syndrome in surgeons: A systematic review. Ann R Coll Surg Engl 2020;102:401-7.  Back to cited text no. 2
    
3.
Sanfilippo F, Noto A, Foresta G, Santonocito C, Palumbo GJ, Arcadipane A, et al. Incidence and factors associated with burnout in anesthesiology: A systematic review. Biomed Res Int 2017;2017:8648925.  Back to cited text no. 3
    
4.
Dimitriu MC, Pantea-Stoian A, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses 2020;144:109972.  Back to cited text no. 4
    
5.
Maslach C, Jackson S. The measurement of experienced burnout. J Occup Behav 1981;2:99-113.  Back to cited text no. 5
    



 
 
    Tables

  [Table 1]



 

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