Evidence map›Paper›PMID 34446687›Full record

ArticleLa Medicina del lavoro2021

Burnout syndrome and its determinants among healthcare workers during the first wave of the Covid-19 outbreak in Italy: a cross-sectional study to identify sex-related differences.

Alice Silvia Brera, Cristina Arrigoni, Federica Dellafiore, Anna Odone, Arianna Magon, Tiziana Nania, Francesco Pittella, Lorenzo Palamenghi, Serena Barello, Rosario Caruso

Open access · diamondAbstract read
In one paragraph

Article in La Medicina del lavoro, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Patient-Count and Perceived Workload Associations With Missed Nursing Care: A Multicenter Repeated-Measures Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
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  19. Resilience, Mentalizing and Burnout Syndrome among Healthcare Workers during the COVID-19 Pandemic in Serbia.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Alice Silvia BreraDepartment of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy . alicesilvia.brera01@universitadipavia.it.
Cristina ArrigoniDepartment of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy . cristina.arrigoni@unipv.it.
Federica DellafioreHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. federica.dellafiore@grupposandonato.it.
Anna OdoneDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy. anna.odone@unipv.it.
Arianna MagonHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. arianna.magon@grupposandonato.it.
Tiziana NaniaHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. tiziana.nania@grupposandonato.it.
Francesco PittellaHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. francesco.pittella@grupposandonato.it.
Lorenzo Palamenghi4. Department of Psychology, EngageMinds HUB - Consumer, Food & Health Engagement Research Center, Università Cattolica del Sacro Cuore, Milan, Italy. lorenzo.palamenghi@unicatt.it.
Serena BarelloDepartment of Psychology, EngageMinds HUB - Consumer, Food & Health Engagement Research Center, Università Cattolica del Sacro Cuore, Milan, Italy. serena.barello@unicatt.it.
Rosario CarusoHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy. rosario.caruso@grupposandonato.it.
IRCCS Policlinico San Donato · ITUniversity of Pavia · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral studies described burnout levels of healthcare workers (HCWs) during the COVID-19 pandemic; however, sex-related differences remain poorly investigated.

objectiveTo describe sex-related differences in burnout and its determinants among HCWs during the first pandemic wave of the COVID-19 in Italy.

methodsA cross-sectional study was performed between April and May 2020. The framework given by the Job Demands Resources (JD-R) model was used to assess burnout determinants (risk and protective factors).

resultsMale HCWs (n=133) had higher levels of depersonalization than female HCWs (P=0,017) and female HCWs (n=399) reported greater emotional exhaustion rates (P=0,005). Female nurses were the most exposed to burnout (OR=2,47; 95%CI=1,33-4,60; P=0,004), emotional exhaustion (OR=1,89; 95% CI=1,03-3,48; P=0,041), and depersonalization (OR=1,91; 95% CI=1,03-3,53; P=0,039). Determinants of burnout differed between sexes, and some paradoxical associations were detected: the score of job demands was a protective factor in females for burnout, emotional exhaustion, and depersonalization, resilience was a risk factor for males.

conclusionsThis study reveals that the stressors in male and female HCWs tended to be associated with burnout differently. Both sexes showed alarming burnout levels, even if the weights of emotional exhaustion and depersonalization acted in different ways between the sexes. The revealed paradoxical effects in this study could reflect the study's cross-sectional nature, highlighting that more resilient and empathic individuals were more consciously overwhelmed by the challenges related to the COVID-19 pandemic, thus reporting higher scores of emotional exhaustion and burnout. Future in-depth and longitudinal analyses are recommended to further explore sex-related differences in burnout among HCWs.

Indexed as

Burnout, ProfessionalCOVID-19Burnout, PsychologicalCross-Sectional StudiesDisease OutbreaksFemaleHealth PersonnelHumansItalyMalePandemicsSARS-CoV-2Surveys and Questionnaires

Identifiers

PMID34446687
PMCPMC8436819
OpenAlexW3195722574

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.