Evaluation of the relationship between burnout, depression, anxiety, and stress levels of primary health-care workers (Center Anatolia)

ABSTRACT

Background

The aim of this study was to evaluate the relationship between burnout, depression, anxiety, and stress levels of primary health-care workers.

Methods

This cross-sectional study included 338 health-care workers. The sociodemographic data form, the Maslach Burnout Inventory (MBI), and the Depression Anxiety Stress Scale-21 (DASS-21) were applied. Mann Whitney U test, Kruskal Wallis test, Chi square test, and Logistic regression analysis were used. The error level was taken as 0.05.

Results

The burnout levels of the health workers were lower level in Emotional Exhaustion (EE) (79.0%), Depersonalization (D) (81.1%), and Personal Accomplishment (PA) (54.1%). The level of the depression, anxiety, and stress were found to be 10.9%, 14.8%, and 5.0%, respectively. The rates of low-moderate-high EE and D, low-moderate PA were higher in physicians than midwives and nurses. There were significant differences between the mean of burnout levels and gender, marital status, occupation, and total working times. Mean depression was higher among physicians while mean stress was lower among who worked 5 years and under. EE and PA were the factors associated with depression and anxiety, while EE was the factor associated with stress.

Discussion

Considering that burnout, depression, anxiety, and stress are intertwined concepts, it is thought that's needed to develop strategies for health workers to regain working energy.

KEYWORDS:

• Burnout
• depression
• anxiety
• stress
• primary health care

Disclosure of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Additional information

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Notes on contributors

İrem Akova

İrem Akova is a public health physician by training. She worked for close to 9 years in Turkey and 6 months researching and teaching in the Sivas Cumhuriyet University, Faculty of Medicine Department of Public Health as an Asst. Prof. Her research interests include epidemiology, infectious diseases, non- infectious diseases, occupational health and all public health issues.

Öznur Hasdemir

Öznur Hasdemir is a midwife. She worked for close to 7 years in Turkey, 3 years working and researching in the Sivas Provincial Health Directorate as a midwife specialist. Her research interests include infectious diseases, non-infectious diseases, occupational health and all public health issues.

Esma Kiliç

Esma Kiliçis a public health physician by training. She worked for close to 8 years in Turkey, 2 year working and researching in the Sivas Provincial Health Directorate as a public health specialist. Her research interests epidemiology, infectious disaeses, non- infectious diseases, occupational health and all public health issues.