Social support mediates the effect of burnout on health in health care professionals

Burnout is characterized by emotional exhaustion and caused by exposure to excessive and prolonged stress related to job conditions. Moreover, burnout is highly prevalent among health care professionals. The aim of this study is, first, to examine the mediating role of social support over the effect...

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Autores:
Ruisoto, Pablo
Ramírez, Marina R.
García, Pedro A.
Paladines-Costa, Belén
Vaca, Silvia
Clemente-Suárez, Vicente Javier
Tipo de recurso:
Article of journal
Fecha de publicación:
2021
Institución:
Corporación Universidad de la Costa
Repositorio:
REDICUC - Repositorio CUC
Idioma:
spa
OAI Identifier:
oai:repositorio.cuc.edu.co:11323/7925
Acceso en línea:
https://hdl.handle.net/11323/7925
https://doi.org/10.3389/fpsyg.2020.623587
https://repositorio.cuc.edu.co/
Palabra clave:
Burnout – professional
Social support
Psychological stress
General health
Health care professionals
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openAccess
License
CC0 1.0 Universal
id RCUC2_5c0511c8fa8daca18870a7452990cbf2
oai_identifier_str oai:repositorio.cuc.edu.co:11323/7925
network_acronym_str RCUC2
network_name_str REDICUC - Repositorio CUC
repository_id_str
dc.title.spa.fl_str_mv Social support mediates the effect of burnout on health in health care professionals
title Social support mediates the effect of burnout on health in health care professionals
spellingShingle Social support mediates the effect of burnout on health in health care professionals
Burnout – professional
Social support
Psychological stress
General health
Health care professionals
title_short Social support mediates the effect of burnout on health in health care professionals
title_full Social support mediates the effect of burnout on health in health care professionals
title_fullStr Social support mediates the effect of burnout on health in health care professionals
title_full_unstemmed Social support mediates the effect of burnout on health in health care professionals
title_sort Social support mediates the effect of burnout on health in health care professionals
dc.creator.fl_str_mv Ruisoto, Pablo
Ramírez, Marina R.
García, Pedro A.
Paladines-Costa, Belén
Vaca, Silvia
Clemente-Suárez, Vicente Javier
dc.contributor.author.spa.fl_str_mv Ruisoto, Pablo
Ramírez, Marina R.
García, Pedro A.
Paladines-Costa, Belén
Vaca, Silvia
Clemente-Suárez, Vicente Javier
dc.subject.spa.fl_str_mv Burnout – professional
Social support
Psychological stress
General health
Health care professionals
topic Burnout – professional
Social support
Psychological stress
General health
Health care professionals
description Burnout is characterized by emotional exhaustion and caused by exposure to excessive and prolonged stress related to job conditions. Moreover, burnout is highly prevalent among health care professionals. The aim of this study is, first, to examine the mediating role of social support over the effect of burnout in health care professionals and, second, to explore potential gender differences. A convenience sample of 1,035 health professionals from Ecuador, including 608 physicians and 427 nurses (68% women, with and age M = 40 + 9 years old), was surveyed using the Maslach Burnout Inventory (MBI), Social Support Survey (MOS), and General Health Questionnaire (GHQ-28) as measures of burnout, social support, and general health, respectively. Social support was found to mediate the negative effects of burnout on health regardless of gender. Differences across the three dimensions of burnout and health are further discussed, along with their implications for designing effective burnout interventions for health care professionals in Ecuador.
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-02-25T19:12:49Z
dc.date.available.none.fl_str_mv 2021-02-25T19:12:49Z
dc.date.issued.none.fl_str_mv 2021-01-13
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.content.spa.fl_str_mv Text
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.issn.spa.fl_str_mv 1664-1078
dc.identifier.uri.spa.fl_str_mv https://hdl.handle.net/11323/7925
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.3389/fpsyg.2020.623587
dc.identifier.instname.spa.fl_str_mv Corporación Universidad de la Costa
dc.identifier.reponame.spa.fl_str_mv REDICUC - Repositorio CUC
dc.identifier.repourl.spa.fl_str_mv https://repositorio.cuc.edu.co/
identifier_str_mv 1664-1078
Corporación Universidad de la Costa
REDICUC - Repositorio CUC
url https://hdl.handle.net/11323/7925
https://doi.org/10.3389/fpsyg.2020.623587
https://repositorio.cuc.edu.co/
dc.language.iso.none.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv Abraham, M. D., and Jacobowitz, W. (2020). Resilience and burnout in health care students and inpatient psychiatric nurses: a between-groups study of two populations. Arch. Psychiatr. Nurs. 35, 1–33. doi: 10.1016/j.apnu.2020. 10.008
Ahola, K., and Hakanen, J. (2007). Job strain, burnout, and depressive symptoms: a prospective study among dentists. J. Affect. Disord. 104, 103–110. doi: 10.1016/ j.jad.2007.03.004
Alarcon, G., Eschleman, K. J., and Bowling, N. A. (2009). Relationships between personality variables and burnout: a meta-analysis. Work Stress 23, 244–263. doi: 10.1080/02678370903282600
Amoafo, E., Hanbali, N., Patel, A., and Singh, P. (2014). What are the significant factors associated with burnout in doctors? Occup. Med. 65, 117–121. doi: 10.1093/occmed/kqu144
Applebaum, A. (2015). Isolated, invisible, and in-need: there should be no "I" in caregiver. Palliat. Support Care 13, 415–416. doi: 10.1017/S1478951515000413
Armon, G., Shirom, A., and Melamed, S. (2012). The big five personality factors as predictors of changes across time in burnout and its facets. J. Pers. 80, 403–427. doi: 10.1111/j.1467-6494.2011.00731.x
Baron, R. M., and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J. Pers. Soc. Psychol. 51, 1173–1182. doi: 10.1037/0022-3514.51. 6.1173
Bianchi, R., Boffy, C., Hingray, C., Truchot, C., and Laurent, E. (2013). Comparative symptomatology of burnout and depression. J. Health Psychol. 18, 782–787. doi: 10.1177/1359105313481079
Bianchi, R., and Brisson, R. (2019). Burnout and depression: causal attributions and construct overlap. J. Health Psychol. 24, 1574–1580. doi: 10.1177/ 1359105317740415
Bianchi, R., Schonfeld, I. S., and Laurent, E. (2017a). Physician burnout is better conceptualized as depression. Lancet 389, 1397–1398. doi: 10.1016/s0140- 6736(17)30897-8
Bianchi, R., Schonfeld, I. S., Vandel, P., and Laurent, E. (2017b). On the depressive nature of the “burnout syndrome”: a clarification. Eur. Psychiatry 41, 109–110. doi: 10.1016/j.eurpsy.2016.10.008
Brenninkmeijer, V., and Van Yperen, N. (2003). How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup. Environ. Med. 60, 16–20. doi: 10.1136/oem.60.suppl_ 1.i16
Dall’Ora, C., Ball, J., Reinius, M., and Griffiths, P. (2020). Burnout in nursing: a theoretical review. Hum. Resour. Health 18, 1–17. doi: 10.1186/s12960-020- 00469-9
Ebling, M., and Carlotto, M. S. (2012). Burnout syndrome and associated factors among health professionals of a public hospital. Trends Psychiatry Psychother. 34, 93–100. doi: 10.1590/S2237-60892012000200008
Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., and Azoulay, E. (2007). Burnout syndrome among critical health care workers. Curr. Opin. Crit. Care 13, 482–488. doi: 10.1097/MCC.0b013e3282efd28a
Fornés-Vives, J., Frias-Navarro, D., García-Banda, G., and Pascual-Soler, M. (2019). The role of neuroticism in predicting psychological harassment in nursing: a longitudinal study. Int. J. Environ. Res. Public Health 16, 1–8. doi: 10.3390/ ijerph16050889
Francis, L. J., Brown, L. B., and Philipchalk, R. (1992). The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQRA): its use among students in England, Canada, the USA and Australia. Pers. Individ. Differ. 13, 443–449. doi: 10.1016/0191-8869(92)90073-X
Freudenberger, H. J. (1974). Staff burn-out. J. Soc. Issues 30, 159–165. doi: 10.1111/ j.1540-4560.1974.tb00706.x
Gandi, J. C., Wai, P. S., Karick, H., and Dagona, Z. K. (2011). The role of stress and level of burnout in job performance among nurses. Ment. Health Fam. Med. 8, 181–194.
García-Prado, A., and Gonzalez, P. (2007). Policy and regulatory responses to dual practice in the health sector. Health Policy 84, 142–152. doi: 10.1016/j. healthpol.2007.03.006
Goldberg, D. P., and Hillier, V. F. (1979). A scaled version of the general health questionnaire. Psychol. Med. 9, 139–145. doi: 10.1017/S0033291700021644
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., and O’Connor, D. B. (2016). Health care staff wellbeing, burnout, and patient safety: a systematic review. PLoS One 11:e0159015. doi: 10.1371/journal.pone.0159015
Hayes, A. F. (2017). Introducción a la Mediación, la Moderación y el Análisis de Procesos Condicional: un Enfoque Basado en Regresión. New York, NY: Publicaciones de Guilford.
Hintsa, T., Elovainio, M., Jokela, M., Ahola, K., Virtanen, M., and Pirkola, S. (2016). Is there an independent association between burnout and increased allostatic load? Testing the contribution of psychological distress and depression. J. Health Psychol. 21, 1576–1586. doi: 10.1177/1359105314559619
Holt-Lunstad, J., Smith, T. B., and Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS Med. 7:e1000316. doi: 10.1371/ journal.pmed.1000316
Hou, T., Zhang, T., Cai, W., Song, X., Cheng, A., Deng, G., et al. (2020). Social support and mental health among health care workers during coronavirus disease 2019 outbreak: a moderated mediation model. PLoS One 15:e0233831. doi: 10.1371/journal.pone.0233831
Kelly, D. P., Weigard, A., and Beltz, A. M. (2020). How are you doing? The personspecificity of daily links between neuroticism and physical health. J. Psychosom. Res. 89, 1–5. doi: 10.1016/j.archger.2020.104059
Korkmaz, S., Kazgan, A., Çekiç, S., Tartar, A. S., Balcı, H. N., and Atmaca, M. (2020). The anxiety levels, quality of sleep and life and problem-solving skills in health care workers employed in COVID-19 services. J. Neuropsychiatry Clin. Neurosci. 80, 131–136. doi: 10.1016/j.jocn.2020.07.073
Koutsimani, P., Montgomery, A., and Georganta, K. (2019). The relationship between burnout, depression, and anxiety: a systematic review and metaanalysis. Front. Psychol. 10:284. doi: 10.3389/fpsyg.2019.00284
Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal, and Coping. New York, NY: Springer publishing company.
Lee, R. T., and Ashforth, B. E. (1990). On the meaning of Maslach’s three dimensions of burnout. J. Appl. Psychol. 75, 743–747. doi: 10.1037/0021-9010. 75.6.743
Leiter, M. P., and Maslach, C. (2009). Nurse turnover: the mediating role of burnout. J. Nurs. Manag. 17, 331–339. doi: 10.1111/j.1365-2834.2009.01004.x
Li, H., Cheng, B., and Zhu, X. P. (2018). Quantification of burnout in emergency nurses: a systematic review and meta-analysis. Int. Emerg. Nurs. 39, 46–54. doi: 10.1016/j.ienj.2017.12.005
Maslach, C. (2003). Job burnout: new directions in research and intervention. Curr. Dir. Psychol. Sci. 12, 189–192. doi: 10.1111/1467-8721.01258
Maslach, C., and Jackson, S. E. (1981). The measurement of experienced burnout. J. Organ. Behav. 2, 99–113. doi: 10.1002/job.4030020205
Maslach, C., and Jackson, S. E. (1986). Maslach Burnout Inventory Manual, 2 Edn. Palo Alto, CA: Consulting Psychologists Press.
Maslach, C., and Leiter, M. P. (2008). Early predictors of job burnout and engagement. J. Appl. Psychol. 93, 498–512. doi: 10.1037/0021-9010.93.3.498
Medisauskaite, A., and Kamau, C. (2019). Reducing burnout and anxiety among doctors: randomized controlled trial. Psychiatry Res. 274, 383–390. doi: 10.1016/ j.psychres.2019.02.075
Mikkola, L., Suutala, E., and Parviainen, H. (2018). Social support in the workplace for physicians in specialization training. Med. Educ. 23, 1–10. doi: 10.1080/ 10872981.2018.1435114
Muller, A. E., Hafstad, E. F., Himmels, J. P. W., Smedslund, G., Flottorp, S., Stensland, S., et al. (2020). The mental health impact of the covid-19 pandemic on health care workers, and interventions to help them: a rapid systematic review. Psychiatry Res. 293, 1–11. doi: 10.1016/j.psychres.2020.113441
Muñoz, P. E., Vázquez-Barquero, J. L., Rodríguez, I. F., Pastrana, E., and Varo, J. (1979). Spanish adaptation of the general health questionnaire (GHQ) of DP Goldberg. Arch. Neurobiol. 42, 139–158.
Panagioti, M., Geraghty, K., and Johnson, J. (2018). How to prevent burnout in cardiologists? A review of the current evidence, gaps, and future directions. Trends Cardiovasc. Med. 28, 1–7. doi: 10.1016/j.tcm.2017.06.018
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., and Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav. Immun. 88, 901–907. doi: 10.1016/j.bbi.2020.05. 026
Pavlakis, A., Raftopoulos, V., and Theodorou, M. (2010). Burnout syndrome in Cypriot physiotherapists: a national survey. BMC Health Serv. Res. 10:63. doi: 10.1186/1472-6963-10-63
Revilla, L., Luna del Castillo, J., Bailón, E., and Medina, I. (2005). Validación del cuestionario MOS de apoyo social en Atención Primaria. Medicina de Familia 6, 10–18.
Sandín, B., Valiente, R. M., Montes, M. O., Chorot, P., and Germán, M. A. S. (2002). Versión española del cuestionario EPQR-Abreviado (EPQR-A) (II): replicación factorial, fiabilidad y validez. Rev. de Psicopatol. y Psicol. Clin. 7, 195–205. doi: 10.5944/rppc
Schmitt, D. P., Realo, A., Voracek, M., and Allik, J. (2008). Why can’t a man be more like a woman? Sex differences in Big Five personality traits across 55 cultures. J. Pers. Soc. Psychol. 94:168. doi: 10.1037/0022-3514.94.1.168 Seisdedos, N. (1997). MBI: Inventario Burnout de Maslach. Madrid: Ediciones TEA.
Seo, Y. E., Kim, H. C., Yoo, S. Y., Lee, K. U., Lee, H. W., and Lee, S. H. (2020). Factors associated with burnout among health care workers during an outbreak of MERS. Psychiatry Investig. 17, 674–680. doi: 10.30773/pi.2020.0056
Shannon, G., Minckas, N., Tan, D., Haghparast-Bidgoli, H., Batura, N., and Mannell, J. (2019). Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis. Hum. Resour. Health 17, 1–16. doi: 10.1186/s12960-019-0406-0
Sheather, S. (2009). Un enfoque Moderno a la Regresión con R. Berlin: Springer Science & Business Media.
Sherbourne, C. D., and Stewart, A. L. (1991). The MOS social support survey. Soc. Sci. Med. 32, 705–714. doi: 10.1016/0277-9536(91)90150-b
Sweile, W. M. (2020). Research trends and scientific analysis of publications on burnout and compassion fatigue among health care providers. J. Occup. Med. Toxicol. 15, 1–10. doi: 10.1186/s12995-020-00274-z
Swider, B. W., and Zimmerman, R. D. (2010). Born to burnout: a meta-analytic path model of personality, job burnout, and work outcomes. J. Vocat. Behav. 76, 487–506. doi: 10.1016/j.jvb.2010.01.003
Zaed, I., Jaaiddane, Y., Chibbaro, S., and Tinterri, B. (2020). Burnout among neurosurgeons and residents in neurosurgery: a systematic review and metaanalysis of the literature. World Neurosurg. 143, e529–e534. doi: 10.1016/j. wneu.2020.08.005
Zaghini, F., Biagioli, V., Proietti, M., Badolamenti, S., Fiorini, J., and Sili, A. (2020). The role of occupational stress in the association between emotional labor and burnout in nurses: a cross-sectional study. Appl. Nurs. Res. 54, 1–6. doi: 10.1016/j.apnr.2020.15 1277
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spelling Ruisoto, PabloRamírez, Marina R.García, Pedro A.Paladines-Costa, BelénVaca, SilviaClemente-Suárez, Vicente Javier2021-02-25T19:12:49Z2021-02-25T19:12:49Z2021-01-131664-1078https://hdl.handle.net/11323/7925https://doi.org/10.3389/fpsyg.2020.623587Corporación Universidad de la CostaREDICUC - Repositorio CUChttps://repositorio.cuc.edu.co/Burnout is characterized by emotional exhaustion and caused by exposure to excessive and prolonged stress related to job conditions. Moreover, burnout is highly prevalent among health care professionals. The aim of this study is, first, to examine the mediating role of social support over the effect of burnout in health care professionals and, second, to explore potential gender differences. A convenience sample of 1,035 health professionals from Ecuador, including 608 physicians and 427 nurses (68% women, with and age M = 40 + 9 years old), was surveyed using the Maslach Burnout Inventory (MBI), Social Support Survey (MOS), and General Health Questionnaire (GHQ-28) as measures of burnout, social support, and general health, respectively. Social support was found to mediate the negative effects of burnout on health regardless of gender. Differences across the three dimensions of burnout and health are further discussed, along with their implications for designing effective burnout interventions for health care professionals in Ecuador.Ruisoto, Pablo-will be generated-orcid-0000-0003-1252-0479-600Ramírez, Marina R.García, Pedro A.Paladines-Costa, BelénVaca, Silvia-will be generated-orcid-0000-0003-0149-6135-600Clemente-Suárez, Vicente Javier-will be generated-orcid-0000-0002-2397-2801-600application/pdfspaCorporación Universidad de la CostaCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Frontiers in Psychologyhttps://www.frontiersin.org/articles/10.3389/fpsyg.2020.623587/full#:~:text=Social%20Support%20Mediates%20the%20Effect%20of%20Burnout%20on%20Health%20in%20Health%20Care%20Professionals,-Pablo%20Ruisoto1&text=Burnout%20is%20characterized%20by%20emotional,stress%20related%20to%20job%20conditions.&text=Social%20support%20was%20found%20to,on%20health%20regardless%20of%20gender.Burnout – professionalSocial supportPsychological stressGeneral healthHealth care professionalsSocial support mediates the effect of burnout on health in health care professionalsArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/acceptedVersionAbraham, M. D., and Jacobowitz, W. (2020). Resilience and burnout in health care students and inpatient psychiatric nurses: a between-groups study of two populations. Arch. Psychiatr. Nurs. 35, 1–33. doi: 10.1016/j.apnu.2020. 10.008Ahola, K., and Hakanen, J. (2007). Job strain, burnout, and depressive symptoms: a prospective study among dentists. J. Affect. Disord. 104, 103–110. doi: 10.1016/ j.jad.2007.03.004Alarcon, G., Eschleman, K. J., and Bowling, N. A. (2009). Relationships between personality variables and burnout: a meta-analysis. Work Stress 23, 244–263. doi: 10.1080/02678370903282600Amoafo, E., Hanbali, N., Patel, A., and Singh, P. (2014). What are the significant factors associated with burnout in doctors? Occup. Med. 65, 117–121. doi: 10.1093/occmed/kqu144Applebaum, A. (2015). Isolated, invisible, and in-need: there should be no "I" in caregiver. Palliat. Support Care 13, 415–416. doi: 10.1017/S1478951515000413Armon, G., Shirom, A., and Melamed, S. (2012). The big five personality factors as predictors of changes across time in burnout and its facets. J. Pers. 80, 403–427. doi: 10.1111/j.1467-6494.2011.00731.xBaron, R. M., and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J. Pers. Soc. Psychol. 51, 1173–1182. doi: 10.1037/0022-3514.51. 6.1173Bianchi, R., Boffy, C., Hingray, C., Truchot, C., and Laurent, E. (2013). Comparative symptomatology of burnout and depression. J. Health Psychol. 18, 782–787. doi: 10.1177/1359105313481079Bianchi, R., and Brisson, R. (2019). Burnout and depression: causal attributions and construct overlap. J. Health Psychol. 24, 1574–1580. doi: 10.1177/ 1359105317740415Bianchi, R., Schonfeld, I. S., and Laurent, E. (2017a). Physician burnout is better conceptualized as depression. Lancet 389, 1397–1398. doi: 10.1016/s0140- 6736(17)30897-8Bianchi, R., Schonfeld, I. S., Vandel, P., and Laurent, E. (2017b). On the depressive nature of the “burnout syndrome”: a clarification. Eur. Psychiatry 41, 109–110. doi: 10.1016/j.eurpsy.2016.10.008Brenninkmeijer, V., and Van Yperen, N. (2003). How to conduct research on burnout: advantages and disadvantages of a unidimensional approach in burnout research. Occup. Environ. Med. 60, 16–20. doi: 10.1136/oem.60.suppl_ 1.i16Dall’Ora, C., Ball, J., Reinius, M., and Griffiths, P. (2020). Burnout in nursing: a theoretical review. Hum. Resour. Health 18, 1–17. doi: 10.1186/s12960-020- 00469-9Ebling, M., and Carlotto, M. S. (2012). Burnout syndrome and associated factors among health professionals of a public hospital. Trends Psychiatry Psychother. 34, 93–100. doi: 10.1590/S2237-60892012000200008Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., and Azoulay, E. (2007). Burnout syndrome among critical health care workers. Curr. Opin. Crit. Care 13, 482–488. doi: 10.1097/MCC.0b013e3282efd28aFornés-Vives, J., Frias-Navarro, D., García-Banda, G., and Pascual-Soler, M. (2019). The role of neuroticism in predicting psychological harassment in nursing: a longitudinal study. Int. J. Environ. Res. Public Health 16, 1–8. doi: 10.3390/ ijerph16050889Francis, L. J., Brown, L. B., and Philipchalk, R. (1992). The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQRA): its use among students in England, Canada, the USA and Australia. Pers. Individ. Differ. 13, 443–449. doi: 10.1016/0191-8869(92)90073-XFreudenberger, H. J. (1974). Staff burn-out. J. Soc. Issues 30, 159–165. doi: 10.1111/ j.1540-4560.1974.tb00706.xGandi, J. C., Wai, P. S., Karick, H., and Dagona, Z. K. (2011). The role of stress and level of burnout in job performance among nurses. Ment. Health Fam. Med. 8, 181–194.García-Prado, A., and Gonzalez, P. (2007). Policy and regulatory responses to dual practice in the health sector. Health Policy 84, 142–152. doi: 10.1016/j. healthpol.2007.03.006Goldberg, D. P., and Hillier, V. F. (1979). A scaled version of the general health questionnaire. Psychol. Med. 9, 139–145. doi: 10.1017/S0033291700021644Hall, L. H., Johnson, J., Watt, I., Tsipa, A., and O’Connor, D. B. (2016). Health care staff wellbeing, burnout, and patient safety: a systematic review. PLoS One 11:e0159015. doi: 10.1371/journal.pone.0159015Hayes, A. F. (2017). Introducción a la Mediación, la Moderación y el Análisis de Procesos Condicional: un Enfoque Basado en Regresión. New York, NY: Publicaciones de Guilford.Hintsa, T., Elovainio, M., Jokela, M., Ahola, K., Virtanen, M., and Pirkola, S. (2016). Is there an independent association between burnout and increased allostatic load? Testing the contribution of psychological distress and depression. J. Health Psychol. 21, 1576–1586. doi: 10.1177/1359105314559619Holt-Lunstad, J., Smith, T. B., and Layton, J. B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS Med. 7:e1000316. doi: 10.1371/ journal.pmed.1000316Hou, T., Zhang, T., Cai, W., Song, X., Cheng, A., Deng, G., et al. (2020). Social support and mental health among health care workers during coronavirus disease 2019 outbreak: a moderated mediation model. PLoS One 15:e0233831. doi: 10.1371/journal.pone.0233831Kelly, D. P., Weigard, A., and Beltz, A. M. (2020). How are you doing? The personspecificity of daily links between neuroticism and physical health. J. Psychosom. Res. 89, 1–5. doi: 10.1016/j.archger.2020.104059Korkmaz, S., Kazgan, A., Çekiç, S., Tartar, A. S., Balcı, H. N., and Atmaca, M. (2020). The anxiety levels, quality of sleep and life and problem-solving skills in health care workers employed in COVID-19 services. J. Neuropsychiatry Clin. Neurosci. 80, 131–136. doi: 10.1016/j.jocn.2020.07.073Koutsimani, P., Montgomery, A., and Georganta, K. (2019). The relationship between burnout, depression, and anxiety: a systematic review and metaanalysis. Front. Psychol. 10:284. doi: 10.3389/fpsyg.2019.00284Lazarus, R. S., and Folkman, S. (1984). Stress, Appraisal, and Coping. New York, NY: Springer publishing company.Lee, R. T., and Ashforth, B. E. (1990). On the meaning of Maslach’s three dimensions of burnout. J. Appl. Psychol. 75, 743–747. doi: 10.1037/0021-9010. 75.6.743Leiter, M. P., and Maslach, C. (2009). Nurse turnover: the mediating role of burnout. J. Nurs. Manag. 17, 331–339. doi: 10.1111/j.1365-2834.2009.01004.xLi, H., Cheng, B., and Zhu, X. P. (2018). Quantification of burnout in emergency nurses: a systematic review and meta-analysis. Int. Emerg. Nurs. 39, 46–54. doi: 10.1016/j.ienj.2017.12.005Maslach, C. (2003). Job burnout: new directions in research and intervention. Curr. Dir. Psychol. Sci. 12, 189–192. doi: 10.1111/1467-8721.01258Maslach, C., and Jackson, S. E. (1981). The measurement of experienced burnout. J. Organ. Behav. 2, 99–113. doi: 10.1002/job.4030020205Maslach, C., and Jackson, S. E. (1986). Maslach Burnout Inventory Manual, 2 Edn. Palo Alto, CA: Consulting Psychologists Press.Maslach, C., and Leiter, M. P. (2008). Early predictors of job burnout and engagement. J. Appl. Psychol. 93, 498–512. doi: 10.1037/0021-9010.93.3.498Medisauskaite, A., and Kamau, C. (2019). Reducing burnout and anxiety among doctors: randomized controlled trial. Psychiatry Res. 274, 383–390. doi: 10.1016/ j.psychres.2019.02.075Mikkola, L., Suutala, E., and Parviainen, H. (2018). Social support in the workplace for physicians in specialization training. Med. Educ. 23, 1–10. doi: 10.1080/ 10872981.2018.1435114Muller, A. E., Hafstad, E. F., Himmels, J. P. W., Smedslund, G., Flottorp, S., Stensland, S., et al. (2020). The mental health impact of the covid-19 pandemic on health care workers, and interventions to help them: a rapid systematic review. Psychiatry Res. 293, 1–11. doi: 10.1016/j.psychres.2020.113441Muñoz, P. E., Vázquez-Barquero, J. L., Rodríguez, I. F., Pastrana, E., and Varo, J. (1979). Spanish adaptation of the general health questionnaire (GHQ) of DP Goldberg. Arch. Neurobiol. 42, 139–158.Panagioti, M., Geraghty, K., and Johnson, J. (2018). How to prevent burnout in cardiologists? A review of the current evidence, gaps, and future directions. Trends Cardiovasc. Med. 28, 1–7. doi: 10.1016/j.tcm.2017.06.018Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., and Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among health care workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav. Immun. 88, 901–907. doi: 10.1016/j.bbi.2020.05. 026Pavlakis, A., Raftopoulos, V., and Theodorou, M. (2010). Burnout syndrome in Cypriot physiotherapists: a national survey. BMC Health Serv. Res. 10:63. doi: 10.1186/1472-6963-10-63Revilla, L., Luna del Castillo, J., Bailón, E., and Medina, I. (2005). Validación del cuestionario MOS de apoyo social en Atención Primaria. Medicina de Familia 6, 10–18.Sandín, B., Valiente, R. M., Montes, M. O., Chorot, P., and Germán, M. A. S. (2002). Versión española del cuestionario EPQR-Abreviado (EPQR-A) (II): replicación factorial, fiabilidad y validez. Rev. de Psicopatol. y Psicol. Clin. 7, 195–205. doi: 10.5944/rppcSchmitt, D. P., Realo, A., Voracek, M., and Allik, J. (2008). Why can’t a man be more like a woman? Sex differences in Big Five personality traits across 55 cultures. J. Pers. Soc. Psychol. 94:168. doi: 10.1037/0022-3514.94.1.168 Seisdedos, N. (1997). MBI: Inventario Burnout de Maslach. Madrid: Ediciones TEA.Seo, Y. E., Kim, H. C., Yoo, S. Y., Lee, K. U., Lee, H. W., and Lee, S. H. (2020). Factors associated with burnout among health care workers during an outbreak of MERS. Psychiatry Investig. 17, 674–680. doi: 10.30773/pi.2020.0056Shannon, G., Minckas, N., Tan, D., Haghparast-Bidgoli, H., Batura, N., and Mannell, J. (2019). Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis. Hum. Resour. Health 17, 1–16. doi: 10.1186/s12960-019-0406-0Sheather, S. (2009). Un enfoque Moderno a la Regresión con R. Berlin: Springer Science & Business Media.Sherbourne, C. D., and Stewart, A. L. (1991). The MOS social support survey. Soc. Sci. Med. 32, 705–714. doi: 10.1016/0277-9536(91)90150-bSweile, W. M. (2020). Research trends and scientific analysis of publications on burnout and compassion fatigue among health care providers. J. Occup. Med. Toxicol. 15, 1–10. doi: 10.1186/s12995-020-00274-zSwider, B. W., and Zimmerman, R. D. (2010). Born to burnout: a meta-analytic path model of personality, job burnout, and work outcomes. J. Vocat. Behav. 76, 487–506. doi: 10.1016/j.jvb.2010.01.003Zaed, I., Jaaiddane, Y., Chibbaro, S., and Tinterri, B. (2020). Burnout among neurosurgeons and residents in neurosurgery: a systematic review and metaanalysis of the literature. World Neurosurg. 143, e529–e534. doi: 10.1016/j. wneu.2020.08.005Zaghini, F., Biagioli, V., Proietti, M., Badolamenti, S., Fiorini, J., and Sili, A. (2020). The role of occupational stress in the association between emotional labor and burnout in nurses: a cross-sectional study. Appl. Nurs. 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