Psychological Impact of COVID-19 Emergency on Health Professionals: Burnout Incidence at the Most Critical Period in Spain

José Ángel Martínez-López, Cristina Lázaro-Pérez, José Gómez-Galán, María Del Mar Fernández-Martínez, José Ángel Martínez-López, Cristina Lázaro-Pérez, José Gómez-Galán, María Del Mar Fernández-Martínez

Abstract

Background: The health profession is a burnout producer due to the continuous contact with pain and suffering. In addition, excessive workloads can generate stress and psychological distress.

Objectives: The aim of this study was to determine the degree of burnout and its main triggers in health professionals in Spain at the most critical period of the COVID-19 emergency.

Method: A quantitative research was developed through a simple random sampling in different Spanish hospitals through the period of greatest impact of the pandemic (N = 157). Data were collected using a standardized questionnaire from Maslach burnout inventory (MBI) containing 22 items, which measures three subscales: emotional burnout, depersonalization, and self-fulfillment.

Results: depersonalization values reached 38.9%. A total of 90.4% of the health professionals considered that psychological care should be provided from the work centers. Furthermore, 43.3% of the health professionals estimated that they might need psychological treatment in the future. Finally, 85.4% stated that the lack of personal protective equipment (PPE) generated an increase in stress and anxiety.

Conclusion: This study demonstrates the need to consider specific mental health care services and training in crises to avoid possible psychological disorders. The information obtained is also valuable for the development of future prevention protocols and training of health personnel to face pandemics of these characteristics or emergency scenarios. Having the necessary physical means for their protection, as well to updated regular and accurate information, is essential to avoid feelings of fear and uncertainty. This would promote the health of these professionals.

Keywords: COVID-19; anxiety; burnout; health professionals; pandemic; prevention; stress.

Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Garrett L. COVID-19: The medium is the message. Lancet. 2020;395:942–943. doi: 10.1016/S0140-6736(20)30600-0.
    1. Vellingiri B., Jayaramayya K., Iyer M., Narayanasamy A., Govindasamy V., Giridharan B., Ganesan S., Venugopal A., Venkatesan D., Ganesan H., et al. COVID-19: A promising cure for the global panic. Sci. Total Environ. 2020;725:138277. doi: 10.1016/j.scitotenv.2020.138277.
    1. Ho C.S., Chee C.Y., Ho R.C. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann. Acad. Med. Singap. 2020;49:1–3.
    1. Lancet T. COVID-19: Fighting panic with information. Lancet. 2020;395:537. doi: 10.1016/S0140-6736(20)30379-2.
    1. San Martín M. Coronaviruses and Wuhan pneumonia: COVID-19. Front. Sci. 2020;7:16–22.
    1. World Health Organization . Statement on the Second Meeting of the International Health Regulations (2005). Emergency Committee Regard-ing the Outbreak of Novel Coronavirus (2019-nCoV) WHO; Geneva, Switzerland: 2020.
    1. Sulkowski L. Covid-19 pandemic; recession, virtual revolution leading to de-globalization? J. Intercult. Manag. 2020;12:1–11. doi: 10.2478/joim-2020-0029.
    1. Zaki J. Catastrophe compassion: Understanding and extending prosociality under crisis. Trends Cogn. Sci. 2020 doi: 10.1016/j.tics.2020.05.006.
    1. Vieira C.M., Franco O.H., Restrepo C.G., Abel T. COVID-19: The forgotten priorities of the pandemic. Maturitas. 2020;136:38–41. doi: 10.1016/j.maturitas.2020.04.004.
    1. Rudnicka L., Gupta M., Kassir M., Jafferany M., Lotti T., Sadoughifar R., Goldust M. Priorities for global health community in COVID-19 pandemic. Dermatol. Ther. 2020;33:e13361. doi: 10.1111/dth.13361.
    1. Qiu J., Shen B., Zhao M., Wang Z., Xie B., Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen. Psychiatry. 2020;33:e100213. doi: 10.1136/gpsych-2020-100213.
    1. Bellizzi S., Fiamma M., Arru L., Farina G., Manca A. COVID-19: The daunting experience of health workers in Sardinia, Italy. Infect. Control Hosp. Epidemiol. 2020:1–2. doi: 10.1017/ice.2020.189.
    1. Guanche H. COVID-19. A challenge for healthcare professionals. MéDicas. 2020;19:e3284.
    1. Semple S., Cherrie J. COVID-19: Protecting Worker Health. Ann. Work Expo. Health. 2020;64:461–464. doi: 10.1093/annweh/wxaa033.
    1. Xiang Y., Yang Y., Li W., Zhang L., Zhang Q. Timely mental health care for the 2019 novel coronavirus. Lancet Psychiatry. 2020;7:228–229. doi: 10.1016/S2215-0366(20)30046-8.
    1. Equipo COVID-19 . Informe Sobre la Situación de COVID-19 en España. Informe COVID-19 nº 32. 21 de mayo de 2020. Instituto de Salud Carlos III, RENAVE, CNE; Madrid, Spain: 2020.
    1. Ministerio de Sanidad . Situación del COVID-19 en España. Ministerio de Sanidad; Madrid, Spain: 2020.
    1. MUD . Informe MUD. Condiciones de los Médicos Españoles en la Práctica Clínica Durante la Crisis del COVID-19. Asociación de Médicos Unidos por tus Derechos; Madrid, Spain: 2020.
    1. Aiello A., Khayeri M.Y., Raja S., Peladeau N., Romano D., Leszcz M., Maunder R.G., Rose M., Adam M.A., Pain C., et al. Resilience training for hospital workers in anticipation of an influenza pandemic. J. Contin. Educ. Health Prof. 2011;31:15–20. doi: 10.1002/chp.20096.
    1. Liu Z., Han B., Jiang R., Huang Y., Ma C., Wen J., Zhang T., Wang Y., Chen H., Ma Y. Mental health status of phisicians and nurses during COVID-19 epidemic in China. Lancet. 2020 doi: 10.2139/ssrn.3551329.
    1. Maunder R.G., Lancee W.J., Mae R., Vincent L., Peladeau N., Beduz M.A., Hunter J.J., Leszcz M. Computer-assisted resilience training to prepare healthcare workers for pandemic influenza: A randomized trial of the optimal dose of training. BMC Health Serv. Res. 2010;10:72. doi: 10.1186/1472-6963-10-72.
    1. Xiao H., Zhang Y., Kong D., Li S., Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Int. Med. J. Exp. Clin. Res. 2020;26:e923549.
    1. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N., Wu J., Du H., Chen T., Li R., et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw. Open. 2020;3:e203976. doi: 10.1001/jamanetworkopen.2020.3976.
    1. Cumplido R., Molina C. Aproximación al afrontamiento de la muerte en profesionales de cuidados intensivos. Med. Paliativa. 2011;18:141–148. doi: 10.1016/j.medipa.2011.10.003.
    1. Cañadas G., Vargas C., San Luis C., García I., Cañadas G.R., De la Fuente E.I. Risk factors and prevalence of burnout syndrome in the nursing profession. Int. J. Nurs. Stud. 2015;52:240–249. doi: 10.1016/j.ijnurstu.2014.07.001.
    1. Navarro A., Ayechu I., Huarte P. Prevalencia del síndrome del burnout y factores asociados a dicho síndrome en los profesionales sanitarios de Atención Primaria. Med. Fam. 2015;41:191–198.
    1. Falgueras M.V., Munoz C.C., Pernas F.O., Sureda J.C., Lopez M.P., Miralles J.D. Burnout y trabajo en equipo en los profesionales de atención primaria. Atención Primaria. 2015;47:25–31. doi: 10.1016/j.aprim.2014.01.008.
    1. Gómez J.L., Monsalve C.S., San Luis C., Fernández R., Aguayo R., Cañadas G.A. Factores de riesgo y niveles de burnout en enfermeras de atención primaria: Una revisión sistemática. Atención Primaria. 2017;49:77–85.
    1. Joshi G., Sharma G. Burnout: A risk factor amongst mental health professionals during COVID-19. Asian J. Psychiatry. 2020;54:102300. doi: 10.1016/j.ajp.2020.102300.
    1. Styra R., Hawryluck L., Robinson S., Kasapinovic S., Fones C., Gold W.L. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J. Psychosom. Res. 2008;64:177–183. doi: 10.1016/j.jpsychores.2007.07.015.
    1. Pimble C. Ph.D. Thesis. Philadelphia College of Osteopathic Medicine; Philadelphia, PA, USA: 2016. Therapeutic Effectiveness, Stress, and Burnout in Mental Health Professionals.
    1. Maslach C. Job burnout new directions in research and intervention. Curr. Dir. Psychol. Sci. 2003;12:189–192. doi: 10.1111/1467-8721.01258.
    1. Blanco-Donoso L.M., Moreno-Jiménez J., Gálvez-Herrer M., Moreno-Jiménez B., Garrosa E. Riesgos psicosociales laborales de los profesionales de la salud ante la crisis producida por el COVID-19: Desde la identificación de estos riesgos hasta la actuación inmediata. Rev. Int. Av. Estud. Enfermería. 2020 doi: 10.1016/j.ijnsa.2020.100003.
    1. 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. doi: 10.1016/j.psychres.2020.113129.
    1. Sultana A., Sharma R., Hossain M.M., Bhattacharya S., Purohit N. Burnout among healthcare providers during COVID-19: Challenges and evidence based interventions. Indian J. Med. Ethics. 2020 doi: 10.20529/IJME.2020.73.
    1. Maslach C., Jackson S.E., Leiter M.P., Schaufeli W.B., Schwab R.L. Maslach Burnout Inventory. Consulting Psychologists Press; Palo Alto, CA, USA: 1986.
    1. Maslach C., Schaufeli W.B. Historical and conceptual development of Burnout. In: Schaufeli W.B., Maslach C., Marek T., editors. Professional Burnout: Recent Developments in Theory and Research. Taylor y Francis; Washington, DC, USA: 1993. pp. 1–16.
    1. López A. El Síndrome de Burnout: Antecedentes y Consecuentes Organizacionales en el Ámbito de la Sanidad Pública Gallega. EIDO; Vigo, Spain: 2017.
    1. Maslach C., Jackson S.E., Maslach C., Jackson S.E. Maslach Burnout Inventory-Human Services Survey (MBI-HSS) In: Maslach C., Jackson S.E., Leiter M.P., editors. Maslach Burnout Inventory Manual. Consulting Psychologists Press; Palo Alto, CA, USA: 1996. pp. 192–198.
    1. Li-Ping C., Chung-Yi L., Hu S.C. Job stress and burnout in hospital employees: Comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open. 2014;4:e004185.
    1. Redín C.I., Erro-Garcés A. Stress in teaching professionals across Europe. Int. J. Educ. Res. 2020;103:101623. doi: 10.1016/j.ijer.2020.101623.
    1. Ortega C., López F. El burnout o síndrome de estar quemado en los profesionales sanitarios: Revisión y perspectivas. Int. J. Clin. Healthy Psichol. 2004;4:137–160.
    1. Shirom A., Melamed S., Toker S., Berliner S., Shapira I. Burnout and health review: Current knowledge and future research directions. Int. Rev. Ind. Organ. Psychol. 2005;20:269–308.
    1. Schonfeld I.S., Bianchi R. Burnout and depression: Two entities or one? J. Clin. Psychol. 2016;72:22–37. doi: 10.1002/jclp.22229.
    1. Schaufeli W.B., Leiter M.P., Maslach C. Burnout: 35 years of research and practice. Career Dev. Int. 2009;14:204–220. doi: 10.1108/13620430910966406.
    1. Maslach C., Jackson S.E., Leiter M.P. Maslach Burnout Inventory Manual. Mind Garden; Menlo Park, CA, USA: 2010.
    1. Simón M., Blesa A., Calvo M., Gómez C. Estresores laborales y satisfacción en la enfermería de una unidad de críticos. Enfermería Intensiva. 2005;16:3–14.
    1. Mikolajczak M., Gross J.J., Stinglhamber F., Norberg A.L., Roskam I. Is parental burnout distinct from job burnout and depressive symptomatology? Clin. Psychol. Sci. 2020:1–50. doi: 10.1177/2167702620917447.
    1. Dorevitch S., Forst L. Hazard of emergency physicians. Am. J. Emerg. Med. 2000;18:300–311. doi: 10.1016/S0735-6757(00)90125-6.
    1. Aguado J.I., Bátiz A., Quintana S. El estrés en personal sanitario hospitalario: Estado actual. Med. Segur. Trab. 2013;59:259–275. doi: 10.4321/S0465-546X2013000200006.
    1. Moreno B., Oliver C., Aragoneses A. El burnout, una forma específica de estrés laboral. In: Buela Casal G., Caballo V.E., editors. Manual de Psicología Clínica Aplicada. Siglo XXI; Madrid, Spain: 1991. pp. 271–284.
    1. Grau A. Cómo prevenir el burnout: Diferentes definiciones e interpretaciones. Gestión Práctica Riesgos Labor. 2007;43:18–27.
    1. Maslach C. Burned out. Hum. Behav. 1976;5:16–22.
    1. Maslach C., Schaufeli W.B., Leiter M.P. Job burnout. Annu. Rev. Psychol. 2001;52:397–422. doi: 10.1146/annurev.psych.52.1.397.
    1. Maslach C., Jackson S. Maslach Burnout Inventory. Consulting Psychology Press; Palo Alto, CA, USA: 1981.
    1. Kisely S., Warren N., McMahon L., Dalais C., Henry I., Siskind D. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: Rapid review and meta-analysis. BMJ. 2020;369:m1642. doi: 10.1136/bmj.m1642.
    1. Ibañez-Vizoso J.E., Alberdi-Paramo I., Díaz-Marsa M. International Mental Health perspectives on the novel coronavirus SARS-CoV-2 pandemic. Rev. Psiquiatr. Salud Ment. 2020;13:111–113. doi: 10.1016/j.rpsm.2020.04.002.
    1. Sun L., Sun Z., Wu L., Zhu Z., Zhang F., Shang Z., Jia Y., Gu J., Zhou Y., Wang Y., et al. Prevalence and Risk Factors of Acute Posttraumatic Stress Symptoms during the COVID-19 Outbreak in Wuhan, China. MedRxiv. 2020 doi: 10.1101/2020.03.06.20032425.
    1. Tremearne R., Calvo F., Alonso J. Síndrome de Burnout en Profesionales Sanitarios. [(accessed on 20 July 2020)];2005 Available online: .
    1. Suñer-Soler R., Grau-Martín A., Flichtentrei D., Prats M., Braga F., Font-Mayolas S., Gras M.E. The consequences of burnout syndrome among healthcare professionals in Spain and Spanish speaking Latin American countries. Burn. Res. 2014;1:82–89. doi: 10.1016/j.burn.2014.07.004.
    1. Mingote Adán J.C., Pérez García S. Estrés en la Enfermería. El Cuidado del Cuidador. Ediciones Díaz de Santos; Madrid, Spain: 2003.
    1. World Health Organization . Education and Training of Nurse Teachers and Managers with Special Regard to Primary Health Care: Report of a WHO Expert Committee. World Health Organization; Geneve, Switzerland: 1984.
    1. World Health Organization . Continuing Education for Health Professionals. World Health Organization, Genomic Resource Centre; Geneve, Switzerland: 2015.
    1. Cook H.L., Beery M., Sauter S.V., DeVellis R.F. Continuing education for health professionals. Am. J. Occup. Ther. 1987;41:652–657. doi: 10.5014/ajot.41.10.652.
    1. Suster S. On the Importance of Continuing Medical Education. Arch. Pathol. Lab. Med. 2019;143:1442–1443. doi: 10.5858/arpa.2019-0448-ED.
    1. Cullen M.W., Geske J.B., Anavekar N.S., McAdams J.A., Beliveau M.E., Ommen S.R., Nishimura R.A. Reinvigorating Continuing Medical Education: Meeting the Challenges of the Digital Age. Mayo Clin. Proc. 2019;94:2501–2509. doi: 10.1016/j.mayocp.2019.07.004.
    1. Marinopoulos S.S., Dorman T., Ratanawongsa N., Wilson L.M., Ashar B.H., Magaziner J.L., Miller R.G., Thomas P.A., Prokopowicz G.P., Qayyum R., et al. Effectiveness of continuing medical education. Evid. Rep. Technol. Assess. 2007;149:1–69.
    1. Bjegovic-Mikanovic V., Vukovic D., Otok R., Czabanowska K., Laaser U. Education and training of public health professionals in the European Region: Variation and convergence. Int. J. Public Health. 2013;58:801–810. doi: 10.1007/s00038-012-0425-2.
    1. Wingate M.S., Perry E.C., Campbell P.H., David P., Weist E.M. Identifying and protecting vulnerable populations in public health emergencies: Addressing gaps in education and training. Public Health Rep. 2007;122:422–426. doi: 10.1177/003335490712200319.
    1. Breckjord E.B., Stern S.A., Shugarman L.R., Chandra A., Tanielian T., Taylor S.L., Parker A.M. Enhancing Emergency Preparedness, Response, and Recovery Management for Vulnerable Populations: Literature Review. [(accessed on 7 July 2020)];2012 Available online: .
    1. Olness K., Sinha M., Herran M., Cheren M., Pairojkul S. Training of health care professionals on the special needs of children in the management of disasters: Experience in Asia, Africa, and Latin America. Ambul. Pediatrics. 2005;5:244–248. doi: 10.1367/A04-122R2.1.
    1. Scott L.A., Carson D.S., Greenwell I.B. Disaster 101: A novel approach to disaster medicine training for health professionals. J. Emerg. Med. 2010;39:220–226. doi: 10.1016/j.jemermed.2009.08.064.
    1. Faberow N.L., editor. Training Manual for Human Service Workers in Major Disasters. Diane Publishing; Darby, PA, USA: 1999.
    1. Waters K.A., Selander J., Stuart G.W. Psychological adaptation of nurses post-disaster. Issues Ment. Health Nurs. 1992;13:177–190. doi: 10.3109/01612849209078772.
    1. Antonini F.C. Psychological training of disaster workers. In: Duffy J.C., editor. Health and Medical Aspects of Disaster Preparedness. Springer; Boston, MA, USA: 1990. pp. 131–144.
    1. Dreison K.C., Luther L., Bonfils K.A., Sliter M.T., McGrew J.H., Salyers M.P. Job burnout in mental health providers: A meta-analysis of 35 years of intervention research. J. Occup. Health Psychol. 2018;23:18–30. doi: 10.1037/ocp0000047.
    1. Johnson J., Hall L.H., Berzins K., Baker J., Melling K., Thompson C. Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions. Int. J. Ment. Health Nurs. 2018;27:20–32. doi: 10.1111/inm.12416.
    1. Salyers M.P., Garabrant J.M., Luther L., Henry N., Fukui S., Shimp D., Wu W., Gearhart T., Morse G.A., York M.M., et al. A comparative effectiveness trial to reduce burnout and improve quality of care. Adm. Policy Ment. Health Ment. Health Serv. Res. 2019;46:238–254. doi: 10.1007/s10488-018-0908-4.
    1. Vargas-Cruz L.D., Niño-Cardozo C.L., Acosta-Maldonado J.Y. Estrategias que modulan el síndrome de Burnout en enfermeros (as): Una revisión bibliográfica. Rev. Cienc. Cuid. 2017;14:111–131. doi: 10.22463/17949831.810.
    1. Ruotsalainen J., Serra C., Marine A., Verbeek J. Systematic review of interventions for reducing occupational stress in health care workers. Scand. J. Work Environ. Health. 2008;34:169–178. doi: 10.5271/sjweh.1240.
    1. Mealer M., Conrad D., Evans J., Jooste K., Solyntjes J., Rothbaum B., Moss M. Feasibility and acceptability of a resilience training program for intensive care unit nurses. Am. J. Crit. Care. 2014;23:e97–e105. doi: 10.4037/ajcc2014747.
    1. Martín-Asuero A. The mindfulness-based stress reduction program (MBSR) reduces stress-related psychological distress in healthcare professionals. Span. J. Psychol. 2010;13:897–905. doi: 10.1017/S1138741600002547.
    1. Burton A., Burgess C., Dean S., Koutsopoulou G.Z., Hugh-Jones S. How effective are mindfulness-based interventions for reducing stress among healthcare professionals? A systematic review and meta-analysis. Stress Health. 2017;33:3–13. doi: 10.1002/smi.2673.
    1. Lomas T., Medina J.C., Ivtzan I., Rupprecht S., Eiroa-Orosa F.J. A systematic review and meta-analysis of the impact of mindfulness-based interventions on the well-being of healthcare professionals. Mindfulness. 2019;10:1193–1216. doi: 10.1007/s12671-018-1062-5.
    1. Cohen M., Gagin R. Can skill-development training alleviate burnout in hospital social workers? Soc. Work Health Care. 2005;40:83–97. doi: 10.1300/J010v40n04_05.
    1. Stanulewicz N., Knox E., Narayanasamy M., Shivji N., Khunti K., Blake H. Effectiveness of lifestyle health promotion interventions for nurses: A systematic review. Int. J. Environ. Res. Public Health. 2020;17:17. doi: 10.3390/ijerph17010017.
    1. Howlett M., Doody K., Murray J., LeBlanc-Duchin D., Fraser J., Atkinson P.R. Burnout in emergency department healthcare professionals is associated with coping style: A cross-sectional survey. Emerg. Med. J. 2015;32:722–727. doi: 10.1136/emermed-2014-203750.
    1. Abraham L., Thom O., Greenslade J.H., Wallis M., Johnston A.N.B., Carlstrom E., Mills D., Crilly J. Morale, stress and coping strategies of staff working in the emergency department: A comparison of two different-sized departments. Emerg. Med. Australas. 2018;30:375–381. doi: 10.1111/1742-6723.12895.
    1. Moukarzel A., Michelet P., Durand A.C., Sebbane M., Bourgeois S., Markarian T., Bompard C., Gentile S. Burnout syndrome among emergency department staff: Prevalence and associated factors. BioMed Res. Int. 2019 doi: 10.1155/2019/6462472.
    1. Verougstraete D., Hachimi Idrissi S. The impact of burn-out on emergency physicians and emergency medicine residents: A systematic review. Acta Clin. Belg. 2020;75:57–79. doi: 10.1080/17843286.2019.1699690.
    1. Brown J.C. Ph.D. Thesis. University of Maryland; Baltimore, MA, USA: 2020. Implementation of Mindfulness with Emergency Nurse Practitioners to Decrease Burnout.
    1. Gaeta T.J. Need for a holistic approach to reducing burnout and promoting well-being. J. Am. Coll. Emerg. Physicians Open. 2020 doi: 10.1002/emp2.12111.
    1. Gómez Galán J. The Black Death and other historical pandemics. Front. Sci. 2020;7:62–75.
    1. Bosqued M. Quemados: El Síndrome de Burnout, qué es y Cómo Superarlo. Ed Paidós Ibérica; Barcelona, Spain: 2008.
    1. Sobrequés J., Cebrià J., Segura J., Rodríguez C., García M., Juncosa S. La satisfacción laboral y el desgaste profesional de los médicos de atención primaria. Atención Primaria. 2003;31:227–233.
    1. Gil-Monte P.R. Factorial validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish professionals. Rev. Saúde Pública. 2005;39:1–8. doi: 10.1590/S0034-89102005000100001.
    1. Galán F., Sanmartín A., Polo J., Giner L. Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey. Int. Arch. Occup. Environ. Health. 2011;84:453–459. doi: 10.1007/s00420-011-0623-x.
    1. Luceño L., Talavera B., García Y., Martín J. Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience and Burnout in Spanish Health Personnel during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health. 2020;17:5514. doi: 10.3390/ijerph17155514.
    1. González-Sanguino C., Ausín B., Castellanos M.A., Saiz J., López-Gómez A., Ugidos C., Muñoz M. Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain Behav. Immun. 2020;87:172–176. doi: 10.1016/j.bbi.2020.05.040.
    1. Suner-Soler R., Grau-Martin A., Font-Mayolas S., Gras M.E., Bertran C., Sullman M.J.M. Burnout and quality of life among Spanish healthcare personnel. J. Psychiatr. Ment. Health Nurs. 2013;20:305–313. doi: 10.1111/j.1365-2850.2012.01897.x.
    1. Grau A., Suñer R., García M.M. Burnout syndrome in health workers and relationship with personal and environmental factors. Gac. Sanit. 2005;19:463–470. doi: 10.1016/S0213-9111(05)71397-2.
    1. Aguayo R., Vargas C., Emilia I., Lozano L.M. A meta-analytic reliability generalization study of the Maslach Burnout Inventory. Int. J. Clin. Health Psychol. 2011;11:343–361.
    1. Ortega E., Ramirez-Baena L., la Fuente-Solana D., Emilia I., Vargas C., Gómez-Urquiza J.L. Gender, marital status, and children as risk factors for burnout in nurses: A meta-analytic study. Int. J. Environ. Res. Public Health. 2018;15:2102.
    1. González-Rodríguez R., López-Castedo A., Pastor-Seller E., Verde-Diego C. Burnout syndrome in the Health System: The case of social health workers. Enfermería Glob. 2020;58:152–161.
    1. Sanchis R., Martínez M., García-Aracil N., Alcaide L., Piquer T., Castejón M.E. Measuring the levels of burnout syndrome and empathy of Spanish emergency medical service professionals. Australas. Emerg. Care. 2019;22:193–199. doi: 10.1016/j.auec.2019.04.003.
    1. Gómez R., Alonso M., Llamazares M. Factorial validity of the Maslach Burnout Inventory-human services survey (MBI-HSS) in a sample of Spanish social workers. J. Soc. Serv. Res. 2019;45:207–219. doi: 10.1080/01488376.2018.1480549.
    1. Escudero A.C., Segura A., Cantero P.A. Burnout Syndrome in Occupational Therapists in Spain: Prevalence and Risk Factors. Int. J. Environ. Res. Public Health. 2020;17:3164. doi: 10.3390/ijerph17093164.
    1. Moreno B., González-Gutiérrez J.M., Garrosa E. Variables sociodemográficas en el proceso de desgaste profesional de enfermería. Rev. ROL Enfermería. 2002;25:18–26.
    1. Gil-Monte P.R., García-Juesas J.A., Caro M. Influencia de la sobrecarga laboral y la autoeficacia sobre el síndrome de quemarse por el trabajo (burnout) en profesionales de enfermería. Rev. Interam. Psicol. 2008;42:113–118.
    1. Porras N. Ph.D. Thesis. University of Salamanca; Salamanca, Spain: 2014. Variables Psicosociológicas y Burnout en Sanitarios.
    1. Albaladejo R., Villanueva R., Ortega P., Astasio P., Calle M., Domínguez V. Síndrome de burnout en el personal de enfermería de un hospital de Madrid. Rev. Esp. Salud Pública. 2004;78:505–516. doi: 10.1590/S1135-57272004000400008.
    1. LaFaver K. Age and sex differences in burnout, career satisfaction, and well-being in US neurologists. Neurology. 2018 doi: 10.1212/WNL.0000000000006497.
    1. Wang C., Pan R., Wan X., Tan Y., Xu L., Ho C.S., Ho R.C. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) Epidemic among the general population in China. Int. J. Environ. Res. Public Health. 2020;17:1729. doi: 10.3390/ijerph17051729.
    1. Duan L., Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry. 2020;7:300–302. doi: 10.1016/S2215-0366(20)30073-0.
    1. Lázaro-Pérez C. Ph.D. Thesis. University of Murcia; Murcia, Spain: 2016. La Conciencia en el Umbral del Tránsito: Experiencias Cercanas a la Muerte.
    1. Jiménez A., García S. Valoración de ansiedad y burnout en los profesionales de enfermería de un servicio de Nefrología. Enferm. Nefrológicas. 2016;19:118–124.
    1. Li W., Frank E., Zhao Z., Chen L., Wang Z., Burmeister M., Sen S. Mental Health of Young Physicians in China During the Novel Coronavirus Disease 2019 Outbreak. JAMA Netw. Open. 2020;3:e2010705. doi: 10.1001/jamanetworkopen.2020.10705.
    1. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., He L., Sheng C., Cai Y., Li X., et al. Mental health care for medical staff in China during the COVID19 outbreak. Lancet Psychiatry. 2020;7:e15–e16. doi: 10.1016/S2215-0366(20)30078-X.
    1. Withey S.B. Reaction to uncertain threat. In: Baker G.W., Chapman D.W., editors. Man and Society in Disaster. Basic Books; New York, NY, USA: 1962.
    1. Roy D., Tripathy S., Kar S.K., Sharma N., Verma S.K., Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J. Psychiatry. 2020;51:102083. doi: 10.1016/j.ajp.2020.102083.
    1. Gómez Galán J. Educación frente a la infodemia: Estrategias en el ámbito universitario. In: Reyes-Tejedor M., Cobos-Sanchiz D., López-Meneses E., editors. Innovación Pedagógica Universitaria: Reflexiones y Estrategias. Octaedro; Barcelona, Spain: 2020.
    1. Pakpour A.H., Griffiths M.D. The fear of COVID-19 and its role in preventive behaviors. [(accessed on 3 August 2020)];J. Concurr. Disord. 2020 Preprint Version. Available online:
    1. Center for the Study of Traumatic Stress Caring for Patient’s Mental Well-Being during Coronavirus and other Emerging Infectious Diseases: A Guide for Clinicians. [(accessed on 3 August 2020)];2020 Available online: .
    1. Bouillon-Minois J.B., Schmidt J., Dutheil F. SARS-CoV-2 pandemic and emergency medicine: The worst is yet to come. Am. J. Emerg. Med. 2020:PMC7286255. doi: 10.1016/j.ajem.2020.06.014.
    1. Yang P., Wang X. COVID-19: A new challenge for human beings. Cell. Mol. Immunol. 2020;17:555–557. doi: 10.1038/s41423-020-0407-x.
    1. Layne S.P., Hyman J.M., Morens D.M., Taubenberger J.K. New coronavirus outbreak: Framing questions for pandemic prevention. Sci. Transl. Med. 2020;12:eabb1469. doi: 10.1126/scitranslmed.abb1469.
    1. Domínguez J.M., Herrera F., Villaverde M.C., Padilla I., Martínez M.L., Domínguez J. Síndrome de desgaste profesional en trabajadores de atención a la salud en el área sanitaria de Ceuta. Atención Primaria. 2012;44:30–35.
    1. Cerrato P., Jiménez M.V., Marcos J., Meneses M.T. Burnout en enfermería en Ávila. Rev. Enfermería CyL. 2019;11:5–10.
    1. Fuertes C., Aranda G., Rezola N., Erramuzpe A., Palacios C., Ibáñez B. Persistencia a largo plazo de los efectos de un programa de mindfulness y autocompasión en profesionales sanitarios de Atención Primaria. An. Sist. Sanit. Navar. 2019;42:269–280.

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