Cited by 66Stress and Burnout ResearchOccupational Health and BurnoutCOVID-19 and Mental Health

Coping with burnout and the impact of the COVID-19 pandemic on workers’ mental health: a systematic review

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Rossi, Maria Francesca, Gualano, Maria Rosaria, Magnavita, Nicola, Moscato, Umberto, Santoro, Paolo Emilio, Borrelli, Ivan·2023·Frontiers in Psychiatry

Abstract

Introduction The COVID-19 pandemic had a negative impact on the psychological wellbeing of workers worldwide. Certain coping styles may increase burnout risk. To investigate the relationship between burnout and coping styles, a systematic review was performed. Methods Following the PRISMA statements, three databases were screened up until October 2022, including research articles written in English language and investigating the relationship between burnout and coping strategies in workers. The quality of articles was assessed by the Newcastle-Ottawa Scale. Results The initial search resulted in 3,413 records, 15 of which were included in this review. Most studies were performed on healthcare workers ( n = 13, 86.6%) and included a majority of female workers ( n = 13, 86.7%). The most used burnout assessment questionnaire was the Maslach Burnout Inventory ( n = 8, 53.3%), and the most used coping assessment tool was the Brief-COPE ( n = 6, 40.0%). Task-related coping was a protective factor for burnout in all four studies investigating its correlation with burnout dimensions. Two of the four studies investigating emotion-oriented coping found that it was protective while the other two found that it was predictive of burnout. All five studies investigating avoidance-oriented coping and burnout dimensions found that this coping style was predictive of burnout. Discussion Task-oriented and adaptive coping were protective for burnout, avoidance-oriented, and maladaptive coping were predictive factors of burnout. Mixed results were highlighted concerning emotion-oriented coping, suggesting that different outcomes of this coping style may depend on gender, with women relying more on it than men. In conclusion, further research is needed to investigate the effect of coping styles in individuals, and how these correlates with their unique characteristics. Training workers about appropriate coping styles to adopt may be essential to enact prevention strategies to reduce burnout incidence in workers.

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  • Individuals who maintained social connections and prioritized self-care had lower rates of burnout and emotional exhaustion.

    “Individuals who were able to maintain their social connections and prioritize self-care were found to have lower rates of burnout and emotional exhaustion (13, 14).”

    From Evolution of burnout syndrome in Spanish healthcare professionals during and after the COVID-19 pandemic: psychosocial variables involved (2025) · cites this paper as [13]

    The Introduction (§1.3; page unavailable) reports that social and emotional support and physical self-care were among the most effective strategies associated with low burnout scores in healthcare personnel. It does not establish that maintaining social connections and prioritizing self-care together were associated with lower emotional exhaustion; the Results table reports mixed support-related correlations with exhaustion. (LLM, conf=0.86)

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  1. [14]Stamm B. The concise ProQOL manual. (2010). Available online at: https://www.academia.edu/42287328/The_Concise_ProQOL_Manual (accessed December 5, 2022).

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Authors
Rossi, M. F., Gualano, M. R., Magnavita, N., Moscato, U., Santoro, P. E., & Borrelli, I.
Affiliations
Università Cattolica del Sacro Cuore (IT)
Corresponding author
Moscato, Umberto
Venue
Frontiers in Psychiatry
Published
2023-03-16
Volume
14
Pages
1139260-1139260
ISSN
1664-0640 (ISSN-L)
OpenAlex
W4327614928
Cited by
66
References
65
Citations by year
2026: 13 · 2025: 17 · 2024: 17 · 2023: 19
FWCI
3.22
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
burnout, coping styles, COVID-19 pandemic, workplace mental health, healthcare workers, task-oriented coping, emotion-focused coping, avoidance coping, maladaptive coping, Maslach Burnout Inventory, Brief COPE, gender differences, burnout prevention

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