Impact of Anxiety on Health-Related Quality of Life and Symptoms of Burnout in Multi-Professional Residents in Brazil During the COVID-19 Pandemic

Liliane Lins-Kusterer (), Carolina Franco Azevedo, Eduardo Martins Netto, Marta Silva Menezes, Carolina Villa Nova Aguiar, Roberto Almeida Azevedo, Weber Ceo Cavalcante, Viviane Almeida Sarmento and Carlos Brites
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Liliane Lins-Kusterer: Federal University of Bahia
Carolina Franco Azevedo: Federal University of Bahia
Eduardo Martins Netto: Federal University of Bahia
Marta Silva Menezes: Bahiana School of Medicine and Public Health
Carolina Villa Nova Aguiar: Bahiana School of Medicine and Public Health
Roberto Almeida Azevedo: Federal University of Bahia
Weber Ceo Cavalcante: Federal University of Bahia
Viviane Almeida Sarmento: Federal University of Bahia
Carlos Brites: Federal University of Bahia

Applied Research in Quality of Life, 2023, vol. 18, issue 1, No 9, 229-247

Abstract: Abstract We aimed to determine the prevalence of anxiety and to identify associated factors among multi-professional residents in Brazil during the early days of the COVID-19 pandemic. A cross-sectional study included a sample of 752 multi-professional residents selected by snowball technique. Symptoms of anxiety were measured by the Beck anxiety inventory scale (≥ 16 cut-off). We used WHOQOL-BREF to access the health-related quality of life and the Maslach Burnout Inventory to measure the burnout syndrome. PR and respective 95% confidence intervals (CI) were calculated using the Poisson regression model. The prevalence of anxiety was 41.2% (310/752). Some variables were strongly associated with anxiety: afraid of getting COVID-19; extra work demand during COVID-19 pandemic; sweating/wheezing/increased heart rate during work; feeling safe when using personal protective equipment at work, and psychological support from residence preceptors. Residents with symptoms of anxiety showed high emotional exhaustion at work (36.6 ± 9.6 vs. 24.7 ± 10.7, P = 0.001) and depersonalization (8.9 ± 6.0 vs. 5.6 ± 4.9, P = 0.001). Correlations coefficients between emotional exhaustion versus Physical WHOQOL-BREF and between emotional exhaustion versus Psychological WHOQOL-BREF were significantly lower among residents without anxiety (P = 0.027 and P = 0,03, respectively). The prevalence of anxiety was high and strongly associated with several variables, particularly with being afraid of getting COVID-19, the perception of workload, somatization (sweating, wheezing and increased heart rate during work), feeling unsafe when using personal protective equipment, and lack of psychological support from residence preceptors. Anxiety was associated with increased emotional exhaustion and depersonalization and low health-related quality of life during the COVID-19 pandemic in Brazil. Low WHOQOL-BREF environment domain, and high emotional exhaustion MBI domain increased the chances of presenting symptoms of anxiety.

Keywords: Health-related quality of life; Burnout; Multi-professional residences; Healthcare (search for similar items in EconPapers)
Date: 2023
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DOI: 10.1007/s11482-022-10117-0

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