Skip to main content
Top
Published in: Supportive Care in Cancer 4/2023

Open Access 01-04-2023 | COVID-19 | Research

Correlation between psychological resilience and burnout syndrome in oncologists amid the Covid-19 pandemic

Authors: Anuska Budisavljevic, Renata Kelemenic-Drazin, Tajana Silovski, Stjepko Plestina, Natalija Dedic Plavetic

Published in: Supportive Care in Cancer | Issue 4/2023

Login to get access

Abstract

Purpose

Oncologists are predisposed to developing burnout syndrome. Like other health care professionals worldwide, oncologists have endured additional, extreme challenges during the Covid-19 pandemic. Psychological resilience presents a potential protective mechanism against burnout. This cross-sectional study examines whether psychological resilience eased burnout syndrome among Croatian oncologists during the pandemic.

Methods

An anonymized self-reporting questionnaire was electronically distributed by the Croatian Society for Medical Oncology to 130 specialist and resident oncologists working in hospitals. Available for completion from September 6–24, 2021, the survey comprised demographic questions; the Oldenburg Burnout Inventory (OLBI), covering exhaustion and disengagement; and the Brief Resilience Scale (BRS). The response rate was 57.7%.

Results

Burnout was moderate or high for 86% of respondents, while 77% had moderate or high psychological resilience. Psychological resilience was significantly negatively correlated with the OLBI exhaustion subscale (r =  − .54; p < 0.001) and the overall OLBI score (r =  − .46; p < 0.001). Scheffe’s post hoc test showed that oncologists with high resilience scored significantly lower on the overall OLBI (M = 2.89; SD = 0.487) compared to oncologists with low resilience (M = 2.52; SD = 0.493).

Conclusion

The findings thus indicate that oncologists with high psychological resilience are at significantly lower risk of developing burnout syndrome. Accordingly, convenient measures to encourage psychological resilience in oncologists should be identified and implemented.
Literature
1.
go back to reference Delgadillo J, Saxon D, Barkham M (2018) Associations between therapists’ occupational burnout and their patients’ depression and anxiety treatment outcomes. Depress Anxiety 35(9):844–850CrossRefPubMed Delgadillo J, Saxon D, Barkham M (2018) Associations between therapists’ occupational burnout and their patients’ depression and anxiety treatment outcomes. Depress Anxiety 35(9):844–850CrossRefPubMed
2.
go back to reference Hlubocky FJ, Rose M, Epstein RM (2017) Mastering resilience in oncology: learn to thrive in the face of burnout. Am Soc Clin Oncol Educ Book 37:771–781CrossRefPubMed Hlubocky FJ, Rose M, Epstein RM (2017) Mastering resilience in oncology: learn to thrive in the face of burnout. Am Soc Clin Oncol Educ Book 37:771–781CrossRefPubMed
3.
go back to reference Shanafelt T, Dyrbye L (2012) Oncologist burnout: causes, consequences, and responses. J Clin Oncol 30:1235–1241CrossRefPubMed Shanafelt T, Dyrbye L (2012) Oncologist burnout: causes, consequences, and responses. J Clin Oncol 30:1235–1241CrossRefPubMed
4.
go back to reference Murali K, Makker V, Lynch J, Banerjee S (2018) From burnout to resilience: an update for oncologists. Am Soc Clin Oncol Educ Book 38:862–872CrossRefPubMed Murali K, Makker V, Lynch J, Banerjee S (2018) From burnout to resilience: an update for oncologists. Am Soc Clin Oncol Educ Book 38:862–872CrossRefPubMed
5.
go back to reference Arrogante O, Aparicio-Zaldivar E (2017) Burnout and health among critical care professionals: the mediational role of resilience. Intensive Crit Care Nurs 42:110–115CrossRefPubMed Arrogante O, Aparicio-Zaldivar E (2017) Burnout and health among critical care professionals: the mediational role of resilience. Intensive Crit Care Nurs 42:110–115CrossRefPubMed
6.
go back to reference Eelen S, Bauwens S, Baillon C, Distelmans W, Jacobs E, Verzelen A (2014) The prevalence of burnout among oncology professionals: oncologists are at risk of developing burnout. Psychooncology 23(12):1415–1422CrossRefPubMed Eelen S, Bauwens S, Baillon C, Distelmans W, Jacobs E, Verzelen A (2014) The prevalence of burnout among oncology professionals: oncologists are at risk of developing burnout. Psychooncology 23(12):1415–1422CrossRefPubMed
8.
go back to reference West CP, Dyrbye LN, Sinsky C, Trockel M, Tutty M, Nedelec L et al (2020) Resilience and burnout among physicians and the general US working population. JAMA Netw Open 3(7):1–11CrossRef West CP, Dyrbye LN, Sinsky C, Trockel M, Tutty M, Nedelec L et al (2020) Resilience and burnout among physicians and the general US working population. JAMA Netw Open 3(7):1–11CrossRef
9.
11.
go back to reference Demerouti E, Nachreiner F, Bakker AB, Schaufeli WB (2001) The job demands-resources model of burnout. J Appl Psychol 86(3):499–512CrossRefPubMed Demerouti E, Nachreiner F, Bakker AB, Schaufeli WB (2001) The job demands-resources model of burnout. J Appl Psychol 86(3):499–512CrossRefPubMed
12.
go back to reference Tipa RO, Tudose C, Pucarea VL (2019) Measuring burnout among psychiatric residents using the Oldenburg Burnout Inventory (OLBI) instrument. J Med Life 12(4):354–360CrossRefPubMedPubMedCentral Tipa RO, Tudose C, Pucarea VL (2019) Measuring burnout among psychiatric residents using the Oldenburg Burnout Inventory (OLBI) instrument. J Med Life 12(4):354–360CrossRefPubMedPubMedCentral
13.
go back to reference Cinar P, Cox J, Kamal A, Bickel K, Krzyzanowska M, Armitage J et al (2020) Oncology care delivery in the COVID-19 pandemic: an opportunity to study innovations and outcomes. JCO Oncol Pract 16(8):431–434CrossRefPubMed Cinar P, Cox J, Kamal A, Bickel K, Krzyzanowska M, Armitage J et al (2020) Oncology care delivery in the COVID-19 pandemic: an opportunity to study innovations and outcomes. JCO Oncol Pract 16(8):431–434CrossRefPubMed
14.
go back to reference Segelov E, Underhill C, Prenen H, Karapetis C, Jackson C, Nott L et al (2020) Practical considerations for treating patients with cancer in the COVID-19 pandemic. JCO Oncol Pract 16:467–482CrossRefPubMed Segelov E, Underhill C, Prenen H, Karapetis C, Jackson C, Nott L et al (2020) Practical considerations for treating patients with cancer in the COVID-19 pandemic. JCO Oncol Pract 16:467–482CrossRefPubMed
16.
go back to reference Wozniak AM, Rallis KS, Elkaddoum R (2021) Telemedicine health disparities in oncology care. Future Oncol 17:1695–1698CrossRefPubMed Wozniak AM, Rallis KS, Elkaddoum R (2021) Telemedicine health disparities in oncology care. Future Oncol 17:1695–1698CrossRefPubMed
17.
go back to reference Hilmi M, Boilève A, Ducousso A, Michalet M, Turpin A, Neuzillet C et al (2020) Professional and psychological impacts of the COVID-19 pandemic on oncology residents: a national survey. JCO Glob Oncol 6:1674–1683CrossRefPubMed Hilmi M, Boilève A, Ducousso A, Michalet M, Turpin A, Neuzillet C et al (2020) Professional and psychological impacts of the COVID-19 pandemic on oncology residents: a national survey. JCO Glob Oncol 6:1674–1683CrossRefPubMed
18.
go back to reference Hlubocky FJ, Symington BE, McFarland DC, Gallagher CM, Dragnev KH, Burrke JM et al (2021) Impact of the COVID-19 pandemic on oncologist burnout, emotional well-being, and moral distress: considerations for the cancer organization’s response for readiness, mitigation, and resilience. JCO Oncol Pract 17(7):365–374CrossRefPubMed Hlubocky FJ, Symington BE, McFarland DC, Gallagher CM, Dragnev KH, Burrke JM et al (2021) Impact of the COVID-19 pandemic on oncologist burnout, emotional well-being, and moral distress: considerations for the cancer organization’s response for readiness, mitigation, and resilience. JCO Oncol Pract 17(7):365–374CrossRefPubMed
19.
go back to reference Omar AM, Ramadan MM, Khamis Y, Ismail AA (2021) The impact of COVID-19 on the occupational health of oncologists: a descriptive analysis of occupational safety, perceived burnout and social support among practicing oncologists in Alexandria, Egypt. Ecancermedicalscience 15:1–11CrossRef Omar AM, Ramadan MM, Khamis Y, Ismail AA (2021) The impact of COVID-19 on the occupational health of oncologists: a descriptive analysis of occupational safety, perceived burnout and social support among practicing oncologists in Alexandria, Egypt. Ecancermedicalscience 15:1–11CrossRef
20.
go back to reference Banerjee S, Lim KHJ, Murali K, Kamposioras K, Punie K, Oing C et al (2021) The impact of COVID-19 on oncology professionals: results of the ESMO Resilience Task Force survey collaboration. ESMO Open 6(2):1–10CrossRef Banerjee S, Lim KHJ, Murali K, Kamposioras K, Punie K, Oing C et al (2021) The impact of COVID-19 on oncology professionals: results of the ESMO Resilience Task Force survey collaboration. ESMO Open 6(2):1–10CrossRef
21.
go back to reference Lim KHJ, Murali K, Thorne E, Punie K, Kamposioras K, Oing C et al (2022) The impact of COVID-19 on oncology professionals—one year on: lessons learned from the ESMO Resilience Task Force survey series. ESMO Open 7(1):100374CrossRefPubMed Lim KHJ, Murali K, Thorne E, Punie K, Kamposioras K, Oing C et al (2022) The impact of COVID-19 on oncology professionals—one year on: lessons learned from the ESMO Resilience Task Force survey series. ESMO Open 7(1):100374CrossRefPubMed
23.
go back to reference Bonanno GA (2004) Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol 59:20–28CrossRefPubMed Bonanno GA (2004) Loss, trauma, and human resilience: have we underestimated the human capacity to thrive after extremely aversive events? Am Psychol 59:20–28CrossRefPubMed
24.
go back to reference Hirano M (2020) Individual differences in psychological resilience. In: Y. Nara, T. Inamura, editors. Resilience and human history, Translational Systems Sciences 23. Singapore: Springer Nature Pte Ltd. 25–37 Hirano M (2020) Individual differences in psychological resilience. In: Y. Nara, T. Inamura, editors. Resilience and human history, Translational Systems Sciences 23. Singapore: Springer Nature Pte Ltd. 25–37
25.
go back to reference Herrman H, Stewart DE, Diaz-Granados N, Berger EL, Jackson B, Yuen T (2011) What is resilience? Can J Psychiatry 56(5):258–265CrossRefPubMed Herrman H, Stewart DE, Diaz-Granados N, Berger EL, Jackson B, Yuen T (2011) What is resilience? Can J Psychiatry 56(5):258–265CrossRefPubMed
27.
go back to reference Denckla CA, Cicchetti D, Kubzansky LD, Seedat S, Teicher MH, Williams DR et al (2020) Psychological resilience: an update on definitions, a critical appraisal, and research recommendations. Eur J Psychotraumatol 11(1):1–18CrossRef Denckla CA, Cicchetti D, Kubzansky LD, Seedat S, Teicher MH, Williams DR et al (2020) Psychological resilience: an update on definitions, a critical appraisal, and research recommendations. Eur J Psychotraumatol 11(1):1–18CrossRef
28.
go back to reference Fletcher D, Sarkar M (2013) Psychological resilience: a review and critique of definitions, concepts and theory. Eur Psychol 18(1):12–23CrossRef Fletcher D, Sarkar M (2013) Psychological resilience: a review and critique of definitions, concepts and theory. Eur Psychol 18(1):12–23CrossRef
29.
go back to reference Campbell-Sills L, Cohan SL, Stein MB (2006) Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Ther 44(4):585–599CrossRefPubMed Campbell-Sills L, Cohan SL, Stein MB (2006) Relationship of resilience to personality, coping, and psychiatric symptoms in young adults. Behav Res Ther 44(4):585–599CrossRefPubMed
30.
go back to reference Connor KM, Davidson JRT (2003) Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 18(2):76–82CrossRefPubMed Connor KM, Davidson JRT (2003) Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 18(2):76–82CrossRefPubMed
31.
go back to reference Kelemenic-Drazin R, Budisavljevic A (2020) 1609P Cancer care in Croatia, comparison with surrounding countries: can we do better? Ann Oncol 31:S968CrossRef Kelemenic-Drazin R, Budisavljevic A (2020) 1609P Cancer care in Croatia, comparison with surrounding countries: can we do better? Ann Oncol 31:S968CrossRef
32.
go back to reference Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J (2008) The brief resilience scale: assessing the ability to bounce back. Int J Behav Med 15(3):194–200CrossRefPubMed Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J (2008) The brief resilience scale: assessing the ability to bounce back. Int J Behav Med 15(3):194–200CrossRefPubMed
33.
go back to reference Slišković I, Burić V, ĆubelaAdorić M, Nikolić I, Tucak JA (2018) Zbirka psihologijskih skala i upitnika [A collection of psychological scales and questionnaires]. University of Zadar, Zadar, pp 7–21 Slišković I, Burić V, ĆubelaAdorić M, Nikolić I, Tucak JA (2018) Zbirka psihologijskih skala i upitnika [A collection of psychological scales and questionnaires]. University of Zadar, Zadar, pp 7–21
34.
go back to reference Díaz-Agea JL, Orcajada-Muñoz I, Leal-Costa C, Adánez-Martínez MG, de Souza Oliveira AC, Rojo-Rojo A (2022) How did the pandemic affect communication in clinical settings? A qualitative study with critical and emergency care nurses. Healthcare 10(2):1–17CrossRef Díaz-Agea JL, Orcajada-Muñoz I, Leal-Costa C, Adánez-Martínez MG, de Souza Oliveira AC, Rojo-Rojo A (2022) How did the pandemic affect communication in clinical settings? A qualitative study with critical and emergency care nurses. Healthcare 10(2):1–17CrossRef
35.
go back to reference Kust D, Murgic J, Vukovic P, Kruljac I, Prpic M, Zilic A et al (2020) Oncologist burnout syndrome in Eastern Europe: results of the multinational survey. JCO Oncol Pract 16(4):e366-376CrossRefPubMed Kust D, Murgic J, Vukovic P, Kruljac I, Prpic M, Zilic A et al (2020) Oncologist burnout syndrome in Eastern Europe: results of the multinational survey. JCO Oncol Pract 16(4):e366-376CrossRefPubMed
36.
go back to reference Jokić-Begić N, Korajlija AL, Begić D (2021) Mental health of psychiatrists and physicians of other specialties in early COVID-19 pandemic: risk and protective factors. Psychiatr Danub 32(3):536–548 Jokić-Begić N, Korajlija AL, Begić D (2021) Mental health of psychiatrists and physicians of other specialties in early COVID-19 pandemic: risk and protective factors. Psychiatr Danub 32(3):536–548
37.
go back to reference Torrente M, Sousa PAC, Sánchez-Ramos A, Pimentao J, Royuela A, Franco F et al (2021) To burn-out or not to burn-out: a cross-sectional study in healthcare professionals in Spain during COVID-19 pandemic. BMJ Open 11(2):1–12CrossRef Torrente M, Sousa PAC, Sánchez-Ramos A, Pimentao J, Royuela A, Franco F et al (2021) To burn-out or not to burn-out: a cross-sectional study in healthcare professionals in Spain during COVID-19 pandemic. BMJ Open 11(2):1–12CrossRef
38.
go back to reference PintarićJapec V, Vučemilo L, Kust D, Babacanli A, Dodig D, Štefančić V et al (2019) Burnout among Croatian physicians: a cross sectional national survey. Croat Med J 60(3):255–264CrossRef PintarićJapec V, Vučemilo L, Kust D, Babacanli A, Dodig D, Štefančić V et al (2019) Burnout among Croatian physicians: a cross sectional national survey. Croat Med J 60(3):255–264CrossRef
39.
go back to reference McKinley N, Karayiannis PN, Convie L, Clarke M, Kirk SJ, Campbell WJ (2019) Resilience in medical doctors: a systematic review. Postgrad Med J 0:1–8 McKinley N, Karayiannis PN, Convie L, Clarke M, Kirk SJ, Campbell WJ (2019) Resilience in medical doctors: a systematic review. Postgrad Med J 0:1–8
Metadata
Title
Correlation between psychological resilience and burnout syndrome in oncologists amid the Covid-19 pandemic
Authors
Anuska Budisavljevic
Renata Kelemenic-Drazin
Tajana Silovski
Stjepko Plestina
Natalija Dedic Plavetic
Publication date
01-04-2023
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 4/2023
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-023-07660-3

Other articles of this Issue 4/2023

Supportive Care in Cancer 4/2023 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine