ArticleBMJ open2021
Mental health crisis in healthcare providers in the COVID-19 pandemic: a cross-sectional facility-based survey.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 36 citations in OpenAlex.
- Burnout, PTSD, and Medical Error: The Medico-Legal Implications of the Mental Health Crisis Among Frontline Healthcare Professionals During COVID-19.Medicina (Kaunas, Lithuania) · 2026Review
- Assessing healthcare professional wellness during natural and man-made mass casualty incidents: a retrospective study.Frontiers in public health · 2026Article
- Burnout, anxiety, and resilience among nurses during wartime: evidence from a cross-sectional study.BMC nursing · 2025Article
- Prevalence and predictors of stress, anxiety, and depression among healthcare workers during the COVID-19 pandemic at a mental referral hospital in Kampala, Uganda.BMC public health · 2025Article
- Prevalence of personal, work-related and patient-related burnout during the COVID-19 pandemic and its associated factors among healthcare workers in health clinics in the district of Manjung, Perak: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Determinants of burnout in Canadian health care workers during the COVID-19 pandemic.European journal of psychotraumatology · 2024Article
- Job stressors in relation to burnout and compromised sleep among academic physicians in India.Work (Reading, Mass.) · 2024Article
- Health Workers' Burnout and COVID-19 Pandemic: 1-Year after-Results from a Repeated Cross-Sectional Survey.International journal of environmental research and public health · 2023Article
- Article
- Resilience of hospital staff facing COVID-19 pandemic: Lessons from Israel.Frontiers in public health · 2023Article
- The effect of the COVID-19 pandemic on primary care physicians in Israel, with comparison to an international cohort: a cross-sectional study.Israel journal of health policy research · 2022Article
- Acute Stress among Nurses in Sweden during the COVID-19 Pandemic.European journal of trauma & dissociation = Revue europeenne du trauma et de la dissociation · 2022Article
- The Psychological Impact and Influencing Factors during Different Waves of COVID-19 Pandemic on Healthcare Workers in Central Taiwan.International journal of environmental research and public health · 2022Article
- Identifying a New Social Intervention Model of Panic Buying Under Sudden Epidemic.Frontiers in public health · 2022Article
- High Work-Related Stress and Anxiety as a Response to COVID-19 Among Health Care Workers in South Korea: Cross-sectional Online Survey Study.JMIR public health and surveillance · 2021Article
- Effects of the COVID-19 Pandemic on the Mental Health of Healthcare Providers: A Comparison of a Psychiatric Hospital and a General Hospital.Frontiers in psychiatry · 2021Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDuring a pandemic, healthcare providers experience increased mental and physical burden. Burnout can lead to treatment errors, patient mortality, increased suicidal ideation and substance abuse as well as medical malpractice suits among medical staff. This study aimed to investigate the occurrence of burnout, acute stress disorder, anxiety disorder and depressive disorder among healthcare providers at the third month of the COVID-19 pandemic.
designA cross-sectional facility-based survey.
settingHospitals around the country with different levels of care.
participantsA total of 1795 respondents, including 360 men and 1435 women who participated in the survey. PRIMARY OUTCOME MEASURES: Burnout was assessed using the Physician Work Life Study. A score of ≥3 implied burnout.
resultsOf the 1795 respondents, 723 (40.3%) reported burnout, and 669 (37.3%) cared for patients with COVID-19. Anxiety levels were mild in 185 (10.3%) respondents, moderate in 209 (11.6%) and severe in 1401 (78.1%). The mean Center for Epidemiologic Studies Depression Scale-10 score was 9.5±6.3, and 817 (45.5%) respondents were classified as having depression. Factors associated with burnout were working in acute and critical care (ACC) divisions (adjusted OR (aOR)=1.84, 95% CI 1.20 to 3.39, p=0.019), caring for patients with COVID-19 (aOR=3.90, 95% CI 1.14 to 13.37, p=0.031) and having depressive disorder (aOR=9.44, 95% CI 7.44 to 11.97, p<0.001).
conclusionsPhysicians and nurses are vulnerable to burnout during a pandemic, especially those working in ACC divisions. Anxiety disorder, depressive disorder and care of patients with COVID-19 may be factors that influence the occurrence of burnout among healthcare providers.
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