Features of the relationship between emotional burnout and experiencing psychological stress with socio-psychological factors, anxiety-depressive and asthenic manifestations in medical workers during the COVID-19 pandemic
https://doi.org/10.31363/2313-7053-2022-56-4-18-30
Abstract
The purpose of the study: to study the relationship between emotional burnout and the experience of psychological stress with socio-psychological factors, anxiety-depressive and asthenic manifestations in medical workers during the pandemic of a new coronavirus infection.
227 medical workers were studied using a socio-psychological questionnaire, the Questionnaire of emotional burnout by K. Maslach, the A. Beck Depression Scale, the A. Beck Anxiety Scale, the Visual Analogue Fatigue Scale, the PSM-25 Psychological Stress Scale. The results of the study reveal conflicting attitudes of medical staff towards COVID-19. Psychological distress was revealed in more than a third of those studied in the form of a decrease in emotional tone, increased mental exhaustion, a decrease in interest and positive feelings for others, a feeling of «satiation» with work, dissatisfaction with life in general, and emotional withdrawal. Nearly a quarter of healthcare workers report signs of depression. 30% of respondents experience a fairly high level of fatigue. Doctors are the most emotionally exhausted of all the examined specialists. Doctors and medical psychologists have more pronounced depressive manifestations, depreciation of interpersonal relationships than junior staff. A more pronounced reduction in personal achievements was found in women than in men, and in men, somatic manifestations of depression and fatigue were more pronounced. A greater subjective saturation of experiences for medical workers during a pandemic is caused by the fact that they suffered COVID-19 in their relatives than in themselves.
Conclusions. There is a certain similarity in the emotional response to stressful situations during the COVID-19 pandemic among doctors and clinical psychologists, in contrast to nurses and orderlies. A COVID-19 infection in loved ones is stressful for healthcare professionals. Gender is associated in different ways with manifestations of psychological stress in medical professionals with a predominance of astheno-depressive manifestations in men and a decrease in confidence in professional competence in women.
About the Authors
R. I. AntokhinaRussian Federation
Rosaliya I. Antokhina
Orenburg State Medical University
Orenburg
A. V. Vasilyeva
Russian Federation
Anna V. Vasilyeva
St. Petersburg
E. Y. Antokhin
Russian Federation
Evgeny Y. Antokhin
Orenburg State Medical University
Orenburg
L. S. Chutko
Russian Federation
Leonid S. Chutko
N. P. Bechtereva Institute of the Human Brain
St. Petersburg
N. V. Stepanova
Russian Federation
Natalia V. Stepanova
Orenburg State Medical University
Orenburg
References
1. Antokhin E. Yu., Matyushkov S. V., Bakunovich N. M. et al. Therapy of the first psychotic episode in the conditions of a COVID-19 infection. Psihiatriya i psihofarmakoterapiya. 2022; 24 (1): 33-40. (In Russ.)
2. Vasilyeva A. V. Pandemic and adaptive anxiety disorders: therapy possibilities. Zhurnal nevrologii i psihiatrii im. S. S. Korsakova. 2020; 120 (5): 146-152. (In Russ.)
3. Vasilyeva A. V. The evolutionary model of depression during a pandemic. Alliance of Psychotherapy and Pharmacotherapy. Obozrenie psihiatrii i medicinskoj psihologii imeni V. M. Bekhtereva. 2021; 1: 91-101. (In Russ.)
4. Vodopyanova N. E. Psihodiagnostika stressa. - SPb: Piter. 2009. (In Russ.)
5. Vodopyanova N. E., Starchenkova E. S. Sindrom vygoraniya. Diagnostika i profilaktika: prakt. posobie. 3-e izd., ispr. i dop. M.: Yurajt. 2017. (In Russ.)
6. Zinchenko Yu. P., Salagai O. O., Shaigerova L. A. et al. Perception of stress by various categories of medical personnel during the first wave of the COVID-19 pandemic in Russia. Obshchestv. zdorov’e. 2021; 1: 65-89. (In Russ.)
7. Petrikov S. S., Kholmogorova A. B., Suroegina A. Yu. et al. Professional burnout, symptoms of emotional distress and distress in medical workers during the COVID-19 epidemic. Konsul’tat. psihologiya i psihoterapiya. 2020; 28 (2): 8-45. (In Russ.)
8. Salagai O. O., Soshkina K. V., Letnikova L. I. et al. Public health in the «year of the coronavirus».Obshchestvennoe zdorov’e. 2021; 1 (1): 7-18. (In Russ.)
9. Chutko L. S., Surushkina S. Yu., Nikishena I. S. et al. Correction of clinical manifestations of emotional burnout syndrome. Zhurn. nevrol. i psihiatr. im. S. S.Korsakova. 2009; 109 (2): 66-68. (In Russ.)
10. Chutko L. S., Rozhkova A. V., Sidorenko V. A., Surushkina S. Yu. Emotional burnout syndrome: quality of life and pharmacotherapy. Psihiatriya i psihofarmakoterapiya. 2012; 6: 61-64. (In Russ.)
11. Shishkova A. M., Bocharov V. V., Karavaeva T. A. et al. The role of socio-demographic and professional factors in the formation of distress and emotional burnout among medical workers during the COVID-19 pandemic. Mediko-biologicheskie i social’no-psihologicheskie problemy bezopasnosti v chrezvychajnyh situaciyah. 2021; 4: 103-114. (In Russ.)
12. Denning M., Goh E. T., Tan B. et al.. Determinants of burnout and other aspects of psychological well-being in healthcare workers during the Covid-19 pandemic: a multinational cross-sectional study. PLoS ONE. 2021; 16: e0238666.
13. Dyrbye L., Shanafelt T. D., Balch C. M., et al.. Relationship Between Work-Home Conflicts and Burnout Among American Surgeons. Arch. Surg. 2011; 146 (2): 211-217.
14. Galli F., Pozzi G., Ruggiero F., et al.. A systematic review and provisional metanalysis on psychopathologic burden on health care workers of coronavirus outbreaks. Front. Psychiatry. 2020; 11: 1-12.
15. Greenberg N., Docherty M. Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. Br. Med. J. 2020; 368.
16. Jang Y., You M. Lee H., et al. Burnout and peritraumatic distress of healthcare workers in the COVID-19 pandemic. BMC Public Health. 2021; 21 (1): 2075.
17. Kisely S., Warren N., McMahon L., et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis [bmj.com] BMJ. 2020. [cited: 15 May 2020]. Available: https://www.bmj.com/content/369/bmj.m1642 https://doi.org/10.1136/bmj.m1642.
18. Lai J., Ma S., Wang Y., et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 [jamanetwork.com] JAMA Network Open. 2020. [cited: 15 May 2020] Available: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2763229. https://doi.org/10.1001/jamanetworkopen.2020.3976.
19. Leo C. G., Sabina S., Tumolo M. R. et al. Burnout among healthcare workers in the COVID 19 era: a review of the existing literature. Front. Public Health. 2021; 9: 750529.
20. Marvaldi M., Mallet J., Dubertret C., et al. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehav Rev. 2021; 126: 252-264.
21. Morgantini L., Naha U., Wang H., et al. Factors Contributing to Healthcare Professional Burnout During The COVID-19 Pandemic: A Rapid Turnaround Global Survey. SSRN Electron. J. 2020; 9: 15.
22. Pierce M., Hope H., Ford T., et al. Mental health before and during the COVID-19 pandemic: a longitudinal probability sample survey of the UK population. The Lancet. Psychiatry. 2020; 7 (10): 883-892.
23. Prasad K., McLoughlin C., Stillman M., et al.. Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: a national cross- sectional survey study. E Clin Med. 2021; 35: 100879.
24. Rajkumar R. P. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020; 52: 102066.
25. Sahebi A., Nejati-Zarnaqi B., Moayedi S., et al.. The prevalence of anxiety and depression among health-care workers during the COVID-19 pandemic: an umbrella review of meta-analyses. Prog Neuropsychopharmacol Biol Psychiatry. 2021; 107: 110247.
26. Shanafelt T., Goh J., Sinsky C. The business case for investing in physician well-being. JAMA Intern Med. 2017; 177: 1826-1832.
27. Tawfik D. S., Scheid A., Profit J., et al.. Evidence relating health care provider burnout and quality of care: a systematic review and meta-analysis. Ann Intern Med. 2019; 171: 555-567.
28. World Health Organisation (2020). Mental Health and Psychosocial Considerations During the COVID-19 Outbreak. [who.int] WHO. [cited: 25 May 2022]. Available: https://www.who.int/publications/i/item/WHO-2019-nCoV-MentalHealth-2020.1
29. Zhou T., Xu C., Wang C. et al. Burnout and well-being of healthcare workers in the post-pandemic period of COVID-19: a perspective from the job demands-resources model. BMC Health Serv Res. 2022; 284.
Review
For citations:
Antokhina R.I., Vasilyeva A.V., Antokhin E.Y., Chutko L.S., Stepanova N.V. Features of the relationship between emotional burnout and experiencing psychological stress with socio-psychological factors, anxiety-depressive and asthenic manifestations in medical workers during the COVID-19 pandemic. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2022;56(4):18-30. (In Russ.) https://doi.org/10.31363/2313-7053-2022-56-4-18-30