Evidence map›Paper›PMID 36592937›Full record

Observational studyJournal of the American Medical Directors Association2023

Risk Factors Surrounding an Increase in Burnout and Depression Among Health Care Professionals in Taiwan During the COVID-19 Pandemic.

Wei-Min Chu, Hsin-En Ho, Yu-Li Lin, Jhih-Yan Li, Cheng-Fu Lin, Cing-Hua Chen, Gow-Jen Shieh, Wei-Cheng Chan, Yu-Tse Tsan

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Medical Directors Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Low Battery Alarm; A Scoping Review of Autistic Burnout.Journal of autism and developmental disorders · 2026
    Article
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  6. Observational
  7. Review
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  11. Observational
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  17. Risk of work-related health problems among community health agents.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Review
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

9 authors.

Wei-Min ChuDepartment of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Education and innovation Center for Geriatrics and Gerontology, National Center for Geriatrics and Gerontology, Aichi, Japan; Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Hsin-En HoDepartment of Family Medicine, Taichung Armed Force General Hospital, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; National Defense Medical Center, Taipei, Taiwan.
Yu-Li LinSchool of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan; Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Jhih-Yan LiMing Crown Industry Company, Changhwa, Taiwan.
Cheng-Fu LinDivision of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Center for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taiwan.
Cing-Hua ChenDepartment of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Occupational Safety and Health Office, Taichung Veterans General Hospital, Taichung, Taiwan.
Gow-Jen ShiehDepartment of Occupational Safety and Health Office, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Top Hospital Administration, Taichung Veterans General Hospital, Taichung, Taiwan.
Wei-Cheng ChanDivision of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Yu-Tse TsanSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan; Division of Occupational Medicine, Department of Emergency Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Occupational Safety and Health Office, Taichung Veterans General Hospital, Taichung, Taiwan. Electronic address: janyuhjer@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the risk factors surrounding an increase in both burnout levels and depression among health care professionals in Taiwan through use of a longitudinal study design.

designThis is a 2-year observational study that took place from January 2019 to December 2020. SETTING AND

participantsData among health care professionals were extracted from the Overload Health Control System of a tertiary medical center in central Taiwan.

methodsBurnout was measured through use of the Chinese version of the Copenhagen Burnout Inventory (C-CBI), whereas depression was ascertained by the Taiwanese Depression Questionnaire. Each participant provided both burnout and depression measurements during a nonpandemic period (2019) as well as during the COVID pandemic era (2020). Risk factors surrounding an increase in burnout levels and depression were analyzed through a multivariate logistic regression model with adjusting confounding factors.

resultsTwo thousand nineteen participants completed the questionnaire over 2 consecutive years, including 132 visiting doctors, 105 resident doctors, 1371 nurses, and 411 medical technicians. After adjustments, sleeplessness, daily working hours >8, and stress due to one's workload were all found to be risk factors for an increase in depression levels, whereas sleeplessness, lack of exercise, and stress due to one's workload were all found to be risk factors for an increase in personal burnout level. Being a member of the nursing staff, a younger age, sleeplessness, and lack of exercise were all risk factors for an increase in work-related burnout levels. CONCLUSIONS AND IMPLICATIONS: Poor sleep, lack of exercise, long working hours, and being a member of the nursing staff were risk factors regarding an increase in personal burnout, work-related burnout levels and depression among health care professionals. Leaders within the hospital should investigate the working conditions and personal habits of all medical staff regularly and systematically during the COVID-19 pandemic and take any necessary preventive measures, such as improving resilience for nursing staff, in order to best care for their employees.

Indexed as

Burnout, ProfessionalCOVID-19Sleep Initiation and Maintenance DisordersBurnout, PsychologicalDepressionHealth PersonnelHumansLongitudinal StudiesPandemicsRisk FactorsSurveys and QuestionnairesTaiwanBurnoutCOVID-19depressionhealth care professionals

Identifiers

PMID36592937
PMCPMC9747695

What OpenQuestion holds

Textmetadata
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.