Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Care | Research article

Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia

Authors: Deni Kurniadi Sunjaya, Dewi Marhaeni Diah Herawati, Adiatma Y. M. Siregar

Published in: BMC Public Health | Issue 1/2021

Login to get access

Abstract

Background

Health care personnel (HCP) who demonstrated close contact with Corona virus disease (COVID-19) patients might experience a higher risk of infection and psychological problems. This study aims to explore depressive, anxiety, and burnout symptoms among HCP with a higher risk for psychological trauma.

Methods

This study was a cross-sectional study using secondary data from an online assessment, which was conducted 1 month after the COVID-19 outbreak. A total of 544 respondents from 21 provinces in Indonesia were included. Data on depressive, anxiety, and burnout symptoms were transformed first using the Rasch model and then categorized. Data from HCP in the higher risk group and the lower risk group were analyzed.

Results

A higher percentage of HCP experiencing depressive symptoms (22.8%), anxiety (28.1%), and burnout (26.8%) are found in the higher risk group. The chance for the higher risk group’s HCP to present with moderate and severe depressive symptoms, anxiety, and burnout are: 5.28 (Confidence interval (CI): 2.01–13.89; p < 0.05), 1.36 (CI: 0.09–1.96; p >  0.05), and 3.92 (CI: 2.08–7.40; p < 0.05) times higher, respectively. The probability for patient-induced burnout is 2.13 (CI: 1.51–3.007; p < 0.05) times higher and highest among the other burn out dimensions. The depressive symptoms complained were similar between groups: loneliness, sleep disturbances, difficulty concentrating, and inability to initiate activities. Loneliness demonstrates the highest logit value among the symptoms.

Conclusions

HCP with direct contact and responsibility to treat COVID-19 patients exhibit a higher risk to experience depressive symptoms and burnout. Communication with peers and staying in contact with family needs to be encouraged. Psychological well-being should be considered for high-risk HCP. Incentive or insurance guaranteed by the government or institution is essential as a reward and compensation during this period.
Literature
2.
go back to reference Day M. Covid-19: surge in cases in Italy and South Korea makes pandemic look more likely. BMJ. 2020;368:m751.PubMedCrossRef Day M. Covid-19: surge in cases in Italy and South Korea makes pandemic look more likely. BMJ. 2020;368:m751.PubMedCrossRef
3.
go back to reference Yurianto A. Media center Gugus Tugas Penanganan Percepatan Covid-19 Badan Nasional Penanggulangan Bencana (BNPB); 2020. Yurianto A. Media center Gugus Tugas Penanganan Percepatan Covid-19 Badan Nasional Penanggulangan Bencana (BNPB); 2020.
5.
go back to reference Bonde JPE. Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med. 2008;65:438–45.PubMedCrossRef Bonde JPE. Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med. 2008;65:438–45.PubMedCrossRef
6.
go back to reference Sinokki M, Hinkka K, Ahola K, Koskinen S, Kivimäki M, Honkonen T, et al. The association of social support at work and in private life with mental health and antidepressant use: the health 2000 study. J Affect Disord. 2009;115:36–45.PubMedCrossRef Sinokki M, Hinkka K, Ahola K, Koskinen S, Kivimäki M, Honkonen T, et al. The association of social support at work and in private life with mental health and antidepressant use: the health 2000 study. J Affect Disord. 2009;115:36–45.PubMedCrossRef
7.
go back to reference Chirico F. Job stress models for predicting burnout syndrome: a review. Ann Ist Super Sanita. 2016;52:443–56.PubMed Chirico F. Job stress models for predicting burnout syndrome: a review. Ann Ist Super Sanita. 2016;52:443–56.PubMed
8.
go back to reference Chirico F, Nucera G, Magnavita N. Protecting the mental health of healthcare workers during the COVID-19 emergency. BJPsych Int. 2020;18:1–2.CrossRef Chirico F, Nucera G, Magnavita N. Protecting the mental health of healthcare workers during the COVID-19 emergency. BJPsych Int. 2020;18:1–2.CrossRef
9.
go back to reference Guangming Online. Beijing: central steering group: over 3,000 medical staff in Hubei were infected in the early stage of the epidemic, currently no infection reports among medical aid staff. 2020. Guangming Online. Beijing: central steering group: over 3,000 medical staff in Hubei were infected in the early stage of the epidemic, currently no infection reports among medical aid staff. 2020.
10.
go back to reference World Health Organization. Shortage of personal protective equipment endangering health workers worldwide. Geneva: World Health Organization; 2020. [cited 2020 March 3]. World Health Organization. Shortage of personal protective equipment endangering health workers worldwide. Geneva: World Health Organization; 2020. [cited 2020 March 3].
11.
go back to reference Magnavita N, Sacco A, Nucera G, Chirico F. First aid during the COVID-19 pandemic. Occup Med. 2020;70:458–60.CrossRef Magnavita N, Sacco A, Nucera G, Chirico F. First aid during the COVID-19 pandemic. Occup Med. 2020;70:458–60.CrossRef
12.
go back to reference Magnavita N, Chirico F. Headaches, personal protective equipment, and psychosocial factors associated with COVID-19 pandemic. Headache J Head Face Pain. 2020;60:1444–5.CrossRef Magnavita N, Chirico F. Headaches, personal protective equipment, and psychosocial factors associated with COVID-19 pandemic. Headache J Head Face Pain. 2020;60:1444–5.CrossRef
13.
go back to reference Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007;175:693–7.PubMedCrossRef Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007;175:693–7.PubMedCrossRef
14.
go back to reference Molloy J, Evans M, Coughlin K. Moral distress in the resuscitation of extremely premature infants. Nurs Ethics. 2015;22:52–63.PubMedCrossRef Molloy J, Evans M, Coughlin K. Moral distress in the resuscitation of extremely premature infants. Nurs Ethics. 2015;22:52–63.PubMedCrossRef
15.
go back to reference Cook KA, Mott S, Lawrence P, Jablonski J, Grady MR, Norton D, et al. Coping while caring for the dying child: nurses’ experiences in an acute care setting. J Pediatr Nurs. 2012;27:e11–21.PubMedCrossRef Cook KA, Mott S, Lawrence P, Jablonski J, Grady MR, Norton D, et al. Coping while caring for the dying child: nurses’ experiences in an acute care setting. J Pediatr Nurs. 2012;27:e11–21.PubMedCrossRef
16.
go back to reference Quinal L, Harford S, Rutledge DN. Secondary traumatic stress in oncology staff. Cancer Nurs. 2009;32:1–7.CrossRef Quinal L, Harford S, Rutledge DN. Secondary traumatic stress in oncology staff. Cancer Nurs. 2009;32:1–7.CrossRef
17.
go back to reference Wu KK, Chan SK, Ma TM. Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). J Trauma Stress. 2005;18:39–42.PubMedPubMedCentralCrossRef Wu KK, Chan SK, Ma TM. Posttraumatic stress, anxiety, and depression in survivors of severe acute respiratory syndrome (SARS). J Trauma Stress. 2005;18:39–42.PubMedPubMedCentralCrossRef
18.
go back to reference Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.PubMedPubMedCentralCrossRef Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3:e203976.PubMedPubMedCentralCrossRef
19.
go back to reference Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89:242–50.PubMedCrossRef Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental health and psychosocial problems of medical health workers during the COVID-19 epidemic in China. Psychother Psychosom. 2020;89:242–50.PubMedCrossRef
20.
go back to reference Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7:e14.PubMedPubMedCentralCrossRef Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020;7:e14.PubMedPubMedCentralCrossRef
21.
22.
23.
go back to reference Gong Y, Han T, Chen W, Dib HH, Yang G, Zhuang R, et al. Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PLoS One. 2014;9:1–7. Gong Y, Han T, Chen W, Dib HH, Yang G, Zhuang R, et al. Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PLoS One. 2014;9:1–7.
24.
go back to reference Styra R, Hawryluck L, Robinson S, Kasapinovic S, Fones C, Gold WL. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J Psychosom Res. 2008;64:177–83.PubMedPubMedCentralCrossRef Styra R, Hawryluck L, Robinson S, Kasapinovic S, Fones C, Gold WL. Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. J Psychosom Res. 2008;64:177–83.PubMedPubMedCentralCrossRef
25.
go back to reference Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and march 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Med Sci Monit. 2020;26:1–16. Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and march 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Med Sci Monit. 2020;26:1–16.
26.
go back to reference Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24:e1.PubMedCrossRef Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24:e1.PubMedCrossRef
27.
go back to reference Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychol Med. 2013;43:897–910.PubMedCrossRef Baxter AJ, Scott KM, Vos T, Whiteford HA. Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychol Med. 2013;43:897–910.PubMedCrossRef
28.
go back to reference Kessler RC, Greenberg PE. The economic burden of anxiety and stress disorders. Neuropsychopharmacology. 2000;67:981–92. Kessler RC, Greenberg PE. The economic burden of anxiety and stress disorders. Neuropsychopharmacology. 2000;67:981–92.
30.
go back to reference Nolen-Hoeksema S, Fredrickson BL, Loftus GR, Wagenaar WA. Atkinson & Hilgard’s introduction to psychology. 15th ed. UK: Wadsworth Pub Co; 2009. Nolen-Hoeksema S, Fredrickson BL, Loftus GR, Wagenaar WA. Atkinson & Hilgard’s introduction to psychology. 15th ed. UK: Wadsworth Pub Co; 2009.
31.
go back to reference Zhang W, O’Brien N, Forrest JI, Salters KA, Patterson TL, Montaner JSG, et al. Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. PLoS One. 2012;7:1–5. Zhang W, O’Brien N, Forrest JI, Salters KA, Patterson TL, Montaner JSG, et al. Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada. PLoS One. 2012;7:1–5.
32.
go back to reference Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559–65.PubMedPubMedCentralCrossRef Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559–65.PubMedPubMedCentralCrossRef
33.
go back to reference Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL, et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med. 2020;173:317–20.PubMedCrossRef Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL, et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med. 2020;173:317–20.PubMedCrossRef
34.
go back to reference Chirico F, Police S. Burnout syndrome and depression are not the same thing. Br J Psychiatry. 2017;190:81. Chirico F, Police S. Burnout syndrome and depression are not the same thing. Br J Psychiatry. 2017;190:81.
35.
go back to reference Chirico F. Is burnout a syndrome or an occupational disease? Instructions for occupational physicians. Epidemiol Prev. 2017;41:294–8.PubMed Chirico F. Is burnout a syndrome or an occupational disease? Instructions for occupational physicians. Epidemiol Prev. 2017;41:294–8.PubMed
36.
go back to reference Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2014;12:CD002892. Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2014;12:CD002892.
38.
go back to reference Alarcon GM. A meta-analysis of burnout with job demands, resources, and attitudes. J Vocat Behav. 2011;79:549–62.CrossRef Alarcon GM. A meta-analysis of burnout with job demands, resources, and attitudes. J Vocat Behav. 2011;79:549–62.CrossRef
39.
go back to reference Kim H, Kao D. A meta-analysis of turnover intention predictors among U.S. child welfare workers. Child Youth Serv Rev. 2014;47:214–23.CrossRef Kim H, Kao D. A meta-analysis of turnover intention predictors among U.S. child welfare workers. Child Youth Serv Rev. 2014;47:214–23.CrossRef
40.
go back to reference Low ZX, Yeo KA, Sharma VK, Leung GK, McIntyre RS, Guerrero A, et al. Prevalence of burnout in medical and surgical residents: a meta-analysis. Int J Environ Res Public Health. 2019;16:1479.PubMedCentralCrossRef Low ZX, Yeo KA, Sharma VK, Leung GK, McIntyre RS, Guerrero A, et al. Prevalence of burnout in medical and surgical residents: a meta-analysis. Int J Environ Res Public Health. 2019;16:1479.PubMedCentralCrossRef
41.
go back to reference Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis. J Psychiatr Res. 2020;123:9–20.PubMedCrossRef Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: a systematic review and meta-analysis. J Psychiatr Res. 2020;123:9–20.PubMedCrossRef
42.
go back to reference Tran BX, Ha GH, Nguyen LH, Vu GT, Hoang MT, Le HT, et al. Studies of novel coronavirus disease 19 (COVID-19) pandemic: a global analysis of literature. Int J Environ Res Public Health. 2020;17:4095.PubMedCentralCrossRef Tran BX, Ha GH, Nguyen LH, Vu GT, Hoang MT, Le HT, et al. Studies of novel coronavirus disease 19 (COVID-19) pandemic: a global analysis of literature. Int J Environ Res Public Health. 2020;17:4095.PubMedCentralCrossRef
43.
go back to reference Nursalam N, Fibriansari RD, Yuwono SR, Hadi M, Efendi F, Bushy A. Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. Int J Nurs Sci. 2018;5:390–5.PubMedPubMedCentral Nursalam N, Fibriansari RD, Yuwono SR, Hadi M, Efendi F, Bushy A. Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. Int J Nurs Sci. 2018;5:390–5.PubMedPubMedCentral
44.
go back to reference Wulandari P, Hidayat R. General anxiety disorder-related coronavirus disease-19 outbreak in Indonesia: a case report. Maced J Med Sci. 2020;8:36–8.CrossRef Wulandari P, Hidayat R. General anxiety disorder-related coronavirus disease-19 outbreak in Indonesia: a case report. Maced J Med Sci. 2020;8:36–8.CrossRef
45.
go back to reference Marthoenis M, Meutia I, Fathiariani L, Sofyan H. Prevalence of depression and anxiety among college students living in a disaster-prone region. Alexandria J Med. 2018;54:337–40.CrossRef Marthoenis M, Meutia I, Fathiariani L, Sofyan H. Prevalence of depression and anxiety among college students living in a disaster-prone region. Alexandria J Med. 2018;54:337–40.CrossRef
46.
go back to reference Fahmi M, Panjaitan NA, Habibie I, Siregar AYM, Amarullah G. Rahma, et al. does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia. BMC Public Health. 2019;19:1–8.CrossRef Fahmi M, Panjaitan NA, Habibie I, Siregar AYM, Amarullah G. Rahma, et al. does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia. BMC Public Health. 2019;19:1–8.CrossRef
47.
go back to reference Yestiana Y, Kurniati T, Hidayat AAA. Predictors of burnout in nurses working in inpatient rooms at a public hospital in Indonesia. Pan Afr Med J. 2019;33:1–9.CrossRef Yestiana Y, Kurniati T, Hidayat AAA. Predictors of burnout in nurses working in inpatient rooms at a public hospital in Indonesia. Pan Afr Med J. 2019;33:1–9.CrossRef
48.
go back to reference Boone WJ, Staver JRYM. Rasch analysis in the human sciences. Dordrecth: Springer; 2014.CrossRef Boone WJ, Staver JRYM. Rasch analysis in the human sciences. Dordrecth: Springer; 2014.CrossRef
49.
go back to reference Sumintono B, Widhiarso W. Application of Rasch model for social science research. Revised ed. Cimahi: Tim Komunikasi Publishing House; 2014. Sumintono B, Widhiarso W. Application of Rasch model for social science research. Revised ed. Cimahi: Tim Komunikasi Publishing House; 2014.
50.
go back to reference Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci. 2010;12:235–43.PubMedCrossRef Coetzee SK, Klopper HC. Compassion fatigue within nursing practice: a concept analysis. Nurs Health Sci. 2010;12:235–43.PubMedCrossRef
51.
go back to reference Mealer M, Jones J. Posttraumatic stress disorder in the nursing population: a concept analysis. Nurs Forum. 2013;48:279–88.PubMedCrossRef Mealer M, Jones J. Posttraumatic stress disorder in the nursing population: a concept analysis. Nurs Forum. 2013;48:279–88.PubMedCrossRef
52.
go back to reference Austin W. Moral distress and the contemporary plight of health professionals. HEC Forum. 2012;24:27–38.PubMedCrossRef Austin W. Moral distress and the contemporary plight of health professionals. HEC Forum. 2012;24:27–38.PubMedCrossRef
53.
54.
go back to reference Chan AOM, Chan YH. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med. 2004;54:190–6.CrossRef Chan AOM, Chan YH. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med. 2004;54:190–6.CrossRef
55.
go back to reference Naushad VA, Bierens JJLM, Nishan KP, Firjeeth CP, Mohammad OH, Maliyakkal AM, et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehosp Disaster Med. 2019;34:632–43.PubMedCrossRef Naushad VA, Bierens JJLM, Nishan KP, Firjeeth CP, Mohammad OH, Maliyakkal AM, et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehosp Disaster Med. 2019;34:632–43.PubMedCrossRef
56.
go back to reference Embriaco N, Hraiech S, Azoulay E, Baumstarck-Barrau K, Forel JM, Kentish-Barnes N, et al. Symptoms of depression in ICU physicians. Ann Intensive Care. 2012;2:1–8.CrossRef Embriaco N, Hraiech S, Azoulay E, Baumstarck-Barrau K, Forel JM, Kentish-Barnes N, et al. Symptoms of depression in ICU physicians. Ann Intensive Care. 2012;2:1–8.CrossRef
57.
go back to reference Bai YM, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55:1055–7.PubMedCrossRef Bai YM, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004;55:1055–7.PubMedCrossRef
58.
go back to reference Peltzer K, Pengpid S. High prevalence of depressive symptoms in a national sample of adults in Indonesia: childhood adversity, sociodemographic factors and health risk behaviour. Asian J Psychiatr. 2018;33:52–9.PubMedCrossRef Peltzer K, Pengpid S. High prevalence of depressive symptoms in a national sample of adults in Indonesia: childhood adversity, sociodemographic factors and health risk behaviour. Asian J Psychiatr. 2018;33:52–9.PubMedCrossRef
59.
go back to reference Al-Maddah EM, Al-Dabal BK, Khalil MS. Prevalence of sleep deprivation and relation with depressive symptoms among medical residents in king Fahd University hospital, Saudi Arabia. Sultan Qaboos Univ Med J. 2015;15:e78–84.PubMedPubMedCentral Al-Maddah EM, Al-Dabal BK, Khalil MS. Prevalence of sleep deprivation and relation with depressive symptoms among medical residents in king Fahd University hospital, Saudi Arabia. Sultan Qaboos Univ Med J. 2015;15:e78–84.PubMedPubMedCentral
60.
go back to reference Kilkkinen A, Kao-philpot A, O’neil A, Philpot B, Reddy P, Bunker S, et al. Prevalence of psychological distress, anxiety and depression in rural communities in Australia. Aust J Rural Health. 2007;15:114–9.PubMedCrossRef Kilkkinen A, Kao-philpot A, O’neil A, Philpot B, Reddy P, Bunker S, et al. Prevalence of psychological distress, anxiety and depression in rural communities in Australia. Aust J Rural Health. 2007;15:114–9.PubMedCrossRef
61.
62.
go back to reference Twellaar M, Winants Y, Houkes I. How healthy are Dutch general practitioners? Self-reported (mental) health among Dutch general practitioners. Eur J Gen Pract. 2008;14:4–9.PubMedCrossRef Twellaar M, Winants Y, Houkes I. How healthy are Dutch general practitioners? Self-reported (mental) health among Dutch general practitioners. Eur J Gen Pract. 2008;14:4–9.PubMedCrossRef
63.
go back to reference Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377–85.PubMedCrossRef Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012;172:1377–85.PubMedCrossRef
64.
go back to reference Holmqvist R, Jeanneau M. Burnout and psychiatric staff’s feelings towards patients. Psychiatry Res. 2006;145:207–13.PubMedCrossRef Holmqvist R, Jeanneau M. Burnout and psychiatric staff’s feelings towards patients. Psychiatry Res. 2006;145:207–13.PubMedCrossRef
65.
go back to reference Bressi C, Porcellana M, Gambini O, Madia L, Muffatti R, Peirone A, et al. Burnout among psychiatrists in Milan: a multicenter survey. Psychiatr Serv. 2009;60:985–8.PubMedCrossRef Bressi C, Porcellana M, Gambini O, Madia L, Muffatti R, Peirone A, et al. Burnout among psychiatrists in Milan: a multicenter survey. Psychiatr Serv. 2009;60:985–8.PubMedCrossRef
66.
go back to reference Al Sulais E, Mosli M, AlAmeel T. The psychological impact of COVID-19 pandemic on physicians in Saudi Arabia: a cross-sectional study. Saudi J Gastroenterol. 2020;26:249.PubMedPubMedCentralCrossRef Al Sulais E, Mosli M, AlAmeel T. The psychological impact of COVID-19 pandemic on physicians in Saudi Arabia: a cross-sectional study. Saudi J Gastroenterol. 2020;26:249.PubMedPubMedCentralCrossRef
67.
go back to reference Matsuishi K, Kawazoe A, Imai H, Ito A, Mouri K, Kitamura N, et al. Psychological impact of the pandemic (H1N1) 2009 on general hospital workers in Kobe. Psychiatry Clin Neurosci. 2012;66:353–60.PubMedCrossRef Matsuishi K, Kawazoe A, Imai H, Ito A, Mouri K, Kitamura N, et al. Psychological impact of the pandemic (H1N1) 2009 on general hospital workers in Kobe. Psychiatry Clin Neurosci. 2012;66:353–60.PubMedCrossRef
69.
go back to reference Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singap. 2020;49:1–3. Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Ann Acad Med Singap. 2020;49:1–3.
Metadata
Title
Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia
Authors
Deni Kurniadi Sunjaya
Dewi Marhaeni Diah Herawati
Adiatma Y. M. Siregar
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-10299-6

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue