Evidence map›Paper›PMID 38453200›Full record

ArticleBMJ open2024

Did the COVID-19 pandemic affect levels of burnout, anxiety and depression among doctors and nurses in Bangladesh? A cross-sectional survey study.

Hayley Anne Hutchings, Mesbah Rahman, Kymberley Carter, Saiful Islam, Claire O'Neill, Stephen Roberts, Ann John, Greg Fegan, Umakant Dave, Neil Hawkes and 9 more

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Exploring the causes of work-related stress and burnout among doctors in Bangladesh: a qualitative study.International journal of qualitative studies on health and well-being · 2026
    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

19 authors.

Hayley Anne HutchingsSwansea University, Swansea, UK h.a.hutchings@swansea.ac.uk.ORCID 0000-0003-4155-1741
Mesbah RahmanSwansea Bay University Health Board, Port Talbot, UK.
Kymberley CarterSwansea University, Swansea, UK.ORCID 0000-0003-0691-6282
Saiful IslamSwansea University, Swansea, UK.
Claire O'NeillSwansea University, Swansea, UK.
Stephen RobertsSwansea University, Swansea, UK.
Ann JohnSwansea University, Swansea, UK.ORCID 0000-0002-5657-6995
Greg FeganSwansea University, Swansea, UK.
Umakant DaveSwansea Bay University Health Board, Port Talbot, UK.
Neil HawkesCwm Taf Morgannwg University Health Board, Abercynon, UK.
Faruque AhmedDepartment of Gastroenterology, Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh.
Mahmud HasanGastroliver Foundation, Dhaka, Bangladesh.
Abul Kalam AzadDhaka Medical College and Hospital, Dhaka, Bangladesh.
Md Mujibur RahmanDhaka Medical College and Hospital, Dhaka, Bangladesh.
Md Golam KibriaSheikh Russel National Gastroliver Institute, Dhaka, Bangladesh.
M Masudur RahmanSheik Russel National Gastroliver Institute, Dhaka, Bangladesh.
Titu MiaMugda Medical College and Hospital, Dhaka, Bangladesh.
Mahfuza AkhterMugda Medical College and Hospital, Dhaka, Bangladesh.
John G WilliamsFaculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCOVID-19 has caused severe disruption to clinical services in Bangladesh but the extent of this, and the impact on healthcare professionals is unclear. We aimed to assess the perceived levels of anxiety, depression and burnout among doctors and nurses during COVID-19 pandemic.

methodsWe undertook an online survey using RedCap, directed at doctors and nurses across four institutions in Bangladesh (The Sheikh Russel Gastro Liver Institute & Hospital (SRNGIH), Dhaka Medical College Hospital (DMCH), Mugda Medical College Hospital (MMCH) and M Abdur Rahim Medical College (MARMC) Hospital). We collected information on demographics, awareness of well-being services, COVID-19-related workload, as well as anxiety, depression and burnout using two validated questionnaires: the Hospital Anxiety and Depression Scale (HADS) and the Maslach Burnout Inventory (MBI).

resultsOf the 3000 participants approached, we received responses from 2705 (90.2%). There was a statistically significant difference in anxiety, depression and burnout scores across institutions (p<0.01). Anxiety, depression and burnout scores were statistically worse in COVID-19 active staff compared with those not working on COVID-19 activities (p<0.01 for HADS anxiety and depression and MBI emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA)). Over half of the participants exhibited some level of anxiety (SRNGIH: 52.2%; DMCH: 53.9%; MMCH: 61.3%; MARMC: 68%) with a high proportion experiencing depression (SRNGIH: 39.5%; DMCH: 38.7%; MMCH: 53.7%; MARMC: 41.1%). Although mean burnout scores were within the normal range for each institution, a high proportion of staff (almost 20% in some instances) were shown to be classified as experiencing burnout by their EE, DP and PA scores.

conclusionWe identified a high prevalence of perceived anxiety, depression and burnout among doctors and nurses during the COVID-19 pandemic. This was worse in staff engaged in COVID-19-related activities. These findings could help healthcare organisations to plan for future similar events.

Indexed as

Burnout, ProfessionalCOVID-19Psychological TestsSelf ReportAnxietyBangladeshCross-Sectional StudiesDepressionHumansPandemicsSurveys and Questionnairesanxiety disordersburnout, professionalCOVID-19depression & mood disorders

Identifiers

PMID38453200
PMCPMC10921535

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.