Risk of burnout and stress in physicians working in a COVID team: A longitudinal survey.

Autor:	Dionisi T; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Sestito L; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Tarli C; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Internal Medicine Unit, Department of Internal Medicine and Gastroenterology, Columbus-Gemelli Hospital, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Antonelli M; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Internal Medicine Unit, Department of Internal Medicine and Gastroenterology, Columbus-Gemelli Hospital, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Tosoni A; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Internal Medicine Unit, Department of Internal Medicine and Gastroenterology, Columbus-Gemelli Hospital, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., D'Addio S; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Mirijello A; Department of Medical Sciences, IRCCS Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo, Italy., Vassallo GA; Internal Medicine Department, Barone Lombardo Hospital, Canicattì, Italy., Leggio L; Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research, National Institutes of Health, Baltimore and Bethesda, Maryland, USA.; Medication Development Program, National Institute on Drug Abuse Intramural Research Program, National Institutes of Health, Baltimore, Maryland, USA.; Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, Rhode Island, USA.; Division of Addiction Medicine, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA., Gasbarrini A; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Internal Medicine Unit, Department of Internal Medicine and Gastroenterology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy., Addolorato G; Department of Internal Medicine and Gastroenterology, Catholic University of Rome, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.; Internal Medicine Unit, Department of Internal Medicine and Gastroenterology, Columbus-Gemelli Hospital, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Jazyk:	angličtina
Zdroj:	International journal of clinical practice [Int J Clin Pract] 2021 Nov; Vol. 75 (11), pp. e14755. Date of Electronic Publication: 2021 Sep 08.
DOI:	10.1111/ijcp.14755
Abstrakt:	Background and Aims: The COVID-19 pandemic represents a source of stress and potential burnout for many physicians. This single-site survey aimed at assessing perceived stress and risk to develop burnout syndrome among physicians operating in COVID wards. Methods: This longitudinal survey evaluated stress and burnout in 51 physicians operating in the COVID team of Gemelli Hospital, Italy. Participants were asked to complete the Maslach Burnout Inventory (MBI) and the Perceived Stress Questionnaire on a short run (PSQs) (referring to the past 7 days) at baseline (T0) and then for four weeks (T1-T4). Perceived Stress Questionnaire on a long run (PSQl) (referring to the past 2 years) was completed only at T0. Results: Compared with physicians board-certified in internal medicine, those board-certified in other disciplines showed higher scores for the Emotional Exhaustion (EE) score of the MBI scale (P < .001). Depersonalisation (DP) score showed a reduction over time (P = .002). Attending physicians scored lower than the resident physicians on the DP scale (P = .048) and higher than resident physicians on the Personal Accomplishment (PA) scale (P = .04). PSQl predicted higher scores on the EE scale (P = .003), DP scale (P = .003) and lower scores on the PA scale (P < .001). PSQs showed a reduction over time (P = .03). Attending physicians had a lower PSQs score compared with the resident physicians (P = .04). Conclusions: Medical specialty and clinical position could represent risk factors for the development of burnout in a COVID team. In these preliminary results, physicians board-certified in internal medicine showed lower risk of developing EE during the entire course of the study. (© 2021 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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