Relationship between burnout syndrome, anxiety and depression in health workers of a high complexity hospital in Cúcuta
DOI:
https://doi.org/10.17533/udea.rfnsp.e353571Keywords:
Anxiety, Depression, Health workers, health personnel, bournoutAbstract
Objective: Determine the relationship between burnout syndrome, anxiety and depression in health workers at a high-complexity hospital in Cúcuta in 2022.
Methodology: Cross-sectional study, with 285 participants, general medicine professionals, doctors specialists, nurses, nursing assistants, physiotherapists and orderlies. A sociodemographic questionnaire, the Maslach Burnout Inventory and the hospital anxiety and depression scale were applied.
Results: 72.2% of anxiety cases scored high in emotional exhaustion; 33.3%, in depersonalization, and 27.8% had a low score in personal accomplishment. For depression, 83.5% of participants had high scores for emotional exhaustion and 66.7% for depersonalization and personal accomplishment. The factors that increased the risk of anxiety were emotional exhaustion (or = 5.64, IC = 3.45-9.17) and low personal accomplishment (or = 0.42, IC = 0.23-0.66). , while for depression they were emotional exhaustion (or = 4.14, IC = 2.54-6.74) and low personal achievement (or = 0.53, IC = 0.30-0.94).
Conclusion: Emotional exhaustion was related to the risk of anxiety and depression. Personal accomplishment was a protective factor against symptoms of emotional disorders. This study allowed us to identify that demanding hospital work environments can affect the mental health of the worker, making it necessary to propose strategies to reduce the risk and prevent the appearance of mental illnesses.
Downloads
References
1. Carlin M, Garcés de los Fayos Ruiz EJ. El síndrome de burnout: evolución histórica desde el contexto laboral al ámbito deportivo. An. de Psicol. [internet]. 2010 [citado 2023 sep. 9]; 26(1):169-80. Disponible en: https://revistas.um.es/analesps/article/view/92171
2. Chacón Delgado E, Xatruch de la Cera D, et al. Generalidades sobre el transtorno de la ansiedad. Rev. Cúpula. [internet]. 2021 [citado 2023 sep. 9]; 35(1):23-36. Disponible en: https://www.binasss.sa.cr/bibliotecas/bhp/cupula/v35n1/art02.pdf
3. Organización Mundial de la Salud. Depresión [internet]; 2023 [citado 2023 sep. 9]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/depression
4. Juárez García A. Síndrome de burnout en personal de salud durante la pandemia covid-19: un semáforo naranja en la salud mental. Rev Univ Ind Santander Salud. 2020;52(4):432-9. doi: https://doi.org/10.18273/revsal.v52n4-2020010
5. Panamerican Health Organization. The covid-19 HEalth caRe wOrkErs Study (heroes). Informe regional de las américas. Washington [internet]; 2022 [citado 2023 sep. 9]. Disponible en: https://iris.paho.org/handle/10665.2/55563
6. Guillen-Burgos HF, Gomez-Ureche J, Renowitzky C, et al. Prevalence and associated factors of mental health outcomes among healthcare workers in Northern Colombia: A cross-sectional and multi-centre study. J Affect Disord Reports. 2022;10:100415. doi: https://doi.org/10.1016/j.jadr.2022.100415
7. Fernández N, Prada S, et al. Evaluación del desgaste laboral (burnout) y ansiedad en personal de salud burante la pandemia por Covid-19. Rev. Soc. Col. Urologia. 2022;31(1):6-11. doi: https://doi.org/10.1055/s-0042-1748051
8. Azoulay E, Pochard F, Reignier J, et al. Symptoms of mental health disorders in critical care physicians facing the second covid-19 wave: A cross-sectional study. Chest. 2021;160(3):944-55. doi: https://doi.org/10.1016/j.chest.2021.05.023
9. Ofei-Dodoo S, Loo-Gross C, Kellerman R. Burnout, depression, anxiety, and stress among family physicians in Kansas responding to the covid-19 pandemic. J Am Board Fam Med. 2021;34(3):522-30. doi: https://doi.org/10.3122/jabfm.2021.03.200523
10. Sung C-W, Chen H, Fan Y, et al. Mental health crisis in healthcare providers in the covid-19 pandemic: A cross-sectional facility-based survey. bmj Open. 2021;11(7):e052184. https://doi.org/10.1136/bmjopen-2021-052184
11. Lara C. Marcet G, Ramirez E, et al. Salud mental del personal médico y enfermería del Instituto Nacional de Enfermedades Respiratorias y del Ambiente durante la cuarentena por la pandemia covid-19, Paraguay. Rev Salud Publica Parag. 2021;11(1):74-79. doi: https://doi.org/10.18004/rspp.2021.junio.74
12. Bedoya Giraldo JD, Pulido Ángel J, García Valencia J, et al. Factores asociados con la intensidad de los síntomas ansiosos y depresivos en personal de salud de dos centros de referencia para la atención de pacientes con covid-19 de Antioquia, Colombia. Un análisis de clases latentes. Rev Colomb Psiquiatr. 2023;52(4):352-61. doi: https://doi.org/10.1016%2Fj.rcp.2021.09.002
13. Maslach C, Jackson SE, Leiter M. The Maslach Burnout Inventory Manual. En: Zalaquett CP, editor. Evaluating stress: A book of resources . 3.a ed. California: The Scarecrow Press; 2015.; pp. 191-218.
14. Córdoba L, Tamayo AJ, González MA, et al. Adaptation and validation of the Maslach Burnout Inventory-Human Services Survey in Cali, Colombia. Colomb Med. 2011;42(3):286-93 DOI: https://doi.org/10.25100/cm.v42i3.874
15. Terol-Cantero M, Cabrera-Perona V, Martín-Aragón M. Revisión de estudios de la escala de ansiedad y depresión hospitalaria (had) en muestras españolas. Anal Psicol. 2015;31(2):494-503. doi: https://dx.doi.org/10.6018/analesps.31.2.172701
16. Rico JL, Restrepo M, Molina M. Adaptación y validación de la escala hospitalaria de ansiedad y depresión (had) en una muestra de pacientes con cáncer del Instituto Nacional de Cancerología de Colombia. Avances en Medición [internet]. 2005 [citado 2023 sep. 9]; 3(1):73-86. Disponible en: https://www.humanas.unal.edu.co/lab_psicometria/application/files/4616/0463/3537/Vol_3._Articulo_4_Validacin_del_HAD_73-86_2.pdf
17. IBM. ibm spss® Statistics. New York [internet]; 2019 [citado 2023 sep. 9]. Disponible en: https://www.ibm.com/support/pages/downloading-ibm-spss-statistics-26
18. Colombia, Ministerio de Salud y Protección Social. Resolución 8430, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud (1993 oct. 4).
19. Mendieta Montealegre JL. Nivel de burnout en trabajadores de Atención Primaria en Salud y factores asociados en una localidad de Bogota d. c. Año 2016 [tesis de maestría] [Bogotá]: Universidad Nacional de Colombia [internet]. 2018 [citado 2023 sep. 9]. Disponible en: https://repositorio.unal.edu.co/handle/unal/63723
20. Malagón-Rojas J, Rosero Torres LE, et al. La “moda del burnout” en el sector salud: una revisión sistemática de la literatura. Psicol Caribe. 2022;38(1):29-46. doi: https://doi.org/10.14482/psdc.38.1.158.723
21. Estephan L, Pu C, et al. Burnout, mental health, physical symptoms, and coping behaviors in healthcare workers in Belize amidst covid-19 pandemic: A nationwide cross-sectional study. Int J Soc Psychiatry. 2023;69(4):1033-42. doi: https://doi.org/10.1177/00207640231152209
22. Duarte I, Pinho R, Teixeira A, et al. Impact of covid-19 pandemic on the mental health of healthcare workers during the first wave in Portugal: A cross-sectional and correlational study. bmj Open. 2022;12(12): e064287. doi: https://doi.org/10.1136/bmjopen-2022-064287
23. Holas P, Wojtkowiak N, Gambin M, et al. Factors associated with burnout in Polish healthcare workers during the covid-19 pandemic.
Front Public Heal. 2023;10:1018612. doi: https://doi.org/10.3389/fpubh.2022.1018612
24. Hajebi A, Abbasinejad M, Zafar M, et al. Mental health, burnout, and job stressors among healthcare workers during the covid-19 pandemic in Iran: A cross-sectional survey. Front Psychiatry. 2022;13(5):1-9. doi: https://doi.org/10.3389/fpsyt.2022.891430
25. Liang Z, Wang Y, Wei X, Wen W. Prevalence and associated factors of depressive and anxiety symptoms among healthcare workers in the post-pandemic era of covid- at a tertiary hospital in Shenzhen, China : A cross-sectional study. BMC women’s health. 2011;11(1):1-9 DOI: https://doi.org/10.3389/fpubh.2023.1094776
26. Elsayed MEG, El-Abasiri RA, Marzo RR, et al. Mental health, risk perception, and coping strategies among healthcare workers in Egypt during the covid-19 pandemic. PLoS One. 2023;18(2):1-24. doi: http://dx.doi.org/10.1371/journal.pone.0282264
27. Arenliu Qosaj F, Weine SM, Sejdiu P, et al. Prevalence of perceived stress, anxiety, and depression in hcw in Kosovo during the covid-19 pandemic: A cross-sectional survey. Int J Environ Res Public Health. 2022;19(24):16667. doi: https://doi.org/10.3390/ijerph192416667
28. Sertöz ÖÖ, Tunçel ÖK, Sertöz N, et al. Burnout in healthcare professionals during the covid-19 pandemic in a tertiary care university hospital: Evaluation of the need for psychological support. Turk Psikiyatr Derg. 2021;32(2):75-86. doi: https://doi.org/10.5080/u25964
29. Tang L, Yu X, Wu Y, Zhao N, et al. Burnout, depression, anxiety and insomnia among medical staff during the covid-19 epidemic in Shanghai. Front Public Health. 2023;10:1019635. doi: https://doi.org/10.3389%2Ffpubh.2022.1019635
30. Torre G La, Barleta VI, Marte M, et al. Assessment of anxiety, depression, work-related stress, and burnout in health care workers (hcws) affected by covid-19: Results of a case-control study in Italy. J Clin Med. 2022;11(15):1-11. doi: https://doi.org/10.3390/jcm11154434
31. Ryan E, Hore K, et al. The relationship between physician burnout and depression, anxiety, suicidality and substance abuse: A mixed methods systematic review. Front Public Health. 2023;11:1133484. doi: https://doi.org/10.3389/fpubh.2023.1133484
32. Claponea RM, Pop LM, et al. Symptoms of burnout syndrome among physicians during the outbreak of covid-19 pandemic-A systematic literature review. Healthcare (Basel). 2022;10(6):979. doi: https://doi.org/10.3390/healthcare10060979
33. Luceño L, Talavera B, et al. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in spanish health personnel during the covid-19 pandemic. Int J Environ Res Public Health. 2020;17(15):1-29. doi: https://doi.org/10.3390/ijerph17155514
34. Uz B, Savaşan E, Soğancı D. Anxiety, depression and burnout levels of Turkish healthcare workers at the end of the first period of covid-19 pandemic in Turkey. Clin Psychopharmacol Neurosci. 2022;20(1):97-108. doi: https://doi.org/10.9758/cpn.2022.20.1.97
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
