Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China
BackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repea...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1156313/full |
| _version_ | 1797839112091205632 |
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| author | Zhengshan Qin Zhehao He Qinglin Yang Zeyu Meng Qiuhui Lei Jing Wen Xiuquan Shi Jun Liu Zhizhong Wang Zhizhong Wang |
| author_facet | Zhengshan Qin Zhehao He Qinglin Yang Zeyu Meng Qiuhui Lei Jing Wen Xiuquan Shi Jun Liu Zhizhong Wang Zhizhong Wang |
| author_sort | Zhengshan Qin |
| collection | DOAJ |
| description | BackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repeated online studies were conducted in different stages of the COVID-19 pandemic: wave 1: after the first peak of the pandemic, wave 2: the early period of the zero-COVID policy, and wave 3: the second peak of the pandemic in China. Two dimensions of burnout, emotional exhaustion (EE) and declined personal accomplishment (DPA), were assessed using Human Services Survey for Medical Personnel (MBI-HSMP), a 9-item Patient Health Questionnaire (PHQ-9), and a 7-item Generalized Anxiety Disorder (GAD-7) to assess mental health conditions. An unconditional logistic regression model was employed to discern the correlators.ResultsThere was an overall prevalence of depression (34.9%), anxiety (22.5%), EE (44.6%), and DPA (36.5%) in the participants; the highest prevalence of EE and DPA was discovered in the first wave (47.4% and 36.5%, respectively), then the second wave (44.9% and 34.0%), and the third wave had the lowest prevalence of 42.3% and 32.2%. Depressive symptoms and anxiety were persistently correlated with a higher prevalence risk of both EE and DPA. Workplace violence led to a higher prevalence risk of EE (wave 1: OR = 1.37, 95% CI: 1.16–1.63), and women (wave 1: OR = 1.19, 95% CI: 1.00–1.42; wave 3: OR =1.20, 95% CI:1.01–1.44) and those living in a central area (wave 2: OR = 1.66, 95% CI: 1.20–2.31) or west area (wave 2: OR = 1.54, 95% CI: 1.26–1.87) also had a higher prevalence risk of EE. In contrast, those over 50 years of age (wave 1: OR = 0.61, 95% CI: 0.39–0.96; wave 3: OR = 0.60, 95% CI: 0.38–0.95) and who provided care to patients with COVID-19 (wave 2: OR = 0.73, 95% CI: 0.57–0.92) had a lower risk of EE. Working in the psychiatry section (wave 1: OR = 1.38, 95% CI: 1.01–1.89) and being minorities (wave 2: OR = 1.28, 95% CI: 1.04–1.58) had a higher risk of DPA, while those over 50 years of age had a lower risk of DPA (wave 3: OR = 0.56, 95% CI: 0.36–0.88).ConclusionThis three-wave cross-sectional study revealed that the prevalence of burnout among health professionals was at a high level persistently during the different stages of the pandemic. The results suggest that functional impairment prevention resources and programs may be inadequate and, as such, continuous monitoring of these variables could provide evidence for developing optimal strategies for saving human resources in the coming post-pandemic era. |
| first_indexed | 2024-04-09T15:52:59Z |
| format | Article |
| id | doaj.art-5c325f4e5c454d88971e402b547568af |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-09T15:52:59Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-5c325f4e5c454d88971e402b547568af2023-04-26T04:46:39ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-04-011410.3389/fpsyt.2023.11563131156313Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in ChinaZhengshan Qin0Zhehao He1Qinglin Yang2Zeyu Meng3Qiuhui Lei4Jing Wen5Xiuquan Shi6Jun Liu7Zhizhong Wang8Zhizhong Wang9Department of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, ChinaDepartment of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi, ChinaDepartment of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi, Guizhou, ChinaDepartment of Preventive Medicine, School of Public Health at Zunyi Medical University, Zunyi, ChinaDepartment of Epidemiology and Health Statistics, School of Public Health at Guangdong Medical University, Dongguan, ChinaThe First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan, ChinaBackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repeated online studies were conducted in different stages of the COVID-19 pandemic: wave 1: after the first peak of the pandemic, wave 2: the early period of the zero-COVID policy, and wave 3: the second peak of the pandemic in China. Two dimensions of burnout, emotional exhaustion (EE) and declined personal accomplishment (DPA), were assessed using Human Services Survey for Medical Personnel (MBI-HSMP), a 9-item Patient Health Questionnaire (PHQ-9), and a 7-item Generalized Anxiety Disorder (GAD-7) to assess mental health conditions. An unconditional logistic regression model was employed to discern the correlators.ResultsThere was an overall prevalence of depression (34.9%), anxiety (22.5%), EE (44.6%), and DPA (36.5%) in the participants; the highest prevalence of EE and DPA was discovered in the first wave (47.4% and 36.5%, respectively), then the second wave (44.9% and 34.0%), and the third wave had the lowest prevalence of 42.3% and 32.2%. Depressive symptoms and anxiety were persistently correlated with a higher prevalence risk of both EE and DPA. Workplace violence led to a higher prevalence risk of EE (wave 1: OR = 1.37, 95% CI: 1.16–1.63), and women (wave 1: OR = 1.19, 95% CI: 1.00–1.42; wave 3: OR =1.20, 95% CI:1.01–1.44) and those living in a central area (wave 2: OR = 1.66, 95% CI: 1.20–2.31) or west area (wave 2: OR = 1.54, 95% CI: 1.26–1.87) also had a higher prevalence risk of EE. In contrast, those over 50 years of age (wave 1: OR = 0.61, 95% CI: 0.39–0.96; wave 3: OR = 0.60, 95% CI: 0.38–0.95) and who provided care to patients with COVID-19 (wave 2: OR = 0.73, 95% CI: 0.57–0.92) had a lower risk of EE. Working in the psychiatry section (wave 1: OR = 1.38, 95% CI: 1.01–1.89) and being minorities (wave 2: OR = 1.28, 95% CI: 1.04–1.58) had a higher risk of DPA, while those over 50 years of age had a lower risk of DPA (wave 3: OR = 0.56, 95% CI: 0.36–0.88).ConclusionThis three-wave cross-sectional study revealed that the prevalence of burnout among health professionals was at a high level persistently during the different stages of the pandemic. The results suggest that functional impairment prevention resources and programs may be inadequate and, as such, continuous monitoring of these variables could provide evidence for developing optimal strategies for saving human resources in the coming post-pandemic era.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1156313/fullmental healthCOVID-19cross-sectional studyhealth professionalsburnout |
| spellingShingle | Zhengshan Qin Zhehao He Qinglin Yang Zeyu Meng Qiuhui Lei Jing Wen Xiuquan Shi Jun Liu Zhizhong Wang Zhizhong Wang Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China Frontiers in Psychiatry mental health COVID-19 cross-sectional study health professionals burnout |
| title | Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China |
| title_full | Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China |
| title_fullStr | Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China |
| title_full_unstemmed | Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China |
| title_short | Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China |
| title_sort | prevalence and correlators of burnout among health professionals during different stages of the covid 19 pandemic in china |
| topic | mental health COVID-19 cross-sectional study health professionals burnout |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1156313/full |
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