Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study

Matsuo, Takahiro; Yoshioka, Takashi; Okubo, Ryo; Nagasaki, Kazuya; Tabuchi, Takahiro

doi:10.1136/bmjopen-2022-064716

Cited by 8 publications

(11 citation statements)

References 45 publications

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“…In a systematic review and meta-analysis of the psychological impact of COVID-19 on Chinese healthcare workers in early 2020 (12), pooled prevalence rates of anxiety, depression, and sleep disturbances were 17% (13-21%), 15% (13-16%), and 15% (7-23%), respectively. Tong et al (35) reported the prevalence of anxiety and depression in FHWs during the outbreak period and regular period was 1.6 and 13.1% and 6.1 and 8.1%, respectively. In our study, the trend of "less depressed, more anxious" from outbreak to regular period was similar to Tong et al 's findings, although the prevalence rates of both symptoms were higher in our study.…”

Section: Discussionmentioning

confidence: 99%

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Emotional distress and burnout at a fever clinic in China: Comparison between different periods of COVID-19

Geng

Cao²,

Xia³

et al. 2023

Front. Psychiatry

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BackgroundFrontline healthcare workers (FHWs) experienced psychological stress and heavy workload during COVID-19 pandemic. This study examined the psychological symptoms and occupational burnout of FHWs in a fever clinic during different periods of the pandemic.MethodsA cross-sectional survey of FHWs in the fever clinic of a tertiary hospital was carried out during both the outbreak period and regular period of COVID-19. Psychological measurement instruments including Generalized Anxiety Disorder 7-item, the 9-Question Patient Health Questionnaire, the Maslach Burnout Inventory-Human Service Survey, and the General Self-Efficacy Scale were used to evaluate anxiety, depression, burnout, and self-efficacy, respectively. The correlation between clinical variables was explored.ResultsA total of 162 participants were involved in this study, including 118 FHWs during the outbreak period (Group 1) and 44 FHWs during the regular period (Group 2). Anxiety symptoms were more prevalent in Group 2 (x2 = 27.477) while depressive symptoms were significantly more prevalent in Group 1 (x2 = 69.538). Burnout rate was higher in Group 2 (x2 = 29.526). Self-efficacy was higher in Group 1 (t = 3.194). Burnout was positively correlated with anxiety symptoms (r2 = 0.424) and negatively correlated with self-efficacy (r2 = −0.312).ConclusionAnxiety, depressive symptoms and burnout were prevalent in FHWs during different periods of the COVID-19 pandemic. There is a tendency to be less depressed, but more anxious and burned out over time, although the severity of the pandemic is decreasing. Self-efficacy may be an important factor in protecting FHWs from occupational burnout. Support and intervention plans for FHWs should be made at the institutional level.

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Section: Discussionmentioning

confidence: 99%

“…Occupational burnout among medical personnel is often higher than in the general population ( 36 ). Since the start of the COVID-19 pandemic, studies of burnout among front-line and non-front-line HWs have shown a high burnout rate ( 20 , 37 – 41 ), and these HWs often have more emotional distress.…”

Section: Discussionmentioning

confidence: 99%

Emotional distress and burnout at a fever clinic in China: Comparison between different periods of COVID-19

Geng

Cao²,

Xia³

et al. 2023

Front. Psychiatry

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“…Limited evidence exists on the prevalence of burnout in the general working population and across occupational industries ( 40 ). To our knowledge, this study is the first in the region to investigate the prevalence of employee burnout in the general working adult population of Southeast Asia.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and associated factors of burnout among working adults in Southeast Asia: results from a public health assessment

Abdul Aziz,

Ong

2024

Front. Public Health

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The COVID-19 pandemic has spotlighted the mental health crisis among employees worldwide. However, burnout research is often industry- or occupation-specific, and limited knowledge currently exists on the prevalence of burnout in the general working population of Southeast Asia. This study aims to examine the prevalence of employee burnout and its associated factors among working adults in Southeast Asia using secondary data. 4,338 full-time employees aged 18–65 years old living in Malaysia, Singapore, Philippines, and Indonesia were assessed for burnout, depression, anxiety, stress, and sociodemographic characteristics as part of an online public health assessment in October 2022. The prevalence of burnout in the region was 62.91%. Burnout was highest among employees in the Philippines (70.71%) and lowest in Malaysia (58.13%). Experiencing burnout was associated with severe or extremely severe depression (AOR = 6.48 [95% CI = 5.06–8.33]), anxiety (AOR = 2.22 [1.74–2.85]), and stress (AOR = 5.51 [4.13–7.39]). Working more than 50 hours a week (AOR = 1.38 [1.04–1.82]) and being very dissatisfied with the job led to higher odds of burnout (AOR = 16.46 [8.99–30.53]). Alarmingly, more than half of working adults in the region are reporting increased levels of burnout, and improving employee mental health and work conditions may be key to improving employee burnout in the region. Findings contribute to existing research on burnout prevalence in the region and provide more comprehensive insights into understanding the factors driving employee burnout in the working population of Southeast Asia 2 years after the onset of the pandemic.

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“…Burnout research was initially focused on people-oriented occupations where a service provider directly deals with the recipient. The healthcare sector is people-oriented and has experienced increased burnout compared to the general population [ 10 – 12 ]. Even within the healthcare sector, burnout has been well-documented among doctors, nurses, and frontline workers.…”

Section: Introductionmentioning

confidence: 99%

Global estimate of burnout among the public health workforce: a systematic review and meta-analysis

Nagarajan,

Ramachandran,

Dilipkumar

et al. 2024

Hum Resour Health

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Introduction Burnout is an occupational phenomenon resulting from chronic workplace stress. We conducted this review to estimate the pooled global prevalence of burnout among the public health workforce. Methods We conducted this review as per the PRISMA 2020 guidelines. We included only cross-sectional studies reporting outcome estimates among the study population. We included articles published before December 2023. We used a search strategy to systematically select the articles from PubMed, Embase, and Google Scholar. We assessed the quality of the studies using an adapted version of NIH's study tool assessment for cross-sectional and observational cohort studies. We estimated the pooled proportion using the random-effects model. Results We included eight studies in our review, covering a sample size of 215,787. The pooled proportion of burnout was 39% (95% CI: 25–53%; p-value: < 0.001). We also identified high heterogeneity among the included studies in our review (I2: 99.67%; p-value: < 0.001). Seven out of the eight studies were of good quality. The pooled proportion of the studies conducted during the COVID-19 pandemic was 42% (95% CI: 17–66%), whereas for the studies conducted during the non-pandemic period, it was 35% (95% CI: 10–60%). Conclusion In our review, more than one-third of public health workers suffer from burnout, which adversely affects individuals' mental and physical health. Burnout among the public health workforce requires attention to improve the well-being of this group. Multisite studies using standardized definitions are needed for appropriate comparisons and a better understanding of variations in burnout in various subgroups based on sociodemographic characteristics and type of work responsibilities. We must design and implement workplace interventions to cope with burnout and increase well-being. Limitations Due to the limited research on burnout among public health workers, we could not perform a subgroup analysis on various factors that could have contributed to burnout.

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Burnout and its associated factors among healthcare workers and the general working population in Japan during the COVID-19 pandemic: a nationwide cross-sectional internet-based study

Cited by 8 publications

References 45 publications

Emotional distress and burnout at a fever clinic in China: Comparison between different periods of COVID-19

Emotional distress and burnout at a fever clinic in China: Comparison between different periods of COVID-19

Prevalence and associated factors of burnout among working adults in Southeast Asia: results from a public health assessment

Global estimate of burnout among the public health workforce: a systematic review and meta-analysis

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