Evidence map›Paper›PMID 40627642›Full record

ArticlePloS one2025

Resilience during the COVID-19 pandemic: Associations with changes in burnout and mental well-being among NHS mental health staff in England.

Natalia Kika, Nora Trompeter, Danielle Lamb, Rupa Bhundia, Ewan Carr, Brendan Dempsey, Neil Greenberg, Ira Madan, Christopher Penfold, Rosalind Raine and 2 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Natalia KikaKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1128-3822
Nora TrompeterKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Danielle LambDepartment of Primary Care and Population Health, University College London, London, United Kingdom.
Rupa BhundiaKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Ewan CarrDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Brendan DempseyDepartment of Primary Care and Population Health, University College London, London, United Kingdom.
Neil GreenbergKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.ORCID https://orcid.org/0000-0003-4550-2971
Ira MadanGuy's and St Thomas' NHS Trust, London, United Kingdom.
Christopher PenfoldNational Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom.
Rosalind RaineDepartment of Primary Care and Population Health, University College London, London, United Kingdom.
Simon WesselyKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Sharon A M StevelinkKing's Centre for Military Health Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe pressures of the COVID-19 pandemic placed mental healthcare professionals at an increased risk of burnout and decreased mental wellbeing. Resilience strategies have been put in place as a protective measure, but little is known about how mental wellbeing evolved over time in this group and how resilience affects it. This study aimed to: 1) investigate long-term changes in burnout and mental well-being among mental healthcare professionals working in the National Health Service (NHS) during the COVID-19 pandemic in the United Kingdom (UK); and 2) examine whether baseline resilience levels predicted decreased burnout and increased mental well-being over the course of the pandemic.

methodsThe study used data from NHS CHECK, a longitudinal cohort study investigating NHS staff mental health and well-being since the COVID-19 pandemic. Clinical mental health staff (n = 3,289) who completed self-report measures at three time points (baseline, 6 and 12 months later). Baseline surveys were conducted during the initial pandemic peak (April 2020 - June 2020; n = 543), the initial easing of restrictions (July 2020 - September 2020; n = 1,098), and the second peak (October 2020 - January 2021, n = 1,648).

resultsMixed model analyses showed that burnout scores increased over time, with higher resilience at baseline predicting lower burnout 6 and 12 months later. However, rises in burnout were most pronounced in the high resilience group. Well-being remained relatively stable over time, with staff with higher resilience at baseline reporting higher well-being over time.

conclusionsResilience was linked with both lower burnout and higher well-being in NHS mental health staff throughout the COVID-19 pandemic. Despite showing steeper increases in burnout, staff with high initial resilience still maintained lower absolute levels of burnout compared to those with lower resilience. Healthcare organizations should consider providing interventions focusing on organizational factors in addition to individual-level resilience-focused support.

Indexed as

Burnout, ProfessionalCOVID-19Health PersonnelMental HealthResilience, PsychologicalAdultEnglandFemaleHumansLongitudinal StudiesMaleMiddle AgedPandemicsSARS-CoV-2State MedicineSurveys and Questionnaires

Identifiers

PMID40627642
PMCPMC12237035

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.