Assessment of burnout syndrome and associated factors among medical students during the COVID-19 pandemic.

Sofía Jezzini-Martinez, Javier Humberto Martinez-Garza, Alejandro Quiroga-Garza, Xavier Gerardo Quiroz-Perales, Lourdes Gil-Flores, David de la Fuente-Villarreal, Yolanda Salinas-Alvarez, Katia Guzman-Avilan, Rodrigo Enrique Elizondo-Omaña, Santos Guzman-Lopez
Author Information
  1. Sofía Jezzini-Martinez: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  2. Javier Humberto Martinez-Garza: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  3. Alejandro Quiroga-Garza: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  4. Xavier Gerardo Quiroz-Perales: Department of Psychiatry, Hospital Universitario José E. González, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  5. Lourdes Gil-Flores: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  6. David de la Fuente-Villarreal: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  7. Yolanda Salinas-Alvarez: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  8. Katia Guzman-Avilan: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  9. Rodrigo Enrique Elizondo-Omaña: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.
  10. Santos Guzman-Lopez: Department of Human Anatomy, School of Medicine, Autonomous University of Nuevo Leon, Monterrey, Mexico.

Abstract

Overwhelming requirements, a high degree of work, and prolonged exposure to emotionally demanding circumstances in work and life settings can lead to burnout syndrome. The purpose of the study is to assess burnout syndrome and its associated factors among medical students during the COVID-19 pandemic. A cross-sectional, prospective, descriptive study was conducted in a Mexican medical school during the last week of the spring semester of 2021 using the Maslach Burnout Inventory-Student Survey (MBI-SS) and an associated factors survey. Based on the MBI-SS definition, most students (54.2%,  = 332) had burnout symptoms and high emotional exhaustion (79.6%,  = 448), high cynicism (57.3%,  = 351), and low academic effectiveness (36.4%,  = 223). After adjusting the associated factors, a significant correlation between the school year and the presence of burnout was identified (OR 1.127, 95% CI [1.023-1.241], <0.05). Regarding the current pandemic, the death of a family member by COVID-19 also put students at risk of developing burnout (OR 1.598*, 95% CI [1.080-2.363, <0.05]) The main limitation of this study was the lack of a control group (before the pandemic); therefore, the high prevalence of burnout can only be hypothesized due to the pandemic but cannot be objectively evidenced. A prospective study after the pandemic is needed to resolve this question. The coronavirus pandemic represents a challenge to the academic and psychological stability of students. It essential to continue assessing burnout levels in medical students and the general population to treat them in time and improve mental health.

Keywords

References

  1. J Affect Disord. 2015 Feb 1;172:361-6 [PMID: 25451438]
  2. J Affect Disord. 2023 Jan 15;321:167-181 [PMID: 36341802]
  3. Healthcare (Basel). 2020 Oct 22;8(4): [PMID: 33105757]
  4. Indian J Med Res. 2016 Jan;143(1):101-3 [PMID: 26997021]
  5. Front Psychol. 2020 Jul 10;11:1684 [PMID: 32754102]
  6. Int J Environ Res Public Health. 2021 Jan 05;18(1): [PMID: 33466459]
  7. Acad Med. 2014 Mar;89(3):443-51 [PMID: 24448053]
  8. JAMA. 2011 Sep 7;306(9):952-60 [PMID: 21900135]
  9. Acad Psychiatry. 2016 Feb;40(1):38-45 [PMID: 26246222]
  10. Med Educ Online. 2014 Aug 25;19:25209 [PMID: 25160716]
  11. J Clin Nurs. 2020 Aug;29(15-16):2756-2757 [PMID: 32250493]
  12. J Surg Educ. 2019 Nov - Dec;76(6):e1-e14 [PMID: 31601487]
  13. Curr Cardiol Rep. 2020 May 29;22(7):45 [PMID: 32472336]
  14. PLoS One. 2020 Aug 6;15(8):e0237301 [PMID: 32760131]
  15. J Affect Disord. 2005 Sep;88(1):55-62 [PMID: 16038984]
  16. Pak J Med Sci. 2020 May;36(COVID19-S4):S43-S48 [PMID: 32582313]
  17. Psychol Rep. 2009 Oct;105(2):394-408 [PMID: 19928601]
  18. J Pain Symptom Manage. 2020 Jul;60(1):e60-e65 [PMID: 32283221]
  19. BMJ Open. 2019 May 5;9(5):e027709 [PMID: 31061054]
  20. PLoS One. 2018 Mar 7;13(3):e0191746 [PMID: 29513668]
  21. Sport Sci Health. 2022;18(4):1311-1319 [PMID: 35308038]
  22. Lancet. 2016 Nov 5;388(10057):2272-2281 [PMID: 27692469]
  23. Psychol Med. 2020 Oct 02;:1-4 [PMID: 33004087]
  24. PLoS One. 2020 Nov 18;15(11):e0241335 [PMID: 33206654]
  25. JAMA. 2004 Dec 15;292(23):2880-9 [PMID: 15598920]
  26. Int Arch Occup Environ Health. 2011 Apr;84(4):453-9 [PMID: 21373879]
  27. Med Sci Educ. 2020 Nov 18;31(1):183-192 [PMID: 33230424]
  28. Med Educ. 1995 May;29(3):187-92 [PMID: 7623710]
  29. Ann Intern Med. 2008 Sep 2;149(5):334-41 [PMID: 18765703]

Word Cloud

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