Resilience as a moderator in the relationship between burnout and subjective well-being among medical workers in Serbia during the COVID-19 pandemic
Abstract
Background/Aim. During the ongoing COVID-19 pandemic, exhaustion and difficulties at work can seriously endanger the mental health of medical workers. The aim of this study was to examine whether resilience is a moderator of the association between burnout and subjective well-being among medical workers at the time of the pandemic. Methods. The research was conducted on a sample of 521 medical workers (354 female), among whom were 245 physicians and 276 medical technicians. The average age of the respondents was 38.66 years. Data were collected using online questionnaires comprising the Brief Resilience Scale, the Work Burnout Scale, the Short Subjective Well-being Scale, and the Sociodemographic Data Questionnaire. Regression and interaction analysis (by SPSS macro ''PROCESS 3.5'') was used for data analysis and processing. Results. The results showed that burnout was a significant negative predictor of subjective well-being of medical workers (ß = -0.19; p < 0.01) and a significant positive predictor of subjective well-being (ß = 0.40; p < 0.01), as well as that the interaction of resilience and burnout was a significant positive predictor of subjective well-being (ß = 0.09; p < 0.01). In subjects who had developed resilience at the level of +1 standard deviation (SD), the negative effect of burnout on subjective well-being was 2.8 times lower than in subjects who had resilience at the level of -1 SD. Conclusion. The study confirmed that resilience reduces the negative connection between burnout and subjective well-being, which is a significant argument that medical workers should be provided with resilience training programs to prevent burnout and preserve mental health during a pandemic.
References
Bozdağ F, Ergün N. Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic. Psychol Rep 2020; 33294120965477.
Kramer V, Papazova I, Thoma A, Kunz M, Falkai P, Schneider-Axmann T, et al. Subjective burden and perspectives of German healthcare workers during the COVID-19 pandemic. Eur Arch Psychiatry Clin Neurosci 2021; 271(2): 271–81.
Matsuo T, Kobayashi D, Taki F, Sakamoto F, Uehara Y, Mori N, et al. Prevalence of Health Care Worker Burnout During the Coronavirus Disease 2019 (COVID-19) Pandemic in Japan. JAMA Netw Open 2020; 3(8): e2017271.
Mosheva M, Hertz-Palmor N, Dorman Ilan S, Matalon N, Pessach IM, Afek A, et al. Anxiety, pandemic-related stress and resilience among physicians during the COVID-19 pandemic. Depress Anxiety 2020; 37(10): 965–
Raudenská J, Steinerová V, Javůrková A, Urits I, Kaye AD, Viswanath O, et al. Occupational burnout syndrome and post-traumatic stress among healthcare professionals during the novel Coronavirus Disease 2019 (COVID-19) pandemic. Best Pract Res Clin Anaesthesiol 2020; 34(3): 553–
Trumello C, Bramanti SM, Ballarotto G, Candelori C, Cerniglia L, Cimino S, et al. Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. Int J Environ Res Public Health 2020; 17(22): 8358.
Howe A, Smajdor A, Stockl A. Towards an understanding of resilience and its relevance to medical training. Med Educ 2012; 46(4): 349–56.
Mills J, Mckimm J. Resilience: why it matters and how doctors can improve it. Br J Hosp Med (Lond) 2016; 77(11): 630–3.
Harms PD, Brady L, Wood D, Silard A. Resilience and well-being. In: Diener E, Oishi S, Tay L, Handbook of well-being. Salt Lake City, UT: DEF Publishers; 2018.
García-Izquierdo M, Meseguer de Pedro M, Ríos-Risquez MI, Sánchez MIS. Resilience as a Moderator of Psychological Health in Situations of Chronic Stress (Burnout) in a Sample of Hospital Nurses. J Nurs Scholars 2018; 50(2): 228–36.
McKinley N, Karayanis PN, Convie L, Clarke M, Kirk SJ, Campbell WJ. Resilience in medical doctors: a systematic review. Postgrad Med J 2019; 95(1121): 140–7.
McKinley N, McCain RS, Convie L, Clarke M, Dempster M, Campbell WJ, et al. Resilience, burnout and coping mechanisms in UK doctors: a cross-sectional study. BMJ Open 2020; 10(1): e031765.
Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine 2020; 24: 100424.
Smith B, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The Brief Resilience Scale: Assessing the Ability to Bounce Back. Int J Behav Med 2008; 15(3): 194–200.
Batz C, Tay L. Gender differences in subjective well-being. In: Diener E, Oishi S, Tay L, e Handbook of well-being. Salt Lake City, UT: DEF Publishers; 2018.
Diener E. Subjective Well-Being: The Science of Happiness and a Proposal for a National Index. Am Psychol 2000; 55(1): 34–43.
Diener E, Lucas RE, Oishi S. Advances and Open Questions in the Science of Subjective Well-Being. Collabra Psychol 2018; 4(1): 15.
Jovanović V. Validity of the short subjective well-being scale. Primenjena psihologija 2010; 3(2): 175–90. (Serbian)
Maslach C, Schaufeli W, Leiter M. Job Burnout. Annu Rev Psychol 2001; 52(1): 397–422.
Kristensen T, Borritz M, Villadsen E, Christensen K. The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work Stress 2005; 19(3): 192–207.
Berat N, Jelić D, Popov B. Serbian version of the Work Burnout Scale from the Copenhagen Burnout Inventory: Adaptation and psychometric properties. Primenjena psihologija 2016; 9(2): 177–98. (Serbian, English)
Barello S, Palamenghi L, Graffigna, G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res 2020; 290: 113129.
Duarte I, Teixeira A, Castro L, Marina LS, Ribeiro C, Jácome C, et al. Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health 2020; 20(1):
Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and Resilience Among Nurses Practicing in High-Intensity Settings. Am J Crit Care 2015; 24(5): 412–20.
Yu F, Raphael D, Mackay L, Smith M, King A. Personal and Work-Related Factors Associated with Nurse Resilience: A Systematic Review. Int J Nurs Stud 2019; 93: 129–
Roberts NJ, McAloney-Kocaman K, Lippiett K, Ray E, Welch L, Kelly C. Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respir Med 2020; 176: 106219.
Wang L, Wang H, Shao S, Jia G, Xiang J. Job Burnout on Subjective Well-Being Among Chinese Female Doctors: The Moderating Role of Perceived Social Support. Front Psychol 2020; 11: 435.
World Medical Association. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. Bull World Health Organ 2001; 79(4): 373–
Slišković A, Burić I. Brief Resilience Scale. In: Slišković A, Burić I, Adorić ĆC, Nikolić M, Junaković TI, editors. Collection of psychological scales and questionnaires, volume 9, 7–12. Zadar: Sveučilište u Zadru; 2018. (Croatian)
Hayes A. Introduction to mediation, moderation, and conditional process analysis. 2nd ed. New York, NY: Guilford; 2018.
Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord 2020; 275: 48–57.