Post-traumatic stress disorder, burnout and their impact on global functioning in Italian emergency healthcare workers

Minerva Anestesiol. 2021 May;87(5):556-566. doi: 10.23736/S0375-9393.20.14853-3. Epub 2021 Jan 12.

Abstract

Background: Post-traumatic stress disorder (PTSD) and burnout are severe and frequent conditions among emergency healthcare workers exposed to repeated work-related traumatic experiences. The aim of the present study was to investigate PTSD, burnout and global functioning in a sample of emergency healthcare workers (HCWs) of a major university hospital in Italy, exploring possible correlations between the two constructs.

Methods: The study sample included 137 medical and nursing Emergency Room and Intensive Care Unit staff members of a major University Hospital in Italy (Pisa), all assessed by means of the Trauma and Loss Spectrum - Self Report (TALS-SR), for post-traumatic stress spectrum, the Professional Quality of Life Scale - Revision IV (ProQOL R-IV), for burnout related to work activities, and the Work and Social Adjustment Scale (WSAS), for global functioning.

Results: Forty-nine subjects reported a full (18, 14.3%) or partial (31, 24.6%) symptomatological DSM-5 PTSD. HCWs with PTSD reported significantly higher burnout scores and global functioning impairment compared to those without PTSD. Mean to good significant correlations emerged between the TALS-SR total and domains scores, the ProQOL subscales and the WSAS scores.

Conclusions: This work, conducted before the COVID-19 pandemic, underlines a positive correlation between burnout and post-traumatic stress spectrum symptoms in emergency HCWs, showing the need for a deeper assessment of work-related post-traumatic stress symptoms in such population in order to improve the well-being and to prevent burnout.

MeSH terms

  • Adult
  • Burnout, Professional / epidemiology*
  • Burnout, Professional / etiology*
  • Burnout, Professional / psychology
  • COVID-19*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Emergency Medical Services*
  • Emergency Service, Hospital
  • Female
  • Health Personnel*
  • Humans
  • Intensive Care Units
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Pandemics*
  • Quality of Life
  • Self Report
  • Social Adjustment
  • Socioeconomic Factors
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / etiology*
  • Stress Disorders, Post-Traumatic / psychology