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Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Open AccessArticle

Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience

by 1,*,†, 2,3,*,†, 2,3,4 and 2,3,5
1
School of Education-Polytechnic of Porto, Portugal and Centre for Research and Innovation in Education, 4200-465 Porto, Portugal
2
Faculty of Medicine, MEDCIDS-Department of Community Medicine, Information and Decision in Health, University of Porto, 4200-450 Porto, Portugal
3
Faculty of Medicine, CINTESIS-Center for Health Technology and Services Research, 4200-450 Porto, Portugal
4
School of Health Sciences-Polytechnic of Porto, 4200-450 Porto, Portugal
5
IPVC–Instituto Politécnico de Viana do Castelo, 4900-347 Viana do Castelo, Portugal
*
Authors to whom correspondence should be addressed.
The authors contributed equally to this paper.
Int. J. Environ. Res. Public Health 2021, 18(2), 636; https://doi.org/10.3390/ijerph18020636
Received: 30 December 2020 / Accepted: 11 January 2021 / Published: 13 January 2021
(This article belongs to the Special Issue Mental Health in the Time of COVID-19)
During the COVID-19 pandemic, healthcare workers (HCW) have been exposed to multiple psychosocial stressors. Resilience might protect employees from the negative consequences of chronic stress. The aim of this study was to explore the mediating role of resilience in the relationship between depression and burnout (personal, work-related, and client-related). A cross-sectional study was performed using an online questionnaire distributed via social networks. A survey was conducted comprising standardized measures of resilience (Resilience Scale-25 items), depression (subscale of Depression Anxiety Stress Scales-21 items), and burnout (Copenhagen Burnout Inventory Scale-19 items). A total of 2008 subjects completed the survey, and a hierarchical regression model was estimated for each burnout dimension. The results revealed that depression had not only a directed effect on personal, work- and client-related burnout, but also an indirect small effect on it through resilience. Psychological resilience played a partial mediating role between depression and all burnout dimensions. This partial mediation suggests that there may be other possible variables (e.g., social connection, self-compassion, gratitude, sense of purpose) that further explain the associations. View Full-Text
Keywords: COVID-19; healthcare workers; resilience; depression; burnout COVID-19; healthcare workers; resilience; depression; burnout
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MDPI and ACS Style

Serrão, C.; Duarte, I.; Castro, L.; Teixeira, A. Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience. Int. J. Environ. Res. Public Health 2021, 18, 636.

AMA Style

Serrão C, Duarte I, Castro L, Teixeira A. Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience. International Journal of Environmental Research and Public Health. 2021; 18(2):636.

Chicago/Turabian Style

Serrão, Carla; Duarte, Ivone; Castro, Luísa; Teixeira, Andreia. 2021. "Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic—The Mediating Role of Psychological Resilience" Int. J. Environ. Res. Public Health 18, no. 2: 636.

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