Oldenburg Burnout Inventory Research Articles

Job Demands, Resources and Burnout Among Polish Nurses During the Late Wave of COVID-19 Pandemic: The Mediating Role of Emotional Labor.

ObjectiveBurnout has been recognized as a serious health problem. Nurses as a professional group are at a high risk of burnout occurrence, especially when facing burden associated with the COVID-19 pandemic. Despite evidence that higher job demands lead to burnout, there is less known about the indirect effect of job demands and resources on burnout via surface acting. Using the JD-R framework, this study examined how job demands and resources affected burnout among Polish nurses and whether these relationships are mediated by surface acting and moderated by coping with the workload.Materials and MethodsA sample of 270 nurses from the biggest hospital in Southern Poland filled out an online questionnaire at the time between the fourth and the fifth wave of the COVID-19 pandemic in Poland. The Polish adaptations of Oldenburg Burnout Inventory (OLBI), Organizational Constraints Scale (OCS), Interpersonal Conflict at Work Scale (ICAWS), Areas of Worklife Survey (AWS), and Emotional Labor Scale (ELS) were used. Mediation and moderation analyses were carried out in the SPSS macro-PROCESS.ResultsSurface acting partially mediated the positive association between organizational constraints and interpersonal conflict at work and burnout, as well as the negative association between the perceived organizational support and burnout. Coping with workload moderated the direct effect of organizational constraints on burnout via surface acting.ConclusionThe findings enrich the knowledge of the mediating and moderating mechanisms to explain the association between job demands, resources and burnout among nurses. There have been proposed interventions concerning increasing organizational support, effective emotional regulation of management education and psychological training regarding adequate coping strategies which could help reduce or prevent the occurrence of burnout in this professional group.

Women Physicians: Burnout during the COVID-19 Pandemic in Brazil.

ResumoFundamento A COVID-19 adicionou um fardo enorme sobre os médicos ao redor do mundo, especialmente as mulheres médicas, que são afetadas pelo aumento da carga de trabalho e pela perda da qualidade de vida.Objetivo Avaliar os efeitos da pandemia de COVID-19 na qualidade de vida, burnout e espiritualidade de médicas brasileiras que atendem pacientes com COVID-19 direta ou indiretamente.Método Estudo prospectivo, observacional realizado de 28 de julho a 27 de setembro de 2020, no Brasil, com mulheres médicas de 47 especialidades, a mais frequente sendo a cardiologia (22,8%), sem restrição de idade. Elas responderam voluntariamente um questionário online com questões sobre características demográficas e socioeconômicas, qualidade de vida (WHOQOL-brief) e espiritualidade (WHOQOL-SRPB) e enunciados do Oldenburg Burnout Inventory. A análise estatística utilizou o software R, regressão beta, árvores de classificação e matriz de correlação policórica, com nível de significância de 5%.Resultados Das 769 respondentes, 61,6% relataram sinais de burnout. Cerca de 64% relataram perda salarial de até 50% durante a pandemia. Algumas relataram falta de energia para as tarefas diárias, sentimentos negativos frequentes, insatisfação com a capacidade para o trabalho, e que cuidar de outras pessoas não agregava sentido às suas vidas. Os sentimentos negativos correlacionaram-se negativamente com a satisfação com a vida sexual, a satisfação com as relações pessoais e a energia para as tarefas diárias. A incapacidade de permanecer otimista em tempos de incerteza correlacionou-se positivamente com a sensação de insegurança no dia a dia e com o não reconhecimento de que cuidar de outras pessoas trouxesse sentido à vida.Conclusão O presente estudo mostrou uma alta frequência de burnout entre as médicas brasileiras que responderam ao questionário durante a pandemia de COVID-19. Apesar disso, apresentavam uma qualidade de vida relativamente boa e acreditavam que a espiritualidade trazia-lhes conforto e segurança nos momentos difíceis.

Stratification of burnout in health-system pharmacists during the COVID-19 pandemic: A focus on the ambulatory care pharmacist.

IntroductionBurnout is defined as high emotional exhaustion and depersonalization, and low personal accomplishment from work. Prevalence of burnout among health‐system and ambulatory care pharmacists is unknown during the COVID‐19 pandemic.ObjectivesThe purpose of this research is to analyze burnout prevalence among health‐system pharmacists (HSPs) and ambulatory care pharmacists (ACPs) using the Oldenburg Burnout Inventory and Maslach Burnout Inventory.MethodsAn electronic survey was sent to HSPs at two academic health systems in Chicago, IL. Demographics, risk of burnout based on two validated assessments (the Oldenburg Burnout Inventory [OLBI] and the Maslach Burnout Inventory [MBI]), burnout contributors, burnout mitigation strategies, and change in burnout due to COVID‐19 were collected. Burnout was defined as meeting any one criterion for high burnout on the following dimensions: exhaustion score and disengagement on the OLBI, and emotional exhaustion and depersonalization on the MBI. The co‐primary outcomes were the prevalence of burnout among HSPs, and the comparison of ACP burnout to that of non‐ambulatory HSPs. Secondary outcomes were comparison of burnout between the OLBI and MBI assessments, conceptualization of the causes and contributors of burnout and mitigation strategies among HSPs, and the self‐perceived effect of COVID‐19 on burnout severity.ResultsOf the 113 pharmacists included in the study, HSP burnout prevalence as defined above was 87.6%, ACP burnout was 88.4%, and non‐ambulatory HSP burnout was 87.1%. There was no statistical difference between ACP and non‐ambulatory HSP burnout prevalence, either overall or in any specific burnout dimension. The OLBI and MBI captured similar rates of burnout. The commonly reported burnout causes were staffing and scheduling issues, precepting requirements, and patient needs. Participants' most reported coping strategies were spending time with family/friends, sleep, exercise, and recreational/relaxation activities. A majority of HSPs (78.2%) reported higher levels of burnout due to COVID‐19.ConclusionHSP burnout during COVID‐19 pandemic is higher than cited in the pre‐COVID literature. Individual coping strategies are poor buffers for work‐related burnout.

The risk of burnout in academic radiographers during the COVID-19 pandemic

IntroductionThe COVID-19 pandemic created major challenges across society, healthcare provision and also for those delivering healthcare education programmes. Clinical placements were disrupted and, in many incidences cancelled. Higher education institutions were required to move completely to online delivery methods with little notice. This created significant additional workload, stress and the need to learn new skills at a time of great uncertainty. This study explored the risks of burnout in academic radiographers during the first 12 months of the pandemic. MethodsA survey was circulated using SurveyMonkey™ via personal, national and international networks, including the European Federation of Radiographer Societies (EFRS), to reach as many academic radiographers as possible. Disengagement and exhaustion were measured using the Oldenburg burnout inventory. Descriptive statistics and a one-way ANOVA were used to analyse the quantitative data using STATA V16 (Statacorp, TA). Results533 academic radiographers responded to the survey from 43 different countries. Mean disengagement was in the medium range and exhaustion was high for the total dataset. In a subset of countries with 10 or more responses, there was significant variation between countries, with the UK having highest mean exhaustion score and the UK, Ireland and France sharing the highest mean disengagement score. In the total dataset, 86% agreed workload had increased during the pandemic and 35% had considered leaving academia in the last year. ConclusionThese data demonstrate the stark reality of the impact of the COVID-19 pandemic on academic radiographers’ workload, wellbeing, and intention to leave their roles. Implications for practiceCOVID-19 has had a significant impact on academic radiographers and this study highlights the urgent need for remedial measures to better support academic radiographers in order to ensure a sufficient, and sustainable workforce.

Burnout among doctors working at a tertiary care hospital during pandemic of COVID-19 in Kashmir Valley, India

Introduction: Burnout syndrome (BO) has negative consequences for the doctors, their family members, co-workers, and also the patients. We conducted this study to estimate the prevalence of BO among doctors working in a tertiary care hospital in Kashmir valley just after the peak of the second COVID-19 wave. Methods: This cross-sectional study was conducted among doctors working at one tertiary care hospital in Kashmir Valley. Participants included interns, residents (junior and senior residents) and faculty members. An online questionnaire containing Oldenburg Burnout Inventory to estimate burnout was used for data collection from 1st to 10th July 2021. In addition, the questionnaire captured demographic information, job profile and work-related information. Mean scores of ≥ 2.25 on exhaustion and ≥ 2.1 in the disengagement domain were used to define burnout. Binary logistic regression was used to evaluate associations. Results: Of the 322 participants in the study, 119 (36.9%) had completed their post-graduate degree. Of the participants, 150 (46.6%) had to perform 6 or more-night shifts per month and, 61 (18.9%) had previously been diagnosed with COVID-19. Of the participants, 257 (79.8%) had BO, 24 (7.5%) were exhausted and 17 (5.3%) were disengaged. BO was associated with female gender, younger age, number of night duties and emergency room duties per month, being a resident doctor and history of COVID-19 infection on binary logistic regression. Conclusion: This survey reported a very high prevalence of burnout among doctors. Addressing BO among healthcare workers should be a key priority for improving quality of life among doctors and to improve quality of care.

ADAPTING THE OLDENBURG BURNOUT INVENTORY INTO BAHASA INDONESIA FOR MEASURING BURNOUT IN MEDICAL RESIDENTS

Background: Burnout is common among medical residents, and a non-commercial tool for assessing burnout for medical residents is needed. This study aimed to adapt the Oldenburg Burnout Inventory (OLBI) in Bahasa Indonesia for medical residents and to analyze its validity and reliability.Case Discussion: The English version of OLBI was forward and backward translated to and from Bahasa Indonesia by English-language translation experts, and was appropriately modified by the authors. The respondents of the questionnaire were taken from pediatric residents in the first trial (48 subjects), and from internal medicine, pediatric, dermatology, surgery, and neurology residents in the second trial (109 subjects). The item-test correlation to measured construct validity was good for both trials. A confirmatory factor analysis was then undertaken to evaluate the goodness of fit (GOF), the root mean squared error of approximation (RMSEA), comparative fit index (CFI), Tucker-Lewis index (TLI), standardized root mean squared residual (SRMR), and coefficient of determination (CD) in the second trial. The results of the one-factor model and multidimensional GOF of the 16 items were unsatisfactory (χ2<0.05 and RMSEA>0.08). The GOF of the two-factor analysis of burnout with 8 items (3 exhaustion items and 5 disengagement items) created the following results: χ2=0.378; RMSEA=0.025; CFI=0.995; TLI=0.993; SRMR=0.036; and CD=0.898. The Cronbach’s alphas, for internal consistency reliability, in the first trial, second trial, and final model were 0.73, 0.87, 0.83, and 0.79, respectively.Conclusion: An 8-items modified Bahasa Indonesia translation of the OLBI for medical residents to measure burnout has good reliability and validity.

Medical rescuers’ occupational health during COVID-19: Contribution of coping and emotion regulation on burnout, trauma and post-traumatic growth

The COVID-19 pandemic places unique challenges to medical rescuers’ occupational health. Thus, it is crucial to assess its direct and indirect impacts on key psychological outcomes and adaptation strategies. This study aims to analyse the impact of this pandemic on medical rescuers’ coping and emotion regulation strategies, and their levels of work-related psychological outcomes, such as burnout, trauma and post-traumatic growth. Additionally, it aims to analyse the contribution of coping and emotion regulation strategies, employed to manage the COVID-19 pandemic, on burnout, trauma and post-traumatic growth. A sample of 111 medical rescuers answered the Brief Cope, Emotion Regulation Questionnaire, Oldenburg Burnout Inventory, Impact of Event Scale-Revised and Post-Traumatic Growth Inventory. Medical rescuers resorted moderately to coping and emotion regulation strategies, since the beginning of COVID-19. They presented moderate burnout and post-traumatic growth and low trauma. Coping presented a higher weight on burnout, trauma and post-traumatic growth, than emotion regulation. Expressive suppression and dysfunctional coping predicted burnout and trauma, and problem and emotion-focused coping predicted post-traumatic growth. Dysfunctional coping mediated and, thus, exacerbated the effect of expressive suppression on burnout and on trauma. Practitioners should pay closer attention to professionals with higher burnout and trauma. Occupational practices should focus on reducing dysfunctional coping and expressive suppression and promoting problem-focused coping.

Sleep disorders among prison officers in Poland

IntroductionWorkplace conditions have a documented effect on employee health including sleep. Occupational stress and burnout are more frequent among penitentiary personnel than the general population.ObjectivesThe aim of the current study was to examine the phenomenon of insomnia and its relationship with occupational burnout in a sample of Polish prison officers.MethodsThe study was carried out on a sample of Polish prison officers using the Athens Insomnia Scale (AIS), the Coping Orientation to Problems Experienced (COPE), and the Oldenburg Burnout Inventory (OLBI).Resultsshowed that the Polish prison officers exhibited early symptoms of insomnia. Sleep disorders had a significant role in developing occupational burnout. Coping strategies such as help-seeking and engagement were revealed to have a mediating role in the relationship between insomnia and occupational burnout dimensions. The coping strategy of help-seeking was the only predictor of insomnia.ConclusionsThe results can constitute a significant argument for health promotion campaigns highlighting sleep hygiene directed at penitentiary personnel. A research model created for the purposes of future studies would allow for measuring the frequency of health behaviors, including the general category of preventive behaviors. The study warrants continuation.DisclosureNo significant relationships.

Mantra yoga as a probable measure in improving sleep and reaction time among commercial drivers: An exploratory pilot study

Problem consideredRoad accidents are a growing concern in developing countries that needs immediate attention. The present study evaluated the role of Maha Mrityunjaya mantra (MMM), a vedic practice in reducing reaction time, burnout and improving sleep among commercial drivers. MethodsFifty commercial drivers (Age 39.92 ± 8.64) were enrolled for a 2 months MMM chanting session (21 rounds, 15 min daily, 5 sessions/week). The effects were measured at the baseline and at the end of 2 months using ruler drop test (RDT), Pittsburgh Sleep Quality Index (PSQI) and Oldenburg burnout inventory (OLBI). ResultsThe average work experience and duration of working hours per day were 15.1 ± 7.75 years and for 8.7 ± 1.7 h respectively. We observed significant changes in PSQI scores (Pre- 7.44 ± 3.9, Post- 4.82 ± 2.32; p < 0.01), OLBQI (Pre-38.24 ± 3.22, Post-34.24 ± 2.64; p < 0.01, effect size 1.000) and RDT scores (Pre-16 ± 3.9, Post-10.28 ± 2.79; p < 0.01). Spearman's correlation revealed a weak positive association between improvement in sleep with reaction time (rs = 0.247) and burnout scores (rs = 0.097). ConclusionThe present study concludes MMM chanting may be beneficial in improving the reaction time among drivers, which may be useful as a strategy in preventing road traffic accidents. However, robust randomized control trials are warranted before making generalized recommendations.

The intensity of coronavirus anxiety and its associations with depressive symptoms and burnout among Polish nurses and firefighters: a preliminary cross-sectional study

IntroductionNurses and firefighters are professions characterized by exposure to high occupational stress.ObjectivesThe purpose of the present study was to investigate the intensity of coronavirus anxiety and its associations with depressive symptoms and burnout in samples of Polish nurses and firefighters during the COVID-19 pandemic.MethodsFifty nurses and 55 firefighters were recruited for the study. Respondents were administered the Coronavirus Anxiety Scale (CAS), the Center for Epidemiologic Studies Depression Scale-Revised (CESD-R) and the Oldenburg Burnout Inventory (OLBI). Descriptive statistics, Pearson product-moment correlations and one-way ANOVA were used to analyze the data.ResultsNurses scored significantly higher than firefighters on the CAS (M = 2.76, SD = 4.18 vs. M = 1.15, SD = 2.24; p &lt; 0.05), the CESD-R (M = 11.64, SD = 10.80 vs. M = 5.85, SD = 7.34; p &lt; 0.01) and both dimensions of the OLBI, i.e. exhaustion (M = 2.38, SD = 0.56 vs. M = 1.91, SD = 0.55; p &lt; 0.001) and disengagement from work (M = 2.28, SD = 0.48 vs. M = 1.93, SD = 0.43; p &lt; 0.001). In the both study groups coronavirus anxiety significantly correlated with depressive symptoms and exhaustion, and only in nurses also with disengagement from work.ConclusionsThis study demonstrated that coronavirus anxiety was more pronounced in nurses than in firefighters. The findings provide preliminary evidence for the positive associations of coronavirus anxiety with depressive symptoms and burnout in both groups.DisclosureThe study was supported by the grant of the National Centre for Research and Development (NCBR) No. I.PB.08 “Occupational burnout and depression in professions with exposure to high levels of occupational stress: determinants, prevalence, interrelations a

Children living in institutional care: How can mentalization-based interventions improve their perspective-taking and conflict resolution skills?

IntroductionTrauma, stress, and attachment problems are negatively related to the development of mentalization. Children raised in institutional care are more exposed to these difficulties, therefore the development of population-specific interventions that aim to improve mentalization skills would be highly desirable.ObjectivesOur goal is to develop mentalization-based intervention programs for specific age groups (9-13 years, 14-18 years, and adult staff members of institutional care centers) - that support children’s and adolescents’ social functioning and conflict resolution skills.MethodsThe mentalization-based intervention targeting institutional care staff was launched first. Due to the pandemic, this intervention was executed online with two intervention (N = 17) and two passive control (N = 15) groups. Before and after the intervention, participants completed a demographic questionnaire, the Parenting Sense of Competence Scale, the Reflective Functioning Questionnaire, the Mini Oldenburg Burnout Inventory, The Strengths, and Difficulties Questionnaire, and the Ways of Coping Questionnaire.ResultsThe intervention protocol and our results will be shown at the conference. There was no significant difference between the two intervention and two passive control groups in the demographic features. Mentalization uncertainty and burnout was positively related(rs(23) = .42, p = .034), while mentalization uncertainty and parental competence was negatively associated (rs(23) = - .41, p = .041).ConclusionsThe intervention program will be fine-tuned and optimized based on the results of the pilot study. In the next interventions, we plan to focus on the issues that the staff perceived as most difficult and to conduct interventions among the children.DisclosureNo significant relationships.

Prevalence of Anxiety and Burnout in Paramedics and Security Workers during COVID-19

Corona Virus disease has been proved a global health risk and put an extraordinary effect on paramedics and security workers around the world. Our aim is to explore the prevalence of burnout and anxiety among paramedics and security workers during COVID-19 era through quantitative research method. The level of burnout, and anxiety were measured by Oldenburg burnout inventory and Zung self-rating anxiety scale, respectively .We found that 21% of sample was affected by anxiety, 48% faced high level burnout whereas 40 % faced medium level burnout. There was also positive relationship between anxiety and burnout as p value was less than 0.05. This epidemic can cause anxiety and stress in healthcare workers, which can in turn give rise to multiple mental health issues like burnout, anxiety and depression. Precautionary measures as well as early diagnosis and coping strategies can play vital role during this pandemic time frame. Keywords: Burnout, Anxiety, COVID-19.

Revealing hidden experiences: Gendered microaggressions and surgical faculty burnout

BackgroundStudies report higher burnout in women faculty surgeons compared to men. However, few studies have examined underlying mechanisms for these gendered differences. Gendered differences in microaggression experiences may explain part of the relationship between gender and burnout. We aimed to investigate the relationship between gender, gendered microaggressions, and burnout and test the hypothesis that microaggressions contribute to the relationship between gender and burnout. MethodsIn this 2021 study, a survey was distributed to surgical faculty at 7 institutions. Variables included gender identity, race, average hours worked recently, the Oldenburg Burnout Inventory, and a modified Racial and Ethnic Microaggressions Scale to assess gendered microaggressions. To assess the relationship between surgical faculty gender and burnout, and if this relationship could be explained by microaggressions, a mediation model was tested. ResultsA total of 109 participants (40% female) completed the survey and were included in analysis. The hypothesized indirect effect of gender on burnout (M = 2.70/5, SD = 0.81), through gender-based microaggressions (M = 1.7/5, SD = 1.9), was significant, B = −0.25, SE B = 0.09, confidence interval (−0.44 to −0.09): women surgeons reported higher levels of gendered microaggressions, which predicted higher levels of burnout. The overall model was significant (R2 = .16, F[6,102] = 3.33, P < .01). Race, specialty, hours worked, and years of experience were all not significant in the model. ConclusionGendered microaggressions mediate the relationship between gender and burnout, providing a potential mechanism for the higher rates of burnout in women surgeons evident in prior research. These multi-institutional data provide a focus for targeted initiatives that could decrease both burnout rates and the impact of gender bias on surgical faculty.

An online counseling intervention for Nigerian undergraduates with academic burnout

A growing problem among university students is academic burnout, and it has become more prevalent in recent years. With the increasing demand for school mental health services, online counseling interventions are gradually being regarded as a reasonable way to provide assistance to students with regard to burnout reduction. It was the researcher's aim to find out whether an online counseling intervention would be able to reduce academic burnout in a Nigerian undergraduate sample. A total of 80 Nigerian undergraduates were participants of this study. In this study, the participants were randomly assigned to the intervention group (n=40) and to the control group (n=40) by using a simple randomization procedure. For the collection of data, the Oldenburg Burnout Inventory for Students and the Students School Burnout Inventory were utilised. The researcher applied repeated measures ANOVA to examine within and between groups' mean differences, reported η² to establish treatment effect size, and conducted posthoc analyses where mean differences existed using Holm's approach. The results of the study demonstrate that the online counseling intervention for academic burnout was effective in reducing the level of academic burnout among Nigerian undergraduates.As online counseling can help students reduce academic burnout, this finding opens the door to reach a larger number of burned-out students, such as those who live off-campus or are afraid of social stigma when seeking mental health care. This intervention has the potential to significantly improve student mental health related to burnout in other higher education settings like polytechnics. It is recommended that students should be encouraged to receive psychological supports and care from the university's counseling centre, not just during crises, but as a regular process of mental health support.

UK obstetric sonographers' experiences of the COVID-19 pandemic: Burnout, role satisfaction and impact on clinical practice.

The COVID-19 pandemic placed additional demands and stressors on UK obstetric sonographers, who were required to balance parent safety and service quality, alongside staff safety. Increased pressure can negatively impact a healthcare worker's well-being and the provision of person-centred care. The aim of this study was to explore obstetric sonographers' experiences of performing pregnancy ultrasound scans during the pandemic and to assess the impact on burnout, role satisfaction and clinical practice. An online, anonymous cross-sectional survey was created to capture sonographers' experience alongside using the Oldenburg Burnout Inventory to evaluate burnout and Clinical Outcomes in Routine Evaluation 10 (CORE-10) to measure psychological distress. Responses were received from 138 sonographers. Of those completing the Oldenburg Burnout Inventory (n = 89), 92.1% and 91.0% met the burnout thresholds for exhaustion and disengagement, respectively. Sonographers with a higher burnout score also perceived that COVID-19 had a greater, negative impact on their practice (p < 0.05). The mean CORE-10 score of 14.39 (standard deviation = 7.99) suggests mild psychological distress among respondents. A significant decrease in role satisfaction was reported from before to during the pandemic (p < 0.001), which was associated with higher scores for burnout and psychological distress (p < 0.001). Change in role satisfaction was correlated with sonographers' perception of safety while scanning during the pandemic (R 2 = 0.148, p < 0.001). Sixty-five sonographers (73.9%) reported they were considering leaving the profession, changing their area of practice or working hours within the next 5 years. Job and context-specific interventions are required to mitigate burnout and its consequences on the workforce and service provision beyond the pandemic.

Job Satisfaction and Burnout in Croatian Physiotherapists.

Background: Physiotherapists are important healthcare professionals in modern and multidisciplinary health forces. However, they are exposed to a high risk of occupational burnout, which is associated with reduced job satisfaction. Job satisfaction is essential for medical professionals because it directly influences patient safety and the quality of medical care. Therefore, this study aimed to determine the association between sociodemographic variables of Croatian physiotherapists, job satisfaction, and occupational burnout. Methods: A cross-sectional study was performed among 404 physiotherapists using a sociodemographic questionnaire, the Job Descriptive Index (JDI), and Oldenburg Burnout Inventory (OLBI). Results: The study group of Croatian physiotherapists was marked by a high level of job satisfaction and occupational burnout. However, a higher level of occupational burnout is associated with lower job satisfaction. The main determinants of job satisfaction were younger age, female gender, less work experience, and married or partnership. At the same time, a higher level of occupational burnout was associated with working in government institutions and being single. Conclusions: As a reaction to psychological stress at work with the main components of exhaustion and disengagement, occupational burnout is negatively associated with job satisfaction. Therefore, assessing the factors influencing job satisfaction and burnout in the workplace can help develop physiotherapists’ mental health prevention strategies.

Wellbeing, burnout and substance use amongst medical students: A summary of results from nine countries.

There has been increasing interest in the physical health, mental wellbeing and burnout afflicting medical students over recent years. This paper describes the overall results from phase two of an international study including a further nine countries across the world. We sampled large groups of medical students in nine countries at the same time and with exactly the same method in order to aid direct comparison of demographics, burnout and mental wellbeing through validated instruments. A total of 4,942 medical students from these countries participated in this study. Around 68% of respondents screened positive for mild psychiatric illness using the General Health Questionnaire-12. Around 81% and 78% of respondents were found to be disengaged or exhausted respectively using the Oldenburg Burnout Inventory. Around 10% were found to be CAGE positive and 14% reported cannabis use. The main source of stress reported by medical students was their academic studies, followed by relationships, financial difficulties and housing issues. Cultural, religious and socioeconomic factors within each country are important and understanding their effects is fundamental in developing successful local, regional and national initiatives. Further quantitative and qualitative research is required to confirm our results, clarify their causes and to develop appropriate preventative strategies.

Development of Burnout in Physical Therapist Students and Associated Factors: A Study During COVID-19

Introduction. Burnout is a negative response to work-related stress and follows a developmental process that might begin during students' academic studies. Review of Literature. Numerous factors affect burnout in graduate students, and few published studies have assessed burnout in physical therapist students. Subjects. Participants included 1,340 Doctor of Physical Therapy (DPT) students from DPT programs across the United States. Method. Students completed a Psychdata survey in fall 2020 that assessed burnout using the Oldenburg Burnout Inventory for Students (OLBI-S), resilience using the Connor-Davidson Resilience Scale (CD-RISC), perceived stress using the Perceived Stress Scale (PSS), and additional questions regarding levels of support and the learning environment. Burnout levels for each year in a DPT program were determined using 2 one-way independent analysis of variances, 1 for each OLBI-S subscale. Cutoff scores to group students into the burnout and nonburnout groups were determined using quartiles. Logistic regression was used to identify factors that may have an influence on the development of burnout. Results. No significant difference was found in burnout scores among students in different years in a DPT program. Using cutoff scores, 35.4% of DPT students were in the burnout group. Factors found to be statistically significant in predicting burnout were satisfaction with the level of support from faculty, satisfaction with overall learning environment, CD-RISC score, and PSS score (χ2(4) = 266.827, P &lt; .001). The final model explained 24.8% of the variance and correctly classified 72.1% of cases. Discussion and Conclusion. Students who have higher levels of perceived stress, lower levels of satisfaction with the level of support from faculty, and lower levels of satisfaction with their overall learning environment at DPT school may be more likely to develop burnout, while students who have higher levels of resilience may be less likely to develop burnout. This study was conducted during the COVID-19 pandemic and may not be generalizable to nonpandemic times.

Burnout and Perception of Medical School Learning Environments Among Gay, Lesbian, and Bisexual Medical Students

The perspectives of gay, lesbian, bisexual (sexual minority [SM]) students about their medical school learning environment and how they relate to burnout is poorly understood. To understand SM medical students' perceptions of the medical school learning environment and how this is associated with reported burnout. This cross-sectional study included medical students graduating from Association of American Medical Colleges (AAMC)-accredited allopathic US medical schools in 2016 and 2017 and responding to the AAMC Graduation Questionnaire. Data analysis was conducted from June 2021 to March 2022. Sexual orientation, based on self-identification, and categorized as bisexual, gay or lesbian, or heterosexual or straight. Primary outcomes included burnout as measured by Oldenburg Burnout Inventory for Medical Students (OLBI-MS; two 24-point scales [range, 0-48], with higher scores indicating greater burnout) and student perceptions of the medical school learning environment (0-5-point scales for emotional climate [range, 0-20] and student-faculty interactions [range, 0-15], with higher scores indicating more positive perceptions). Logistic regression was used to model the association between burnout, SM status, and learning environment while controlling for demographic characteristics. A total of 25 757 respondents (12 527 [48.6%] women; 5347 [20.8%] Asian; 2255 [8.8%] underrepresented in medicine; 15 651 [60.8%] White; 10 726 [41.6%] aged ≤26 years) were included in the analysis: 568 (2.2%) self-identified as bisexual, 854 (3.3%) as gay or lesbian, and 24 335 (94.5%) as heterosexual or straight. Both bisexual students and gay or lesbian students reported less favorable perceptions of their learning environments than heterosexual students (mean [SD] emotional climate score, bisexual students: 8.56 [3.29]; gay or lesbian students: 9.22 [3.33]; heterosexual or straight students: 9.71 [3.20]; P < .001; mean [SD] faculty-student interaction score, bisexual students: 13.46 [3.69]; gay or lesbian students: 14.07 [3.45]; heterosexual or straight students: 14.32 [3.37]; P < .001). Bisexual and gay or lesbian students were more likely to be in the top quartile for burnout scores (bisexual: odds ratio [OR], 1.71; 95% CI, 1.42-2.07; P < .001; gay or lesbian: OR, 1.53; 95% CI, 1.31-1.79; P < .001). This association was attenuated when accounting for student perceptions of the learning environment (bisexual: OR, 1.37; 95% CI, 1.11-1.67; P < .001; gay or lesbian: OR, 1.42; 95% CI, 1.19-1.68; P < .001), with poorer perceptions of the medical school learning environment associated with higher burnout symptoms. In this cross-sectional study, SM students had less favorable perceptions of the medical school learning environment compared with heterosexual students. Results suggest the medical school environment may be associated with higher rates of burnout in SM students. Future research should explore interventions to improve the learning environment for SM students.

Mental health and wellbeing among Egyptian medical students: a cross-sectional study

BackgroundMedical students are prone to experience high levels of stress during their studies, which can lead to burnout and mental health disorders such as anxiety and depression, that can affect their academic performance and ability to practice. We therefore conducted an online survey to collect data on demographics, sources of stress, mental health problems, burnout, and substance use in 547 medical students from two universities in Cairo. We used the Oldenburg Burnout Inventory (OLBI), the General Health Questionnaire 12 (GHQ-12), and the CAGE questionnaire.ResultsOur results indicated that 16% of participants were diagnosed with a mental illness while in medical school, with 88% screening positive for burnout on the OLBI, 63% reaching the threshold as cases on the GHQ-12 and 9% screening positive on the CAGE questionnaire. There was a statistically significant positive correlation between scores on the OLBI and the GHQ-12.ConclusionsOur study indicated that there were very high levels of psychological distress (burnout, mental illness) among medical students, with high rates of disengagement and exhaustion.