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The Psychological Impact of the COVID-19 Outbreak on Health Professionals: A Cross-Sectional Study
Open accessAbstract
Background: The COVID-19 pandemic had a massive impact on health care systems, increasing the risks of psychological distress in health professionals. This study aims at assessing the prevalence of burnout and psychopathological conditions in health professionals working in a health institution in the Northern Italy, and to assess socio-demographic, work-related and psychological predictors of burnout. Methods: Health professionals working in the hospitals of the Istituto Auxologico Italiano were asked to participate to an online anonymous survey investigating socio-demographic data, COVID-19 emergency-related work and psychological factors, state anxiety, psychological distress, post-traumatic symptoms and burnout. Predictors of the three components of burnout were assessed using elastic net regression models. Results: 330 health professionals participated to the online survey. 235 health professionals (71.2) had scores of state anxiety above the clinical cutoff, 88 (26.8%) had clinical levels of depression, 103 (31.3%) of anxiety, 113 (34.3%) of stress, 121 (36.7%) of post-traumatic stress. Regarding burnout, 107 (35.7%) had moderate and 105 (31.9%) severe levels of emotional exhaustion; 46 (14.0%) had moderate and 40 (12.1%) severe levels of depersonalization; 132 (40.1%) had moderate and 113 (34.3%) severe levels of reduced personal accomplishment. Predictors of all the three components of burnout were work hours, psychological comorbidities, fear of infection and perceived support by friends. Predictors of both emotional exhaustion and depersonalization were female gender, being a nurse, working in the hospital, being in contact with COVID-19 patients. Reduced personal accomplishment only was also predicted by age. Conclusions: Health professionals had high levels of burnout and psychological symptoms during the COVID-19 emergency. Monitoring and timely treatment of these conditions is needed.
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“Studies from Italy and France reported a high prevalence of depressive symptoms, post-traumatic stress disorder, and burnout; risk factors for adverse psychological outcomes included younger age, female sex, being a nurse, and working directly with patients with COVID-19.7, 8, 9”
From COVID-19: a heavy toll on health-care workers (2021) · cites this paper as [8]
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“Consistently with the results of many studies on the psychological impact of past pandemics on health professionals [14,15,16], the literature published until now about COVID-19 revealed that HCWs are at particular risk of adverse psychological outcomes, i.e., of developing more severe mental symptoms, including stress, anxiety, depression, distress, insomnia, emotional exhaustion, burnout, as wel”
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Citations
Cites
Regularization and Variable Selection Via the Elastic Net
Zou, H., & Hastie, T. (2005) · Journal of the Royal Statistical Society Series B: Statistical Methodology · doi:10.1111/j.1467-9868.2005.00503.x · Cited by 20,957
Regularization Paths for Generalized Linear Models via Coordinate Descent
Friedman, J., Hastie, T., & Tibshirani, R. (2010) · Journal of Statistical Software · doi:10.18637/jss.v033.i01 · Cited by 19,927
Lovibond, P. F., & Lovibond, S. H. (1995) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)00075-u · Cited by 14,523
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863
A novel coronavirus outbreak of global health concern
Wang, C., Horby, P. W., Hayden, F. G., & Gao, G. F. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30185-9 · Cited by 7,700
Henry, J. D., & Crawford, J. R. (2005) · British Journal of Clinical Psychology · doi:10.1348/014466505x29657 · Cited by 5,801 · cited 1×
“Clinical levels of depression, anxiety and stress were detected identifying values above the 75 percentile based on normative data (Henry and Crawford, 2005).”
MethodPappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2020.05.026 · Cited by 3,617
Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed
Xiang, Y.-T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30046-8 · Cited by 3,598
The Impact of Event Scale: Revised
Weiss, D. S. (2007) · Springer eBooks · doi:10.1007/978-0-387-70990-1_10 · Cited by 3,074
Wilder-Smith, A., & Freedman, D. O. (2020) · Journal of Travel Medicine · doi:10.1093/jtm/taaa020 · Cited by 2,727 · cited 1×
“During pandemics, general population have been safeguarded with several precautionary measures including shutdown or slowdown in daily activities, social distancing, reductions in interactions between people, wearing face masks and have good ventilation to reduce the possibility of new infections (Tan et al., 2020b; W…”
BackgroundWang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., Choo, F. N., Tran, B., Ho, R., Sharma, V. K., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.028 · Cited by 2,571
caret: Classification and Regression Training
Kühn, M. (2007) · doi:10.32614/cran.package.caret · Cited by 1,964
“Pandemic fear” and COVID-19: mental health burden and strategies
Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. (2020) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2020-0008 · Cited by 1,852
Modelling the COVID-19 epidemic and implementation of population-wide interventions in Italy
Giordano, G., Blanchini, F., Bruno, R., Colaneri, P., Di Filippo, A., Di Matteo, A., & Colaneri, M. (2020) · Nature Medicine · doi:10.1038/s41591-020-0883-7 · Cited by 1,740
Ho, C. S., Chee, C. Y., & Ho, R. C. (2020) · Annals of the Academy of Medicine, Singapore · doi:10.47102/annals-acadmedsg.202043 · Cited by 1,699
Salvagioni, D. A. J., Melanda, F. N., Mesas, A. E., González, A. D., Gabani, F. L., & Andrade, S. M. D. (2017) · PLOS ONE · doi:10.1371/journal.pone.0185781 · Cited by 1,508
Ho, C. S. H., Chee, C. Y., & Ho, R. (2020) · PubMed · Cited by 1,354
Psychological impact of the COVID-19 pandemic on health care workers in Singapore
Tan, B. Y. Q., Chew, N. W. S., Lee, G. K. H., Jing, M., Goh, Y., Yeo, L. L. L., Zhang, K., Chin, H.-K., Ahmad, A., Khan, F. A., et al. (2020) · Annals of Internal Medicine · doi:10.7326/m20-1083 · Cited by 1,279
The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study
Liu, Q., Luo, D., Haase, J., Guo, Q.-H., Wang, X.-Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. (2020) · Lancet Global Health · doi:10.1016/s2214-109x(20)30204-7 · Cited by 1,251
Stress and psychological distress among SARS survivors 1 year after the outbreak
Lee, A. M., Wong, J. G., McAlonan, G. M., Cheung, V., Cheung, C., Sham, P. C., Chu, C.-M., Wong, P.-C., Tsang, K. W., & Chua, S. E. (2007) · The Canadian Journal of Psychiatry · doi:10.1177/070674370705200405 · Cited by 1,195
Evaluating stress : a book of resources
Zalaquett, C. P., & Wood, R. J. (1997) · Scarecrow Press eBooks · Cited by 1,176
Lee, S. M., Kang, W. S., Cho, A.-R., Kim, T., & Park, J. K. (2018) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2018.10.003 · Cited by 1,112
Maunder, R., Lancee, W., Balderson, K., Bennett, J., Borgundvaag, B., Evans, S., Fernandes, C., Goldbloom, D., Gupta, M., Hunter, J., et al. (2006) · Emerging Infectious Diseases · doi:10.3201/eid1212.060584 · Cited by 1,109
Survey of Stress Reactions Among Health Care Workers Involved With the SARS Outbreak
Bai, Y., Lin, C.-C., Lin, C.-Y., Chen, J.-Y., Chue, C.-M., & Chou, P. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.9.1055 · Cited by 1,092
Prevention of burnout: New perspectives
Maslach, C., & Goldberg, J. H. (1998) · Applied and Preventive Psychology · doi:10.1016/s0962-1849(98)80022-x · Cited by 991
Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis
Woo, T., Ho, R., Tang, A., & Tam, W. (2020) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.12.015 · Cited by 866
Zhang, C., Yang, L., Liu, S., Ma, S., Wang, Y., Cai, Z., Du, H., Li, R., Kang, L., Su, M., et al. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00306 · Cited by 814
TAM, C. W. C., PANG, E. P. F., LAM, L. C. W., & CHIU, H. F. K. (2004) · Psychological Medicine · doi:10.1017/s0033291704002247 · Cited by 735 · cited 2×
“Epidemic studies proved that previous infectious diseases caused long-term and persistent psychopathological consequences among this category (Tam et al., 2004; Lee et al., 2007).”
BackgroundHealthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak
Khalid, I., Khalid, T. J., Qabajah, M. R., Barnard, A. G., & Qushmaq, I. A. (2016) · Clinical Medicine & Research · doi:10.3121/cmr.2016.1303 · Cited by 725
Bottesi, G., Ghisi, M., Altoè, G., Conforti, E., Melli, G., & Sica, C. (2015) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2015.04.005 · Cited by 701
Li, R., Chen, X., Wang, Y., Wu, W., Zhang, L., & Tan, X. (2020) · Clinical Infectious Diseases · doi:10.1093/cid/ciaa287 · Cited by 696
[Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19].
Huang, J., Han, M., Luo, T. D., Ake, R., & Zhou, X. (2020) · PubMed · doi:10.3760/cma.j.cn121094-20200219-00063 · Cited by 691
A SIDARTHE Model of COVID-19 Epidemic in ItalyPreprint
Giordano, G. M., Blanchini, F., Bruno, R., et al. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2003.09861 · Cited by 672
Tan, W., Hao, F., McIntyre, R. S., Jiang, L., Jiang, X., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.04.055 · Cited by 582
Chan, A. (2004) · Occupational Medicine · doi:10.1093/occmed/kqh027 · Cited by 556
Prevalence of Burnout in Medical and Surgical Residents: A Meta-Analysis
Low, Z. X., Yeo, K. A., Sharma, V. K., Leung, G. K., McIntyre, R. S., Guerrero, A., Lu, B., Sin Fai Lam, C. C., Tran, B. X., Nguyen, L. H., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091479 · Cited by 415
Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control
Portoghese, I., Galletta, M., Coppola, R., Finco, G., & Campagna, M. (2014) · Safety and Health at Work · doi:10.1016/j.shaw.2014.05.004 · Cited by 341
Brief measure of posttraumatic stress reactions: Impact of Event Scale-6
Thoresen, S., Tambs, K., Hussain, A., Heir, T., Johansen, V. A., & Bisson, J. I. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0073-x · Cited by 314
Kim, J. S., & Choi, J. S. (2016) · Asian Nursing Research · doi:10.1016/j.anr.2016.10.002 · Cited by 233
Schaufeli, W. B., & van Dierendonck, D. (1995) · Psychological Reports · doi:10.2466/pr0.1995.76.3c.1083 · Cited by 213
Cardiovascular Implications of the COVID-19 Pandemic: A Global Perspective
Boukhris, M., Hillani, A., Moroni, F., Annabi, M., Addad, F., Ribeiro, M. H., Mansour, S., Zhao, X., Ybarra, L. F., Abbate, A., et al. (2020) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2020.05.018 · Cited by 178
Studies of Novel Coronavirus Disease 19 (COVID-19) Pandemic: A Global Analysis of Literature
Tran, B., Ha, G. H., Nguyen, L., Vu, G., Hoang, M. T., Le, H., Latkin, C., Ho, C. S. H., & Ho, R. C. M. (2020) · medRxiv · doi:10.3390/ijerph17114095 · Cited by 172
Intervention for physician burnout: A systematic review
Wiederhold, B. K., Cipresso, P., Pizzioli, D., Wiederhold, M., & Riva, G. (2018) · Open Medicine · doi:10.1515/med-2018-0039 · Cited by 161
Self-citationMassive cutback in orthopaedic healthcare services due to the COVID-19 pandemic
The Board of the AGA-Society of Arthroscopy and Joint-Surgery, Liebensteiner, M., Khosravi, I., Hirschmann, M. T., Heuberer, P. R., & Thaler, M. (2020) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-020-06032-2 · Cited by 101
Disability through COVID‐19 pandemic: neurorehabilitation cannot wait
Leocani, L., Diserens, K., Moccia, M., & Caltagirone, C. (2020) · European Journal of Neurology · doi:10.1111/ene.14320 · Cited by 89
Psychometric properties of the Impact of Event Scale-6 in a sample of victims of bank robbery
Giorgi, G., Pérez, J. F., d’Antonio, A. C., Mucci, N., Ferrero, C., Cupelli, V., & Arcangeli, G. (2015) · Psychology Research and Behavior Management · doi:10.2147/prbm.s73901 · Cited by 41
Cheng, S. K. W., & Wong, C. W. (2005) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.429 · Cited by 39
On the death of 100 + Italian doctors from COVID-19
Fusaroli, P., Balena, S., & Lisotti, A. (2020) · Infection · doi:10.1007/s15010-020-01436-1 · Cited by 25
Covid-19 mortality in Italian doctors
Manzoni, P., & Milillo, C. (2020) · Journal of Infection · doi:10.1016/j.jinf.2020.05.034 · Cited by 17
What is “severe burnout” and can its prevalence be assessed?
Bianchi, R. (2014) · Intensive Care Medicine · doi:10.1007/s00134-014-3534-y · Cited by 15
Flagged first, then by citations
Research works printed but not linked: 4
- Pedrabissi, 1989, Verifica della validità dello STAI forma Y di Spielberger. [Verification of the validity of the STAI, Form Y, by Spielberger.], Giunti Organ. Spec., 11
- Sirigatti, 1988, Per un adattamento italiano del Maslach Burnout Inventory (MBI) [Toward an Italian version of the Maslach Burnout Inventory (MBI)], Boll. di Psicol. Appl., 33
- Spielberger, 1983, Manual for the State-Trait Anxiety Inventory (Form Y1 – Y2)
- WHO Characterizes COVID-19 as A Pandemic
Cited by
Sorted by citations
Filip, R., Gheorghita Puscaselu, R., Anchidin-Norocel, L., Dimian, M., & Savage, W. K. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12081295 · Cited by 802
Labrague, L. J. (2021) · Journal of Nursing Management · doi:10.1111/jonm.13336 · Cited by 704
COVID-19: a heavy toll on health-care workers
Mehta, S., Machado, F., Kwizera, A., Papazian, L., Moss, M., Azoulay, É., & Herridge, M. (2021) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(21)00068-0 · Cited by 381
Yuan, K., Gong, Y.-M., Liu, L., Sun, Y., Tian, S.-S., Wang, Y.-J., Zhong, Y., Zhang, A.-Y., Su, S.-Z., Liu, X.-X., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01036-x · Cited by 336
A Systematic Review and Meta-Analysis of Burnout Among Healthcare Workers During COVID-19
Ghahramani, S., Lankarani, K. B., Yousefi, M., Heydari, K., Shahabi, S., & Azmand, S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.758849 · Cited by 293
Metadata
- Authors
- Giusti, E. M., Pedroli, E., D'Aniello, G. E., Stramba Badiale, C., Pietrabissa, G., Manna, C., Stramba Badiale, M., Riva, G., Castelnuovo, G., & Molinari, E.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Università degli Studi eCampus (IT)
- Corresponding author
- Giusti, Emanuele Maria
- ORCID
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2020-07-10
- Volume
- 11
- Pages
- 1684-1684
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC7366071
- OpenAlex
- W3042146139
- Cited by
- 533
- References
- 48
- Citations by year
- 2026: 6 · 2025: 25 · 2024: 59 · 2023: 111 · 2022: 140 · 2021: 173 · 2020: 17
- FWCI
- 44.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- IrInSubria (University of Insubria) (submittedVersion, cc-by)
- IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Keywords
- COVID-19 pandemic, healthcare workers, burnout, psychological distress, state anxiety, depression, post-traumatic stress, emotional exhaustion, depersonalization, reduced personal accomplishment, fear of infection, perceived social support, nurses, predictors of burnout, Northern Italy
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