Abstract

During the COronaVIrus Disease 2019 (COVID-19) pandemic in Italy, general practitioners (GPs) are ensuring continued access to primary care for citizens while also absorbing more of the impact of the crisis than most professional groups. The aim of this study is to explore the relationships between dimensions of burnout and various psychological features among Italian GPs during the COVID-19 emergency. A group of 102 GPs completed self-administered questionnaires available online through Google Forms, including Maslach Burnout Inventory (MBI), Resilience Scale, Intolerance of Uncertainty Scale Short Form (IU), and Coping Inventory for Stressful Situations (CISS). Cluster analysis highlighted four distinct burnout risk profiles: Low Burnout, Medium Risk, High Risk, and High Burnout. The High Burnout group showed both lower Resilience and lower CISS Task-oriented coping strategy than the Medium Risk group and higher IU Prospective than the Low Burnout group. Results of a linear regression analysis confirmed that CISS Emotion-oriented style positively predicted MBI Emotional Exhaustion, CISS Task-oriented and Emotion-oriented emerged as significant predictors (negatively and positively, respectively) of MBI Depersonalization, and Resilience positively predicted MBI Personal Accomplishment. In conclusion, the results showed that the COVID-19 emergency had a significant impact on GPs’ work management. Implementing task-oriented problem management, rather than emotional strategies, appears to protect against burnout in these circumstances. It is possible that the emotions related to the pandemic are too intense to be regulated and used productively to manage the professional issues that the COVID-19 pandemic presents.

Highlights

  • When a pandemic strikes, as COronaVIrus Disease 2019 (COVID-19) has over the last half year, the health system and the people working within it must adapt rapidly to cope with new challenges (Kaba and Kitaw, 2020)

  • The first aim of this study is to explore the relationships between dimensions of burnout and some psychological features among Italian general practitioners (GPs) during the COVID-19 emergency

  • This research explored the relationships among psychological phenomena and Burnout among GPs in Italy

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Summary

Introduction

As COronaVIrus Disease 2019 (COVID-19) has over the last half year, the health system and the people working within it must adapt rapidly to cope with new challenges (Kaba and Kitaw, 2020). The pandemic has an impact on the mental health of the general population through rapid and abrupt changes, producing high levels of stress and depression, especially in those most at risk to contract the virus (Rodríguez-Rey et al, 2020) Under this tremendous existential threat, GPs continue to ensure access to primary care for citizens. In reporting infections, supporting regional assistance networks, treating patients with minor symptoms, and taking care of the worried well, they play a critical role in suppressing any pandemic (Opstelten et al, 2009) and in confronting disaster conditions (Redwood-Campbell and Abrahams, 2011) Their primary care work prevents overcrowding in emergency departments (Levi et al, 2019) and limits the spread of the disease

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