Evidence map›Paper›PMID 40546528›Full record

ArticleCureus2025

The Prevalence of Burnout and Mental Health Symptoms Among ICU Professionals in Greece: A National Comparative Study Between the COVID-19 Pandemic and Pre-pandemic Eras.

Varvara Pakou, Ioannis Andrianopoulos, Mary Gouva, Elena Dragioti, Fotios Tatsis, Georgios Papathanakos, Asimenia Ntantana, Eleni Antoniadou, Fotini Fligou, Eirini Papageorgiou and 13 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

23 authors.

Varvara PakouIntensive Care Unit, University Hospital of Ioannina, Ioannina, GRC.
Ioannis AndrianopoulosIntensive Care Unit, University Hospital of Ioannina, Ioannina, GRC.
Mary GouvaResearch Laboratory Psychology of Patients, Families & Health Professionals, University of Ioannina, Ioannina, GRC.
Elena DragiotiResearch Laboratory Psychology of Patients, Families & Health Professionals, University of Ioannina, Ioannina, GRC.
Fotios TatsisFaculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, GRC.
Georgios PapathanakosIntensive Care Unit, University Hospital of Ioannina, Ioannina, GRC.
Asimenia NtantanaIntensive Care Unit, Papageorgiou General Hospital of Thessaloniki, Thessaloniki, GRC.
Eleni AntoniadouIntensive Care Unit, Gennimatas General Hospital of Thessaloniki, Thessaloniki, GRC.
Fotini FligouDepartment of Anesthesiology and Intensive Care Medicine, University Hospital of Patras, Rion, GRC.
Eirini PapageorgiouIntensive Care Unit, Theagenio Cancer Hospital of Thessaloniki, Thessaloniki, GRC.
Vasiliki ChantziaraIntensive Care Unit, National and Kapodistrian University of Athens, Athens, GRC.
Evaggelia KoutraIntensive Care Unit, Naval and Veterans Hospital of Athens, Athens, GRC.
Ourania MousafiriIntensive Care Unit, Chatzikosta General Hospital of Ioannina, Ioannina, GRC.
Sofia AsonitiIntensive Care Unit, General Hospital of Corfu, Corfu, GRC.
Georgios SidirasCardiac Care Unit, Evangelismos Hospital of Athens, Athens, GRC.
Angeliki GiamarelouIntensive Care Unit, General Hospital of Kalamata, Kalamata, GRC.
Maria NakouIntensive Care Unit, University Hospital of Alexandroupolis, Alexandroupolis, GRC.
Andreas PetsasIntensive Care Unit, General Hospital of Patras Agios Andreas, Patras, GRC.
Athanasia TsirogianniIntensive Care Unit, General Hospital of Lamia, Lamia, GRC.
Konstantinos NianiopoulosIntensive Care Unit, University Hospital of Larissa, Larissa, GRC.
Eleni PapandreouIntensive Care Unit, Agios Dimitrios General Hospital of Thessaloniki, Thessaloniki, GRC.
Aikaterini PanagiotakopoulouIntensive Care Unit, General Hospital of Eleusis Thriasion, Eleusis, GRC.
Vasilios KoulourasIntensive Care Unit, University Hospital of Ioannina, Ioannina, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective This study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on burnout, mental health, and spirituality/religiosity among ICU professionals. Methods A multicenter, national, cross-sectional study was conducted in 31 adult ICUs across Greece. A compilation of three questionnaires assessing responders' level of burnout [Maslach Burnout Inventory (MBI)], responders' spirituality and religious attitudes [Spiritual and Religious Attitudes Questionnaire (SpREUK)], and finally, responders' mental health [Symptom Checklist 90-R (SCL-90)] was distributed to ICU professionals in 2022. Responses were compared to those of a similar cohort of ICU professionals who had responded before the pandemic (2015). Results Overall, 1,013 ICU professionals participated (440 from the pre-pandemic period and 573 from the pandemic period). The prevalence of burnout increased during the pandemic (35.95 ±16.11%) compared to the pre-pandemic (30.62 ±15.39%, p<0.001) period. In particular, ICU professionals during the pandemic period scored worse across all three burnout categories: emotional exhaustion (25.80 ±10.93 vs. 22.27 ±10.96, p<0.001), depersonalization (10.40 ±6.51 vs. 8.68 ±6.25, p<0.001), and personal accomplishment (31.36 ±8.63 vs. 35.06 ±7.50, p<0.001) compared to the pre-pandemic period. In addition, during the pandemic period, participants reported experiencing more mental health symptoms and had a higher Global Severity Index (0.56 ±0.44 vs. 0.913 ±0.73, p<0.001), indicating a decline in mental health. Finally, participants during the pandemic era scored worse in the spirituality scale (overall score: 36.20 ±12.54 vs. 39.11 ±12.34, p<0.001), a significant mechanism associated with resilience and burnout risk factor. Conclusions The COVID-19 pandemic was associated with increased burnout, worsened mental health, and reduced spirituality among ICU professionals in Greece. These findings underscore the urgent need for targeted national and international policies and interventions to support the well-being and resilience of frontline healthcare workers.

Indexed as

burnoutcovid-19intensive caremental healthspirituality

Identifiers

PMID40546528
PMCPMC12180480

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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.