Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil

Detalhes bibliográficos
Autor(a) principal: Fischer, Ronald
Data de Publicação: 2020
Outros Autores: Mattos, Paulo, Teixeira, Cassiano, Ganzerla, Daniel S., Rosa, Regis Goulart, Bozza, Fernando A.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/45947
Resumo: Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Victoria University of Wellington. School of Psychology. Wellington, New Zealand.
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spelling Fischer, RonaldMattos, PauloTeixeira, CassianoGanzerla, Daniel S.Rosa, Regis GoulartBozza, Fernando A.2021-02-03T15:01:41Z2021-02-03T15:01:41Z2020FISCHER, Ronald et al. Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil. JAMA Network Open, v. 3, n. 12, p. 1-12, 2020.2574-3805https://www.arca.fiocruz.br/handle/icict/4594710.1001/jamanetworkopen.2020.30898engAmerican Medical AssociationAssociation of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleInstituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Victoria University of Wellington. School of Psychology. Wellington, New Zealand.Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Universidade Federal de Ciências da Saúde de Porto Alegre. Porto Alegre, RS, Brasil.Hospital Moinhos de Vento. Unidade de Terapia Intensiva. Porto Alegre, RS, Brasil.Hospital Moinhos de Vento. Unidade de Terapia Intensiva. Porto Alegre, RS, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil.Importance: It is unclear whether burnout, anxiety, and depression constitute the same or different constructs. Better understanding of these constructs is important for diagnosis and treatment for intensive care unit (ICU) clinicians. Objective: To determine the associations and distinctiveness of burnout, depression, and anxiety in a sample of ICU clinicians. Design, setting, and participants: This cross-sectional study used baseline data from the ICU Visits Study, a cluster-randomized crossover clinical trial conducted from April 2017 to July 2018 in 36 mixed public and private nonprofit ICUs in Brazil. ICU clinicians, including day-shift physicians, nurses, nurse technicians, and physiotherapists working in an ICU at least 20 hours per week, were enrolled. Data were analyzed from December 27, 2019, to October 10, 2020. Main outcomes and measures: The main outcome measures were burnout, depression, and anxiety measured with the Maslach Burnout Inventory (MBI; range, 0-6, with high scores indicating more burnout) and the Hospital Depression and Anxiety Scale (HADS; range, 0-3, with higher scores indicating more depression or anxiety). Internal consistencies were satisfactory. Results: The total sample included 715 ICU clinicians (median [interquartile range] age, 34.8 [30.2-39.3] years; 520 [72.7%] women), including 96 physicians (13.4%), 159 nurses (22.2%), 358 nurse technicians (50.1%), and 102 physiotherapists (14.3%). Clinicians reported low levels of emotional exhaustion (mean [SD] score, 1.84 [1.18]), depersonalization (mean [SD] score, 0.98 [1.03]), and personal accomplishment (mean [SD] score, 5.05 [0.87]) on the MBI, and similarly low levels of depression (mean [SD] score, 0.54 [0.40]) and anxiety (mean [SD] score, 0.70 [0.45]) on the HADS. Confirmatory factor analyses consistently showed improved fit separating latent burnout dimensions from depression and anxiety. An exploratory graph analysis combining gaussian graphical model with clustering algorithms for weighted networks suggested 3 clusters, with distinct burnout, anxiety, and depression clusters. This structure was confirmed using a bootstrap with 1000 random samples, in which the 3-cluster solution emerged in 625 samples (62.5%). Both latent variable loadings and network statistics suggested 3 key indicators (ie, feeling burned out from work, worrying thoughts, and reverse-scored reporting feeling cheerful) that can be used for short screening instruments. Conclusions and relevance: These findings suggest that burnout and clinical symptoms of depression and anxiety were empirically distinct in a large sample of ICU clinicians, highlighting the importance of screening for burnout and clinical symptoms to allow fast access to adequate support and treatment in health professionals at high risk of burnout.BurnoutDepressionAnxietyIntensive care unit cliniciansBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/45947/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALAssociation of Burnout_Fernando_Bozza_etal_INI_2020.pdfAssociation of 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dc.title.pt_BR.fl_str_mv Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
title Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
spellingShingle Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
Fischer, Ronald
Burnout
Depression
Anxiety
Intensive care unit clinicians
Brazil
title_short Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
title_full Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
title_fullStr Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
title_full_unstemmed Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
title_sort Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil
author Fischer, Ronald
author_facet Fischer, Ronald
Mattos, Paulo
Teixeira, Cassiano
Ganzerla, Daniel S.
Rosa, Regis Goulart
Bozza, Fernando A.
author_role author
author2 Mattos, Paulo
Teixeira, Cassiano
Ganzerla, Daniel S.
Rosa, Regis Goulart
Bozza, Fernando A.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Fischer, Ronald
Mattos, Paulo
Teixeira, Cassiano
Ganzerla, Daniel S.
Rosa, Regis Goulart
Bozza, Fernando A.
dc.subject.en.pt_BR.fl_str_mv Burnout
Depression
Anxiety
Intensive care unit clinicians
Brazil
topic Burnout
Depression
Anxiety
Intensive care unit clinicians
Brazil
description Instituto D'Or de Pesquisa e Ensino. Rio de Janeiro, RJ, Brasil / Victoria University of Wellington. School of Psychology. Wellington, New Zealand.
publishDate 2020
dc.date.issued.fl_str_mv 2020
dc.date.accessioned.fl_str_mv 2021-02-03T15:01:41Z
dc.date.available.fl_str_mv 2021-02-03T15:01:41Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv FISCHER, Ronald et al. Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil. JAMA Network Open, v. 3, n. 12, p. 1-12, 2020.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/45947
dc.identifier.issn.pt_BR.fl_str_mv 2574-3805
dc.identifier.doi.none.fl_str_mv 10.1001/jamanetworkopen.2020.30898
identifier_str_mv FISCHER, Ronald et al. Association of Burnout With Depression and Anxiety in Critical Care Clinicians in Brazil. JAMA Network Open, v. 3, n. 12, p. 1-12, 2020.
2574-3805
10.1001/jamanetworkopen.2020.30898
url https://www.arca.fiocruz.br/handle/icict/45947
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv American Medical Association
publisher.none.fl_str_mv American Medical Association
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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