Burnout, depression, anxiety, and insomnia of internists and primary care physicians during the COVID-19 pandemic in Japan: A cross-sectional survey

Kuriyama, Akira; Shikino, Kiyoshi; Moriya, Mitsuru; Sadohara, Michito; Nonaka, Saori; Nagasaki, Kazuya; Nishimura, Yoshito; Matsuo, Takahiro; Muramatsu, Kumiko; Makiishi, Tetsuya

doi:10.1016/j.ajp.2021.102956

Cited by 30 publications

(31 citation statements)

References 18 publications

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“…To address such stigma during a pandemic, it is important for family members and society to understand about viral transmission and health and safety practices implemented in healthcare settings to reduce the risk of infection among HCWs, such as the use of personal protective equipment. Greater awareness and understanding could reduce stigma on PHCWs’ and improve acceptance and increase support that is much needed from PHCWs family and friends [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study

et al. 2022

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Background Primary healthcare workers (PHCWs) are at the frontline of dealing with viral pandemics. They may experience significant psychological stresses, which have hitherto not been examined in depth. We aimed to explore the impact of the COVID-19 pandemic on the psychological health and wellbeing of frontline PHCWs in Malaysia. Method We purposively recruited PHCWs with diverse backgrounds in Klang Valley, Malaysia. Using longitudinal qualitative methods, we conducted two sequential semi-structured telephone interviews, 3 to 4 weeks apart, to capture different stages of the pandemic. Interviews were audio-recorded, transcribed verbatim, and analysed thematically. Result Twenty-one PHCWs participated yielding a total of forty-two interviews. Themes clustered around stressors associated with work, home, and leisure activities, emotional changes, and modifying factors. In the first interviews, COVID-19 had just started in Malaysia. Participants expressed fear about the actual and perceived personal risk of COVID-19 infection. Most were worried about transmitting COVID-19 to their family members. Some felt stigmatized because of this perceived risk of infection. By the second interviews, participants felt safer, but instead focused on the need to keep other people safe. Participants’ emotions were influenced by their perceived risk of contracting COVID-19 infection. Internal factors such as religion enabled them to manage their concerns and develop personal coping strategies. Support from family members, colleagues, and employers promoted wellbeing during the pandemic. Training sessions, daily roll calls, and psychological support services were important in maintaining their psychological health and wellbeing. Many participants were hopeful and believed normalcy would return by the end of 2020. Conclusion PHCW’s psychological health and wellbeing evolved throughout the early stages of the pandemic and were influenced by their perceived risk of contracting the disease and personal belief structures. Clear updates on the disease and strategies for keeping safe at work and socially are essential to maintaining PHCWs’ psychological health and wellbeing.

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Section: Discussionmentioning

confidence: 99%

Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study

et al. 2022

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“…Since the beginning of the pandemic, Kang and colleagues also reported that up to 34.4% of medical staff working in Wuhan suffered from mild mental health disorders and emphasized the need for mental health care for FHWs fighting the pandemic ( 8 ). Approximately 30% of the internists and primary care physicians who participated in a Japanese study had symptoms of burnout, anxiety, and insomnia, whereas 15% were depressed during the COVID-19 pandemic ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Tiredness, depression, and sleep disorders in frontline healthcare workers during COVID-19 pandemic in Vietnam: A field hospital study

et al. 2022

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BackgroundThe COVID-19 outbreak witnessed in the autumn of 2021 led to unprecedented changes in healthcare systems in some emerging countries. Many field-hospitals, temporary sites of care for COVID-19 patients, were built around the country and followed by the healthcare workers who were mobilized. This study aimed to measure sleep disorders, depression, and fatigue in volunteers working at field hospitals during the COVID-19 outbreak.MethodsThis was a cross-sectional study. The self-report questionnaire was used for each study subject. Sleep characters, including STOP's elements were questioned. Healthcare workers' burnout was detected by using Pichot's questionnaire.ResultsOne hundred front-line healthcare workers (FHWs), predominantly last year and graduated medical students, were included in the study (86% female subjects). The mean sleep-time of FHWs before, while working, and during the isolation period after working at COVID-19 field hospitals were: 7.78 ± 1.48, 5.71 ± 1.40, and 8.78 ± 2.31 h per day, respectively. Burnout was not a crucial issue for these volunteer subjects. The mean scores of Pichot's Fatigue Scale and Pichot's Depression Scale, measured after 4 weeks working at field hospitals, were 4.18 ± 5.42 and 2.54 ± 3.36, respectively. Thirteen participants were suspected of depression. The fatigue scores decreased significantly in the group who claimed short sleep latency. The factor that increased the depression score was “anxious feeling” (p = 0.001). Other significant factors were “short sleep latency,” “observed sleep apnea,” “tiredness, daily sleepiness” and “snoring.”ConclusionAppropriate work schedule, better sleep conditions, and mental health support could be helpful for FHWs. The mandatory 2 weeks of isolation after working in field hospitals provided opportunity for FHWs' recovery.

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“… 3 The COVID‐19 pandemic has had detrimental effects on the mental health of healthcare workers, including burnout, anxiety, and depression. 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

“…Internists and primary care physicians have played a central role as frontline healthcare workers in the diagnosis and treatment of COVID‐19 with continued uncertainty 3 . The COVID‐19 pandemic has had detrimental effects on the mental health of healthcare workers, including burnout, anxiety, and depression 3–10 …”

Section: Introductionmentioning

confidence: 99%

“…3 The COVID-19 pandemic has had detrimental effects on the mental health of healthcare workers, including burnout, anxiety, and depression. [3][4][5][6][7][8][9][10] Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a diminished sense of personal achievement. 11 Burnout occurs in response to prolonged exposure to specific job demands when a person can no longer endure the stress they have been experiencing.…”

Section: Introductionmentioning

confidence: 99%

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Work‐related stress and coping methods of internists and primary care physicians during the COVID‐19 pandemic in Japan: A mixed‐method study

Shikino

Kuriyama

Sadohara

et al. 2022

J of Gen and Family Med

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Background The COVID‐19 pandemic has affected the mental health of health care workers. This study aimed to investigate the stress factors that cause burnout in Japanese physicians and their coping methods during the COVID‐19 pandemic. Methods We conducted a sequential explanatory mixed‐method study to investigate the psychological responses of physicians in the early stages of the pandemic. A cross‐sectional, web‐based, anonymous survey was conducted among members of the American College of Physicians Japan Chapter to quantitatively investigate the stress factors and prevalence of burnout. An open‐ended questionnaire with questions about stress factors and coping methods was additionally administered. The qualitative data were analyzed using qualitative content analysis. Results Among the 1173 physicians surveyed, 214 (18.2%) responded. Among the participants, 107 (50.0%) responded “yes” to the question “I feel or have felt very stressed at work during the COVID‐19 pandemic,” and 68 (31.8%) reported burnout symptoms. Those who reported feeling stress (117 respondents) were asked to select 12 items of the stress factors related to COVID‐19. The most significant stress factor related to COVID‐19 was “Perceived risk of spreading COVID‐19 to family members” ( n = 47). Content analysis identified 12 categories for the stress factors and 7 for stress‐coping methods corresponding to COVID‐19 (Cohen's kappa = 0.84 and 0.95, respectively). Conclusion Several distinct stressors existed during the COVID‐19 pandemic, which might be related to burnout among physicians. Practicing stress‐coping strategies, as identified in the present study, may help reduce work‐related stress and prevent burnout.

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Burnout, depression, anxiety, and insomnia of internists and primary care physicians during the COVID-19 pandemic in Japan: A cross-sectional survey

Cited by 30 publications

References 18 publications

Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study

Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study

Tiredness, depression, and sleep disorders in frontline healthcare workers during COVID-19 pandemic in Vietnam: A field hospital study

Work‐related stress and coping methods of internists and primary care physicians during the COVID‐19 pandemic in Japan: A mixed‐method study

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