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Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience

Author

Listed:
  • Carla Serrão

    (School of Education-Polytechnic of Porto, Portugal and Centre for Research and Innovation in Education, 4200-465 Porto, Portugal
    The authors contributed equally to this paper.)

  • Ivone Duarte

    (Faculty of Medicine, MEDCIDS-Department of Community Medicine, Information and Decision in Health, University of Porto, 4200-450 Porto, Portugal
    Faculty of Medicine, CINTESIS-Center for Health Technology and Services Research, 4200-450 Porto, Portugal
    The authors contributed equally to this paper.)

  • Luísa Castro

    (Faculty of Medicine, MEDCIDS-Department of Community Medicine, Information and Decision in Health, University of Porto, 4200-450 Porto, Portugal
    Faculty of Medicine, CINTESIS-Center for Health Technology and Services Research, 4200-450 Porto, Portugal
    School of Health Sciences-Polytechnic of Porto, 4200-450 Porto, Portugal)

  • Andreia Teixeira

    (Faculty of Medicine, MEDCIDS-Department of Community Medicine, Information and Decision in Health, University of Porto, 4200-450 Porto, Portugal
    Faculty of Medicine, CINTESIS-Center for Health Technology and Services Research, 4200-450 Porto, Portugal
    IPVC–Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal)

Abstract

During the COVID-19 pandemic, healthcare workers (HCW) have been exposed to multiple psychosocial stressors. Resilience might protect employees from the negative consequences of chronic stress. The aim of this study was to explore the mediating role of resilience in the relationship between depression and burnout (personal, work-related, and client-related). A cross-sectional study was performed using an online questionnaire distributed via social networks. A survey was conducted comprising standardized measures of resilience (Resilience Scale-25 items), depression (subscale of Depression Anxiety Stress Scales-21 items), and burnout (Copenhagen Burnout Inventory Scale-19 items). A total of 2008 subjects completed the survey, and a hierarchical regression model was estimated for each burnout dimension. The results revealed that depression had not only a directed effect on personal, work- and client-related burnout, but also an indirect small effect on it through resilience. Psychological resilience played a partial mediating role between depression and all burnout dimensions. This partial mediation suggests that there may be other possible variables (e.g., social connection, self-compassion, gratitude, sense of purpose) that further explain the associations.

Suggested Citation

  • Carla Serrão & Ivone Duarte & Luísa Castro & Andreia Teixeira, 2021. "Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience," IJERPH, MDPI, vol. 18(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:636-:d:479801
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    References listed on IDEAS

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    1. Paweł Wańkowicz & Aleksandra Szylińska & Iwona Rotter, 2020. "Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients," IJERPH, MDPI, vol. 17(16), pages 1-8, August.
    2. Lourdes Luceño-Moreno & Beatriz Talavera-Velasco & Yolanda García-Albuerne & Jesús Martín-García, 2020. "Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(15), pages 1-29, July.
    3. Luke Treglown & Kat Palaiou & Anthony Zarola & Adrian Furnham, 2016. "The Dark Side of Resilience and Burnout: A Moderation-Mediation Model," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-16, June.
    4. Roberta Gasparro & Cristiano Scandurra & Nelson Mauro Maldonato & Pasquale Dolce & Vincenzo Bochicchio & Alessandra Valletta & Gilberto Sammartino & Pasquale Sammartino & Mauro Mariniello & Alessandro, 2020. "Perceived Job Insecurity and Depressive Symptoms among Italian Dentists: The Moderating Role of Fear of COVID-19," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
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    Cited by:

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    13. Eleonora Gambaro & Carla Gramaglia & Debora Marangon & Danila Azzolina & Manuela Probo & Marco Rudoni & Patrizia Zeppegno, 2021. "The Mediating Role of Gender, Age, COVID-19 Symptoms and Changing of Mansion on the Mental Health of Healthcare Workers Operating in Italy during the First Wave of the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(24), pages 1-18, December.
    14. Jinyong Chen & Wafa Ghardallou & Ubaldo Comite & Naveed Ahmad & Hyungseo Bobby Ryu & Antonio Ariza-Montes & Heesup Han, 2022. "Managing Hospital Employees’ Burnout through Transformational Leadership: The Role of Resilience, Role Clarity, and Intrinsic Motivation," IJERPH, MDPI, vol. 19(17), pages 1-23, September.
    15. Ivone Duarte & Ana Alves & Ana Coelho & Ana Ferreira & Beatriz Cabral & Bebiana Silva & João Peralta & Juliana Silva & Pedro Domingues & Pedro Nunes & Carla Serrão & Cristina Santos, 2022. "The Mediating Role of Resilience and Life Satisfaction in the Relationship between Stress and Burnout in Medical Students during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(5), pages 1-13, February.
    16. Myoungjin Kwon & Sung Yun Ahn & Sun Ae Kim, 2022. "Factors Influencing Depressive Symptoms in Middle-Aged South Korean Workers by Job Type: A Population-Based Study," IJERPH, MDPI, vol. 19(21), pages 1-12, November.

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